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Proteomic Analysis Identifies the Glutathione Synthesizing Enzyme Gclc as an Andrographolide Target and a Protective Factor Against Sars-Cov-2 Infection

Chaopreecha et al., Elsevier BV, doi:10.2139/ssrn.4876852
Jul 2024  
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14th treatment shown to reduce risk in February 2021, now with p = 0.000028 from 24 studies, recognized in 3 countries.
Lower risk for mortality, hospitalization, and cases.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 109 treatments. c19early.org
In Vitro study showing andrographolide attenuates infection of SARS-CoV-2 wildtype and omicron variants in human lung epithelial cells and monkey kidney cells. Proteomic analysis revealed andrographolide induces expression of the glutathione synthesizing enzyme GCLC and the anti-oxidative stress response in infected cells. Ectopic over-expression of GCLC or treatment with the glutathione precursor N-acetylcysteine decreased SARS-CoV-2 infection, suggesting the glutathione pathway mediates the antiviral effects of andrographolide.
9 preclinical studies support the efficacy of N-acetylcysteine for COVID-19:
N-acetylcysteine shows dose-dependent inhibition of SARS-CoV-23,6,8, shows anti-inflammatory and immunomodulatory effects against SARS-CoV-2-induced immune responses in combination with bromelain5, suppressed virus-induced reactive oxygen species and blocked viral replication in a humanized mouse model and in human lung cells4, and may limit COVID-19 induced cardiac damage by boosting cellular antioxidant defenses and potentially mitigating the oxidative stress caused by spike protein-induced ROS production in cardiac fibroblasts9. NAC may be beneficial for COVID-19 by replenishing glutathione stores and reinforcing the glutathione peroxidase-4 pathway to inhibit ferroptosis, an oxidative stress-induced cell death pathway implicated in COVID-1910. NAC reinforces glutathione levels, reduces ROS, and minimizes ferroptosis and cytokine storm11.
Study covers andrographolide and N-acetylcysteine.
Chaopreecha et al., 1 Jul 2024, preprint, 9 authors. Contact: arunee.thi@mahidol.edu (corresponding author), patompon.won@mahidol.ac.th.
In Vitro studies are an important part of preclinical research, however results may be very different in vivo.
This PaperN-acetylcys..All
Proteomic analysis identifies the glutathione synthesizing enzyme GCLC as an andrographolide target and a protective factor against SARS-CoV-2 infection
Jarinya Chaopreecha, Nut Phueakphud, Ampa Suksatu, Sucheewin Krobthong, Suwimon Manopwisedjaroen, Nattawadee Panyain, Suradej Hongeng, Arunee Thitithanyanont, Patompon Wongtrakoongate
Even though advanced progresses have been made for COVID-19 vaccines, rapid and extensive mutations of the SARS-CoV-2 genomes have provided a selective advantage for the virus to escape the adaptive immunity leading to a critical challenge for current treatments and preventions of COVID-19. We report here the antiviral activity of andrographolide against SARS-CoV-2 wildtype and Omicron variants. Proteomic analysis was employed to identify cellular pathways and key proteins controlled by andrographolide in the human lung epithelial cells Calu-3 infected by SARS-CoV-2. Gene ontology analysis indicates that proteins involved in NRF2-regulated pathways are differentially expressed by andrographolide. Notably, andrographolide increases expression and nuclear localization of the transcription factor NRF2. In addition, transcriptional expression of GCLC and GCLM, which are NRF2 target genes, are induced by andrographolide. We further find that infection of SARS-CoV-2 results in a reduction of glutathione level in Calu-3; the effect that is rescued by andrographolide. Moreover, andrographolide also induces expression of the glutathione producing enzyme GCLC in SARS-CoV-2 infected lung epithelial cells. Importantly, an ectopic over-expression of GCLC or treatment of N-acetylcysteine in Calu-3 cells led to a decrease in SARS-CoV-2 infection. Collectively, our findings suggest the interplay between GCLC-mediated glutathione biogenesis induced by andrographolide and the anti-SARS-CoV-2 activity. The glutathione biogenesis and recycling pathways should be further exploited as a targeted therapy against SARS-CoV-2 infection.
Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. This preprint research paper has not been peer reviewed. Electronic copy available at: https://ssrn.com/abstract=4876852 P r e p r i n t n o t p e e r r e v i e w e d This preprint research paper has not been peer reviewed. Electronic copy available at: https://ssrn.com/abstract=4876852 P r e p r i n t n o t p e e r r e v i e w e d Supplementary Table 1 . Pathway analysis of up-regulated proteins upon andrographolide treatment in Calu-3 infected with SARS-CoV-2 versus to SARS-CoV-2 infection as shown in Figure 3D . The analysis was conducted using Reactome analysis. Pathway
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