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All Studies   Meta Analysis    Recent:   

Establishment of in-house assay for screening of anti-SARS-CoV-2 protein inhibitors

Emam et al., AMB Express, doi:10.1186/s13568-024-01739-8
Sep 2024  
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Quercetin for COVID-19
24th treatment shown to reduce risk in July 2021
 
*, now with p = 0.0031 from 11 studies.
No treatment is 100% effective. Protocols combine treatments. * >10% efficacy, ≥3 studies.
4,700+ studies for 95 treatments. c19early.org
In Vitro study showing that curcumin, quercetin, gallic acid, and silymarin inhibit SARS-CoV-2 spike protein binding to the ACE2 receptor. Authors developed a novel immunofluorescent assay to screen potential inhibitors of the spike-ACE2 interaction. Curcumin demonstrated the strongest inhibitory effect with an IC50 of 1.4 μg/mL, followed by gallic acid (4.9 μg/mL), quercetin (8.5 μg/mL), and silymarin (21.0 μg/mL), compared to 12.7 μg/mL for the positive control chitosan nanoparticles. Cytotoxicity was evaluated in Vero cells, with CC50 values of 13 μg/mL for curcumin, 18 μg/mL for gallic acid, 73 μg/mL for quercetin, and 65 μg/mL for silymarin.
Bioavailability. Quercetin has low bioavailability and studies typically use advanced formulations to improve bioavailability which may be required to reach therapeutic concentrations.
64 preclinical studies support the efficacy of quercetin for COVID-19:
In Silico studies predict inhibition of SARS-CoV-2, or minimization of side effects, with quercetin or metabolites via binding to the spikeA,4,5,17,19,20,25,33,34,36,37,55,56, MproB,2,4,6,8,10,12,13,15,18,19,25,29,31-33,37,38,40,56,57, RNA-dependent RNA polymeraseC,4,27, PLproD,32,40, ACE2E,17,18,23,32,36,56, TMPRSS2F,17, helicaseG,24,29, endoribonucleaseH,34, cathepsin LI,21, Wnt-3J,17, FZDK,17, LRP6L,17, ezrinM,35, ADRPN,33, NRP1O,36, EP300P,11, PTGS2Q,18, HSP90AA1R,11,18, matrix metalloproteinase 9S,26, IL-6T,16,30, IL-10U,16, VEGFAV,30, and RELAW,30 proteins. In Vitro studies demonstrate inhibition of the MproB,10,45,52 protein, and inhibition of spike-ACE2 interactionX,41. In Vitro studies demonstrate efficacy in Calu-3Y,44, A549Z,16, HEK293-ACE2+AA,51, Huh-7AB,20, Caco-2AC,43, Vero E6AD,14,37,43, mTECAE,46, and RAW264.7AF,46 cells. Animal studies demonstrate efficacy in K18-hACE2 miceAG,48, db/db miceAH,46,54, BALB/c miceAI,53, and rats58. Quercetin reduced proinflammatory cytokines and protected lung and kidney tissue against LPS-induced damage in mice53 and inhibits LPS-induced cytokine storm by modulating key inflammatory and antioxidant pathways in macrophages1.
Study covers quercetin and curcumin.
Emam et al., 16 Sep 2024, peer-reviewed, 4 authors.
In Vitro studies are an important part of preclinical research, however results may be very different in vivo.
This PaperQuercetinAll
Establishment of in-house assay for screening of anti-SARS-CoV-2 protein inhibitors
Samah A Loutfy, Merna H Emam, Mohamed I Mahmoud, Nadia El-Guendy
doi:10.1186/s13568-024-01739-8
drug to be approved in 2020 for the treatment of hospitalized or non-hospitalized patients at high risk for COVID-19 disease progression (Lamb 2020). Following Remdesivir, Tocilizumab (Actemra®) and Baricitinib (Olumiant®), immunosuppressive drugs used for the treatment of rheumatoid arthritis, were approved in 2022 for the treatment of COVID-19 in hospitalized adults who are receiving systemic corticosteroids and require supplemental oxygen, ventilation, or extracorporeal membrane oxygenation (ECMO) (Assadiasl et al. 2021; Bozorgmanesh et al. 2021) . Spike protein is a surface protein of the SARS-CoV-2 virus that mediates viral adhesion and fusion by interaction with the angiotensin-converting enzyme 2 (ACE2) receptor expressed on the surface of the host cells (Scialo et al. 2020) . Spike-ACE2 protein-protein interaction (PPI) is a significant step in virus replication and has been
Supplementary Information The online version contains supplementary material available at https://doi. org/10.1186/s13568-024-01739-8. Supplementary Material 1 Author contributions M.H.E performed the cytotoxicity in-vitro assays, as well as the immunofluorescent screening assay, conducted the graphical analysis for the results, and initiated the writing of the original draft. M.I.M produced and purified the in-house spike protein, conducted the graphical analysis for the results, and participated in the writing of the manuscript. All experiments were conducted under the supervision and guidance of S.A.L, and N.E. S.A.L, and N.E reviewed and supervised the writing of the manuscript. S.A.L was also responsible for the development of the main idea, managing the resources, and funding acquisition. All authors revised the manuscript and agreed to all its contents. Funding Open access funding provided by The Science, Technology & Innovation Funding Authority (STDF) in cooperation with The Egyptian Knowledge Bank (EKB). Declarations Ethics approval and consent to participate Not applicable. Consent for publication All authors agree to be published. Competing interests The authors declare no competing interests. Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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