Monday, July 20, 2020

Existing drug may downgrade COVID threat to common cold level — Jerusalem study

Hebrew University professor says he’s worked out what makes the raging virus so vicious, and how to fix it using an anti-cholesterol med; no human testing done yet

Illustrative: A man holds a bottle of pills (outline205; iStock by Getty Images)
Illustrative: A man holds a bottle of pills (outline205; iStock by Getty Images)
An existing medicine can “downgrade” the danger-level of coronavirus to that of a common cold, a Jerusalem researcher is claiming, after testing it on infected human tissue.
Prof. Yaakov Nahmias says that his research shows that the novel coronavirus is so vicious because it causes lipids to be deposited in the lungs, and that there is a solution to undo the damage: a widely-used anti cholesterol drug called fenofibrate.
“If our findings are borne out by clinical studies, this course of treatment could potentially downgrade COVID-19’s severity into nothing worse than a common cold,” Nahmias said.
Unlike remdesivir, which is being lauded for its effect on coronavirus patients, fenofibrate, sometimes sold under the brand name Tricor, is already accredited by America’s Food and Drug Administration and is in plentiful supply. Remdesivir is in short supply and is also still pending full approval by regulators like the FDA.

Prof. Yaakov Nahmias of the Hebrew University of Jerusalem (right) (courtesy of the Hebrew University of Jerusalem)
Nahmias, director of Hebrew University’s Grass Center for Bioengineering, reached his conclusion in joint research with Dr. Benjamin tenOever at New York’s Mount Sinai Medical Center. Their paper has gone live on an online portal run by Cell Press, publishers of biomedical journals, for research that hasn’t yet been peer reviewed.
Nahmias and tenOever performed lab tests on human lung cells infected with SARS-CoV-2.
Nahmias said they arrived at the idea that a cholesterol drug could help after studying the way in which the novel coronavirus “hijacks” the human body.
He told The Times of Israel: “The question is why this new coronavirus is so different from its close relatives that just cause a common cold. What we see is that this virus really changes lipid metabolism in the human lungs. The new coronavirus causes tiny lipid droplets to accumulate in the lungs, something you don’t normally see in the lungs in any significant quantity.”
 

The chemical composition of the fenofibrate cholesterol-lowering drug. Atoms are represented as spheres with conventional color coding: hydrogen (white), carbon (grey), oxygen (red), chlorine (green) (iStock)
Similar processes, hinging on the virus depositing fats, seem to take place in other parts of the body too, such as the liver, said Nahmias.
He believes that the virus does this in order to perpetuate itself in the host, and that if this process can be stopped, it will halt the onset of problems with organs — normally the lungs — that cause the virus to badly affect patients.He said the virus interferes with the ability of the body to break down fat, and fenofibrate jump-starts this process. “The interesting thing about our study is that fenofibrate actually binds and activates the very site on the DNA that the virus shuts down — a part of our DNA that allows our cells to burn fat,” he stated.
“Virus infection causes the lung cells to start building up fat, and fenofibrate allows the cells to burn it.”
The restart of the process is swift, he said, comparing it to “when the plug is removed from the bath tub.”
Nahmias said that the high danger level from coronavirus isn’t caused by its infectiousness or the body’s general ability to rid itself of the virus, but rather by the unique symptoms it causes. “Your body can easily deal with the virus, all we need to do is deal with the symptoms,” he said.
“We need to give the body time to clear the virus without going into respiratory failure. And it’s by doing this that I think we can transform it into something far less serious, something like the common cold.”


Fenofibrate (brand names: Antara, Fenoglide, Lipofen, Lofibra, TriCor, Triglide) is a fibrate drug used to treat high cholesterol and high triglyceride (fatty acid) levels. Fenofibrate is a generic drug.

Side Effects of Fenofibrate 40 mg/ 120 mg (Fenofibrate ...

Brand Name
Brand NameCompositionCompany
fenolip 145 tabFenofibrate (nanotablet formulation) 145mgcipla
finate capFenofibrate 160mgfranco indian
finate capFenofibrate 200mgfranco indian
lipicard capFenofibrate 160mgusv
7 more rows

FENOFIBRATE - MEDLINE INDIA










The regulatory grey area and resistance to newer technologies kept telemedicine as an add on for most startups. Only few such as Practo, Medibuddy, DocsApp have been offering telemedicine as a core model. And, within that, the revenue involves other avenues as well. For instance, Practo has a Saas model which makes software products that helps healthcare providers in digitising their hospitals and clinics at a monthly subscription rate. Lybrate has an ecommerce platform called Goodkart, that offers healthcare products. Besides these startups also offer lab tests, preventive health checks as well.

Help Koalas, help ourselves

Vaccine trials being run in Australia to protect koalas from chlamydia could help lead to a human vaccine, too. Chlamydia is ravaging the animals’ population (aided by habitat destruction and road kill). Animal- and human-health researchers are working together on projects that benefit both species. “You’re better off doing a bad experiment in koalas than a good experiment in mice,” says microbiologist Peter Timms. “We don’t need a vaccine for mice.”
The New York Times | 10 min read

How Vietnam protected every life

Vietnam has a population of 97 million people, limited health-care capacity and a border shared with China. Yet it has had fewer than 400 confirmed cases of COVID-19 and no deaths. Analysts from the Johns Hopkins Center for Health Security look at how Vietnam achieved it: preparedness, an early and aggressive response, good public communication and an emphasis on testing, tracing and quarantine.
Outbreak Observatory | 5 min read

Pig hosts can repair damaged human lungs

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STAT | 6 min read Reference: Nature Medicine paper

Notable quotable

“Just before the patient died, they looked at their nurse and said ‘I think I made a mistake, I thought this was a hoax, but it’s not.’”
Physician Jane Appleby shares the last words of a person in their 30s who died after attending a ‘COVID-19 party’ to catch the virus on purpose. Appleby, a health official in San Antonio, Texas, hopes to raise awareness of the disease in the city, which has 18,000 reported cases. (WOAI News | 2 min read)
If We Get a Vaccine, the Politics Could Be Messy
Even if scientists find a vaccine, two Science articles argue it may not spell an easy end to Covid-19. For one, tricky ethical decisions lie ahead over who should be vaccinated first, Jon Cohen writes. “Nobody’s going to debate health care workers and first responders—people who are putting themselves at risk for others and keeping things moving,” former US National Vaccine Program Director Bruce Gellin, now of the Sabin Vaccine Institute, tells Cohen. “After that is when it gets complicated.”

Warren Cornwall expects anti-vaccine politics to get in the way, noting an online uptick. “In May, a documentary-style video, ‘Plandemic,’ purporting that COVID-19 related deaths were exaggerated and a vaccine could kill millions, got more than 7 million views on YouTube before it was removed because of its unsubstantiated claims,” he writes. “Other outlandish claims include that vitamin C can cure COVID-19 and that the disease is a conspiracy involving philanthropist Bill Gates.”