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Review
. 2022 Oct;36(10):3833-3858.
doi: 10.1002/ptr.7580. Epub 2022 Aug 5.

Promising natural products against SARS-CoV-2: Structure, function, and clinical trials

Affiliations
Review

Promising natural products against SARS-CoV-2: Structure, function, and clinical trials

Yan Zhao et al. Phytother Res. 2022 Oct.

Abstract

The corona virus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus type 2 (SARS-COV-2) poses a severe threat to human health and still spreads globally. Due to the high mutation ratio and breakthrough infection rate of the virus, vaccines and anti-COVID-19 drugs require continual improvements. Drug screening research has shown that some natural active products can target the critical proteins of SARS-CoV-2, including 3CLpro, ACE2, FURIN, and RdRp, which could produce great inhibitory effects on SARS-COV-2. In addition, some natural products have displayed activities of immunomodulation, antiinflammatory, and antihepatic failure in COVID-19 clinical trials, which may relate to their non-monomeric structures. However, further evaluation and high-quality assessments, including safety verification tests, drug interaction tests, and clinical trials, are needed to substantiate natural products' multi-target and multi-pathway effects on COVID-19. Here, we review the literature on several promising active natural products that may act as vaccine immune enhancers or provide targeted anti-COVID-19 drugs. The structures, mechanisms of action, and research progress of these natural products are analyzed, to hopefully provide effective ideas for the development of targeted drugs that possess better structure, potency, and safety.

Keywords: COVID-19; SARS-COV-2; antivirals; coronaviruses; natural products.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

FIGURE 1
FIGURE 1
COVID‐19 infection on the human body and the mechanism of natural active products against it. (a) Natural products targeted to inhibit COVID‐19 invasion and replication. (b) Natural products regulate immune balance. (c) Natural products reduce cytokine storms and affect system diseases
FIGURE 2
FIGURE 2
The potential mechanism of EGCG for inhibiting COVID‐19
FIGURE 3
FIGURE 3
Structure of potential active products in the treatment of COVID‐19 through immunomodulation (a) EGCG, (b) astragalus polysaccharide, (c) caffeic acid, and (d) resveratrol
FIGURE 4
FIGURE 4
Natural active products target to inhibit the invasion of SARS‐COV‐2 (a) baicalin, (b) baicalein, (c) quercetin, (d) rutin, and (e) kaempferol
FIGURE 5
FIGURE 5
The structure of natural active products which target to inhibit 3CLPro (a) betulinic acid, (b) berberine, (c) β‐sitosterol, and (d) indirubin
FIGURE 6
FIGURE 6
The structure of natural active products which targeted inhibit RdRp and NSP15 (a) cordycepin, (b) curcumin, and (c) myricetin
FIGURE 7
FIGURE 7
Active natural products that target ACE2 or Furin (a) nicotinamine, (b)chlorogenic acid, and (c) honokiol
FIGURE 8
FIGURE 8
Targeting effects of natural products on COVID‐19 infecting host cells at different stages
FIGURE 9
FIGURE 9
Natural active products inhabit cellular inflammatory storm (a) forsythiaside A, (b) parthenolide, (c) taraxacum sterol, and (d) glycyrrhizin

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