Suppr超能文献

COVID-19 中的细胞因子风暴与小白菊内酯:临床前证据。

Cytokine storm in COVID-19 and parthenolide: Preclinical evidence.

机构信息

Academic Center for Education Culture and Research, Tehran, Iran.

School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Phytother Res. 2020 Oct;34(10):2429-2430. doi: 10.1002/ptr.6776. Epub 2020 Jun 27.

Abstract

A group of patients with pneumonia caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were reported from China in December 2019. Although several antiviral drugs are widely tested, none of them has been approved as specific antiviral therapy for coronavirus disease 2019 (COVID-19). Accumulating evidence established a hyperinflammatory states or cytokine storm in COVID-19. Among these cytokines, IL-6 plays a key role in cytokine storm and can predict the adverse clinical outcomes and fatality in these patients. Based on the evidence of the significant role of IL-6 in cytokine storm, diabetes mellitus, and cardiovascular diseases as principal comorbidities, it seems that anti-cytokine therapy may be useful in patients with severe COVID-19 to reduce mortality. Recent studies demonstrated that herbal-derived natural products had immunosuppressive and anti-inflammatory properties and exhibited exceptional act on mediators of inflammation. Parthenolide is the principal sesquiterpene lactones and the main biologically active constituent Tanacetum parthenium (commonly known as feverfew) which has could significantly reduce IL-1, IL-2, IL-6, IL-8, and TNF-α production pathways established in several human cell line models in vitro and in vivo studies. Therefore, parthenolide may be one of the herbal candidates for clinical evaluation.

摘要

2019 年 12 月,中国报告了一组由严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引起的肺炎患者。尽管有几种抗病毒药物被广泛测试,但没有一种被批准为冠状病毒病 2019(COVID-19)的特定抗病毒治疗方法。越来越多的证据表明 COVID-19 存在过度炎症状态或细胞因子风暴。在这些细胞因子中,IL-6 在细胞因子风暴中起着关键作用,并且可以预测这些患者的不良临床结局和死亡率。基于 IL-6 在细胞因子风暴、糖尿病和心血管疾病作为主要合并症中的重要作用,似乎针对细胞因子的治疗可能对严重 COVID-19 患者有用,以降低死亡率。最近的研究表明,草药衍生的天然产物具有免疫抑制和抗炎特性,并对炎症介质表现出特殊作用。小白菊内酯是倍半萜内酯的主要成分,也是白头翁(俗称小白菊)的主要生物活性成分,它可以显著减少体外和体内研究中几种人细胞系模型中 IL-1、IL-2、IL-6、IL-8 和 TNF-α 的产生途径。因此,小白菊内酯可能是临床评估的草药候选药物之一。

相似文献

1
Cytokine storm in COVID-19 and parthenolide: Preclinical evidence.
Phytother Res. 2020 Oct;34(10):2429-2430. doi: 10.1002/ptr.6776. Epub 2020 Jun 27.
2
Anti-inflammatory activity of parthenolide-depleted Feverfew (Tanacetum parthenium).
Inflammopharmacology. 2009 Feb;17(1):42-9. doi: 10.1007/s10787-008-8040-9.
3
Inflammation resolution: a dual-pronged approach to averting cytokine storms in COVID-19?
Cancer Metastasis Rev. 2020 Jun;39(2):337-340. doi: 10.1007/s10555-020-09889-4.
5
Inhibition of cytokine signaling by ruxolitinib and implications for COVID-19 treatment.
Clin Immunol. 2020 Sep;218:108517. doi: 10.1016/j.clim.2020.108517. Epub 2020 Jun 23.
7
COVID-19: consider cytokine storm syndromes and immunosuppression.
Lancet. 2020 Mar 28;395(10229):1033-1034. doi: 10.1016/S0140-6736(20)30628-0. Epub 2020 Mar 16.
10
Targeting inflammation and cytokine storm in COVID-19.
Pharmacol Res. 2020 Sep;159:105051. doi: 10.1016/j.phrs.2020.105051. Epub 2020 Jun 27.

引用本文的文献

1
COVID-19 vaccines and neurological disorders: A narrative review of immune responses and adverse reactions.
AIMS Neurosci. 2025 Jun 18;12(2):222-249. doi: 10.3934/Neuroscience.2025013. eCollection 2025.
4
The effect of Phytopaj L. oleo gum resin and tragacanth( in patients with COVID-19: A randomized clinical trial.
Avicenna J Phytomed. 2024 Mar-Apr;14(2):152-165. doi: 10.22038/AJP.2023.22800.
6
Role of TNF in the Pathogenesis of Migraine.
Pain Res Manag. 2024 Jan 3;2024:1377143. doi: 10.1155/2024/1377143. eCollection 2024.
7
The therapeutic effect and mechanism of parthenolide in skeletal disease, cancers, and cytokine storm.
Front Pharmacol. 2023 Mar 9;14:1111218. doi: 10.3389/fphar.2023.1111218. eCollection 2023.
9
Promising natural products against SARS-CoV-2: Structure, function, and clinical trials.
Phytother Res. 2022 Oct;36(10):3833-3858. doi: 10.1002/ptr.7580. Epub 2022 Aug 5.

本文引用的文献

1
Herbal treatments for migraine: A systematic review of randomised-controlled studies.
Phytother Res. 2020 Oct;34(10):2493-2517. doi: 10.1002/ptr.6701. Epub 2020 Apr 20.
2
A Review of SARS-CoV-2 and the Ongoing Clinical Trials.
Int J Mol Sci. 2020 Apr 10;21(7):2657. doi: 10.3390/ijms21072657.
3
COVID-19: immunopathology and its implications for therapy.
Nat Rev Immunol. 2020 May;20(5):269-270. doi: 10.1038/s41577-020-0308-3.
4
Cytokine release syndrome in severe COVID-19: interleukin-6 receptor antagonist tocilizumab may be the key to reduce mortality.
Int J Antimicrob Agents. 2020 May;55(5):105954. doi: 10.1016/j.ijantimicag.2020.105954. Epub 2020 Mar 29.
5
Diabetes is a risk factor for the progression and prognosis of COVID-19.
Diabetes Metab Res Rev. 2020 Oct;36(7):e3319. doi: 10.1002/dmrr.3319. Epub 2020 Apr 7.
6
COVID-19 and Cardiovascular Disease.
Circulation. 2020 May 19;141(20):1648-1655. doi: 10.1161/CIRCULATIONAHA.120.046941. Epub 2020 Mar 21.
7
Trends in use, pharmacology, and clinical applications of emerging herbal nutraceuticals.
Br J Pharmacol. 2020 Mar;177(6):1227-1240. doi: 10.1111/bph.14943. Epub 2020 Feb 6.
8
Parthenolide could become a promising and stable drug with anti-inflammatory effects.
Nat Prod Res. 2015;29(12):1092-101. doi: 10.1080/14786419.2014.981541. Epub 2014 Nov 28.
9
Herbal medicines for immunosuppression.
Iran J Allergy Asthma Immunol. 2012 Jun;11(2):111-9.
10

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验