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Paracetamol Is Associated with a Lower Risk of COVID-19 Infection and Decreased ACE2 Protein Expression: A Retrospective Analysis

Published version
Peer-reviewed

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Authors

Fedele, Giorgio 
Martins, Luís Miguel 

Abstract

jats:pIbuprofen is a common over-the-counter drug taken for pain relief. However, recent studies have raised concerns about its potential toxic effect with coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It has been proposed that ibuprofen may increase levels of angiotensin-converting enzyme 2 (ACE2), the human receptor for SARS-CoV-2 infection. Therefore, paracetamol is suggested as an alternative to ibuprofen for treating COVID-19 symptoms. Nevertheless, the relationship between intake of paracetamol or ibuprofen and either susceptibility to infection by SARS-CoV-2 or modulation of cellular ACE2 levels remains unclear. In this study, we combined data from human medical records and cells in culture to explore the role of the intake of these drugs in COVID-19. Although ibuprofen did not influence COVID-19 infectivity or ACE2 levels, paracetamol intake was associated with a lower occurrence of COVID-19 in our cohort. We also found that paracetamol led to decreased ACE2 protein levels in cultured cells. Our work identifies a putative protective effect of paracetamol against SARS-CoV-2 infection. Future work should explore the molecular mechanisms underlying the relationship between paracetamol and COVID-19.</jats:p>

Description

Keywords

3214 Pharmacology and Pharmaceutical Sciences, 32 Biomedical and Clinical Sciences, Pneumonia, Neurosciences, Biodefense, Vaccine Related, Lung, Emerging Infectious Diseases, Prevention, Pneumonia & Influenza, Infectious Diseases, 5 Development of treatments and therapeutic interventions, 2.1 Biological and endogenous factors, 2 Aetiology, 5.1 Pharmaceuticals, 3 Good Health and Well Being

Journal Title

COVID

Conference Name

Journal ISSN

2673-8112
2673-8112

Volume Title

1

Publisher

MDPI AG
Sponsorship
Medical Research Council (MC_U132674518)
Medical Research Council (MC_UU_00025/3)