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Therapeutic Implications of Quercetin and its Derived-products in COVID-19 Protection and Prophylactic

Apr 2024  
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Quercetin for COVID-19
24th treatment shown to reduce risk in July 2021, now with p = 0.002 from 12 studies.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 112 treatments. c19early.org
Review of quercetin and its derivatives for prevention and treatment of COVID-19. Authors discuss molecular docking evidence showing quercetin and its derivatives can bind to multiple SARS-CoV-2 proteins including the main protease, spike protein, RNA-dependent RNA polymerase, and others to potentially inhibit viral replication. Quercetin also acts on host proteins like ACE2 and TMPRSS2 that are critical for viral entry. In Vitro and animal studies provide validation of the antiviral effects predicted by molecular docking. Additionally, quercetin has anti-inflammatory and antioxidant properties that may help prevent cytokine storm and oxidative damage. Authors note several clinical trials show improved outcomes with quercetin treatment.
Bioavailability. Quercetin has low bioavailability and studies typically use advanced formulations to improve bioavailability which may be required to reach therapeutic concentrations.
Reviews covering quercetin for COVID-19 include1-18.
Ho et al., 30 Apr 2024, peer-reviewed, 6 authors. Contact: wayehe@kmu.edu.tw, tzuhamsam@gmail.com, 202003420046@xmmc.edu.cn, 410613031@gms.ndhu.edu.tw, 328499601@qq.com, m805004@kmu.edu.tw.
This PaperQuercetinAll
Therapeutic Implications of Quercetin and its Derived-products in COVID-19 Protection and Prophylactic
Wan-Yi Ho, Zi-Han Shen, Yijing Chen, Ting-Hsu Chen, Xiaolin Lu, Yaw-Syan Fu
Heliyon, doi:10.1016/j.heliyon.2024.e30080
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel human coronavirus, which has triggered a global pandemic of the coronavirus infectious disease 2019 . Outbreaks of emerging infectious diseases continue to challenge human health worldwide. The virus conquers human cells through the angiotensin-converting enzyme 2 receptor-driven pathway by mostly targeting the human respiratory tract. Quercetin is a natural flavonoid widely represented in the plant kingdom. Cumulative evidence has demonstrated that quercetin and its derivatives have various pharmacological properties including anti-cancer, anti-hypertension, antihyperlipidemia, anti-hyperglycemia, anti-microbial, antiviral, neuroprotective, and cardio-protective effects, because it is a potential treatment for severe inflammation and acute respiratory distress syndrome. Furthermore, it is the main life-threatening condition in patients with COVID-19. This article provides a comprehensive review of the primary literature on the predictable effectiveness of quercetin and its derivatives docked to multi-target of SARS-CoV-2 and host cells via in silico and some of validation through in vitro, in vivo, and clinically to fight SARS-CoV-2 infections, contribute to the reduction of inflammation, which suggests the preventive and therapeutic latency of quercetin and its derived-products against COVID-19 pandemic, multisystem inflammatory syndromes (MIS), and long-COVID.
AUTHOR CONTRIBUTIONS Conceptualization, Y.S; original draft preparation, Z., and TH.; review and editing, Y.S.; funding acquisition, X., All authors have read and approved the manuscript. J o u r n a l P r e -p r o o f J o u r n a l P r e -p r o o f 6M17 Ser349, Leu441, Asp442, Asn448, Asn450, Arg509 [167] 6VXX Gln314, Ser316, Thr768, Asn317, Asn764, Arg765 [77] Asp88, Asp198, Ile233, Ile235 [168] 6VW1 Thr445, Ile446 [113] 6VYB Ser730, Met731, Lys733, Leu861, Ala1056, Pro1057, His1058, Gly1059, Val860, Pro863, Asp867, Met730, Ile870, [76] 6VSB Thr549, Asp745, Asn978, Arg1000 [75] S-protein (Closed) 6VXX Tyr741 S-protein (Open) 6YVB Tr549, Asn978, Gly744, Arg1000, Thr573, Met740, Tyr741 nsp16 6YZ1 Gly73, Leu100, Asp130, Glu71, Ala72, Ser74, Asp75, Ser98, Asp99, Leu100, Asp114, Cys115, Met131, Tyr132, Asp133, Phe149 [81] 6WJT, 6WKQ Tyr47, Gly71, Asp114, Phe149, Asp130 [82] RdRp (nsp12) 6M71 Glu350, Asn628, Val315, Arg349, Pro461, Pro677 [120] 6NUS Glu350, Pro323, Asn628, Val675 [75] 7BTF, 6M71, 6NUR Tyr619, Cys622, Asp623, Asp761, Ser841 [168] 6W9Q Leu45, Thr109 S-protein/ ACE2 6M0J Ala348, Gly352, Asp382, Phe390, Arg393, Asn394, His401 [120] Rutin Host ACE2 1R4L Asn149, Met270, His345, Lys363, Thr445, Tyr127, Leu144, Glu145, Glu150, Met152, Ala153, Asp269, Trp271, Phe274, Thr276, Cys344, Pro346, Met360, Cys361, Asp367, Asp368, Thr371, Leu503, Phe504 [97] J o u r n a l P r e -p r o o f Thr25, Thr24, Gly143, His164, Asn142, Thr26, Cys145, Arg188,..
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