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Bioactive Polyphenolic Compounds Showing Strong Antiviral Activities against Severe Acute Respiratory Syndrome Coronavirus 2

Kandeil et al., Pathogens, doi:10.3390/pathogens10060758
Jun 2021  
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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.
5,100+ studies for 109 treatments. c19early.org
Vero E6 In Vitro study showing curcumin, hesperidin, and quercetin significantly inhibited SARS-CoV-2 replication, and In Silico analysis with promising Mpro and spike docking results.
Bioavailability. Quercetin has low bioavailability and studies typically use advanced formulations to improve bioavailability which may be required to reach therapeutic concentrations.
68 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,6,7,19,21,22,27,35,36,38,39,59,60, MproB,4,6,8,10,12,14,15,17,20,21,27,31,33-35,39,40,42,60,61, RNA-dependent RNA polymeraseC,6,29, PLproD,34,42, ACE2E,19,20,25,34,38,60, TMPRSS2F,19, helicaseG,26,31, endoribonucleaseH,36, NSP16/10I,3, cathepsin LJ,23, Wnt-3K,19, FZDL,19, LRP6M,19, ezrinN,37, ADRPO,35, NRP1P,38, EP300Q,13, PTGS2R,20, HSP90AA1S,13,20, matrix metalloproteinase 9T,28, IL-6U,18,32, IL-10V,18, VEGFAW,32, and RELAX,32 proteins. In Vitro studies demonstrate inhibition of the MproB,12,43,48,56 protein, and inhibition of spike-ACE2 interactionY,44. In Vitro studies demonstrate efficacy in Calu-3Z,47, A549AA,18, HEK293-ACE2+AB,55, Huh-7AC,22, Caco-2AD,46, Vero E6AE,16,39,46, mTECAF,49, and RAW264.7AG,49 cells. Animal studies demonstrate efficacy in K18-hACE2 miceAH,52, db/db miceAI,49,58, BALB/c miceAJ,57, and rats62. Quercetin reduced proinflammatory cytokines and protected lung and kidney tissue against LPS-induced damage in mice57, inhibits LPS-induced cytokine storm by modulating key inflammatory and antioxidant pathways in macrophages2, and inhibits SARS-CoV-2 ORF3a ion channel activity, which contributes to viral pathogenicity and cytotoxicity51.
Study covers curcumin and quercetin.
Kandeil et al., 15 Jun 2021, peer-reviewed, 11 authors.
In Vitro studies are an important part of preclinical research, however results may be very different in vivo.
This PaperQuercetinAll
Bioactive Polyphenolic Compounds Showing Strong Antiviral Activities against Severe Acute Respiratory Syndrome Coronavirus 2
Ahmed Kandeil, Ahmed Mostafa, Omnia Kutkat, Yassmin Moatasim, Ahmed A Al-Karmalawy, Adel A Rashad, Ahmed E Kayed, Azza E Kayed, Rabeh El-Shesheny, Ghazi Kayali, Mohamed A Ali
Pathogens, doi:10.3390/pathogens10060758
Until now, there has been no direct evidence of the effectiveness of repurposed FDAapproved drugs against Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infections. Although curcumin, hesperidin, and quercetin have broad spectra of pharmacological properties, their antiviral activities against SARS-CoV-2 remain unclear. Our study aimed to assess the in vitro antiviral activities of curcumin, hesperidin, and quercetin against SARS-CoV-2 compared to hydroxychloroquine and determine their mode of action. In Vero E6 cells, these compounds significantly inhibited virus replication, mainly as virucidal agents primarily indicating their potential activity at the early stage of viral infection. To investigate the mechanism of action of the tested compounds, molecular docking studies were carried out against both SARS-CoV-2 spike (S) and main protease (Mpro) receptors. Collectively, the obtained in silico and in vitro findings suggest that the compounds could be promising SARS-CoV-2 Mpro inhibitors. We recommend further preclinical and clinical studies on the studied compounds to find a potential therapeutic targeting COVID-19 in the near future.
Data Availability Statement: The data presented in this study are available within the article and Supplementary Materials. Conflicts of Interest: The authors declare no conflict of interest.
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' 'against genital Herpes virus in vitro', 'volume': '20', 'author': 'Zhang', 'year': '1995', 'journal-title': 'China J. Chin. Mater. Med.'}, {'key': 'ref50', 'doi-asserted-by': 'publisher', 'DOI': '10.1128/AAC.46.9.2854-2864.2002'}, {'key': 'ref51', 'doi-asserted-by': 'publisher', 'DOI': '10.1078/094471103322331467'}, { 'key': 'ref52', 'series-title': 'Molecular Operating Environment (MOE), 2008.10', 'year': '2016'}, {'key': 'ref53', 'doi-asserted-by': 'publisher', 'DOI': '10.1039/D0NJ02844D'}, {'key': 'ref54', 'doi-asserted-by': 'publisher', 'DOI': '10.1038/s41586-020-2223-y'}, {'key': 'ref55', 'doi-asserted-by': 'publisher', 'DOI': '10.1038/s41586-020-2179-y'}, {'key': 'ref56', 'doi-asserted-by': 'publisher', 'DOI': '10.34172/PS.2021.22'}, {'key': 'ref57', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.sajb.2021.02.007'}, {'key': 'ref58', 'doi-asserted-by': 'publisher', 'DOI': '10.1021/acsptsci.0c00144'}, {'key': 'ref59', 'doi-asserted-by': 'publisher', 'DOI': '10.1039/D0NJ04088F'}], 'container-title': ['Pathogens'], 'original-title': [], 'language': 'en', 'link': [ { 'URL': 'https://www.mdpi.com/2076-0817/10/6/758/pdf', 'content-type': 'unspecified', 'content-version': 'vor', 'intended-application': 'similarity-checking'}], 'deposited': { 'date-parts': [[2021, 6, 17]], 'date-time': '2021-06-17T16:17:41Z', 'timestamp': 1623946661000}, 'score': 1, 'resource': {'primary': {'URL': 'https://www.mdpi.com/2076-0817/10/6/758'}}, 'subtitle': [], 'short-title': [], 'issued': {'date-parts': [[2021, 6, 15]]}, 'references-count': 59, 'journal-issue': {'issue': '6', 'published-online': {'date-parts': [[2021, 6]]}}, 'alternative-id': ['pathogens10060758'], 'URL': 'http://dx.doi.org/10.3390/pathogens10060758', 'relation': {}, 'ISSN': ['2076-0817'], 'issn-type': [{'value': '2076-0817', 'type': 'electronic'}], 'subject': [ 'Infectious Diseases', 'Microbiology (medical)', 'General Immunology and Microbiology', 'Molecular Biology', 'Immunology and Allergy'], 'published': {'date-parts': [[2021, 6, 15]]}}
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Please send us corrections, updates, or comments. c19early involves the extraction of 100,000+ datapoints from thousands of papers. Community updates help ensure high accuracy. Treatments and other interventions are complementary. All practical, effective, and safe means should be used based on risk/benefit analysis. No treatment or intervention is 100% available and effective for all current and future variants. We do not provide medical advice. Before taking any medication, consult a qualified physician who can provide personalized advice and details of risks and benefits based on your medical history and situation. FLCCC and WCH provide treatment protocols.
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