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Assessing the therapeutic potential of angomelatine, ramelteon, and melatonin against SARS-Cov-2

Kumar Yadalam et al., Saudi Journal of Biological Sciences, doi:10.1016/j.sjbs.2022.01.049
Jan 2022  
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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
In Silico study of melatonin, angomelatine, and ramelteon for SARS-CoV-2, predicting significant SARS-CoV-2 RBD and ACE2 binding with all three.
6 preclinical studies support the efficacy of melatonin for COVID-19:
Melatonin may restore altered redox homeostasis in COVID-196, modulates type III interferon responses and reduces inflammatory cytokine production in TLR3 receptor agonist stimulated viral inflammation while preserving tissue integrity3, and negatively regulates genes critical for viral entry in lung tissue, including reduced expression of FURIN and components of the CD147 complex, while potentially disrupting TMPRSS2/ACE2-mediated entry mechanisms2. Melatonin reduces oxidative stress, inhibits NET formation, and protects tissues through anti-inflammatory and antioxidant actions7.
Kumar Yadalam et al., 25 Jan 2022, peer-reviewed, 14 authors.
In Silico studies are an important part of preclinical research, however results may be very different in vivo.
This PaperMelatoninAll
Assessing the therapeutic potential of agomelatine, ramelteon, and melatonin against SARS-CoV-2
Thodur Pradeep Kumar Yadalam, Thodur Madapusi Balaji, Saranya Varadarajan, M.S Khalid J Alzahrani, Mohammad S Al-Ghamdi, Hosam Ali Baeshen, Mohammed Farhan A Alfarhan, Zohaib Khurshid, Shilpa Bhandi, Raghunathan Jagannathan, Vikrant R Patil, A Thirumal Raj, Jithendra Ratnayake, Shankargouda Patil
Saudi Journal of Biological Sciences, doi:10.1016/j.sjbs.2022.01.049
This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Conflicts of Interest: The authors declare no conflict of interest.
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