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Protecting from Coronavirus - Supplements & Therapies

coronavirus flu disease epidemics viruses immunity covid-19

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#391 OP2040

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Posted 23 March 2020 - 06:58 PM

Daniel, I absolutely agree with that.  I like the zinc hypothesis, but it's clear no one knows just yet.  I think it's most wise to use an array of relatively risk-free interventions as prophylactics, etc.  In a situation where the need is critical, but knowledge is limited, lots of moderate risk, low-cost interventions is the wisest path.  It's especially wise in comparison to looking for a silver bullet that will never come, or waiting on the authorities to talk politics about drugs that may or may not be available as pharmaceuticals ......eventually.

 

But ya, I've always liked Zinc and take it anyway.  I'm definitely guilty of validating my own already well worn habits in this case. 


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#392 OP2040

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Posted 23 March 2020 - 07:08 PM

Here's the evidence I like for the fact that we want an immune enhancer for most people.

 

https://www.nature.c...1423-020-0402-2


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#393 Dorian Grey

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Posted 23 March 2020 - 07:10 PM

Sweet Stack OP40.  I've been having trouble with the cytokine storm theory myself.  Oldsters are notorious for their dreadfully poor immune response.  Even the "double-stuff" flu vaccines don't produce antibodies half the time.  

 

Perhaps I am a bit caught up with zinc mania.  Just so many flags, & love the chloroquine/ionophore theory.  

 

I assume we'll all be exposed and likely get this bug sooner or later.  At 64, I just don't want this to happen to me until they have some approved treatment.  In the meantime the zinc/ionophore is something that gives me hope, as it's something I can do at home.  Don't want to end up in a tent-hospital on a vent if I can avoid this.  


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#394 OP2040

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Posted 23 March 2020 - 07:51 PM

Thanks Dorian,

Best of luck to you.



#395 lancebr

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Posted 23 March 2020 - 08:08 PM

The problem with saying it's "zinc deficiency" is that a lot of people in the thread are looking for connections to zinc deficiency.  And by god, you will find some, regardless of whether that is the root cause.  There are a lot of variables in play and just on random chance some of them are going to line up with zinc deficiency.  The problem is you get tunnel vision and focus only on your favorite root cause and bias in favor of things that confirm your theory.  

 

I've done this before myself.  It's what we humans do.  

 

Now, I'm *not* saying that zinc deficiency isn't a root cause. It may well be that you guys have figured it out. I'm just throwing out a caution that confirmation bias is a real thing.

 

Well this is a new one that I have heard about chloroquine's possible method of working:

 

 

According to some early studies, chloroquine has strong antiviral effects on the coronavirus infection of primate cells.

 

"One study showed that chloroquine interferes with “terminal glycosylation of the cellular receptor, angiotensin-converting enzyme 2”,

which may negatively influence the virus-receptor binding and abrogate the infection."

 



#396 thompson92

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Posted 23 March 2020 - 09:54 PM

Man dies in 30 minutes after dosing chloroquine.  Wife hospitalized.

 

http://bannerhealth....ner?item=122999

 

I've pulled a few studies on the pharmacokinetics.  This drug hangs around in the body for weeks at a time.  And the previous pharmacokinetic study posted earlier in the thread indicated dosing levels 50% below what traditional dosing has indicated and what was used in S. Korea and maybe 25% of what was used in China.  Beware biohackers.  This drug has contraindications and serious renal/cardio implications.



#397 Daniel Cooper

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Posted 23 March 2020 - 10:02 PM

You wonder how much he dosed himself with.

 

 



#398 thompson92

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Posted 23 March 2020 - 10:11 PM

You wonder how much he dosed himself with.

 

Yea, that was my first thought.  What other conditions does he have?  Was he taking some kind of CYP inhibitor that prevented liver breakdown of the product?  How much did he take?  Why did he even take in the first place?  If someone put a gun to my head and said, you have to take some of this, it would be a very very low dose with zinc and nothing else to complicate the situation.

 

This drug's elimination half life is 40-60 days according to one paper I saw.  Who would dose high on something that the body just does not get rid of easily?


Edited by thompson92, 23 March 2020 - 10:16 PM.


#399 xEva

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Posted 23 March 2020 - 10:36 PM

Man dies in 30 minutes after dosing chloroquine.  Wife hospitalized.

 

http://bannerhealth....ner?item=122999

 

I've pulled a few studies on the pharmacokinetics.  This drug hangs around in the body for weeks at a time.  And the previous pharmacokinetic study posted earlier in the thread indicated dosing levels 50% below what traditional dosing has indicated and what was used in S. Korea and maybe 25% of what was used in China.  Beware biohackers.  This drug has contraindications and serious renal/cardio implications.

 

well, some dude took an unknown dose of aquarium of chloroquine powder ... and? If at least they'd say how much he took, that could be helpful.

 

Regardless, the drug of choice is not chloroquine but hydroxychloroquine, which is reported to be less toxic (arthritis patients take it for years) and have a better activity against covid-19. The French study used hydroxychloroquine.

 

https://dermnetnz.or...oxychloroquine/

 

I agree though that one has to be cautious when treating oneself and be aware of all contraindications..


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#400 Dorian Grey

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Posted 23 March 2020 - 10:57 PM

Chloroquine can cause cardiac arrhythmia (prolonged QT) and overdoses are particularly dangerous.  This said, when dosed properly, it's actually fairly safe and even used in pregnancy. 

 

https://apps.who.int...922e/2.5.1.html

 

"Chloroquine is also used for prophylaxis for pregnant women and non-immune individuals at risk"

 

This guy bought a chloroquine formulation for treating tropical fish (ick) and tried to figure the dosage out himself.  News outlets are saying this was aquarium "cleaner" he mistook for chloroquine, but from what I've read it actually was Chloroquine Phosphate, the original real deal medicine.  He just missed the correct dosing, probably by a factor of 10 if he died in 30 minutes and wife is critical.  

 

There is a newer "Hydroxychloroquine" that is supposed to work about as well with a better safety profile, though original chloroquine phosphate is still being used safely, as it has been for over half a century.  



#401 xEva

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Posted 24 March 2020 - 12:07 AM

An in depth look at Chloroquine here:
 
https://blogs.scienc...ast-and-present

 

regarding chloroquine toxicity, I saw this interesting comment there:

   
  
    Fenichel says:    
    21 March, 2020 at 12:00 am    

    Even short courses of chloroquine present a real risk (hemolytic anemia) to people with glucose-6-phosphate dehydrogenase deficiency. This condition is not rare especially in people of West African ancestry.
   
 

So in addition to staying away from it if you have heart problems, check your 22andme data for glucose-6-phosphate dehydrogenase deficiency, which is  X-linked recessive disorder
 

Here is what wiki says about it:

 

About 400 million people have the condition globally.[1] It is particularly common in certain parts of Africa, Asia, the Mediterranean, and the Middle East.[1] Males are affected more often than females.[1]  Carriers of the G6PDD allele may be partially protected against malaria.[1]

 

 

 

Also, underlying kidney problems call for dose reduction (at the very least)

 

and wear dark glasses in bright sunlight.

 

Anything else?


 


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#402 bladedmind

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Posted 24 March 2020 - 12:52 AM

Eyeballing quantities of aquarium-grade chloroquine  is inadvisable. 

 

I've taken chloroquine weekly for malaria prophylaxis (in the longest instance for 10 weeks), as have millions, and it is also administered daily for malaria treatment (some regions are now chloroquine resistant, others aren't).  

 

https://www.cdc.gov/...linicians2.html.  Treatment:

 

A chloroquine dose of 600 mg base (= 1,000 mg salt) should be given initially, followed by 300 mg base (= 500 mg salt) at 6, 24, and 48 hours after the initial dose for a total chloroquine dose of 1,500 mg base (=2,500 mg salt). Alternatively, hydroxychloroquine may be used at a dose of 620 mg base (=800 mg salt) po given initially, followed by 310 mg base (=400 mg salt) po at 6, 24, and 48 hours after the initial dose for a total hydroxychloroquine dose of 1,550 mg base (=2,000 mg salt).

 

 

Weekly prophylaxis is unremarkable, although can be accompanied by diarrhea and crummy feeling.  The treatment dose for malaria must carry more risk, but generally not as much risk as untreated malaria.   The treatment dose for malaria of 2500 mg phosphate over 48 hours is similar to self-administering 500 mg of chloroquine phosphate daily for 5 days.  

 

I don't dismiss adverse effects and the user should be fully informed. 

 

Beware of confusing base vs. salt forms and dosages (hope I didn't).  

 


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#403 BioHacker=Life

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Posted 24 March 2020 - 12:57 AM

Arbidol and LPV/r was 94% effective in clearing the virus in a small study.

 

https://sci-hub.tw/1...inf.2020.03.002



#404 Dorian Grey

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Posted 24 March 2020 - 01:20 AM

Happy Hydroxychloroquine Success Stories

 

https://www.dailymai...r-COVID-19.html

 

Miracle' malaria drug touted by Trump saved me from coronavirus, claim Americans: Infected patients across US say hydroxychloroquine helped them recover – despite experts' insistence evidence of its effectiveness is slim

 

Would be nice if patients (& doctors) had any input on whether they'd have a chance at using this.  It's half a century old for cryin' out loud.  Millions of doses for several different purposes.  Thumbs-up, even for pregnant women.  There's a global pandemic raging.  We don't have half a year to "study" just how effective it is.  It seems safe enough to me, and better than being on a vent-in-a-tent.  


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#405 ta5

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Posted 24 March 2020 - 01:35 AM

     Even short courses of chloroquine present a real risk (hemolytic anemia) to people with glucose-6-phosphate dehydrogenase deficiency. This condition is not rare especially in people of West African ancestry.

   

So in addition to staying away from it if you have heart problems, check your 22andme data for glucose-6-phosphate dehydrogenase deficiency, which is  X-linked recessive disorder

 

If you had a 23andme test:

https://you.23andme....ports/ghr.g6pdd


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#406 Dorian Grey

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Posted 24 March 2020 - 01:40 AM

 

regarding chloroquine toxicity, I saw this interesting comment there:

   
  
    Fenichel says:    
    21 March, 2020 at 12:00 am    

    Even short courses of chloroquine present a real risk (hemolytic anemia) to people with glucose-6-phosphate dehydrogenase deficiency. This condition is not rare especially in people of West African ancestry.
   
 

So in addition to staying away from it if you have heart problems, check your 22andme data for glucose-6-phosphate dehydrogenase deficiency, which is  X-linked recessive disorder
 

Here is what wiki says about it:

 

About 400 million people have the condition globally.[1] It is particularly common in certain parts of Africa, Asia, the Mediterranean, and the Middle East.[1] Males are affected more often than females.[1]  Carriers of the G6PDD allele may be partially protected against malaria.[1]

 

 

 

Also, underlying kidney problems call for dose reduction (at the very least)

 

and wear dark glasses in bright sunlight.

 

Anything else?

 

 

For some perspective...

 

Acetaminophen is the number one cause of acute liver failure in the US, & it hasn't even been "scientifically proven" effective for headaches (science has never found a way to effectively measure headache pain)

 

https://aasldpubs.on...0.1002/lt.20735

 

Acetaminophen Sets Records in the United States: Number 1 Analgesic and Number 1 Cause of Acute Liver Failure

 

And headaches are rarely fatal and seldom require ventilator assisted life support!  


Edited by Dorian Grey, 24 March 2020 - 02:28 AM.


#407 bladedmind

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Posted 24 March 2020 - 02:34 AM

This may not be of wide interest, but I think some people would like to know about all live options.  Researchers in Montreal are random control trialing colchicine for preventing Covid-19 cytokine storm.  https://www.lapresse...ions-graves.php
 
 
It’s an ancient medication, an anti-inflammatory prescribed for gout.  It is also prescribed to suppress acute pericarditis in the acute phase and for a month or two after so as to suppress recurrence.  I was prescribed it for acute pericarditis two years ago and I keep it in my daypack in the unlikely event of a recurrence.  
 

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#408 sciack

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Posted 24 March 2020 - 08:00 AM

What do you think about supplementing reishi mushroom ?

 



#409 OP2040

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Posted 24 March 2020 - 11:01 AM

Mushrooms would be a good addition to anything antiviral.  That is what the AHCC from my list is.  Though I think it's Shiitake in that case, the others are good as well.


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#410 OP2040

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Posted 24 March 2020 - 01:09 PM

I'm sure y'all have read about the recent paper where they had a supercomputer search for substances that bind to the S-protein:ACE2receptor and therefore block this particular virus. 

 

Well, whether you've been able to access it or not, here is the very top of the list, with substances discussed already in this thread highlighted.  Just remember though, our overlords have already claimed that anything which is not a pharmaceutical drug scheduled for approval in 2030 is complete nonsense and will cause more harm than good.  This list is just for entertainment purposes only!!  Also of note is the alternative spelling of Quercetin, not sure if that's just to annoy me of to throw off searches. 

 

http://imgur.com/a/2ZBFeDs

 

Link will have to be good enough, still not sure why we can't upload images...

 

 



#411 OP2040

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Posted 24 March 2020 - 01:12 PM

i know that these two compounds, Luteolin and Quercetin, have poor bioavailability, It's nothing we haven't discussed here before, though there should be more controversy and debate since Quercetin was recently used in humans as part of a senolytic combo.  But this is a game of inches, and those inches (or mg if you will), could save lives.


Edited by OP2040, 24 March 2020 - 01:14 PM.


#412 Daniel Cooper

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Posted 24 March 2020 - 02:35 PM

 

This may not be of wide interest, but I think some people would like to know about all live options.  Researchers in Montreal are random control trialing colchicine for preventing Covid-19 cytokine storm.  https://www.lapresse...ions-graves.php
 
 
It’s an ancient medication, an anti-inflammatory prescribed for gout.  It is also prescribed to suppress acute pericarditis in the acute phase and for a month or two after so as to suppress recurrence.  I was prescribed it for acute pericarditis two years ago and I keep it in my daypack in the unlikely event of a recurrence.  

 

 

Is cytokine storm really a major feature of covid-19?  This is often repeated but I am unsure if this is true or if it has just become internet conventional wisdom.

 

The reason I ask is that cytokine storm was a notable feature of the 1918 Flu Pandemic.  And the result was that those with the most robust immune systems, say in the 20 - 40 year old bracket, were the ones with the highest fatality rate.  The young and the old were largely spared because their much less robust immune systems did not mount the cytokine storm that was so deadly.  

 

This sparing of the elderly is notably not a feature of the covid-19 pandemic.


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#413 albedo

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Posted 24 March 2020 - 02:57 PM

"Clinical drug trials starting in Europe include potential of chloroquine to treat coronavirus"

https://www.euronews...onavirus-treatm
https://presse.inser...covid-19/38737/


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#414 bladedmind

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Posted 24 March 2020 - 03:21 PM

https://onlinelibrar....1002/ddr.21656

Gurwitz hypothesizes that ARBs could be therapeutic, calling for data effort

 

https://academic.oup...ehaa235/5810479

Kuster et al., similar

 

NephJC online has an expert panel and one of the longer medical discussions I’ve found anywhere on Covid-19, ACEi, and ARB

http://www.nephjc.com/news/covidace2

 

 

My original reasoning was that there are not sufficient data either to continue or switch from an ARB, hence reasonable theory prevails and I should shift to CCB (Lancet letter).   However, there is reasonable theory that ARBs could be therapeutic for Covid-19 (Gurwitz, Kuster), and at that point my hack yields no determinate answer. 

 

Switching to a CCB, however, is less risky for someone with simple hypertension (rather than also kidney disease, heart failure), such as myself.   The arguments in the medical recommendations literature against switching by a mere hypertension patient are weak; NephC is typical:

The patient will need a replacement drug (more contact with an already stretched medical system), visit pharmacies (when one should be practicing social distancing), and may even need follow up lab investigations or medical visits to ensure the replacement drugs are working as they should. 

 

Moreover, how long does it take for any biological effect on ACE2, to wear off, and make a tangible difference?

 

 

The latter argument amounts to the idea that it might be too late to switch, so why bother?   Hope my doctors were not taught this principle. 

 

Most of the recommendations for continuation are based on present lack of data on either side of the question (and somewhat on there being theory supporting each side of the question).  They cautiously remind, however, that continuation advice could be qualified or reverse as data accumulate. 

 

Thompson92 is quite confident that it is mistaken particularly to abandon an ARB, in fact it would make matters far worse.   Two anonymous commenters disagree, and two agree.  The ESC statement does not mention the makes-matters-far-worse view.  Nor does the BMJ letter.   I’ve been unable to find discussions of a makes-matters-far-worse view anywhere other than two postings here.  

 

 

If the no-data argument for continuation of ARB  is wrong, and you switch to a CCB, you are at less risk. 

 

If the no-data argument for continuation of ARB  is right, and you switch, you are at no greater risk. 

 

If the thompson92 argument for continuation of ARB is right, to switch would be a disaster. 

 

Suppose one continues ARB, and then enough data accumulate, or local clinical practice evolves:  switch patients off ARB to CCB if infected or if hospitalized.  If the thompson92 argument is right, but the world is unaware of it, then that would be an even worse disaster. 

 

I have been candid that I lack the training to evaluate biochemical discussions. For example, I can follow and superficially understand Seheunt’s remarkable youtube exposition on ARB and ACEi, and its interlinked, coherent hypotheses; but I can’t evaluate the plausibility or likelihood of the thesis.  In my own realms of expertise I am able to rapidly evaluate theoretical claims.  I welcome anyone’s explanations, arguments, pointers, references on this question.   Private message is fine too. 

 

 

 

 

 

 

 


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#415 zorba990

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Posted 24 March 2020 - 03:28 PM

This paper shows Hesperidin
https://www.google.c...RxAQa1hdrojs5jW

"The results show that hesperidin, one of the compounds in Citrus sp., has the lowest docking score for all three protein receptors representing the highest affinity to bind the receptors. Moreover, all of the citrus flavonoids possess good affinity to the respected receptors as well as curcumin, brazilin, and galangin, indicating that those compounds perform inhibitory potential for the viral infection and replication"



Preprints (www.preprints.org) | NOT PEER-REVIEWED | Posted: 12 March 2020 doi:10.20944/preprints202003.0214.v1
Revealing the Potency of Citrus and Galangal Constituents to Halt SARS-CoV-2 Infection
Rohmad Yudi Utomo1,2, Muthi’ Ikawati1,3, Edy Meiyanto1,3,*
1Cancer Chemoprevention Research Center, Faculty of Pharmacy, Universitas Gadjah Mada (UGM), Sekip Utara, Yogyakarta 55281, Indonesia
2Medicinal Chemistry Laboratory, Department of Pharmaceutical Chemistry, Faculty of Pharmacy, UGM, Sekip Utara, Yogyakarta 55281, Indonesia
3Macromolecular Engineering Laboratory, Department of Pharmaceutical Chemistry, Faculty of Pharmacy UGM, Sekip Utara, Yogyakarta 55281, Indonesia
ORCID:
Edy Meiyanto: Rohmad Yudi Utomo: Muthi’ Ikawati:
Abstract
*Corresponding author: edy_meiyanto@ugm.ac.id
0000-0002-0886-6322
0000-0003-4803-9417
0000-0002-5968-0130
COVID-19 pandemic is a serious problem in the world today. The SARS-CoV-2 virus that causes COVID-19 has important proteins used for its infection and development, namely the protease and spike glycoprotein. The RBD (Receptor Binding Domain) of spike glycoprotein (RBD-S) can bind to the ACE2 (Angiotensin Converting Enzyme-2) receptor at the protease domain (PD) (PD-ACE2) of the host cell, thereby leading to a viral infection. This study aims to reveal the potential of compounds contained in Curcuma sp., Citrus sp., Alpinia galanga, and Caesalpinia sappan as anti SARS-CoV-2 through its binding to 3 protein receptors. The study was conducted by molecular docking using the MOE 2010 program (licensed from Faculty of Pharmacy UGM, Indonesia). The selected protein targets are RBD- S (PDB ID:6LXT), PD-ACE2 (PDB ID: 6VW1), and SARS-CoV-2 protease (PDB ID:6LU7). The affinities of bonds formed is represented as a docking score. The results show that hesperidin, one of the compounds in Citrus sp., has the lowest docking score for all three protein receptors representing the highest affinity to bind the receptors. Moreover, all of the citrus flavonoids possess good affinity to the respected receptors as well as curcumin, brazilin, and galangin, indicating that those compounds perform inhibitory potential for the viral infection and replication. In general, the results of this study indicate that Citrus sp. exhibit the best potential as an inhibitor to the development of the SARS-CoV- 2, followed by galangal, sappan wood, and Curcuma sp. that can be consumed in daily life as prophylaxis of COVID-19.
Keywords: SARS-CoV-2; Citrus sp., Galangal, Curcuma sp., Sappan wood Introduction
The new emerging coronavirus, SARS-CoV-2, is becoming outbreaks in entire the world, spreading progressively across the continent of Asia, Europe, Middle East, Africa, and America covering more than 100 countries (as reported in WHO website www.who.int; accessed on March 10, 2010; Roser & Ritchie, 2020). The endemic of this virus invites the challenge rapidly to find the drug in concordance with the finding of molecular characteristic of the virus. Along with the effort of the respected researchers, we put the credit to some researchers who find the structure characteristic of spike glycoprotein that plays an important role of the virus infection (Chan et al., 2020; Chen & Du, 2020; Wrapp et al., 2020). This glycoprotein of SARS-CoV-2 exhibits little changes in the primary structure compared to the beta coronavirus, SARS-CoV, due to the mutation, providing a suitable target candidate of the new drugs (Lu et al., 2020; Xia et al., 2020).
Spike glycoprotein of SARS-CoV-2 contains Receptor Binding Domain (RBD) that recognize the target receptor leading to the splicing of the trimeric spike protein into s1 and s2 that facilitate membrane fusion and virus infection occurs through endocytosis (Yan et al., 2020). The receptor angiotensin- converting enzyme 2 (ACE2) is a preferable receptor for SARS-CoV-2 spike glycoprotein than that of spike glycoprotein of SARS-CoV due to the changes of some amino acid residues at the aa359-541, making it more suitable to bind the receptor at the “up” position (Peng et al., 2020; Wan et al., 2020;
Page 1 of 8
© 2020 by the author(s). Distributed under a Creative Commons CC BY license.

Preprints (www.preprints.org) | NOT PEER-REVIEWED | Posted: 12 March 2020 doi:10.20944/preprints202003.0214.v1
Wrapp et al., 2020). Therefore, the RBD of spike glycoprotein is a preferable candidate for drug target to inhibit the initiation process of virus infection. Noted that there are many compounds have been treated to RBD spike glycoprotein (Li & De Clercq, 2020) or under molecular docking modelling as screening for drug candidates. However, the result showed a limited candidate to be the prospected drugs due to the side effect threat (Smith & Smith, 2020; Wang, 2020; Senathilake et al., 2020).
Despite the spike glycoprotein, ACE2 is the other suitable candidate for drug target to prevent virus infection. The drug candidates may target on the spike binding site that already elucidated and simulated to bind with RBD-spike glycoprotein (Xu et al., 2020a; Yan et el., 2020). The ACE2 ligand binding side is recognized as protease domain (PD) that playing role in the cleavage of the trimeric structure of spike glycoprotein as the important step in virus infection (Xu et al., 2020b; Zhang et al., 2020; Yan et al., 2020). Therefore, the inhibitory effect of some compounds to this receptor suggest to give protection of the virus recognition.
Protease inhibitors is also suggested to be the good drug candidate to halt the virus life cycle (Qamar et al., 2020; Haider et al., 2020). Beta coronavirus utilizes protease to cleave the structural protein needed during viral formation in the host cells. The protease inhibitors have been developed to stop the spreading of viruses that cause diseases such as HIV-AIDS, MERS, and SARS (Zumla et al., 2020). Many proven drugs have been also screened with the promising result to overcome SARS-CoV-2 as drug repurposing, such as lopinavir (HIV-AIDS drug) that is continuing in clinical study (Harrison, 2020; Wang, 2020; Senathilake et al., 2020). Recently, the study on finding the best protease inhibitor for SARS-CoV-2 treatment is getting more extensive by in silico model using the crystal structure of protease domain-inhibitor complex (Chang et al., 2020; Zhavoronkov et al., 2020). This in silico approach is still challenging in order to find more precise candidates effectively with minimal adverse effect.
Exploring new medicines for emerging and rapidly spreading diseases such as SARS-CoV-2 could be carried out through drug repurposing strategy to bypass the pre-clinical steps that usually require laborious works and resources. In addition, we also need to consider developing agents which in the future could be more easily utilized by the people. For this purpose, exploration of natural resources that are often used by the people is the best choice. Here, we propose some common compounds from natural products that already known to be consumed in daily life as spices or fruits. Namely curcuminoids, the major compounds of Curcuma sp., some methoxy flavonoids, the main compounds of Citrus sp., phenolic compounds from Caesalpinia sappan (sappan wood), and phenylpropanoid compounds from Alpinia galanga (galangal) to be docked against 3 target proteins, RBD-S, PD-ACE2, and SARS-CoV-2 protease. Hopefully, this result can be used as reference in developing new drug candidates and virus prevention in daily consumption without any side effect.
Methods
Molecular docking study was chosen to be the tools for screening the binding affinity of several natural products on SARS-CoV-2 marker protein, RBD-S, PD-ACE2, and SARS-cov-2 protease. All computational simulation was conducted on Windows 10 Operating System, Intel Core i5-7th Gen as a processor with 4 GB of RAM. Molecular docking study including docking simulation, RMSD calculation, and visualization of binding interaction was performed using MOE 2010 (Licensed from Faculty of Pharmacy UGM). The model of RBD-S used reported crystal structure with PDB ID 6VSB due to the information of. prefusion spike glycoprotein structure containing single receptor-binding domain. The PDB ID 6VW1 was used as the model of PD-ACE2 in complex with RBD of SARS-CoV-2. For the crystal structure of SARS-CoV-2 protease, PDB ID 6LU7 was used which informed the structure of protease domain in complex with protease inhibitor. The default settings were used as long as no further explanation. The chemical structure of all chemical compounds were obtained from drawn in Chemdraw software then subjected to conformational search and energy minimization in MOE. The docking simulation setting used London dG and Triangle matcher as score function and placement setting method. Forcefield method was used to refine the docking results from 30 retain setting. Results of the molecular docking described the affinity represented by docking score and binding interaction of each compound on the protein target.
Results and Discussion
Among the herbal medicine that commonly used in relieving diseases we choose 4 species as the source for active constituents to be examined as its potential as anti SARS-CoV-2, namely Curcuma
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sp., Citrus sp., Caesalpinia sappan, and Alpinia galanga. We used several representative compounds of each plant which are known to have pharmacological benefits (Figure 1). These plants are also believed to contribute for health and immune system among Asian people in relation to those of the active constituents (Meiyanto & Larasati, 2019).
Figure 1. Chemical compounds used for the molecular docking screening. Current drug for SARS-CoV-2 therapy (A). Natural compound contained in Alpinia galanga (B). Natural compound contained in Curcuma sp.©. Natural compound contained in Citrus sp. (D). Natural compound contained in Caesalpinia sappan (E). ACA: Aceto Cavicol Acetate; DMC: Desmethylcurcumin; BDMC: Bisdesmethylcurcumin
We used molecular docking with 3 target receptors; SARS-CoV-2 protease (PDB:6LU7), Spike glycoprotein-RBD (PDB:6LXT), and PD-ACE2 (PDB:6VW1); that are believed to contribute in virus infection in comparation with the respected known ligand or drugs as references. The result showed that several compounds could bind finely to the target receptors at the expected sides (Figure 2.). They gave variation of the binding energies D-G (Gibbs energy) represented by the docking scores among those of the compounds and those of the receptors (Table 1). Interestingly, we found that citrus and galangal compounds performed superior binding affinities to each receptor compared to those of the compounds of Curcuma sp. and sappan wood. These higher binding affinities of those of compounds could be represent significantly of its stronger inhibitory activities to the viral infection.
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Figure 2. Binding interaction profile of hesperidin compared to lopinavir, nafamostat, and RBD of SARS-CoV-2 on protease domain of SARS-CoV-2 (A), Spike glycoprotein (B), and RBD-ACE2 complex ©.
Among the citrus flavonoids, hesperidin exhibited lowest energy binding with docking score of -13.51, - 9.61, and -9.50 to the respected receptor of SARS-CoV-2 protease (6LU7), Spike glycoprotein-RBD (6LXT), and PD-ACE2 (6VW1) (Table 1). The docking score of hesperidin to SARS-CoV-2 protease showed less than lopinavir, the repurposing drug that being conducted in clinical trial for COVID-19. This finding suggest that hesperidin performs better interaction to the SARS-CoV-2 protease compared to lopinavir. Besides, hesperidin also showed better interaction to Spike-RBD compared to nafamostat, a reference compound for RBD-S binding, bringing us to consider whether hesperidin could be the new challenge for COVID-19 targeted on triple essential receptors to abrogate virus infection and replication.
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Table 1. Docking score of natural compounds towards several potential binding domain of SARS-CoV-2 Energy Gibbs (kcal/mol)
Plant source
- -
Curcuma sp.
Citrus sp.
Caesalpinia sappan
Alpinia galanga
Ligand
Lopinavir
Nafamostat
Curcumin
DMC BDMC
Tangeretin Hesperetin Hesperidin Nobiletin Naringenin Brazilein Brazilin Galangin ACA
Protease Domain (6LU7)
-11.62
- -7.17
-11.82 -8.39 -11.21 -6.41 -11.51 -8.64
-10.55 -8.18 -12.36 -9.08 -13.51 -9.61 -10.38 -7.76 -12.44 -7.40 -10.52 -7.56 -12.36 -7.50 -12.96 -7.89
-9.94 -6.05
Spike Glycoprotein RBD-ACE2 (6LXT) (6VW1)
-- -
-9.04 -8.04 -7.48
-6.51 -6.71 -9.50 -7.88 -7.69 -7.43 -7.49 -7.60 -6.16
Our molecular modelling also demonstrated that brazilin, a compound found in sappan wood, and galangin, a phenylprophane from galangal, bind to the three receptors with lower energy compared to the respected reference compounds. These finding indicated that both compounds possess better binding interaction and may inhibit the initial virus infection to the host cell. Moreover, we also noted that curcumin performed better interaction to the receptors. Noted that the docking scores of all the interaction models are still lower than that of hesperidin did, it still could be considered to have comparable effect of those interaction models. We may include those of compounds as candidates for further development as anti COVID-19.
All these data represent the potential inhibitory effect of Citrus sp., Curcuma sp., C. sappan, and A. galanga on SARS-CoV-2 infection and development that may be addressed for treatment and prevention of COVID-19. Based on the docking scores of the constituents, Citrus sp. showed the best potency, followed by A. galanga, sappan wood, and Curcuma sp. Noted for Curcuma sp. and sappan wood which are the main ingredients of most Indonesian traditional medicine “jamu” formulas, it is commonly believed to contribute in maintaining health condition due to its antioxidant activities of their constituents, such as curcumin in curcuma rhizome and brazilin in sappan wood (Meiyanto & Larasati, 2019). People usually consume these herbs in various drinking herbal formulas. This finding supports the use of those medicinal plants for preventive or prophylaxis treatment against beta corona virus infection, including SARS-CoV-2. The same antiviral potency also performed by galangal which mainly contain galangin. Galangal has been used as spices for several food and exhibit pharmacological benefit as anti-ageing (Ahlina et al., 2020). This finding gives us to the additional benefit of this herb for antiviral.
Citrus sp. could be addressed as the best herb to be promoted to combat beta coronavirus, included SARS-CoV-2, in the forms of therapeutical or prophylaxis agents. Despite hesperidin, Citrus sp. contains several methoxy flavonoids, such as hesperetin, tangeretin, naringenin, and nobiletin which perform low binding energy (comparable with the reference ligands, lopinavir and nafamostat) to the three essential receptors. These low binding energies allowing those compounds to interact tightly to the target proteins. These interactions will contribute to the inhibitory effect against virus infection and replication. Those methoxy flavonoids exist in the whole fruit and more abundant in the peel in most of Citrus sp. types (Nogata et al., 2006) allowing us to easily access to the sources of compounds. In addition, those main compounds of Citrus sp. exhibit antiviral activities on several types of viruses with
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several mechanisms (Table 2). These findings seem to be in line with and support for the findings of its mechanism of action as an antiviral. Since, citrus fruit is a nontoxic material, it could be prepared as a food or mixed with other herbal medicines as “jamu”. Taken together, Citrus sp. and galangal can be used as agents to overcome the impact of the coronavirus in a form that is easily consumed so that people can do it without special assistance.
Table 2. Antiviral activity of citrus flavonoid and other natural flavonoids Compound Virus Activity
Reference
Dong et al., 2014
Saha et al., 2009
Chen & Du, 2020
Lin et al., 2005
Frabasile et al., 2017
Rev. in Salehi et al., 2019
Hu et al., 2020 Lin et al., 2017
Xu et al., 2015
Tang et al., 2018
Chen & Du, 2020
Chen & Du, 2020
Chen & Du, 2020
Jo et al., 2020
Jo et al., 2020 Jo et al., 2020 Mayer et al., 1997
Citrus flavonoid
Hesperidin
Glucosyl hesperidin Hesperetin
Naringenin
Nobiletin
Tangeretin
Influenza A virus (IAV)
IAV
Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) SARS-CoV
Dengue virus (DENV) serotypes 1-4 Hepatitis C virus (HCV
Hepatitis B virus (HBV) Chikungunya virus (CHIKV)
Human respiratory syncytial virus (RSV)
Vesicular stomatitis virus (VSV)
Arenavirus Lassa virus
(LASV)
Inhibits viral replication
Reduces IAV replication
Binds to ACE2 receptor (in silico)
Inhibits cleavage activity of 3C-like protease
Inhibits virus infection and replication
Reduces HCV secretion in infected cells in vitro and in vivo
Inhibits HBsAg production and HBV replication in vitro dan in vivo Suppresses virus-induced death and viral production and inhibits CHIKV infection
Inhibits RSV replication in vivo Relieves lung inflammation Blocks viral fusion
Binds to ACE2 receptor (in silico) Binds to ACE2 receptor (in silico) Binds to ACE2 receptor (in silico)
Binds to SARS-CoV 3CLpro (in silico)
Other natural occurring compounds
Baicalin Scutellarin Glycyrrhizin Herbacetin
SARS-CoV-2 SARS-CoV-2 SARS-CoV-2 SARS-CoV
and inhibits its activity (in vitro) Rhoifolin SARS-CoV Binds to SARS-CoV 3CLpro (in silico) Pectolinarin SARS-CoV Binds to SARS-CoV 3CLpro (in silico)
Galangin
Herpes simplex virus type 1 (HSV-1)
Coxsackie B virus type 1 (Cox B1)
High antiviral activity High antiviral activity
Acknowledgement
This work is to support the application of those plants as nutraceuticals product under program of Research Grant for Higher Education Applied Research [“Penelitian Terapan Unggulan Perguruan Tinggi”] 2020 from The Ministry of Research and Technology, Indonesia awarded to EM.
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  • WellResearched x 1

#416 Dorian Grey

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Posted 24 March 2020 - 06:17 PM

Great find zorba.  Adding citrus to my shopping list!  

 

http://phenol-explor.../polyphenol/207

 

Looks like lemons, limes and oranges are highest hesperidin content.  The oranges probably easiest to consume in moderate quantity. 


Edited by Dorian Grey, 24 March 2020 - 06:25 PM.


#417 Mind

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Posted 24 March 2020 - 07:05 PM

Might have been posted already but a doctor in New York claims 100% success rate with the combo of Hydroxychloroquine and Zinc.

 

https://www.thegatew...h-z-paks-video/


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#418 smithx

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Posted 24 March 2020 - 07:25 PM

There are some supplements discussed here that are either theorized to work or have evidence that they can work to prevent or treat covid-19 infection.

 

Quercetin:

Already found to be effective for other coronaviruses:
 
 

and independently identified as one of the most promising compounds for blocking covid-19 by the most powerful supercomputer in the world (doing compound docking simulations).

 

https://s3-eu-west-1..._V4_MDS_JCS.pdf

The compound they identify as quercitin is quercetin.

 

Based on these docking simulations, it's possible that quercetin binds to the spike protein that the virus uses to gain access to cells so it can replicate. If this is the case, quercetin could be prophylactic for covid-19.

 

 

Melatonin and Rapamycin (Sirolimus):

Analysis of pathways required for viral entry and replication found several compounds that could be inhibitory. Melatonin and Rapamycin were two on the list that have been discussed here in other contexts

 

https://www.nature.c...PTXr7Lr9FczW87Q

 

The highest dose of melatonin used clinically that I could find is 40mg/d, so I would consider taking that daily at first sign of infection.

 

 

 

 


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#419 lancebr

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Posted 24 March 2020 - 09:00 PM

This paper shows Hesperidin
https://www.google.c...RxAQa1hdrojs5jW

"The results show that hesperidin, one of the compounds in Citrus sp., has the lowest docking score for all three protein receptors representing the highest affinity to bind the receptors. Moreover, all of the citrus flavonoids possess good affinity to the respected receptors as well as curcumin, brazilin, and galangin, indicating that those compounds perform inhibitory potential for the viral infection and replication"

 

 

So I assume that the lower the docking score the higher the affinity to bind to the ACE2 receptors.

 

Hesperdin had the lowest which was -13.51.

 

So if I am right based upon this study: Potential natural compounds for preventing 2019-nCoV infection  Hansen Chen, Qiaohui Du

 

 

The herb scutellarin (skullcap) was shown to have a docking score of -14.9 with the following results:

 

"Here we conduct a molecular docking and find that scutellarin could bind to ACE2, with estimated ΔG (kcal/mol) -14.9,

with binding site GLU-495, UNK-957, ARG-482"

 

They did test Hesperitin, with a T, in this study but it did not do as good as the skullcap.

 

They did not test Hesperidin, with a D, in this study.

 

 

Maybe this is why the Chinese was using scutellarin in some of there treatment protocols.  This herb is known to be

good for the lungs and does have some anti-viral properties for pnuemonia:

 

https://link.springe...3020-019-0229-x

 

Have a few bottles of skullcap so guess will start taking it low dose as a preventative measure.


Edited by lancebr, 24 March 2020 - 09:25 PM.


#420 Izan

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Posted 24 March 2020 - 10:05 PM

The Vitamin C angle. A part of me want to believe that Of Course doctors would have tried this, but knowing how obsessed DR's are with their patented substances it's fully possible they have'nt even considered this.

If it was possible I would get IV-C of course.

 

I'm stocking up on ginger, quality curry powder, melatonin, garlic, MitoQ, colloidal silver, L-Lysine, AA, CoQ10, alcohol, manuca honey. Where I come from it's not possible to get any anti-viral meds without doctors recipe.

 

https://www.evolutam...nection-part-3/

Doctors in New York City treating COVID-19 patients saw good results with IV Vitamin C therapy, especially effective against sepsis.

 

 

https://nypost.com/2...impression=true







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