银杏在管理 COVID-19 严重程度中的作用。
Ginkgo biloba in the management of the COVID-19 severity.
机构信息
Department of Clinical Pharmacology and Medicine, College of Medicine, ALmustansiriyia University, Baghdad, Iraq.
NanoBioTech Laboratory, Health System Engineering, Department of Environmental Engineering, Florida Polytechnic University, Lakeland, Florida, USA.
出版信息
Arch Pharm (Weinheim). 2022 Oct;355(10):e2200188. doi: 10.1002/ardp.202200188. Epub 2022 Jun 7.
The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection is linked with inflammatory disorders and the development of oxidative stress in extreme cases. Therefore, anti-inflammatory and antioxidant drugs may alleviate these complications. Ginkgo biloba L. folium extract (EGb) is a herbal medicine containing various active constituents. This review aims to provide a critical discussion on the potential role of EGb in the management of coronavirus disease 2019 (COVID-19). The antiviral effect of EGb is mediated by different mechanisms, including blocking SARS-CoV-2 3-chymotrypsin-like protease that provides trans-variant effectiveness. Moreover, EGb impedes the development of pulmonary inflammatory disorders through the diminution of neutrophil elastase activity, the release of proinflammatory cytokines, platelet aggregation, and thrombosis. Thus, EGb can attenuate the acute lung injury and acute respiratory distress syndrome in COVID-19. In conclusion, EGb offers the potential of being used as adjuvant antiviral and symptomatic therapy. Nanosystems enabling targeted delivery, personalization, and booster of effects provide the opportunity for the use of EGb in modern phytotherapy.
严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)感染与炎症性疾病有关,在极端情况下会发展为氧化应激。因此,抗炎和抗氧化药物可能会缓解这些并发症。银杏叶提取物(EGb)是一种草药,含有多种活性成分。本综述旨在对 EGb 在管理 2019 年冠状病毒病(COVID-19)中的潜在作用进行批判性讨论。EGb 的抗病毒作用通过不同的机制介导,包括阻断 SARS-CoV-2 3-糜蛋白酶样蛋白酶,提供跨变体效果。此外,EGb 通过减少中性粒细胞弹性蛋白酶活性、释放促炎细胞因子、血小板聚集和血栓形成来阻止肺部炎症性疾病的发展。因此,EGb 可以减轻 COVID-19 中的急性肺损伤和急性呼吸窘迫综合征。总之,EGb 具有作为辅助抗病毒和对症治疗的潜力。纳米系统能够实现靶向递送、个性化和增强效果,为 EGb 在现代植物疗法中的应用提供了机会。