RT Journal Article T1 Effects of non-steroidal anti-inflammatory drugs and other eicosanoid pathway modifiers on antiviral and allergic responses: EAACI task force on eicosanoids consensus report in times of COVID-19. A1 Sokolowska, Milena A1 Rovati, G Enrico A1 Diamant, Zuzana A1 Untersmayr, Eva A1 Schwarze, Jürgen A1 Lukasik, Zuzanna A1 Sava, Florentina A1 Angelina, Alba A1 Palomares, Oscar A1 Akdis, Cezmi A A1 O'Mahony, Liam A1 Jesenak, Milos A1 Pfaar, Oliver A1 Torres, Maria Jose A1 Sanak, Marek A1 Dahlen, Sven-Erik A1 Woszczek, Grzegorz K1 COVID-19 K1 LTRA K1 NSAID K1 Asthma K1 Biologicals AB Non-steroidal anti-inflammatory drugs (NSAIDs) and other eicosanoid pathway modifiers are among the most ubiquitously used medications in the general population. Their broad anti-inflammatory, antipyretic, and analgesic effects are applied against symptoms of respiratory infections, including SARS-CoV-2, as well as in other acute and chronic inflammatory diseases that often coexist with allergy and asthma. However, the current pandemic of COVID-19 also revealed the gaps in our understanding of their mechanism of action, selectivity, and interactions not only during viral infections and inflammation, but also in asthma exacerbations, uncontrolled allergic inflammation, and NSAIDs-exacerbated respiratory disease (NERD). In this context, the consensus report summarizes currently available knowledge, novel discoveries, and controversies regarding the use of NSAIDs in COVID-19, and the role of NSAIDs in asthma and viral asthma exacerbations. We also describe here novel mechanisms of action of leukotriene receptor antagonists (LTRAs), outline how to predict responses to LTRA therapy and discuss a potential role of LTRA therapy in COVID-19 treatment. Moreover, we discuss interactions of novel T2 biologicals and other eicosanoid pathway modifiers on the horizon, such as prostaglandin D2 antagonists and cannabinoids, with eicosanoid pathways, in context of viral infections and exacerbations of asthma and allergic diseases. Finally, we identify and summarize the major knowledge gaps and unmet needs in current eicosanoid research. PB Wiley YR 2022 FD 2022-02-11 LK http://hdl.handle.net/10668/19899 UL http://hdl.handle.net/10668/19899 LA en NO Sokolowska M, Rovati GE, Diamant Z, Untersmayr E, Schwarze J, Lukasik Z, et al. Effects of non-steroidal anti-inflammatory drugs and other eicosanoid pathway modifiers on antiviral and allergic responses: EAACI task force on eicosanoids consensus report in times of COVID-19. Allergy. 2022 Aug;77(8):2337-2354 DS RISalud RD Apr 10, 2025