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Table 2 Immunomodulatory effects of hydroxychloroquine (HCQ) and chloroquine (CQ) in multiple test systems

From: Mutagenic, Genotoxic and Immunomodulatory effects of Hydroxychloroquine and Chloroquine: a review to evaluate its potential to use as a prophylactic drug against COVID-19

Test systems

Drugs

Dose Range

Endpoints

Effects

References

Human lymphocytes in vitro (PBMC)

CQ

0–25 μg/ml

Inhibition of generation of immunoglobulin-secreting cells and IL-1 secretion

+

[54]

Systemic Lupus Erythematosus Patients

HCQ

400 mg/day for 12 weeks

Decreased levels of cytokines (IL-6), soluble CD8 and soluble IL-2 receptors

+

[55]

T-cell line

HCQ

0–100 μM

Inhibits calcium signals in T cells

+

[18]

PBMC from healthy donors

CQ

0–10 μM

Inhibition of RNA- mediated TLR7 activation; inhibition of IFN-α

+

[56]

PBMC and monocytic

U-937 and THP-1 cells in vitro

CQ

0–100 μM

Inhibition of cytokine (TNF-α, IL-1β and IL-6) production.

+

[57]

Macrophage-like RAW264 cells in vitro

CQ

0–100 μM

Inhibition of Toll-like Receptor (TLR)

signaling pathways

+

[58]

Systemic Lupus Erythematosus Patients, Human embryonic kidney cells

CQ

5–10 μg/ml

Inhibits activation of endosomal TLRs

+

[4]

Systemic Lupus Erythematosus Patients

HCQ

200–400 mg/day

Impaired IFN-α and TNF-α production

+

[5]

Human lymphocytes in vitro (PBMC)

HCQ

0–20 nmol/L

Inhibition of autophagy, and induction of

apoptosis of memory T-cells

+

[59]

MonoMac1 (MM1) cells, human monocytes

HCQ

0–100 μM

Inhibits pro-inflammatory signaling pathways, prevents the induction of endosomal NADPH oxidase

+

[60]

Systemic Lupus Erythematosus Patients and on

Jurkat Cell

HCQ

Patients blood samples and in Jurkat cell

600–6000 ng/ml

Inhibition of NFAT signaling in activated T cells and CD154 expression in CD4+T cells

+

[17]

A549Pt and A549cisR non-small-cell lung cancer cell lines

CQ

25–100 μM

Lysosomal membrane destabilization and autophagy

+

[16]

PBMC from healthy volunteer

HCQ

Data not available

BlocksTLR9 ligation in class-switched memory B cells, suppress mTORC1 signaling.

+

[61]

Rosetta BL21 pLysS cells

HCQ and CQ

1–4 μM

Blockade of c-GAS-DNA interaction

+

[62]

  1. +: positive effects, CQ: Chloroquine, HCQ: Hydroxychloroquine, IL: Interleukin,
  2. TLR: Toll-like receptor, PBMC: Peripheral blood mononuclear cells,
  3. TNF: Tumor necrosis factor; cGAS: Cyclic GMP-AMP synthase