Casirivimab/İmdevimab: Evcil Hayvanlarda COVID-19 Tedavisi İçin Olası Bir Aday: Geleneksel Derleme

The coronavirus disease-2019 (COVID-19), over the last 3 years has globally resulted in catastrophic widespread losses. Prevention and control of this disease has become a global priority for researchers and medical professionals due to high mortality rates, treatment costs and various losses (economic and fatalities). In recent times, the fact that cats and dogs living in households which are being affected by the disease has caused panic among pet owners and animal lovers. Studies have shown that cats, especially young cats, are the group of animals which are most affected. Therefore, the treatment of COVID-19 in animals is an important topic for veterinary medicine. Monoclonal antibodies have also been considered a possible treatment modality due to the use of various agents to treat COVID-19 and the lack of clear demonstration of their efficacy. Casirivimab/imdevimab (CAS/IMD) is a monoclonal antibody cocktail approved for treating COVID-19. There was a high expectation that CAS/IMD combination directly affects the angiotensin converting enzyme-2 receptors, which plays an important role in the pathogenesis of the virus. Experimental and clinical studies have shown that CAS/IMD combination positively affects the prognosis of patients suffering from COVID-19, speeds up the recovery process and increases survival. We suggest that CAS/IMD can be considered protective in COVID-19 positive dogs and cats. The aim of this article is to review the studies related to the beneficial effects of CAS/IMD and its possible effectiveness in animals with COVID-19 to promote their research in future studies.Koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID- 19)], son 3 yılda küresel olarak trajik yaygın kayıplara neden oldu. Bu hastalığın önlenmesi ve kontrolü; yüksek ölüm oranları, tedavi maliyetleri ve diğer çeşitli kayıplar (ekonomik ve ölümler) nedeniyle araştırmacılar ve medikal uzmanları için küresel bir öncelik hâline gelmiştir. Son zamanlarda hastalıktan etkilenen hanelerde yaşayan kedi ve köpeklerin olması, evcil hayvan sahipleri ve hayvanseverler arasında da paniğe neden oldu. Araştırmalar, kedilerin, özellikle genç kedilerin, en çok etkilenen hayvan grubu olduğunu göstermiştir. Bu nedenle hayvanlarda COVID-19 tedavisi veteriner hekimliği için önemli bir konudur. Monoklonal antikorlar, COVID-19’u tedavi etmek için çeşitli ajanların kullanılması ve etkinliklerinin net bir şekilde gösterilmemesi nedeniyle olası bir tedavi yöntemi olarak kabul edilmiştir. Casirivimab/imdevimab (CAS/IMD), COVID-19 tedavisi için onaylanmış bir monoklonal antikor kokteylidir. CAS/IMD kombinasyonunun, virüsün patogenezinde önemli bir rol oynayan anjiyotensin dönüştürücü enzim-2 reseptörlerini doğrudan etkilediği yönünde yüksek bir beklenti vardı. Deneysel ve klinik çalışmalar, CAS/IMD kombinasyonunun, COVID-19’dan muzdarip hastaların prognozunu olumlu yönde etkilediğini, iyileşme sürecini hızlandırdığını ve sağkalım oranını artırdığını göstermiştir. Dolayısıyla CAS/IMD’nin COVID-19 pozitif köpek ve kedilerde koruyucu olarak kabul edilebileceğini öneriyoruz. Bu derlemenin amacı, CAS/IMD’nin faydalı etkileri ile ilgili çalışmaları ve gelecekteki araştırmaları teşvik etmek için COVID-19’lu hayvanlarda CAS/IMD’nin olası etkinliğinin gözden geçirilmesidir

Investigation of the Possible Protective Effect of <i>N</i>-Acetylcysteine (NAC) against Irinotecan (CPT-11)-Induced Toxicity in Rats

Irinotecan (CPT-11) is a chemotherapeutic agent involved in the treatment regimens for several malignancies such as colorectal cancer. N-acetylcysteine (NAC) is a strong antioxidant and anti-inflammatory agent used in the treatment of several diseases related to oxidative stress and inflammation. This study aimed at investigating whether NAC provides protection against hepatorenal and gastrointestinal tissue damage induced by CPT-11. Thirty-two Wistar albino rats were divided into four groups as control, NAC, CPT-11, and CPT-11+NAC. Following the experimental period, blood, and tissue samples (liver, kidney, stomach, and small intestine) were collected, and biochemical indicators, together with pro-inflammatory cytokines (TNF-α and IL-1β), matrix metalloproteinases (MMPs), malondialdehyde (MDA), glutathione peroxidase (GPx) and superoxide dismutase (SOD) levels were evaluated. Both the biochemical indicators and the pro-inflammatory cytokines, MMP, and MDA levels increased in animals treated with CPT-11, while SOD and GPx activities decreased. Histopathological evaluation revealed structural damage in all examined tissues. With NAC administration, significant improvements were observed, both biochemically and histologically. In conclusion, the results of the present study suggest that NAC treatment together with CPT-11 may have a beneficial effect on reducing CPT-11 toxicity in rats, by modulating inflammation and the oxidant–antioxidant balance. These results strongly promote further investigative studies

Protective Effects of Alpha-Lipoic Acid against 5-Fluorouracil-Induced Gastrointestinal Mucositis in Rats

Alpha-lipoic acid (ALA) is extensively utilized in multivitamin formulas and anti-aging products. The purpose of this study was to investigate the potential protective benefits of ALA on 5-fluorouracil (5-FU)-induced gastrointestinal mucositis in Wistar albino rats. Tissues from the stomach, small intestine, and large intestine were excised, and blood sera were obtained to identify biochemical indices such as TNF-α, IL-1β, MDA, GPx, SOD, MMP-1, -2, -8, and TIMP-1. A histopathological study was also performed. The results revealed mucositis-elevated TNF-, IL-1, MDA, MMP-1, -2, -8, and TIMP-1 levels in both tissues and sera, and these values dropped dramatically following ALA treatment. Reduced SOD and GPx activities in mucositis groups were reversed in ALA-treated groups. The damage produced by mucositis in the stomach and small intestine regressed in the ALA-treated group, according to histopathological evaluation. Consequently, the implementation of ALA supplementation in 5-FU therapy may act as a protective intervention for cancer patients with gastrointestinal mucositis. In light of the findings, ALA, a food-derived antioxidant with pleiotropic properties, may be an effective treatment for 5-FU-induced gastrointestinal mucositus, and prevent oxidative stress, inflammation, and tissue damage in cancer patients receiving 5-FU therapy