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A thymus hormone tracked with fewer severe COVID-19 deaths

In Wuhan, doctors treating the sickest COVID-19 patients reached for a decades-old thymus hormone most people had never heard of.

Crescent Bioresearch6 April, 6:51 PMLiu et al., Clinical Infectious Diseases, 2020 · General Hospital of the Central Theater Command2 min read

Physicians at the General Hospital of the Central Theater Command compared severely ill patients who received thymosin alpha 1 against those who did not, looking at who survived and how their immune cells recovered.

In the peer-reviewed study of 76 severe COVID-19 patients, those treated with thymosin alpha 1 died at a rate of 11 percent, compared with 30 percent among those who were not, and patients with the lowest CD4 and CD8 T-cell counts benefited the most.

The study was retrospective, not a randomized trial, so sicker or healthier patients could have been steered toward treatment for reasons the analysis could not fully capture. Thymosin alpha 1 had been used for decades for other immune conditions before this outbreak, and the result encouraged further studies, but a retrospective cohort from two hospitals cannot settle whether it works.

Crescent Discovery Series cover: A thymus hormone tracked with fewer severe COVID-19 deaths

A decades-old hormone, tested against a new virus.

Source

  1. Liu, Y., Pan, Y., Hu, Z., Wu, M., Wang, C., Feng, Z., Mao, C., Tan, Y., Liu, Y., Chen, L., Li, M., Wang, G., Yuan, Z., Diao, B., Wu, Y., & Chen, Y. (2020). Thymosin Alpha 1 Reduces the Mortality of Severe Coronavirus Disease 2019 by Restoration of Lymphocytopenia and Reversion of Exhausted T Cells. Clinical Infectious Diseases, 71(16), 2150–2157. https://doi.org/10.1093/cid/ciaa630
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