We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Medications Modulating the Acid Sphingomyelinase/Ceramide System and 28-Day Mortality among Patients with SARS-CoV-2: An Observational Study.
- Authors
Hoertel, Nicolas; Rezaei, Katayoun; Sánchez-Rico, Marina; Delgado-Álvarez, Alfonso; Kornhuber, Johannes; Gulbins, Erich; Olfson, Mark; Ouazana-Vedrines, Charles; Carpinteiro, Alexander; Cougoule, Céline; Becker, Katrin Anne; Alvarado, Jesús M.; Limosin, Frédéric
- Abstract
Prior evidence indicates the potential central role of the acid sphingomyelinase (ASM)/ceramide system in the infection of cells with SARS-CoV-2. We conducted a multicenter retrospective observational study including 72,105 adult patients with laboratory-confirmed SARS-CoV-2 infection who were admitted to 36 AP-HP (Assistance Publique–Hôpitaux de Paris) hospitals from 2 May 2020 to 31 August 2022. We examined the association between the ongoing use of medications functionally inhibiting acid sphingomyelinase (FIASMA), which reduces the infection of cells with SARS-CoV-2 in vitro, upon hospital admission with 28-day all-cause mortality in a 1:1 ratio matched analytic sample based on clinical characteristics, disease severity and other medications (N = 9714). The univariate Cox regression model of the matched analytic sample showed that FIASMA medication use at admission was associated with significantly lower risks of 28-day mortality (HR = 0.80; 95% CI = 0.72–0.88; p < 0.001). In this multicenter observational study, the use of FIASMA medications was significantly and substantially associated with reduced 28-day mortality among adult patients hospitalized with COVID-19. These findings support the continuation of these medications during the treatment of SARS-CoV-2 infections. Randomized clinical trials (RCTs) are needed to confirm these results, starting with the molecules with the greatest effect size in the study, e.g., fluoxetine, escitalopram, and amlodipine.
- Subjects
COVID-19; SPHINGOMYELINASE; SARS-CoV-2; CERAMIDES; SCIENTIFIC observation
- Publication
Pharmaceuticals (14248247), 2023, Vol 16, Issue 8, p1107
- ISSN
1424-8247
- Publication type
Article
- DOI
10.3390/ph16081107