Thursday, October 08, 2020 9:40:27 PM
"His study, published online August 21 in PNAS, also revealed lower serum IL-6 levels among people with COVID-19 compared to patients with bacterial ARDS or sepsis.
Kishimoto drew a distinction, however: COVID-19 patients can develop severe respiratory failure, suggesting a distinct immune reaction compared to patients with bacterial sepsis. SARS-CoV-2 directly infects and activates endothelial cells rather than macrophages, as occurs in sepsis.
For this reason, Kishimoto said, "SARS-CoV-2 infection causes critical illness and severe dysfunction in respiratory organs and induces a cytokine storm," even in the setting of lower but still elevated serum IL-6 levels.
Dr. Kishimoto's study is much more robust (N=127 vs N=46) than the study referenced in Medscape. The study is more comprehensive and nuanced than the Dutch study and debunks it immediately.
https://www.pnas.org/content/117/36/22351
Antivirals do not work for everyone and are susceptible to failure once the virus mutates.
I conclude that it appears certain that Leronlimab will be needed for severe/critical patients.
Nader should continue to focus on CD12 while keeping the ball rolling on the HIV BLA.
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