Drug intelligence / Profile preview

all-trans retinoic acid + isotretinoin

Development stage
Unknown
Lead developer
Kafrelsheikh University
Modality
Small Molecules
Administration
Inhalation
01

Overview

All-trans retinoic acid (ATRA) and isotretinoin (13-cis retinoic acid) are being investigated by Kafrelsheikh University as an inhaled combination therapy for the treatment of severe COVID-19. This small molecule retinoid approach aims to downregulate the expression of Angiotensin-converting enzyme 2 (ACE2) and CD13, which are utilized by SARS-CoV-2 for cellular entry. Furthermore, the therapy is intended to restore exhausted T cell populations, induce mucosal neutralizing antibodies (IgA), and modulate the inflammatory response by reducing cytokines such as IL-6 and affecting bradykinin receptors. The treatment is delivered via aerosol to target the respiratory tract directly, potentially preventing or treating respiratory failure in hospitalized patients.

Other names
all-trans retinoic acidATRAtretinoinisotretinoin13-cis retinoic acidall trans retinoic acid-Kafrelsheikh University-COVID-19
02

Targets

TMPRSS2 (Transmembrane protease serine 2)ACE2 (Angiotensin-converting enzyme 2)Mpro (3C-like proteinase of SARS-CoV-2)RXR (RXR family)

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