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赤西园中药口腔防护液抗新型冠状病毒肺炎的作用及机制

The anti-SARS-CoV-2 effect and mechanism of Chiehyuan herbal oral protection solution.

作者信息

Wu Ching-Yuan, Yang Yao-Hsu, Lin Yu-Shih, Shu Li-Hsin, Cheng Yu-Ching, Liu Hung-Te, Lin Yin-Yin, Lee I-Yun, Shih Wei-Tai, Yang Pei-Rung, Tsai Ying-Ying, Chang Geng-He, Hsu Cheng-Ming, Yeh Reming-Albert, Wu Yu-Huei, Wu Yu-Heng, Shen Rou-Chen, Tsai Ming-Shao

机构信息

Department of Chinese Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.

School of Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan.

出版信息

Heliyon. 2023 Jul 3;9(7):e17701. doi: 10.1016/j.heliyon.2023.e17701. eCollection 2023 Jul.

Abstract

The Chiehyuan herbal oral protection solution (GB-2) is a herbal mixture commonly utilized in Taiwan for combating severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as per traditional Chinese medicine practices. This study assessed the clinical impact of GB-2 through prospective clinical trials. With twice-daily use for a week, GB-2 was shown to diminish the expression of angiotensin-converting enzyme 2 (ACE2) in oral mucosal cells. Moreover, after two weeks of use, it could reduce transmembrane protease, serine 2 (TMRPSS2) expression in these cells. Additionally, in vitro experiments demonstrated that GB-2 lessened the entry efficiency of the Omicron, L452R-D614G, T478K-D614G, and L452R-T478K-D614G variants of the SARS-CoV-2 pseudotyped lentivirus. It also impeded the interaction between ACE2 and the receptor-binding domain (RBD) presenting N501Y-K417N-E484A-G339D-Q493R-G496S-Q498R and L452R-T478K mutations. Glycyrrhizic acid, a major compound in GB-2, also hindered the entry of the Omicron variant (BA.1) of the SARS-CoV-2 pseudotyped lentivirus by obstructing the binding between ACE2 and the RBD presenting the N501Y-K417N-E484A-G339D-Q493R-G496S-Q498R mutation. To sum up, these findings suggest that GB-2 can decrease ACE2 and TMPRSS2 expression in oral mucosal cells. Both glycyrrhizic acid and GB-2 were found to reduce the entry efficiency of the Omicron variant (BA.1) of the SARS-CoV-2 pseudotyped lentivirus and block the binding between ACE2 and the RBD with the N501Y-K417N-E484A-G339D-Q493R-G496S-Q498R mutation. This evidence implies that GB-2 might be a potential candidate for further study as a preventative measure against SARS-CoV-2 infection.

摘要

赤源草本口腔防护液(GB - 2)是台湾地区常用的一种草药混合物,按照中医传统用于对抗严重急性呼吸综合征冠状病毒2(SARS-CoV-2)。本研究通过前瞻性临床试验评估了GB-2的临床影响。每天使用两次,持续一周后,GB-2可降低口腔黏膜细胞中血管紧张素转换酶2(ACE2)的表达。此外,使用两周后,它可降低这些细胞中跨膜蛋白酶丝氨酸2(TMRPSS2)的表达。另外,体外实验表明,GB-2降低了严重急性呼吸综合征冠状病毒2假型慢病毒的奥密克戎、L452R-D614G、T478K-D614G和L452R-T478K-D614G变体的进入效率。它还阻碍了ACE2与呈现N501Y-K417N-E484A-G339D-Q493R-G496S-Q498R和L452R-T478K突变的受体结合域(RBD)之间的相互作用。GB-2中的主要化合物甘草酸,也通过阻碍ACE2与呈现N501Y-K417N-E484A-G339D-Q493R-G496S-Q498R突变的RBD之间的结合,阻碍了严重急性呼吸综合征冠状病毒2假型慢病毒奥密克戎变体(BA.1)的进入。总之,这些发现表明GB-2可降低口腔黏膜细胞中ACE2和TMPRSS2的表达。发现甘草酸和GB-2均可降低严重急性呼吸综合征冠状病毒2假型慢病毒奥密克戎变体(BA.1)的进入效率,并阻断ACE2与具有N501Y-K417N-E484A-G339D-Q493R-G496S-Q498R突变的RBD之间的结合。这一证据表明,GB-2可能是作为预防严重急性呼吸综合征冠状病毒2感染的进一步研究的潜在候选药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6e7/10359827/e76e41603e52/gr1.jpg

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