Evolocumab for COVID-19

Evolocumab may be beneficial for COVID-19 according to the studies below. COVID-19 involves the interplay of 500+ viral and host proteins and factors providing many therapeutic targets. Scientists have proposed 11,000+ potential treatments. c19early.org analyzes 210+ treatments. We have not reviewed evolocumab in detail.
Yang et al., Lipid metabolism, viral infection, and antiviral immunity: a new host-pathogen interface, Frontiers in Cellular and Infection Microbiology, doi:10.3389/fcimb.2026.1765502
Viral infections pose significant challenges to global health. Lipid metabolism plays a crucial role in various biological processes, including cell membrane structure, signaling, and energy homeostasis. Recent studies have highlighted the intricate relationship between lipid metabolism and viral infections, revealing how viruses exploit host lipid pathways to facilitate their replication and assembly. This review aims to elucidate the mechanisms by which viruses manipulate lipid metabolism and the subsequent impact on antiviral immunity. We systematically analyze the biological basis of lipid synthesis and degradation, emphasizing the role of lipids in immune cell function and the regulation of antiviral responses. Furthermore, we explore how altered lipid metabolism can influence immune responses in disease states, providing insights into the differential utilization of lipid pathways by various viruses. This review highlights suggest potential therapeutic strategies, including the development of antiviral drugs targeting lipid metabolism, modulation of lipid pathways to enhance immune responses, and combination therapies that integrate lipid metabolism modulation with conventional antiviral treatments. Future research directions are proposed, focusing on the interaction between lipid metabolism and emerging viral strains, the application of metabolomics in viral infection studies. This comprehensive review underscores the significance of lipid metabolism as a novel host-pathogen interface, paving the way for innovative therapeutic approaches in combating viral infections.
Grewal et al., Cholesterol and COVID-19—therapeutic opportunities at the host/virus interface during cell entry, Life Science Alliance, doi:10.26508/lsa.202302453
The rapid development of vaccines to combat severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections has been critical to reduce the severity of COVID-19. However, the continuous emergence of new SARS-CoV-2 subtypes highlights the need to develop additional approaches that oppose viral infections. Targeting host factors that support virus entry, replication, and propagation provide opportunities to lower SARS-CoV-2 infection rates and improve COVID-19 outcome. This includes cellular cholesterol, which is critical for viral spike proteins to capture the host machinery for SARS-CoV-2 cell entry. Once endocytosed, exit of SARS-CoV-2 from the late endosomal/lysosomal compartment occurs in a cholesterol-sensitive manner. In addition, effective release of new viral particles also requires cholesterol. Hence, cholesterol-lowering statins, proprotein convertase subtilisin/kexin type 9 antibodies, and ezetimibe have revealed potential to protect against COVID-19. In addition, pharmacological inhibition of cholesterol exiting late endosomes/lysosomes identified drug candidates, including antifungals, to block SARS-CoV-2 infection. This review describes the multiple roles of cholesterol at the cell surface and endolysosomes for SARS-CoV-2 entry and the potential of drugs targeting cholesterol homeostasis to reduce SARS-CoV-2 infectivity and COVID-19 disease severity.