关键词: 3C-like protease (3CLpro) 3CLpro, 3C-like protease ACE2, Angiotensin-converting enzyme 2 AECOPD, Acute exacerbation of chronic obstructive pulmonary disease AIDS, Acquired immune deficiency syndrome AQP3, Aquaporins 3 ARDS, Acute respiratory distress syndrome CAT, COPD assessment test CC50, 50% Cytotoxic concentration CCL-2/MCP-1, C—C motif ligand 2/monocyte chemoattractant protein-1 CFDA, China Food and Drug Administration COPD, Chronic obstructive pulmonary disease COVID-19 COVID-19, Coronavirus disease 2019 CPE, Cytopathic effect CSS, Cytokine storm syndrome CT, Computed tomography CXCL-10/IP-10, C-X-C Motif Chemokine Ligand 10/ Interferon Gamma-induced Protein 10 Cytokine storm syndrome (CSS) DMSO, Dimethyl sulfoxide E protein, Envelope protein ERK, Extracellular signal-regulated kinase FBS, Fatal bovine serum Forsythia honeysuckle (Lianhuaqingwen,LH) capsules Grb2, Growth factor receptor-bound protein 2 HIV, Human immunodeficiency virus HPLC, High-performance liquid chromatography HSV-1, Herpes simplex virus type 1 HVJ, Hemagglutinating virus of Japan Hep-2, Human epithelial type 2 Huh-7, Human Hepatocellular Carcinoma-7 IAV, Influenza A virus IBV, Influenza B virus IC50, 50% Inhibition concentration IFN-λ1, Interferon-λ1 IL-6, Interleukin-6 IL-6R, IL-6 Receptor IL-8, Interleukin-8 IP-10, Interferon-inducible protein-10 JAK/STAT, Janus kinase/signal transducers and activators of transcription JAK1/2, Janus kinase1/2 LD50, 50% Lethal dose LH capsules, Forsythia honeysuckle (Lianhuaqingwen) capsules M protein, Membrane protein MAPK, Mitogen-activated protein kinase MCP-1, Monocyte chemotactic protein 1 MDCK, Madin-darby canine kidney MEK, Mitogen-activated protein kinase kinase MERS, Middle east respiratory syndrome MIP-1β, Macrophage Inflammatory Protein-1β MLD50, 50% Minimum lethal dose MOF, Multifunctional organ damage MOI, Multiplicity of infection MTT, Methyl Thiazolyl Tetrazolium NF-kB, Nuclear transcription factor kappa-B NHC, National Health Commission ORFs, Open reading frames PBS, Phosphate buffered saline PHN, Phillyrin PI3K, Phosphoinositide 3-kinases PKA/p-CREB, Protein kinase A /phosphorylated cAMP response element-binding protein PKB, Akt, Protein kinase B PLpro, Papain-like proteases PRC, People's Republic of China QC, Quality control RANTES, Regulated on activation normal T cell expressed and secreted RSV, Respiratory syncytial virus RT-PCR, Reverse transcription PCR Ras, Ras GTPase SARS-CoV-2 TCID50, 50% Tissue culture infective dose TD0, Non-toxic Dose TD50, Half-toxic dose Vero E6, African Green Monkey Kidney Epithelial-6 gp-130, Glycoprotein 130 mIL-6R, Membrane-bound form IL-6 Receptor mTOR, Mammalian target of rapamycin nsps, Non-structural proteins qPCR, Quantitative PCR

来  源:   DOI:10.1016/j.phyplu.2021.100027   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
UNASSIGNED: In December 2019, a novel coronavirus, SARS-CoV-2 caused a series of acute atypical respiratory diseases worldwide. However, there is still a lack of drugs with clear curative effects, and the clinical trial research of vaccines has not been completely finished.
UNASSIGNED: LH capsules are approved TCM patent medicine that are widely used for the treatment of respiratory tract infectious diseases caused by colds and flu. On April 12, 2020, LH capsules and granules were officially repurposed by the China Food and Drug Administration (CFDA) for patients with mild COVID-19 based on their safety and efficacy demonstrated through multicentre, randomized, controlled clinical trials. We hope to conduct a comprehensive review of it through modern pharmacy methods, and try to explain its possible mechanism.
UNASSIGNED: Using the full names of LH capsules Lianhuaqingwen, Lianhua Qingwen andSARS-COV-2, COVID-19 as the keywords of the search terms, systemically search for existing related papers in various databases such as Web of Science and PubMed. And completed the collection of clinical data in ClinicalTrials.gov and Chinese Clinical Trial Registry. Last but not least, we have sorted out the anti-inflammatory and antiviral mechanisms of LH capsules through literature and Selleck.
UNASSIGNED: This review systematically sorted out the active ingredients in LH capsules. Furthermore, the related pharmacological and clinical trials of LH capsule on SARS-CoV-2, IAV and IBV were discussed in detail. Moreover, the present review provides the first summary of the potential molecular mechanism of specific substances in LH capsules involved in resistance to SARS-COV-2 infection and the inhibition of cytokine storm syndrome (CSS) caused by IL-6.
UNASSIGNED: This review summarizes the available reports and evidence that support the use of LH capsules as potential drug candidates for the prevention and treatment of COVID-19. However, TCM exerts its effects through multiple targets and multiple pathways, and LH capsules are not an exception. Therefore, the relevant mechanisms need to be further improved and experimentally verified.
摘要:
未经批准:2019年12月,一种新型冠状病毒,SARS-CoV-2在全球范围内引起一系列急性非典型呼吸道疾病。然而,仍然缺乏疗效明确的药物,疫苗的临床试验研究尚未完全完成。
UASSIGNED:LH胶囊是批准的中药成药,广泛用于治疗由感冒和流感引起的呼吸道传染病。2020年4月12日,根据通过多中心证明的安全性和有效性,中国食品药品监督管理局(CFDA)正式将LH胶囊和颗粒重新用于轻度COVID-19患者,随机化,对照临床试验。我们希望通过现代药学方法对其进行全面回顾,并试图解释其可能的机制。
未经授权:使用连花清温黄体胶囊的全称,连花清温和SARS-COV-2、COVID-19作为搜索词的关键词,在各种数据库(如WebofScience和PubMed)中系统地搜索现有的相关论文。并在ClinicalTrials.gov和中国临床试验注册中心完成了临床数据的收集。最后但并非最不重要的,我们通过文献和Selleck整理了LH胶囊的抗炎和抗病毒机制。
UNASSIGNED:这篇综述系统地梳理了LH胶囊中的活性成分。此外,详细讨论了LH胶囊对SARS-CoV-2,IAV和IBV的相关药理和临床试验。此外,本综述首次概述了LH胶囊中特定物质参与SARS-COV-2感染抗性和抑制IL-6引起的细胞因子风暴综合征(CSS)的潜在分子机制。
UNASSIGNED:本综述总结了支持使用LH胶囊作为预防和治疗COVID-19的潜在候选药物的现有报告和证据。然而,中医通过多靶点、多途径发挥作用,LH胶囊也不例外。因此,相关机制有待进一步完善和实验验证。
公众号