Losartan And Cinanserin Offers Protection Against Lung Fibrosis

md_a

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Serotonin (5-hydroxytryptamine; 5-HT) is known to increase proliferation and collagen synthesis by fibroblasts. Two receptor subtypes, 5-HT2A and 5-HT2B, have been shown to play the most important roles in the lung.

In conclusion, the present study has demonstrated the antifibrotic effect of specific serotonin 5-HT2A and 5-HT2B receptor antagonists in vivo using the animal model of bleomycin-induced lung fibrosis, and the involvement of the transforming growth factor-β1, connective growth factor and plasminogen activator inhibitor-1 pathways. The observations in human samples support the hypothesis that the serotonin pathway might be involved in the pathophysiology of human lung fibrosis.

Modulation of bleomycin-induced lung fibrosis by serotonin receptor antagonists in mice


Several viral proteins have been reported to modulate TGF-ß1 signaling, which could induce the proliferation of fibroblasts [25]. Pang et al [27] found higher serum concentrations of TGF-ß1 in SARS patients compared to controls for all clinical courses, including initial, peak, remission, and recovery stages [26,27]. During short-term follow-up, persistent ground glass opacities, reticular opacities, and pathologic findings of fibrosis have been found in some SARS survivors [28,29]. ...

... Willis et al [30] pointed out that TGF-ß1 was necessary but not sufficient to induce the formation of pulmonary fibrosis [30]. In our study, TGF-ß1 levels increased significantly and remained high after treatment in the severe group, coinciding with reports of patients with SARS-CoV infection [23,26]. This phenomenon could well be explained by the existence of imminent pulmonary fibrosis. ...

https://www.researchgate.net/public...dulates_Transforming_Growth_Factor-_Signaling


Losartan an angiotensin receptor blocker (ARB), also may lead to protection of lung fibrosis through other molecular mechanisms such as downregulation of TGF-β1.

Cinanserin, serotonin antagonists, the benefits of this is from its 5-HT2 antagonism.

The molecule is an inhibitor of the 3C-like protease of SARS-coronavirus (SARS)

Cinanserin - Wikipedia
 

GenericName86

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Wouldn't Cyproheptadine be somewhat effective too? It's an ht2a antagonist and some claims it has an effect on all ht2 receptors
 

mujuro

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From memory cinanserin is also a 3CL protease inhibitor and should slow CoV replication.

Edit - lol didn’t read your whole post
 

golder

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Where does Famotidine and Diphenhydramine fit in here? Thanks for your help!
 

Kyle Bigman

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Losartan would be protective but would it help reversal do you know? Currently assuming Covid damaged my lungs and would like to know reversal strategies.
 

RealNeat

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Losartan would be protective but would it help reversal do you know? Currently assuming Covid damaged my lungs and would like to know reversal strategies.
ray just mentioned that it would on the newest one radio network podcast on 04/20
 
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