Centro Universitário Ingá-UNINGÁ, Maringá, Paraná, Brazil.
Departamento de Farmácia, Universidade Estadual de Maringá-UEM, Maringá, Paraná, Brazil.
Phytother Res. 2022 Jul;36(7):2686-2709. doi: 10.1002/ptr.7442. Epub 2022 Mar 30.
Coronavirus disease 2019 (COVID-19) is caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), which has a high mortality rate and transmissibility. In this context, medicinal plants have attracted attention due to the wide availability and variety of therapeutic compounds, such as alkaloids, a vast class with several proven pharmacological effects, like the antiviral and anti-inflammatory activities. Therefore, this scoping review aimed to summarize the current knowledge of the potential applicability of alkaloids for treating COVID-19. A systematic search was performed on PubMed and Scopus, from database inception to August 2021. Among the 63 eligible studies, 65.07% were in silico model, 20.63% in vitro and 14.28% clinical trials and observational studies. According to the in silico assessments, the alkaloids 10-hydroxyusambarensine, cryptospirolepine, crambescidin 826, deoxynortryptoquivaline, ergotamine, michellamine B, nigellidine, norboldine and quinadoline B showed higher binding energy with more than two target proteins. The remaining studies showed potential use of berberine, cephaeline, emetine, homoharringtonine, lycorine, narciclasine, quinine, papaverine and colchicine. The possible ability of alkaloids to inhibit protein targets and to reduce inflammatory markers show the potential for development of new treatment strategies against COVID-19. However, more high quality analyses/reviews in this field are necessary to firmly establish the effectiveness/safety of the alkaloids here described.
2019 年冠状病毒病(COVID-19)由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起,其死亡率和传染性都很高。在这种情况下,药用植物因其广泛的可用性和多种治疗化合物而受到关注,例如生物碱,这是一个具有多种已证明的药理作用的庞大类别,如抗病毒和抗炎作用。因此,本次范围界定综述旨在总结生物碱治疗 COVID-19 的潜在适用性的现有知识。我们在 PubMed 和 Scopus 上进行了系统检索,检索范围从数据库建立到 2021 年 8 月。在 63 项合格研究中,65.07%为计算机模拟模型,20.63%为体外研究,14.28%为临床试验和观察性研究。根据计算机模拟评估,生物碱 10-羟基乌沙宾、隐螺甾碱、克劳布斯底因 826、脱氧诺托奎瓦宁、麦角胺、米切林 B、黑麦碱、去氢紫堇碱、喹那定 B 与两个以上靶蛋白的结合能更高。其余研究表明小檗碱、一叶萩碱、依米丁、高三尖杉酯碱、石蒜碱、藜芦定、奎宁、罂粟碱和秋水仙碱具有潜在的用途。生物碱可能抑制蛋白靶标并降低炎症标志物的能力表明了开发针对 COVID-19 的新治疗策略的潜力。然而,该领域需要更多高质量的分析/综述来确定所描述的生物碱的有效性/安全性。