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A novel film spray containing curcumin inhibits SARS-CoV-2 and influenza virus infection and enhances mucosal immunity

Nittayananta et al., Virology Journal, doi:10.1186/s12985-023-02282-x
Jan 2024  
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Curcumin for COVID-19
15th treatment shown to reduce risk in February 2021, now with p = 0.0000000096 from 27 studies.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 112 treatments. c19early.org
In Vitro study showing that a novel oro-nasal curcumin film spray inhibits SARS-CoV-2 and influenza virus infection of cells while enhancing mucosal innate immunity. The spray demonstrated potent dose-dependent antiviral activity against SARS-CoV-2, influenza A H1N1, and influenza B viruses via plaque reduction assay. It was nontoxic to epithelial cell lines at antiviral concentrations. Additionally, the spray significantly induced secretion of antimicrobial peptides LL-37, HD-5 and anti-inflammatory cytokine IL-6 by oral keratinocytes, which may prevent viral entry and lung injury. Authors conclude that the spray could effectively inhibit SARS-CoV-2 and influenza infection while modulating inflammation.
51 preclinical studies support the efficacy of curcumin for COVID-19:
In Silico studies predict inhibition of SARS-CoV-2 with curcumin or metabolites via binding to the spikeA,2,7,12,14,20,23,44 (and specifically the receptor binding domainB,10,13,16), MproC,2,7,9,11-13,15,16,18,21,23,24,26,40,44, RNA-dependent RNA polymeraseD,2,13,22,44, PLproE,2, ACE2F,14,15,17, nucleocapsidG,8,25, nsp10H,25, and helicaseI,29 proteins. In Vitro studies demonstrate inhibition of the spikeA,34 (and specifically the receptor binding domainB,43), MproC,19,34,40,42, ACE2F,43, and TMPRSS2J,43 proteins, and inhibition of spike-ACE2 interactionK,27. In Vitro studies demonstrate efficacy in Calu-3L,41, A549M,34, 293TN,3, HEK293-hACE2O,19,32, 293T/hACE2/TMPRSS2P,33, Vero E6Q,9,13,23,32,34,36,37,39,41, and SH-SY5YR,31 cells. Curcumin is predicted to inhibit the interaction between the SARS-CoV-2 spike protein receptor binding domain and the human ACE2 receptor for the delta and omicron variants10, decreases pro-inflammatory cytokines induced by SARS-CoV-2 in peripheral blood mononuclear cells39, alleviates SARS-CoV-2 spike protein-induced mitochondrial membrane damage and oxidative stress3, may limit COVID-19 induced cardiac damage by inhibiting the NF-κB signaling pathway which mediates the profibrotic effects of the SARS-CoV-2 spike protein on cardiac fibroblasts45, and inhibits SARS-CoV-2 ORF3a ion channel activity, which contributes to viral pathogenicity and cytotoxicity35.
a. The trimeric spike (S) protein is a glycoprotein that mediates viral entry by binding to the host ACE2 receptor, is critical for SARS-CoV-2's ability to infect host cells, and is a target of neutralizing antibodies. Inhibition of the spike protein prevents viral attachment, halting infection at the earliest stage.
b. The receptor binding domain is a specific region of the spike protein that binds ACE2 and is a major target of neutralizing antibodies. Focusing on the precise binding site allows highly specific disruption of viral attachment with reduced potential for off-target effects.
c. The main protease or Mpro, also known as 3CLpro or nsp5, is a cysteine protease that cleaves viral polyproteins into functional units needed for replication. Inhibiting Mpro disrupts the SARS-CoV-2 lifecycle within the host cell, preventing the creation of new copies.
d. RNA-dependent RNA polymerase (RdRp), also called nsp12, is the core enzyme of the viral replicase-transcriptase complex that copies the positive-sense viral RNA genome into negative-sense templates for progeny RNA synthesis. Inhibiting RdRp blocks viral genome replication and transcription.
e. The papain-like protease (PLpro) has multiple functions including cleaving viral polyproteins and suppressing the host immune response by deubiquitination and deISGylation of host proteins. Inhibiting PLpro may block viral replication and help restore normal immune responses.
f. The angiotensin converting enzyme 2 (ACE2) protein is a host cell transmembrane protein that serves as the cellular receptor for the SARS-CoV-2 spike protein. ACE2 is expressed on many cell types, including epithelial cells in the lungs, and allows the virus to enter and infect host cells. Inhibition may affect ACE2's physiological function in blood pressure control.
g. The nucleocapsid (N) protein binds and encapsulates the viral genome by coating the viral RNA. N enables formation and release of infectious virions and plays additional roles in viral replication and pathogenesis. N is also an immunodominant antigen used in diagnostic assays.
h. Non-structural protein 10 (nsp10) serves as an RNA chaperone and stabilizes conformations of nsp12 and nsp14 in the replicase-transcriptase complex, which synthesizes new viral RNAs. Nsp10 disruption may destabilize replicase-transcriptase complex activity.
i. The helicase, or nsp13, protein unwinds the double-stranded viral RNA, a crucial step in replication and transcription. Inhibition may prevent viral genome replication and the creation of new virus components.
j. Transmembrane protease serine 2 (TMPRSS2) is a host cell protease that primes the spike protein, facilitating cellular entry. TMPRSS2 activity helps enable cleavage of the spike protein required for membrane fusion and virus entry. Inhibition may especially protect respiratory epithelial cells, buy may have physiological effects.
k. The interaction between the SARS-CoV-2 spike protein and the human ACE2 receptor is a primary method of viral entry, inhibiting this interaction can prevent the virus from attaching to and entering host cells, halting infection at an early stage.
l. Calu-3 is a human lung adenocarcinoma cell line with moderate ACE2 and TMPRSS2 expression and SARS-CoV-2 susceptibility. It provides a model of the human respiratory epithelium, but many not be ideal for modeling early stages of infection due to the moderate expression levels of ACE2 and TMPRSS2.
m. A549 is a human lung carcinoma cell line with low ACE2 expression and SARS-CoV-2 susceptibility. Viral entry/replication can be studied but the cells may not replicate all aspects of lung infection.
n. 293T is a human embryonic kidney cell line that can be engineered for high ACE2 expression and SARS-CoV-2 susceptibility. 293T cells are easily transfected and support high protein expression.
o. HEK293-hACE2 is a human embryonic kidney cell line with high ACE2 expression and SARS-CoV-2 susceptibility. Cells have been transfected with a plasmid to express the human ACE2 (hACE2) protein.
p. 293T/hACE2/TMPRSS2 is a human embryonic kidney cell line engineered for high ACE2 and TMPRSS2 expression, which mimics key aspects of human infection. 293T/hACE2/TMPRSS2 cells are very susceptible to SARS-CoV-2 infection.
q. Vero E6 is an African green monkey kidney cell line with low/no ACE2 expression and high SARS-CoV-2 susceptibility. The cell line is easy to maintain and supports robust viral replication, however the monkey origin may not accurately represent human responses.
r. SH-SY5Y is a human neuroblastoma cell line that exhibits neuronal phenotypes. It is commonly used as an in vitro model for studying neurotoxicity, neurodegenerative diseases, and neuronal differentiation.
Nittayananta et al., 23 Jan 2024, peer-reviewed, 8 authors. Contact: nwipawee@tu.ac.th.
In Vitro studies are an important part of preclinical research, however results may be very different in vivo.
This PaperCurcuminAll
A novel film spray containing curcumin inhibits SARS-CoV-2 and influenza virus infection and enhances mucosal immunity
Wipawee Nittayananta, Hatairat Lerdsamran, Nopporn Chutiwitoonchai, Aornrutai Promsong, Teerapol Srichana, Kesinee Netsomboon, Jarunee Prasertsopon, Jaruta Kerdto
Virology Journal, doi:10.1186/s12985-023-02282-x
Background Infection by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and influenza virus is still a major worldwide health concern. Plants are a good source of bioactive compounds to be used as preventive measures for both inhibiting the virus binding and enhancing mucosal innate immunity. Curcumin has been shown to possess antiviral activity and modulate innate immunity. Therefore, the purpose of this study was to develop an oro-nasal film spray containing curcumin and determine its antiviral activity against SARS-CoV-2 and influenza virus infection, as well as its effects on mucosal innate immunity and inflammatory cytokines in vitro. Methods The antiviral activity of the film spray against SARS-CoV-2, influenza A/H1N1, A/H3N2, and influenza B was assessed in vitro by plaque reduction assay. Cytotoxicity of the film spray to oral keratinocytes and nasal epithelial cells was assessed by MTT assay, and cytotoxicity to Vero and MDCK cells was assessed by an MTS-based cytotoxicity assay. Oral and nasal innate immune markers in response to the film spray were determined by ELISA and by a commercial Milliplex Map Kit, respectively. Results Our data show that the film spray containing curcumin can inhibit both SARS-CoV-2 and influenza virus infections while maintaining cell viability. Results obtained among 4 viruses revealed that curcumin film spray demonstrated the highest inhibitory activity against SARS-CoV-2 with the lowest EC 50 of 3.15 µg/ml and the highest SI value of 4.62, followed by influenza B (EC 50 = 6.32 µg/ml, SI = 2.04), influenza A/H1N1 (EC 50 = 7.24 µg/ml, SI = 1.78), and influenza A/H3N2 (EC 50 > 12.5 µg/ml, SI < 1.03), respectively. Antimicrobial peptides LL-37 and HD-5, IL-6 and TNF-α produced by oral keratinocytes were significantly induced by the film spray, while hBD2 was significantly reduced. Conclusion Film spray containing curcumin possesses multiple actions against SARS-CoV-2 infection by inhibiting ACE-2 binding in target cells and enhancing mucosal innate immunity. The film spray can also inhibit influenza virus infection. Therefore, the curcumin film spray may be effective in preventing the viral infection of both SARS-CoV-2 and influenza.
Author contributions W.N. designed the study and wrote the proposal, W.N., N.C., K.N., and J.K. applied for the research funding; W.N., H.L., N.C., A.P., T.S. interpreted data and drafted manuscript. H.L., N.C., A.P., T.S., K.N., J.P. performed the experiments. W.N., H.L., N.C., A.P., T.S., and K.N. participated in reviewing and editing the final manuscript. All authors have read and agreed to the published version of the manuscript. Declarations Ethics approval and consent to participate Not applicable. Consent for publication Not applicable. 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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Plants are a good ' 'source of bioactive compounds to be used as preventive measures for both inhibiting the virus ' 'binding and enhancing mucosal innate immunity. Curcumin has been shown to possess antiviral ' 'activity and modulate innate immunity. Therefore, the purpose of this study was to develop an ' 'oro-nasal film spray containing curcumin and determine its antiviral activity against ' 'SARS-CoV-2 and influenza virus infection, as well as its effects on mucosal innate immunity ' 'and inflammatory cytokines in vitro.</jats:p>\n' ' </jats:sec><jats:sec>\n' ' <jats:title>Methods</jats:title>\n' ' <jats:p>The antiviral activity of the film spray against SARS-CoV-2, ' 'influenza A/H1N1, A/H3N2, and influenza B was assessed in vitro by plaque reduction assay. ' 'Cytotoxicity of the film spray to oral keratinocytes and nasal epithelial cells was assessed ' 'by MTT assay, and cytotoxicity to Vero and MDCK cells was assessed by an MTS-based ' 'cytotoxicity assay. 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' '2020;210.1101/2020.12.02.408153.', 'DOI': '10.1101/2020.12.02.408153'}, { 'issue': '8', 'key': '2282_CR34', 'doi-asserted-by': 'publisher', 'first-page': 'e0133454', 'DOI': '10.1371/journal.pone.0133454', 'volume': '10', 'author': 'S Tripathi', 'year': '2015', 'unstructured': 'Tripathi S, Wang G, White M, Rynkiewicz M, Seaton B, Hartshorn K. ' 'Identifying the critical domain of LL-37 involved in mediating ' 'neutrophil activation in the presence of Influenza virus: functional and ' 'structural analysis. PLoS ONE. 2015;10(8):e0133454.PMID: 26308522; ' 'PMCID: PMC4550355. https://doi.org/10.1371/journal.pone.0133454', 'journal-title': 'PLoS ONE'}, { 'key': '2282_CR35', 'doi-asserted-by': 'publisher', 'first-page': '53', 'DOI': '10.1371/journal.pone.0025333.]', 'volume': '6', 'author': 'PG Barlow', 'year': '2011', 'unstructured': 'Barlow PG, Svoboda P, Mackellar A, Nash AA, York IA, Pohl J, Davidson ' 'DJ, Donis RO. Antiviral activity and increased host defense against ' 'Influenza Infection elicited by the human cathelicidin LL-37. PLoS ONE. ' '2011;6:53. https://doi.org/10.1371/journal.pone.0025333.]', 'journal-title': 'PLoS ONE'}, { 'key': '2282_CR36', 'doi-asserted-by': 'publisher', 'first-page': '7878', 'DOI': '10.4049/jimmunol.0804049', 'volume': '182', 'author': 'M Doss', 'year': '2009', 'unstructured': 'Doss M, White MR, Tecle T, Gantz D, Crouch EC, Jung G, Ruchala P, Waring ' 'AJ, Lehrer RI, Hartshorn KL. Interactions of alpha-, beta-, and ' 'theta-defensins with Influenza a virus and surfactant protein D. J ' 'Immunol. 2009;182:7878–87. https://doi.org/10.4049/jimmunol.0804049', 'journal-title': 'J Immunol'}, { 'key': '2282_CR37', 'doi-asserted-by': 'publisher', 'first-page': '639', 'DOI': '10.1007/s00705-009-0352-6', 'volume': '154', 'author': 'Y Jiang', 'year': '2009', 'unstructured': 'Jiang Y, Wang Y, Kuang Y, Wang B, Li W, Gong T, Jiang Z, Yang D, Li M. 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' 'Curcumin mediates attenuation of pro-inflammatory interferon γ and ' 'interleukin 17 cytokine responses in psoriatic Disease, strengthening ' 'its role as a dietary immunosuppressant. Nutr Res. 2020;75:95–108. ' 'https://doi.org/10.1016/j.nutres.2020.01.005', 'journal-title': 'Nutr Res'}, { 'key': '2282_CR43', 'doi-asserted-by': 'publisher', 'first-page': '109946', 'DOI': '10.1016/j.biopha.2020.109946', 'volume': '125', 'author': 'YS Chai', 'year': '2020', 'unstructured': 'Chai YS, Chen YQ, Lin SH, Xie K, Wang CJ, Yang YZ, et al. Curcumin ' 'regulates the differentiation of naïve CD4\u2009+\u2009T cells and ' 'activates IL-10 immune modulation against acute lung injury in mice. ' 'Biomed Pharmacother. 2020;125:109946. 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