Department of Nephrology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.
Department of Ultrasound, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.
PLoS One. 2021 Jan 14;16(1):e0245209. doi: 10.1371/journal.pone.0245209. eCollection 2021.
Kidneys are one of the targets for SARS-CoV-2, it is reported that up to 36% of patients with SARS-CoV-2 infection would develop into acute kidney injury (AKI). AKI is associated with high mortality in the clinical setting and contributes to the transition of AKI to chronic kidney disease (CKD). Up to date, the underlying mechanisms are obscure and there is no effective and specific treatment for COVID-19-induced AKI. In the present study, we investigated the mechanisms and interactions between Quercetin and SARS-CoV-2 targets proteins by using network pharmacology and molecular docking. The renal protective effects of Quercetin on COVID-19-induced AKI may be associated with the blockade of the activation of inflammatory, cell apoptosis-related signaling pathways. Quercetin may also serve as SARS-CoV-2 inhibitor by binding with the active sites of SARS-CoV-2 main protease 3CL and ACE2, therefore suppressing the functions of the proteins to cut the viral life cycle. In conclusion, Quercetin may be a novel therapeutic agent for COVID-19-induced AKI. Inhibition of inflammatory, cell apoptosis-related signaling pathways may be the critical mechanisms by which Quercetin protects kidney from SARS-CoV-2 injury.
肾脏是 SARS-CoV-2 的靶器官之一,据报道,多达 36%的 SARS-CoV-2 感染患者会发展为急性肾损伤(AKI)。AKI 与临床环境中的高死亡率相关,并导致 AKI 向慢性肾脏病(CKD)的转变。迄今为止,其潜在机制尚不清楚,也没有针对 COVID-19 引起的 AKI 的有效和特异性治疗方法。在本研究中,我们通过网络药理学和分子对接研究了槲皮素与 SARS-CoV-2 靶蛋白之间的机制和相互作用。槲皮素对 COVID-19 诱导的 AKI 的肾脏保护作用可能与阻断炎症、细胞凋亡相关信号通路的激活有关。槲皮素还可能通过与 SARS-CoV-2 主蛋白酶 3CL 和 ACE2 的活性位点结合,作为 SARS-CoV-2 的抑制剂,从而抑制这些蛋白的功能,从而阻断病毒的生命周期。总之,槲皮素可能是 COVID-19 诱导的 AKI 的一种新型治疗药物。抑制炎症、细胞凋亡相关信号通路可能是槲皮素保护肾脏免受 SARS-CoV-2 损伤的关键机制。