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NLRP3 inflammasome activation and oxidative stress status in the mild and moderate SARS-CoV-2 infected patients: impact of melatonin as a medicinal supplement

Ghaleh et al., Zeitschrift für Naturforschung C, doi:10.1515/znc-2021-0101
Aug 2021  
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Melatonin for COVID-19
11th treatment shown to reduce risk in December 2020, now with p = 0.0000002 from 18 studies.
Lower risk for mortality, ventilation, and recovery.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 109 treatments. c19early.org
Study of melatonin treatment in COVID-19 hospitalized patients showing anti-oxidative and anti-inflammatory activity, and beneficial impacts on lung cytokine storm.
Ghaleh et al., 5 Aug 2021, peer-reviewed, 9 authors.
This PaperMelatoninAll
NLRP3 inflammasome activation and oxidative stress status in the mild and moderate SARS-CoV-2 infected patients: impact of melatonin as a medicinal supplement
Hadi Esmaeili Gouvarchin Ghaleh, Abdolkarim Hosseini, Hossein Aghamollaei, Mahdi Fasihi-Ramandi, Gholamhossein Alishiri, Ali Saeedi-Boroujeni, Kazem Hassanpour, Mohammad-Reza Mahmoudian-Sani, Gholamreza Farnoosh
Zeitschrift für Naturforschung C, doi:10.1515/znc-2021-0101
The inflammasome as a multiprotein complex has a role in activating ASC and caspase-1 resulting in activating IL-1β in various infections and diseases like corona virus infection in various tissues. It was shown that these tissues are affected by COVID-19 patients. According to the current evidence, melatonin is not veridical while possessing a high safety profile, however, it possesses indirect anti-viral actions owing to its anti-oxidation, antiinflammation, and immune improving properties. This study aims to assess the impacts of melatonin as the complementary treatments on oxidative stress agents and inflammasome activation in patients with COVID-19. Melatonin supplement (9 mg daily, orally) was provided for the patients hospitalized with a COVID-19 analysis for 14 days. For measuring IL-10, IL-1β, and TNF-α cytokines and malondialdehyde (MDA), nitric oxide (NO), and superoxide dismutase (SOD) level and the expression of CASP1 and ASC genes, blood samples were gathered from the individuals at the start and termination of the therapy. Our findings indicated that melatonin is used as a complementary treatment to reduce the levels of TNF-α and IL-1β cytokines, MDA, and NO levels in COVID-19 patients and significantly increase SOD level, however, the levels of IL-10 cytokine possesses no considerable changes. The findings revealed that genes of CASP1 and ASC were dysregulated by melatonin regulating the inflammasome complex. Based on the findings of the current study, it is found that melatonin can be effective as a medicinal supplement in decreasing the inflammasome multiprotein complex and oxidative stress along with beneficial impacts on lung cytokine storm of COVID-19 patients.
References
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This study aims to ' 'assess the impacts of melatonin as the complementary treatments on oxidative stress agents ' 'and inflammasome activation in patients with COVID-19. Melatonin supplement (9\xa0mg daily, ' 'orally) was provided for the patients hospitalized with a COVID-19 analysis for 14\xa0days. ' 'For measuring IL-10, IL-1β, and TNF-α cytokines and malondialdehyde (MDA), nitric oxide (NO), ' 'and superoxide dismutase (SOD) level and the expression of <jats:italic>CASP1</jats:italic> ' 'and <jats:italic>ASC</jats:italic> genes, blood samples were gathered from the individuals at ' 'the start and termination of the therapy. Our findings indicated that melatonin is used as a ' 'complementary treatment to reduce the levels of TNF-α and IL-1β cytokines, MDA, and NO levels ' 'in COVID-19 patients and significantly increase SOD level, however, the levels of IL-10 ' 'cytokine possesses no considerable changes. 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Late treatment
is less effective
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