Articles producció científica> Ciències Mèdiques Bàsiques

Whole-lung Low Dose Irradiation for SARS-Cov2 Induced Pneumonia in the Geriatric Population: An Old Effective Treatment for a New Disease? Recommendation of the International Geriatric Radiotherapy Group

  • Identification data

    Identifier: imarina:6394827
    Authors:
    Lara, Pedro C.Nguyen, Nam P.Macias-Verde, DavidBurgos-Burgos, JavierArenas, MeritxellZamagni, AliceVinh-Hung, VincentBaumert, Brigitta G.Motta, MicaelaMyint, Arthur SunBonet, MartaPopescu, TiberiuTe VuongAppalanaido, Gokula KumarTrigo, LurdesKarlsson, UlfThariat, Juliette
    Abstract:
    A cytokine storm induced by SARS-Cov2 may produce pneumonitis which may be fatal for older patients with underlying lung disease. Hyper-elevation of Interleukin1 (IL-1), Tumor necrosis factor-1alfa (TNF1 alfa), and Interleukin 6 (IL-6) produced by inflammatory macrophage M1 may damage the lung alveoli leading to severe pneumonitis, decreased oxygenation, and potential death despite artificial ventilation. Older patients may not be suitable candidates for pharmaceutical intervention targeting IL-1/6 blockade or artificial ventilation. Low dose total lung (LDTL) irradiation at a single dose of 50 cGy may stop this cytokine cascade, thus preventing, and/or reversing normal organs damage. This therapy has been proven in the past to be effective against pneumonitis of diverse etiology and could be used to prevent death of older infected patients. Thus, LDRT radiotherapy may be a cost-effective treatment for this frail patient population whom radiation - induced malignancy is not a concern because of their advanced age. This hypothesis should be tested in future prospective trials.
  • Others:

    Author, as appears in the article.: Lara, Pedro C.; Nguyen, Nam P.; Macias-Verde, David; Burgos-Burgos, Javier; Arenas, Meritxell; Zamagni, Alice; Vinh-Hung, Vincent; Baumert, Brigitta G.; Motta, Micaela; Myint, Arthur Sun; Bonet, Marta; Popescu, Tiberiu; Te Vuong; Appalanaido, Gokula Kumar; Trigo, Lurdes; Karlsson, Ulf; Thariat, Juliette;
    Department: Ciències Mèdiques Bàsiques
    URV's Author/s: Arenas Prat, Meritxell
    Keywords: X-rays Treatment Sars-cov 2 Roentgen therapy Ldrt Inflammation Infections Historical use Elderly
    Abstract: A cytokine storm induced by SARS-Cov2 may produce pneumonitis which may be fatal for older patients with underlying lung disease. Hyper-elevation of Interleukin1 (IL-1), Tumor necrosis factor-1alfa (TNF1 alfa), and Interleukin 6 (IL-6) produced by inflammatory macrophage M1 may damage the lung alveoli leading to severe pneumonitis, decreased oxygenation, and potential death despite artificial ventilation. Older patients may not be suitable candidates for pharmaceutical intervention targeting IL-1/6 blockade or artificial ventilation. Low dose total lung (LDTL) irradiation at a single dose of 50 cGy may stop this cytokine cascade, thus preventing, and/or reversing normal organs damage. This therapy has been proven in the past to be effective against pneumonitis of diverse etiology and could be used to prevent death of older infected patients. Thus, LDRT radiotherapy may be a cost-effective treatment for this frail patient population whom radiation - induced malignancy is not a concern because of their advanced age. This hypothesis should be tested in future prospective trials.
    Thematic Areas: Psicología Pathology and forensic medicine Neurology (clinical) Medicina ii Medicina i Interdisciplinar Geriatrics and gerontology Geriatrics & gerontology Educação física Ciências biológicas ii Cell biology
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: meritxell.arenas@urv.cat
    Author identifier: 0000-0003-0815-2570
    Record's date: 2023-02-19
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: http://www.aginganddisease.org/EN/10.14336/AD.2020.0506#1
    Papper original source: Aging And Disease. 11 (3): 489-493
    APA: Lara, Pedro C.; Nguyen, Nam P.; Macias-Verde, David; Burgos-Burgos, Javier; Arenas, Meritxell; Zamagni, Alice; Vinh-Hung, Vincent; Baumert, Brigitta G (2020). Whole-lung Low Dose Irradiation for SARS-Cov2 Induced Pneumonia in the Geriatric Population: An Old Effective Treatment for a New Disease? Recommendation of the International Geriatric Radiotherapy Group. Aging And Disease, 11(3), 489-493. DOI: 10.14336/AD.2020.0506
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Article's DOI: 10.14336/AD.2020.0506
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2020
    Publication Type: Journal Publications
  • Keywords:

    Cell Biology,Geriatrics & Gerontology,Geriatrics and Gerontology,Neurology (Clinical),Pathology and Forensic Medicine
    X-rays
    Treatment
    Sars-cov 2
    Roentgen therapy
    Ldrt
    Inflammation
    Infections
    Historical use
    Elderly
    Psicología
    Pathology and forensic medicine
    Neurology (clinical)
    Medicina ii
    Medicina i
    Interdisciplinar
    Geriatrics and gerontology
    Geriatrics & gerontology
    Educação física
    Ciências biológicas ii
    Cell biology
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