Cited by 61COVID-19 Clinical Research StudiesCytokine Signaling Pathways and InteractionsNF-κB Signaling Pathways

Fluoxetine as an anti-inflammatory therapy in SARS-CoV-2 infection

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Creeden, Justin Fortune, Imami, Ali Sajid, Eby, Hunter M., Gillman, Cassidy, Becker, Kathryn N., Reigle, Jim, Andari, Elissar, Pan, Zhixing K. +3 more·2021·Biomedicine & Pharmacotherapy

Abstract

Hyperinflammatory response caused by infections such as Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) increases organ failure, intensive care unit admission, and mortality. Cytokine storm in patients with Coronavirus Disease 2019 (COVID-19) drives this pattern of poor clinical outcomes and is dependent upon the activity of the transcription factor complex nuclear factor kappa-light-chain-enhancer of activated B cells (NF-kappaB) and its downstream target gene interleukin 6 (IL6) which interacts with IL6 receptor (IL6R) and the IL6 signal transduction protein (IL6ST or gp130) to regulate intracellular inflammatory pathways. In this study, we compare transcriptomic signatures from a variety of drug-treated or genetically suppressed (i.e. knockdown) cell lines in order to identify a mechanism by which antidepressants such as fluoxetine demonstrate non-serotonergic, anti-inflammatory effects. Our results demonstrate a critical role for IL6ST and NF-kappaB Subunit 1 (NFKB1) in fluoxetine's ability to act as a potential therapy for hyperinflammatory states such as asthma, sepsis, and COVID-19.

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Authors
Creeden, J. F., Imami, A. S., Eby, H. M., Gillman, C., Becker, K. N., Reigle, J., Andari, E., Pan, Z. K., O’Donovan, S. M., McCullumsmith, R. E., & McCullumsmith, C. B.
Affiliations
  • University of Toledo (US)
  • Cincinnati Children's Hospital Medical Center (US)
  • University of Toledo Medical Center (US)
  • ProMedica (US)
Corresponding author
Creeden, Justin Fortune
Venue
Biomedicine & Pharmacotherapy
Publisher
Elsevier BV
Published
2021-06
Volume
138
Pages
111437
ISSN
0753-3322 (ISSN-L)
OpenAlex
W3129296070
Cited by
61
References
55
Citations by year
2026: 7 · 2025: 2 · 2024: 3 · 2023: 12 · 2022: 21 · 2021: 16
FWCI
4.12
Type
journal article
Language
en
Open access
Locations
  • Biomedicine & Pharmacotherapy (publishedVersion, cc-by-nc-nd)
  • SSRN Electronic Journal (acceptedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Institutes of Health (R01 AG057598, R01 MH107487, R01 MH121102, DA 049417, H79-TI-081657)
  • National Institute of Mental Health (R01 AG057598, R01 MH107487, R01 MH121102, DA 049417, H79-TI-081657)
  • National Institute on Aging (R01 AG057598, R01 MH107487, R01 MH121102, DA 049417, H79-TI-081657)
  • Substance Abuse and Mental Health Services Administration (R01 AG057598, R01 MH107487, R01 MH121102, DA 049417, H79-TI-081657)
Topics
  • Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
  • Health Sciences › Medicine › Oncology › Cytokine Signaling Pathways and Interactions
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › NF-κB Signaling Pathways
Keywords
fluoxetine, anti-inflammatory activity, SARS-CoV-2, COVID-19 pandemic, cytokine storm, hyperinflammation, NF-κB, NFKB1, interleukin-6, gp130, antidepressants, gene expression signatures, sepsis, asthma
MeSH terms
Cytokine Release Syndrome, SARS-CoV-2, COVID-19 Drug Treatment, Anti-Inflammatory Agents, Fluoxetine, Humans, Cytokine Receptor gp130, NF-kappa B p50 Subunit

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