Figure 2.
Hypothetical application of TKIs during the SARS-COV-2–induced immunopathology. Phase 0 consists of infection with the virus; phase 1 entails the polarization of macrophages to an M1 phenotype (and their subsequent activation) and their production of cytokines to attract other immune cells. Phase 2 is the recruitment and activation of cytokine-producing innate immune cells and T cells and B cells, which (together with the cytokine storm that results from phase 1) results in phase 3: depletion and exhaustion of lymphocytes and, subsequently, secondary bacterial infections. In phase 4, acute respiratory distress syndrome, secondary infections and multiorgan failure arise, leading to respiratory insufficiency and life-threatening situations. The applicable TKIs are indicated below the phases during which their immunomodulatory effects would be the most beneficial. Image created with Biorender.com.

Hypothetical application of TKIs during the SARS-COV-2–induced immunopathology. Phase 0 consists of infection with the virus; phase 1 entails the polarization of macrophages to an M1 phenotype (and their subsequent activation) and their production of cytokines to attract other immune cells. Phase 2 is the recruitment and activation of cytokine-producing innate immune cells and T cells and B cells, which (together with the cytokine storm that results from phase 1) results in phase 3: depletion and exhaustion of lymphocytes and, subsequently, secondary bacterial infections. In phase 4, acute respiratory distress syndrome, secondary infections and multiorgan failure arise, leading to respiratory insufficiency and life-threatening situations. The applicable TKIs are indicated below the phases during which their immunomodulatory effects would be the most beneficial. Image created with Biorender.com.

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