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Immunomodulatory role of Nanocurcumin in COVID-19 patients with dropped natural killer cells frequency and function

Abbaspour-Aghdam et al., European Journal of Pharmacology, doi:10.1016/j.ejphar.2022.175267, IRCT20200324046851N1
Sep 2022  
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Mortality 71% Improvement Relative Risk Recovery, dyspnea 86% Recovery, fever >39.0 90% Recovery, bilateral chest.. 38% Recovery, cough 59% Recovery, headache 82% Curcumin  Abbaspour-Aghdam et al.  LATE TREATMENT  RCT Is late treatment with curcumin beneficial for COVID-19? RCT 60 patients in Iran Improved recovery with curcumin (p=0.037) c19early.org Abbaspour-Aghdam et al., European J. P.., Sep 2022 Favorscurcumin Favorscontrol 0 0.5 1 1.5 2+
Curcumin for COVID-19
15th treatment shown to reduce risk in February 2021, now with p = 0.0000000096 from 27 studies.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 109 treatments. c19early.org
RCT with 30 nanocurcumin and 30 control patients in Iran, showing lower mortality and improved recovery, without statistical significance, and improved NK cell function. 160mg nanocurcumin for 21 days.
This is the 15th of 21 COVID-19 RCTs for curcumin, which collectively show efficacy with p=0.0000022.
This is the 21st of 27 COVID-19 controlled studies for curcumin, which collectively show efficacy with p=0.0000000096 (1 in 104 million).
risk of death, 71.4% lower, RR 0.29, p = 0.15, treatment 2 of 30 (6.7%), control 7 of 30 (23.3%), NNT 6.0.
risk of no recovery, 86.3% lower, RR 0.14, p = 0.04, treatment 1 of 28 (3.6%), control 6 of 23 (26.1%), NNT 4.4, dyspnea.
risk of no recovery, 89.9% lower, RR 0.10, p = 0.04, treatment 0 of 28 (0.0%), control 4 of 23 (17.4%), NNT 5.8, relative risk is not 0 because of continuity correction due to zero events (with reciprocal of the contrasting arm), fever >39.0.
risk of no recovery, 38.4% lower, RR 0.62, p = 0.17, treatment 9 of 28 (32.1%), control 12 of 23 (52.2%), NNT 5.0, bilateral chest radiograph involvement.
risk of no recovery, 58.9% lower, RR 0.41, p = 0.27, treatment 3 of 28 (10.7%), control 6 of 23 (26.1%), NNT 6.5, cough.
risk of no recovery, 81.6% lower, RR 0.18, p = 0.20, treatment 0 of 28 (0.0%), control 2 of 23 (8.7%), NNT 12, relative risk is not 0 because of continuity correction due to zero events (with reciprocal of the contrasting arm), headache.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Abbaspour-Aghdam et al., 17 Sep 2022, Randomized Controlled Trial, placebo-controlled, Iran, peer-reviewed, 16 authors, trial IRCT20200324046851N1. Contact: ahmadi.m@tbzmed.ac.ir.
This PaperCurcuminAll
Immunomodulatory role of Nanocurcumin in COVID-19 patients with dropped natural killer cells frequency and function
Sanaz Abbaspour-Aghdam, Ali Hazrati, Samaneh Abdolmohammadi-Vahid, Safa Tahmasebi, Jafar Mohseni, Hamed Valizadeh, Mehdi Nadiri, Haleh Mikaeili, Armin Sadeghi, Mehdi Yousefi, Leila Roshangar, Behzad Nikzad, Farhad Jadidi-Niaragh, Hossein Samadi Kafil, Kosar Malekpour, PhD Majid Ahmadi
European Journal of Pharmacology, doi:10.1016/j.ejphar.2022.175267
This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
helpful choice in modulating immune system dysregulated responses like increased NK cells in COVID-19 patients. Abbreviations Severe acute respiratory coronavirus (SARS-CoV); 2019 novel coronavirus (2019-nCoV) ; Chronic mild stress (CMS); Phytohaemagglutinin (PHA); Peripheral blood mononuclear cells (PBMCs); Nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB); Natural killer (NK); Tumour necrosis factor α (TNFα); Regulatory cells (Tregs) . Conflict of Interests Statement The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be considered as a potential conflict of interest.
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Late treatment
is less effective
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