Article

Antiviral Activity of the Zinc Ionophores Pyrithione and Hinokitiol against Picornavirus Infections

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Abstract

We have discovered two metal ion binding compounds, pyrithione (PT) and hinokitiol (HK), that efficiently inhibit human rhinovirus, coxsackievirus, and mengovirus multiplication. Early stages of virus infection are unaffected by these compounds. However, the cleavage of the cellular eukaryotic translation initiation factor eIF4GI by the rhinoviral 2A protease was abolished in the presence of PT and HK. We further show that these compounds inhibit picornavirus replication by interfering with proper processing of the viral polyprotein. In addition, we provide evidence that these structurally unrelated compounds lead to a rapid import of extracellular zinc ions into cells. Imported Zn2+ was found to be localized in punctate structures, as well as in mitochondria. The observed elevated level of zinc ions was reversible when the compounds were removed. As the antiviral activity of these compounds requires the continuous presence of the zinc ionophore PT, HK, or pyrrolidine-dithiocarbamate, the requirement for zinc ions for the antiviral activity is further substantiated. Therefore, an increase in intracellular zinc levels provides the basis for a new antipicornavirus mechanism.

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... For example, zinc induces lipophagy in primary hepatocytes of yellow catfish (50), zinc levels are reduced in patients with alcoholic fatty liver disease (51), zinc supplementation reduces total cholesterol and triglycerides as found in a meta-analysis of 24 studies on humans, and zinc reverses alcoholic steatosis in mice (52). Related to virus infection, antiviral effects of zinc supplementation against multiple viruses, including herpesviruses (53), picornaviruses (54,55), influenza virus (56), coronavirus (57), HCV (58)(59)(60), and HIV (61, 62), have been described. While different mechanisms have been proposed to explain the putative antiviral effect of zinc, including inhibition of viral protein cleavage and inhibition of viral polymerase activity (54,55,57), experimental data for these models are lacking, and it is not clear how zinc impacts virus infection. ...
... Related to virus infection, antiviral effects of zinc supplementation against multiple viruses, including herpesviruses (53), picornaviruses (54,55), influenza virus (56), coronavirus (57), HCV (58)(59)(60), and HIV (61, 62), have been described. While different mechanisms have been proposed to explain the putative antiviral effect of zinc, including inhibition of viral protein cleavage and inhibition of viral polymerase activity (54,55,57), experimental data for these models are lacking, and it is not clear how zinc impacts virus infection. ...
... Interestingly, other papers have shown a correlation between zinc and lipids (50,86), and antiviral effects of zinc supplementation against multiple mammalian viruses have been described (53-55, 57, 61, 87, 88). Although some mechanisms have been proposed to explain the role of zinc during virus infection, like the inhibition of viral protein cleavage and processing as well as inhibition of the viral polymerase activity, the experimental data supporting these mechanistic models are lacking (54,55,57). Interestingly, the importance of lipids for many of these zinc-sensitive viruses including coronaviruses (26,89), picornaviruses (43,90), and hepatitis E virus (91), has been reported. ...
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Viruses utilize host lipids to promote the viral life cycle, but much remains unknown as to how this is regulated. Zinc is a critical element for life, and few studies have linked zinc to lipid homeostasis. We demonstrated that Caenorhabditis elegans infection by Orsay virus is dependent upon lipids and that mutation of the master regulator of lipid biosynthesis, sbp-1, reduced Orsay virus RNA levels by ~236-fold. Virus infection could be rescued by dietary supplementation with lipids downstream of fat-6/fat-7. Mutation of a zinc transporter encoded by sur-7, which suppresses the lipid defect of sbp-1, also rescued Orsay virus infection. Furthermore, reducing zinc levels by chemical chelation in the sbp-1 mutant also increased lipids and rescued Orsay virus RNA levels. Finally, increasing zinc levels by dietary supplementation led to an ~1,620-fold reduction in viral RNA. These findings provide insights into the critical interactions between zinc and host lipids necessary for virus infection. IMPORTANCE Orsay virus is the only known natural virus pathogen of Caenorhabditis elegans, which shares many evolutionarily conserved pathways with humans. We leveraged the powerful genetic tractability of C. elegans to characterize a novel interaction between zinc, lipids, and virus infection. Inhibition of the Orsay virus replication in the sbp-1 mutant animals, explained by the lipid depletion, can be rescued by a genetic and pharmacological approach that reduces the zinc accumulation and rescues the lipid levels in this mutant animal. Interestingly, the human ortholog of sbp-1, srebp-1, has been reported to play a role for virus infection, and zinc has been shown to inhibit the virus replication of multiple viruses. However, the mechanism through which zinc is acting is not well understood. These results suggest that the lipid regulation mediated by zinc may play a relevant role during mammalian virus infection.
... Zinc supplementation has been minimally studied in COVID-19; however, one trial demonstrates that zinc, "Экономика и социум" №2(93)-2 2022 www.iupr.ru 226 both alone and in combination with vitamin C, showed no significant decreases in COVID-19-related symptoms compared to no study intervention [49]. Zinc is crucial for normal development and functioning of cells mediating part of the immune system. ...
... More often than other drugs, plasma substitutes are administered by injection, dehydrating, anesthetic, radiopaque drugs, solutions of antibiotics (penicillins and cephalosporins), local anesthetics, antihistamines, steroidal and non-steroidal anti-inflammatory drugs [8,9,49,50,51,52]. The chosen route of administration of drugs in critically ill patients caused by severe concomitant trauma is especially relevant, as it allows you to quickly and effectively eliminate dangerous disorders of vital organs and systems [53]. ...
... 1-сонли БҲМС "Ҳисоб сиёсати ва молиявий ҳисобот"нинг 14-пункти молиявий ҳисобот таркибида тақдим этиладиган қўшимча ахборот нимадан иборат бўлишини тавсифлаб беради: "Турли хўжалик юритувчи субъектлар фаолиятининг кўп қирралилиги ҳисобга олинади, молиявий ҳисоботлар улардан фойдаланувчиларни иқтисодий қарорлар қабул қилиш учун зарур бўлган барча ахборот билан таъминлай олмайди, шу сабабли молиявий ҳисоботларга қўшимча равишда маъмурият томонидан тузиладиган молиявий шарҳ киритилади, унда хўжалик юритувчи субъект молиявий фаолияти ва молиявий ҳолатининг асосий белгилари тушунтириб берилади ва улар дуч келаётган ноаниқликлар баён қилинади. Бу шарҳда хўжалик юритувчи субъектнинг фаолияти натижаларига, фаолиятни қўллабқувватлаш ва мустаҳкамлаш учун инвестиция сиёсатига, жумладан жорий даврда, хусусан келгуси даврларда дивиденд сиёсатига таъсир этувчи асосий омиллар очиб берилади..." 49 Юқоридагилардан кўриниб турибдики, мамлакатимизда молиявийиқтисодий таҳлилнинг мунтазам олиб борилишини зарур қилиб қўювчи меъёрий-ҳуқуқий асослар амалда мавжуд. Лекин шу билан бирга, бу борадаги мавжуд қонунчилик ҳужжатларининг ишлаш механизмларини шакллантирилиши борасидаги ишлар давом эттирилиши лозим. ...
Article
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The development of science and technology proves once again how infinite human needs are. The concentration of the population in large cities, on the one hand, accelerates the process of urbanization and affects the level of development of the state, on the other hand, the state of the environment has a negative impact on urban ecology. From ancient times the population has been striving to create favourable conditions for themselves, and such a process is still going on, especially when the negative consequences of this are clearly felt in the health of the population living in cities. Solving this problem is one of the main tasks of urboecology. The development of modern methods of geo-ecological monitoring of the ecological condition of cities, especially in areas with high industrial specialization, the development of measures to improve the health of the population in ecologically critical areas is of great importance today. To this end, this article discusses in detail the industrialized Navoi region and its urban and ecological situation, the factors affecting it.
... Zinc supplementation has been minimally studied in COVID-19; however, one trial demonstrates that zinc, "Экономика и социум" №2(93)-2 2022 www.iupr.ru 226 both alone and in combination with vitamin C, showed no significant decreases in COVID-19-related symptoms compared to no study intervention [49]. Zinc is crucial for normal development and functioning of cells mediating part of the immune system. ...
... More often than other drugs, plasma substitutes are administered by injection, dehydrating, anesthetic, radiopaque drugs, solutions of antibiotics (penicillins and cephalosporins), local anesthetics, antihistamines, steroidal and non-steroidal anti-inflammatory drugs [8,9,49,50,51,52]. The chosen route of administration of drugs in critically ill patients caused by severe concomitant trauma is especially relevant, as it allows you to quickly and effectively eliminate dangerous disorders of vital organs and systems [53]. ...
... 1-сонли БҲМС "Ҳисоб сиёсати ва молиявий ҳисобот"нинг 14-пункти молиявий ҳисобот таркибида тақдим этиладиган қўшимча ахборот нимадан иборат бўлишини тавсифлаб беради: "Турли хўжалик юритувчи субъектлар фаолиятининг кўп қирралилиги ҳисобга олинади, молиявий ҳисоботлар улардан фойдаланувчиларни иқтисодий қарорлар қабул қилиш учун зарур бўлган барча ахборот билан таъминлай олмайди, шу сабабли молиявий ҳисоботларга қўшимча равишда маъмурият томонидан тузиладиган молиявий шарҳ киритилади, унда хўжалик юритувчи субъект молиявий фаолияти ва молиявий ҳолатининг асосий белгилари тушунтириб берилади ва улар дуч келаётган ноаниқликлар баён қилинади. Бу шарҳда хўжалик юритувчи субъектнинг фаолияти натижаларига, фаолиятни қўллабқувватлаш ва мустаҳкамлаш учун инвестиция сиёсатига, жумладан жорий даврда, хусусан келгуси даврларда дивиденд сиёсатига таъсир этувчи асосий омиллар очиб берилади..." 49 Юқоридагилардан кўриниб турибдики, мамлакатимизда молиявийиқтисодий таҳлилнинг мунтазам олиб борилишини зарур қилиб қўювчи меъёрий-ҳуқуқий асослар амалда мавжуд. Лекин шу билан бирга, бу борадаги мавжуд қонунчилик ҳужжатларининг ишлаш механизмларини шакллантирилиши борасидаги ишлар давом эттирилиши лозим. ...
Article
Full-text available
Abstract: The development of science and technology proves once again how infinite human needs are. The concentration of the population in large cities, on the one hand, accelerates the process of urbanization and affects the level of development of the state. On the other hand, the state of the environment has a negative impact on urban ecology. From ancient times the population has been striving to create favourable conditions for themselves and such a process is still going on, especially when the negative consequences of this are clearly felt in the health of the population living in cities. Solving this problem is one of the main tasks of urboecology. The development of modern methods of geo-ecological monitoring of the ecological condition of cities, especially in areas with high industrial specialization. The development of measures to improve the health of the population in ecologically critical areas is of a great importance today. To this end, this article discusses in detail the industrialized Navoi region and its urban and ecological situation, the factors affecting it.
... Zinc ionophores (Table 1; Figure 2) have been shown to inhibit replication of various viruses in vitro, including coxsackievirus [63,65], equine arteritis virus [68], coronavirus [68], HCV [69], HSV [70], HCoV-229E [71], HIV [72,73], mengovirus [63,65], MERS-CoV [71], rhinovirus [65], SARS-CoV-1 [68], and Zika virus [74]. ...
... Zinc ionophores (Table 1; Figure 2) have been shown to inhibit replication of various viruses in vitro, including coxsackievirus [63,65], equine arteritis virus [68], coronavirus [68], HCV [69], HSV [70], HCoV-229E [71], HIV [72,73], mengovirus [63,65], MERS-CoV [71], rhinovirus [65], SARS-CoV-1 [68], and Zika virus [74]. ...
... Zinc ionophores (Table 1; Figure 2) have been shown to inhibit replication of various viruses in vitro, including coxsackievirus [63,65], equine arteritis virus [68], coronavirus [68], HCV [69], HSV [70], HCoV-229E [71], HIV [72,73], mengovirus [63,65], MERS-CoV [71], rhinovirus [65], SARS-CoV-1 [68], and Zika virus [74]. ...
Chapter
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Zinc is a trace metal ion that has a role in both physiological and pathological processes, making it one of the most common and necessary components involved in brain function. Besides, zinc is required for cell proliferation control in a variety of mechanisms, including hormonal regulation of cell division. Also, zinc serves as a biochemical signal to immune cells and transcription factors involved in the synthesis of inflammatory cytokines. On the other hand, zinc has a variety of crucial roles in neurogenesis and also acts as a neuromodulator on a wide range of membrane receptors, ion channels, and transporters. Zinc is produced by neurons under several conditions to activate microglia. The link between zinc dysregulation and psychiatric disorder was that zinc acts as an inhibitory modulator at the N-methyl-D aspartic acid (NMDA) glutamate receptor. Ionophores are ion carrier molecules that reversibly bind and transport ions through biological membranes. Ionophores can be natural or synthetic products. Zinc ionophores such as quercetin, epigallocatechin gallate (EGCG), hinokitol, and proanthocyanidins have been shown to protect brain health, particularly in depression clinically significant depression and depressive symptoms in post-COVID-19 syndrome may have severe implications as it relates to life outcomes quality, herein according to previous research studies, we showed zinc deficiency as a possible risk factor for depression symptoms, which were commonly observed following severe infection of COVID-19.
... Earlier it was also shown that Zn 2+ inhibited the proteolytic processing of replicase polyproteins [66]. To allow Zn 2+ to exert its inhibitory effect on SARS-CoV-2 viral replication, Zn 2+ entry inside the cell might be enhanced by ionophores such as dithiocarbamates [67], pyrithione [65,68], zincophorin [69], and hydroxychloroquine [65,70,71]. It can be noted that a meta-analysis involving 19 reported studies suggested that chloroquine/hydroxychloroquine was associated with a reduced risk of CVD in patients with rheumatic diseases [72]. ...
... The ability of Zn 2+ to inhibit the replication of various RNA viruses has been demonstrated in a good number of in vitro studies. For example, in the presence of its cellular import stimulatory compounds such as hinokitol (HK), pyrrolidine dithiocarbamate (PDTC), and pyrithione (PT), the added Zn 2+ inhibited the replication of influenza virus [73], respiratory syncytial virus [74], and several picornaviruses [71,75,76]. Their interference with polyprotein processing in cells infected with human rhinovirus and coxsackievirus B3 is well evidenced [71]. ...
... For example, in the presence of its cellular import stimulatory compounds such as hinokitol (HK), pyrrolidine dithiocarbamate (PDTC), and pyrithione (PT), the added Zn 2+ inhibited the replication of influenza virus [73], respiratory syncytial virus [74], and several picornaviruses [71,75,76]. Their interference with polyprotein processing in cells infected with human rhinovirus and coxsackievirus B3 is well evidenced [71]. ...
Article
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As far as comorbidity is concerned, cardiovascular diseases (CVD) appear to be accounted for the highest prevalence, severity, and fatality among COVID 19 patients. A wide array of causal links connecting CVD and COVID-19 baffle the overall prognosis as well as the efficacy of the given therapeutic interventions. At the centre of this puzzle lies ACE2 that works as a receptor for the SARS-CoV-2, and functional expression of which is also needed to minimize vasoconstriction otherwise would lead to high blood pressure. Furthermore, SARS-CoV-2 infection seems to reduce the functional expression of ACE2. Given these circumstances, it might be advisable to consider a treatment plan for COVID-19 patients with CVD in an approach that would neither aggravate the vasodeleterious arm of the renin-angiotensinogen-aldosterone system (RAAS) nor compromise the vasoprotective arm of RAAS but is effective to minimize or if possible, inhibit the viral replication. Given the immune modulatory role of Zn in both CVD and COVID-19 pathogenesis, zinc supplement to the selective treatment plan for CVD and COVID-19 comorbid conditions, to be decided by the clinicians depending on the cardiovascular conditions of the patients, might greatly improve the therapeutic outcome. Notably, ACE2 is a zinc metalloenzyme and zinc is also known to inhibit viral replication.
... This natural compound has shown numerous pharmacological properties, including antibacterial [6,7], antifungal [8], anti-inflammatory, anti-enzymatic [9,10], anticancer [11,12], antioxidant, neuroprotective [13], antidiabetic (Yamane), antiviral [14], antiplasmodial [15], and hepatoprotective effects [16]. Hinokitiol has demonstrated various anticancer activities against a wide variety of cell lines. ...
... It has been shown that viral replication is inhibited by hinokitiol by impairing viral polyprotein processing; however, this ability is determined by the availability of zinc ions. Thus, a rise in intracellular zinc levels provides the grounding for a new antipicornavirus mechanism [14]. ...
... Krenn et al. [14] demonstrated that a rapid import of extracellular zinc into the cytoplasm was caused by the metal ion binding compounds, such as hinokitiol. Basically, the human coxsackievirus, rhinovirus, and mengovirus multiplication were inhibited efficiently by hinokitiol treatment. ...
Article
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Hinokitiol is a natural bioactive compound found in several aromatic and medicinal plants. It is a terpenoid synthetized and secreted by different species as secondary metabolites. This volatile compound was tested and explored for its different biological properties. In this review, we report the pharmacological properties of hinokitiol by focusing mainly on its anticancer mechanisms. Indeed, it can block cell transformation at different levels by its action on the cell cycle, apoptosis, autophagy via inhibiting gene expression and dysregulating cellular signaling pathways. Moreover, hinokitiol also exhibits other pharmacological properties, including antidiabetic, anti-inflammatory, and antimicrobial effects. It showed multiple and several effects through its inhibition, interaction and/or activation of the main cellular targets inducing these pathologies.
... Direct antiviral effects of zinc were reported for respiratory syncytial virus, HIV, coronaviridae, picornaviridae (rhinovirus, coxsackievirus, cardio virus A, foot and mouth disease virus), HPV, equine arteritis virus (EAV), varicella-zoster virus, metapneumovirus, herpes simplex virus (HSV1 and HSV2), and HCV (110,137,210,241). Zinc supplementation was studied by adding zinc extracellularly to cultures of virus-infected cells or in clinical zinc supplementation studies. ...
... Moreover, the cleavage of large viral polypeptides into smaller peptides, which is necessary for the formation of the various viral proteins and thus new viral particles, was significantly inhibited by zinc (100 μM), as observed for various picornaviridae in vitro (136). In line with this finding, treatment with HK (45-125 μM) or pyrithione (5-10 μM) decreased the activity of rhinoviral 2A protease and subsequent cleavage of eIF4GI (eukaryotic translation initiation factor 4γ1), which is essential for initiation of translation as well as the proper processing of viral polyproteins (137). The zinc ionophores did not affect the vitality of the infected cells (137). ...
... In line with this finding, treatment with HK (45-125 μM) or pyrithione (5-10 μM) decreased the activity of rhinoviral 2A protease and subsequent cleavage of eIF4GI (eukaryotic translation initiation factor 4γ1), which is essential for initiation of translation as well as the proper processing of viral polyproteins (137). The zinc ionophores did not affect the vitality of the infected cells (137). In another study focusing on HSV, pyrithione treatment (10 μM) and thus increased intracellular zinc suppressed the expression of glycoprotein D and infected cell polypeptide 4. The involvement of those proteins in transcriptional activation of other viral genes explains the strong impact of zinc on viral replication. ...
Article
Evidence for the importance of zinc for all immune cells and for mounting an efficient and balanced immune response to various environmental stressors has been accumulating in recent years. This article describes the role of zinc in fundamental biological processes and summarizes our current knowledge of zinc's effect on hematopoiesis, including differentiation into immune cell subtypes. In addition, the important role of zinc during activation and function of immune cells is detailed and associated with the specific immune responses to bacteria, parasites, and viruses. The association of zinc with autoimmune reactions and cancers as diseases with increased or decreased immune responses is also discussed. This article provides a broad overview of the manifold roles that zinc, or its deficiency, plays in physiology and during various diseases. Consequently, we discuss why zinc supplementation should be considered, especially for people at risk of deficiency. Expected final online publication date for the Annual Review of Nutrition, Volume 41 is September 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.
... Fattouma Bourguiba University Hospital, 5000 Monastir, Tunisia; 11 District hospital Teboulba, Tunisia; 12 Department of cardiology, Fattouma Bourguiba University Hospital, 5000 Monastir, Tunisia; 13 Laboratory of microbiology, Fattouma Bourguiba University Hospital, 5000 Monastir, Tunisia; ...
... Activity of zinc against infectious pathogens has been demonstrated in a variety of viral species. [12][13][14][15][16] However, there is very scant information available on the role and effect of zinc in coronavirus disease. 17 To our knowledge, this study is the first well powered, placebo-controlled clinical trial to report results of zinc for the treatment of patients with COVID-19. ...
Article
BACKGROUND Zinc supplementation has been considered one of the potential therapies for coronavirus disease-19 (COVID-19). We aimed to examine zinc efficacy in adult patients with COVID-19 infection. METHODS We conducted a prospective, randomized, double-blind, placebo-controlled, multicenter trial. Patients tested positive for COVID-19 without end organ failure were randomized to oral zinc (n = 231) or matching placebo (n = 239) for 15 days. The primary combined outcome was death due to COVID-19 or ICU admission within 30 days after randomization. Secondary outcomes included length of hospital stay for inpatients and duration of COVID-19 symptoms with COVID-19 related hospitalization for outpatients. FINDINGS One hundred ninety patients (40.4%) were ambulatory and 280 patients (59.6%) were hospitalized. Mortality at 30-day was 6.5% in Zinc group and 9.2% in Placebo group [odds ratio (OR) 0.70 (0.37-1.32)]; ICU admission rate was respectively 5.2% and 11.3% [OR 0.46 (0.23-0.88)]. Combined outcome was lower in zinc group compared to placebo group [OR 0.62 (0.38-0.99)]. Consistent results were observed in prespecified subgroups of patients with age < 65 years, those with comorbidity, and those who needed oxygen therapy at baseline. Length of hospital stay was shorter in zinc group compared to placebo group [difference 3.5 days, 95% CI (2.76-4.23)] in inpatients group; duration of COVID-19 symptoms decreased with zinc treatment compared to placebo in outpatients [difference 1.9 days, 95% CI (0.62-2.6)]. No severe adverse events were observed during the study. INTERPRETATION Our results showed that in COVID-19 patients, oral zinc can decrease 30-day death and ICU admission rate and can shorten symptoms duration.
... 99 However, the concentration of Zn ion in blood serum and the intracellular system is controlled by Metallothionein's, a group of small cysteine-rich proteins that play an important role in metal homeostasis and protection against heavy metal toxicity, oxidative stress, and DNA damage. 100 Excessive levels of Zn 2+ ion in the metabolic system may trigger apoptosis or a decrease in protein synthesis. 101,102 In some previous in vitro studies, it has been observed that Zn 2+ concentrations higher than usual and compounds that stimulate cellular import of Zn 2+ (hinokitol, pyrrolidine dithiocarbamate, and pyrithione) inhibit the replication of various RNA viruses (corona virus, influenza virus, respiratory syncytial virus, picornaviruses, arterivirus) by blocking RNA polymerase enzymes. ...
... 101,102 In some previous in vitro studies, it has been observed that Zn 2+ concentrations higher than usual and compounds that stimulate cellular import of Zn 2+ (hinokitol, pyrrolidine dithiocarbamate, and pyrithione) inhibit the replication of various RNA viruses (corona virus, influenza virus, respiratory syncytial virus, picornaviruses, arterivirus) by blocking RNA polymerase enzymes. 100,103 One study indicates that Hesperidin (found in many fruit peels) could be a potential antiviral to target the interaction site between SARS-CoV-2 Spike and ACE2 receptors, preventing infection of lung cells. 104,105 Another study indicates that Hesperidin-mediated ZnO NPs (25 nm) exhibit antiviral activity against SARS-CoV-2 like RNA virus (Hepatitis A) more than hesperidin alone at maximum noncytotoxic concentration. ...
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The COVID-19 pandemic caused by the SARS-CoV-2, a Ribonucleic acid (RNA) virus that emerged less than two years but has caused nearly 6.1 million deaths to date. Recently developed variants of the SARS-CoV-2 virus have been shown to be more potent and expanded at a faster rate. Till now there is no specific and effective treatment for SARS-CoV-2 in terms of reliable and sustainable recovery. Precaution, prevention, and vaccinations are the only ways to keep the pandemic situation under control. Medical and scientific professionals are now focusing on the repurposing of previous technology and trying to develop more fruitful methodologies to detect the presence of viruses, treat the patients, precautionary items, and vaccine developments. Nanomedicine or nano-based platforms can play a crucial role in these fronts. Researchers are working on many effective approaches by nanosized particles to combat SARS-CoV-2. The role of a nano-based platform to combat SARS- CoV-2 is extremely diverse (i.e., mark to personal protective suit, rapid diagnostic tool to targeted treatment, and vaccine developments). Although there are many theoretical possibilities of a nano- based platform to combat SARS-CoV-2, till now there is an inadequate number of research targeting SARS-CoV-2 to explore such scenarios. This unique mini-review aims to compile and elaborate on the recent advances of nano-based approaches from prevention, diagnostics, treatment to vaccine developments against SARS-CoV-2 and associated challenges.
... It can reduce the incidence and severity of COVID-related symptoms in aged individuals and age-related diseases, namely, atherosclerosis, Alzheimer's disease, and other infections [162,163]. The interplay of Zn with various types of interacting species is summarized in (Fig. 2) [164][165][166][167][168][169][170][171][172][173][174][175][176][177][178]. Fig. (2). ...
... Fig. (2). Role of Zinc on SARS-CoV-2 induced pathologies; A: Zinc supplementation might prevent the virus entry into host cells, damage the viral envelop, and inhibit its replication [29,[164][165][166]; B: After viral infection, Zinc can provide additional support to the set of recognition receptors TLR-4, TLR-3, TLR-7, TLR-8, etc. for rapid detection of the viral components, initiate the immune response and help in limiting the spread of the virus [167,168]; C, E, F, G: Zn can control the chemotaxis, phagocytosis, cytokine release, recruitment, proliferation, and maturation of several immune cells as well as improve the immune cell-specific function [169,170]. It has a unique restoring potential to normalize the exaggerated immune reactions and balance the ratio of various immune cells [162,[171][172][173]; D: Zn can suppress NF-κB activation through inhibition of IKK activity and degradation of IκBα [174]. ...
Article
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In India, the presently ongoing infectious COVID-19 wave is caused by the delta variant of SARS-CoV-2 which has also led thousands of causalities across the globe. The government and healthcare agencies are hovering for effective strategies to counter the pandemic. The application of nanotechnology and repurposing of drugs are found an effective approach, not obsolete but partly in managing the COVID-19 disease. It has also immensely boomed the search of productive, reliable, cost-effective, and bio-assimilable alternative solutions. Since ancient times, the traditionally employed Ayurvedic bhasmas opted for diverse infectious diseases, which are now justified as a nanomedicine that could be applied for managing COVID-19 related health anomalies. Like currently existing engineered metal nanoparticles (NPs), the bhasma nanoparticles (BNPs) are also packed with unique physicochemical properties including multi-elemental nanocrystalline composition, size, shape, dissolution, surface charge, hydrophobicity, multi-pathway regulatory, and modulatory effects. Here, it is hypothesized that due to these conformational- and configurational- based physicochemical advantages, bhasma NPs might have promising potential to manage the COVID-19 pandemic and can reduce the incidence of pneumonia-like common lung infections in children as well as old-age-related inflammatory diseases by immunomodulatory, anti-inflammatory, antiviral, and adjuvant-related characteristics.
... They are increase zinc concentration in intracellular place. Hence, viral polyprotein will effectively weaken the replication of RNA virus for disturbance of proteolytic processing (Krenn et al., 2009) [27] . The new study demonstrates that chloroquine is a zinc ionophore that increases the flow of zinc into the cell (Xue et al., 2014) [55] . ...
... They are increase zinc concentration in intracellular place. Hence, viral polyprotein will effectively weaken the replication of RNA virus for disturbance of proteolytic processing (Krenn et al., 2009) [27] . The new study demonstrates that chloroquine is a zinc ionophore that increases the flow of zinc into the cell (Xue et al., 2014) [55] . ...
Article
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The global pandemic coronavirus disease has created a chaotic situation all over the world. This is happened due to SARS-CoV-2 infection, which is spread through we human to human connection. Now different countries have discovered vaccines for coronavirus. At the same time our body needs its own immune system. For these reasons immune boosting substance are also required. This review paper indicates that zinc acts as an immune booster in our body against the coronavirus disease. In addition, it is also an immunomodulatory and immunosuppressive component. On one hand zinc has antioxidant properties, which can remove the free radicals from our body with increasing fluidity of the cell membrane. This may result, improve the lymphocyte's function. Depending on this information it is clear that zinc have the power of create resistance barrier against coronavirus infection.
... PDTC affects influenza viruses [75], rhinovirus [76], poliovirus, and mengovirus [77]. The last three viruses are also inhibited by HK in the presence of Zn [78]. HK, a tropolone derivative, is a natural monoterpenoid found in the wood of trees in the family Cupressaceae. ...
... PT also possesses a good antiviral activity against a number of RNA viruses and DNA viruses such as human rhinovirus, coxsackievirus, mengovirus, and HSV [78]. In particular, its ability to inhibit HSV-1 and HSV-2 has been related to a Zn-dependent action [80]. ...
Article
Zinc can play a pathophysiological role in several diseases and can interfere in key processes of microbial growth. This evidence justifies the efforts in applying Zinc ionophores to restore Zinc homeostasis and treat bacterial/viral infections such as coronavirus diseases. Zinc ionophores increase the intracellular concentration of Zinc ions causing significant biological effects. This review provides, for the first time, an overview of the applications of the main Zinc ionophores in Zinc deficiency, infectious diseases, and in cancer, discussing the pharmacological and coordination properties of the Zinc ionophores.
... The unique phenotypic characteristics of viruses [616] requires the antiviral mechanisms of ionophores to be distinct from mechanisms that affect prokaryotes or eukaryotes. Such mechanisms range from interference with viral polyprotein processing and promotion of antioxidative activity [120,340] to inhibition of viral entry [346], receptor binding [617] or viral replication [618]. Ionophores such as Valinomycin have demonstrated broad bioavailability and antiviral properties while significantly reducing viral titres [332]. ...
... Unfortunately, research on ionophore activity against viruses generally remains limited, with published studies mostly containing in vitro data [120,332,343,346]. While several ionophores have displayed promising antiviral activities across a broad spectrum of viral classes ( Table 4), further research is required to investigate whether these compounds, such as Disulfiram, can be successfully translated into human therapies. ...
Article
Ionophores are a diverse class of synthetic and naturally occurring ion transporter compounds which demonstrate both direct and in-direct antimicrobial properties against a broad panel of bacterial, fungal, viral and parasitic pathogens. In addition, ionophores can regulate the host-immune response during communicable and non-communicable disease states. Although the clinical use of ionophores such as Amphotericin B, Bedaquiline and Ivermectin highlight the utility of ionophores in modern medicine, for many other ionophore compounds issues surrounding toxicity, bioavailability or lack of in vivo efficacy studies have hindered clinical development. The antimicrobial and immunomodulating properties of a range of compounds with characteristics of ionophores remain largely unexplored. As such, ionophores remain a latent therapeutic avenue to address both the global burden of antimicrobial resistance, and the unmet clinical need for new antimicrobial therapies. This review will provide an overview of the broad-spectrum antimicrobial and immunomodulatory properties of ionophores, and their potential uses in clinical medicine for combatting infection.
... It has been known for many years that some metals, such as Zn(II), Cu(II), Mg and Mn(II) have antiviral properties (Perrin and Stünzi, 1981;Chaturvedi and Shrivastava, 2005;Krenn et al., 2009;Ishida, 2018a;Ishida, 2018;Ishida, 2019). Metal ions play an important role in the survival and pathogenesis of a large group of viruses. ...
... Analysis of the structure of metal binding to viral proteins will certainly be useful in the design of virus inhibitors (reverse transcriptase-RT, protease, integrase, nucleoside inhibitors) (Perrin and Stünzi, 1981;Chaturvedi and Shrivastava, 2005;Ishida, 2018). Studies have shown that Zn(II) ions ihibited the in vitro activity of nidovirus polymerases, the action of the SARS-CoV RNA-dependent RNA polymerase (RdRp) and synthesis of foot-and-mouth disease virus (FMDV) components such as RNA and procapsid (Krenn et al., 2009;Ishida, 2018). In addition, zinc ions are potent inhibitors of the fusion stage of several alphaviruses (Ishida, 2018a). ...
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The coronavirus pandemic (SARS CoV-2) that has existed for over a year, constantly forces scientists to search for drugs against this virus. In silico research and selected experimental data have shown that compounds of natural origin such as phenolic acids and flavonoids have promising antiviral potential. Phenolic compounds inhibit multiplication of viruses at various stages of the viral life cycle, e.g., attachment (disturbance of the interaction between cellular and viral receptors), penetration (inhibition of viral pseudo-particle fusion to the host membrane), replication (inhibition of integrase and 3C-like protease), assembly and maturation (inhibition of microsomal triglyceride transfer protein (MTP) activity hydrolysis) and release (inhibition of secretion of apolipoprotein B (apoB) from infected cells). Phenolic compounds also indirectly influence on the viral life cycle by affecting the host cell’s biochemical processes that viruses use for their own benefit. Phenolic compounds may inhibit the proteasomes and cellular deubiquitinating activity that causes an increase in the ubiquitinated proteins level in host cells. This, in turn, contributes to the lowering the available ubiquitin molecules that viruses could use for their own replication. One of the drug design strategy for the treatment of viral diseases may be an enhancement of the antiviral properties of phenolic compounds by metal complexation. Many studies have shown that the presence of a metal ion in the structure can significantly affect the affinity of the compound to key structural elements of the SARS CoV-2, such as Mpro protease, RNA-dependent RNA polymerase (RdRp) and spike protein. We believe that in the era of coronavirus pandemic, it is necessary to reconsider the search for therapeutics among well-known compounds of plant origin and their metal complexes.
... An increased intracellular concentration of Zn ions in combination with Zn ionophores such as pyrithione has been reported to serve as an effective inhibitor of various RNA viruses by blocking the activity of RdRP [28,62] [ 28 ,62 ]. RdRPs catalyze the RNA template-dependent formation of phosphodiester bonds between ribonucleotides. ...
... RdRPs catalyze the RNA template-dependent formation of phosphodiester bonds between ribonucleotides. Several cell-based studies have also revealed that exposure to zinc in the presence of its cellular import stimulatory compounds, including hinokitol (HK), pyrrolidine dithiocarbamate (PDTC), and pyrithione, reduces the replication process of RNA viruses [29,31,34,62,63] [ 29 , 31 , 34 , 62 , 63 ]. An in vitro study verified that the addition of Zn 2 + with pyrithione potentially suppresses the replication of SARS-CoV-1 [28] [28] . ...
Article
Novel coronavirus disease 2019 (COVID-19) has spread across the globe; and surprisingly, no potentially protective or therapeutic antiviral molecules are available to treat severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection. However, zinc (Zn) and copper (Cu) have been shown to exert protective effects due to their antioxidant, anti-inflammatory and antiviral properties. Therefore, it is hypothesized that supplementation with Zn and Cu alone or as an adjuvant may be beneficial with promising efficacy and a favorable safety profile to mitigate symptoms, as well as halt progression of the severe form of SARS-CoV-2 infection. The objective of this review is to discuss the proposed underlying molecular mechanisms and their implications for combating SARS-CoV-2 infection in response to Zn and Cu administration. Several clinical trials have also included the use of Zn as an adjuvant therapy with dietary regimens/antiviral drugs against COVID-19 infection. Overall, this review summarizes that nutritional intervention with Zn and Cu may offer an alternative treatment strategy by eliciting their virucidal effects through several fundamental molecular cascades, such as, modulation of immune responses, redox signaling, autophagy, and obstruction of viral entry and genome replication during SARS-CoV-2 infection.
... Zinc also has direct anti-viral properties. Zinc has been recognized as therapeutic against other upper respiratory pathogens, such as the common cold [12][13][14]. It has been shown that increased intracellular zinc concentrations results in decreased SARS-COV-2 replication [15][16][17]. ...
Article
The COVID-19 pandemic has had a significant impact on the world, resulting in millions of deaths worldwide and imposing economic, political, and social problems. The use of nutritional supplementation for the prevention and mitigation of COVID-19 remains controversial. This meta-analysis aims to investigate the association between zinc supplementation, mortality, and symptomatology, among COVID-19-infected patients. A meta-analysis was conducted to compare the outcomes of mortality and symptomology of patients with COVID-19 receiving zinc supplementation and those not receiving zinc supplementation. PubMed/Medline, Cochrane, Web of Science, and CINAHL Complete were independently searched with the search terms "zinc" AND "covid" OR "sars-cov-2" "COVID-19" OR "coronavirus". After duplicates were removed, 1215 articles were identified. Five of these studies were used to assess mortality outcomes, and two were used to assess symptomatology outcomes. The meta-analysis was conducted through R 4.2.1 software (R Foundation, Vienna, Austria). Heterogeneity was evaluated by calculating the I2 index. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used. It was found that COVID-19-infected individuals treated with zinc supplements had a reduced risk of mortality compared with individuals not treated with a zinc supplement RR=0.63 (95%CI;0.52,0.77), p=0.005. For symptomology, it was found that COVID-19-infected individuals treated with zinc had no difference in symptomology than individuals not treated with a zinc supplement RR=0.52 (95%CI;0.00,24315.42), p=0.578. This data indicates that zinc supplementation is associated with decreased mortality in those with COVID-19 but does not change symptomatology. This is promising as zinc is widely available and may be valuable as a cost-effective way to prevent poor outcomes for those with COVID-19.
... Различные научные коллективы оценивали противо вирусную активность цинка in vitro, однако существенным недостатком данных исследований является тот факт, что концентрации цинка значительно превышали физиологи ческие [26,27]. Например, концентрация цинка в плазме человека варьируется в пределах 1 0 -1 8 мкмоль/л, а эффективные противовирусные концентрации могут достигать значений миллимоль/литр [28]. ...
Article
The human immune system, which is in close connection with other organs and systems including the reproductive one, is required for the body’s defence against infections, as well as other external and internal factors. A balanced diet with a sufficient content of not only macro-, but also micronutrients is necessary for the normal function of the immune system. Various studies showed a relationship between the deficiency of various vitamins and trace elements and decreased activity of the immune system. Thus, the immune response can be impaired by malnutrition and trace element deficiency, which increases the body’s susceptibility to infectious factors. In its turn, the infectious process can lead to an increased demand for micronutrients, which is met by exogenous substances, and in case of not enough consumption of them – by endogenous reserves. Infections are one of the main factors deteriorating human reproductive health. Pelvic inflammatory diseases (PID) hold leading positions in the gynecological pathology pattern, and their prevalence does not show a downward trend. This literature review considers the impact of major infections on women’s reproductive health, presents data on the role of micronutrients in preventing infectious diseases and rehabilitating after them, as well as in preserving reproductive functions after infections. The importance of vitamin C, E, B vitamins, zinc, L-arginine for the preservation and restoration of women’s fertility is considered, and the results of studies on the issue are presented.
... There is evidence that zinc can increase the effect of chloroquine (zinc ionophore) as a therapeutic drug, and another zinc ionophore, such as epigallocatechin gallate aur quercetin, are being tested [243]. Various studies have also shown that low concentrations of zinc supplementation along with ionophore pyrithione or inositol reduce the synthesis of SARS-CoV-2 RNA by direct inhibition of RNA-dependent RNA polymerase [244,245]. ...
Article
COVID-19 is a rapidly spreading disease, which has caught the world by surprise. Millions of people suffer from illness, and the mortality rates are dramatically high. Currently, there is no specific and immediate treatment for this disease. Remedies are limited to supportive regiments and few antiviral and anti-inflammatory drugs. The lack of a definite cure for COVID-19 is the reason behind its high mortality and global prevalence. COVID-19 can lead to a critical illness with severe respiratory distress and cytokine release. Increased oxidative stress and excessive production of inflammatory cytokines are vital components of severe COVID-19. Micronutrients, metalloids, and vitamins such as iron, manganese, selenium, Zinc, Copper, vitamin A, B family, and C are among the essential and trace elements that play a pivotal role in human nutrition and health. They participate in metabolic processes that lead to energy production. In addition, they support immune functions and act as antioxidants. Therefore, maintaining an optimal level of micronutrients intake, particularly those with antioxidant activities, is essential to fight against oxidative stress, modulate inflammation, and boost the immune system. Therefore, these factors could play a crucial role in COVID-19 prevention and treatment. In this review, we aimed to summarize antiviral properties of different vitamins and minerals. Moreover, we will investigate the correlation between them and their effects in COVID-19 patients.
... Zinc, a vital element for human health, has demonstrated antiviral activity for other respiratory viruses (Suara and Crowe, 2004;Krenn, 2009), and has been proposed as a treatment for SARS-CoV-2 (Wessels et al., 2020). Zinc deficiency is common in the elderly (Fosmire, 1990;Kvamme et al., 2015) and has been correlated with increased severity of COVID infection (Jothimani et al., 2020), and advanced age is the strongest risk factor for death from COVID-19 (Centers for Disease Control and Prevention, 2019). ...
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Background: Safe, effective, and inexpensive treatment for COVID-19 is an urgent unmet medical need. Zinc and resveratrol have been reported to have antiviral activity, and resveratrol may increase zinc activity at the site of replication by increasing intracellular zinc concentrations. Methods: A 1:1 randomized, placebo-controlled trial of zinc 150 mg plus resveratrol 4 g daily for 5 days versus placebos in outpatients with SARS-CoV-2 was carried out from 9/21/2020–1/22/2021 in Seattle, Washington. Viral shedding was followed with patient self-collected nasal and saliva samples by measuring qRT-PCR for SARS-CoV-2 N gene days 1–7, 10, and 14. Patients filled out a web-based questionnaire on days 1–14 to report symptoms, vital signs and adherence to the study intervention. The study was posted as Clinical Trials.gov NCT04542993 on 9 September 2020. Results: A total of 30 participants (14 treatment; 16 placebos) had ≥1 day of the protocol treatment and were evaluable for the primary or secondary outcome. There was no difference in viral shedding between groups, nor in the resolution of symptoms. There was a trend toward a more rapid decrease in symptoms in the treatment group, though this was not statistically significant in the GLM model. Viral shedding was similar between patient self-collected mid-turbinate nasal swabs and expectorated saliva samples with a good correlation. Conclusion: SARS-CoV-2 shedding and COVID-19 symptoms were not statistically significantly decreased by treatment. Viral shedding correlates well between patient-obtained home nasal swabs and saliva sampling.
... RNA polymerase) activity (36)(37)(38)(39)(40)(41)(42)(43). The infection of virus and other pathogens, Zn is directly or indirectly triggering the host immune response. ...
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Currently, the novel and major life-threatening cause all over the world is COVID-19 (Coronavirus disease 2019) which is started at the end of 2019 in Wuhan, China, and spread all over the world today. The infection of COVID-19 severity is variable which affects all ages' people and especially elderly persons whose immune system is very weak. Fatigue, fever, respiratory illness, dry cough, loss of appetite, olfactory dysfunction are the most common symptoms of this disease along with the decrease of certain cells of the immune system like helper T cells, monocytes/macrophages, etc. and an increase in pro-inflammatory cytokines are some of the major characteristics of this disease. Some natural herbal products are a successive option to combat SARS-Cov-2 disease. Herbs have various potential compound which is used as a dietary product that strongly influences immunity and maintenance of the homeostasis of inflammatory/anti-inflammatory. In the present review, we describe the potential of three herbal products as Turmeric (Haldi), Heart-leaved moonseed (Giloy), and Black cumin (Kalonji) that can be used for preventative or nutritional therapy of COVID-19.
... Importantly, it is known to possess antiviral properties against many different viruses, namely, herpes simplex virus (HSV), severe acute respiratory syndrome coronavirus (SARS CoV), rhinovirus, respiratory syncytial virus (RSV), equine arteritis virus (EAV), human papilloma virus (HPV), human immunodeficiency virus (HIV), hepatitis C virus (HCV), and hepatitis E virus (HEV) (Korant et al., 1974;Haraguchi et al., 1999;Suara and Crowe Jr, 2004;Te Velthuis et al., 2010;Kaushik et al., 2017). Multiple mechanisms underlie the antiviral activity of zinc, which includes inhibition of virus entry and viral polyprotein processing or inhibition of viral RNA dependent RNA polymerase activity (Haraguchi et al., 1999;Krenn et al., 2009;Te Velthuis et al., 2010;Kaushik et al., 2017). Zinc also contributes toward modulating the host immune response to restrict viral replication. ...
Article
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Hepatitis E virus (HEV) causes an acute, self-limiting hepatitis. The disease takes a severe form in pregnant women, leading to around 30% mortality. Zinc is an essential micronutrient that plays a crucial role in multiple cellular processes. Our earlier findings demonstrated the antiviral activity of zinc salts against HEV infection. Zinc oxide (ZnO) and its nanostructures have attracted marked interest due to their unique characteristics. Here we synthesized ZnO nanoparticles [ZnO(NP)] and tetrapod-shaped ZnO nanoparticles [ZnO(TP)] and evaluated their antiviral activity. Both ZnO(NP) and ZnO(TP) displayed potent antiviral activity against hepatitis E and hepatitis C viruses, with the latter being more effective. Measurement of cell viability and intracellular reactive oxygen species levels revealed that both ZnO(NP) and ZnO(TP) are noncytotoxic to the cells even at significantly higher doses, compared to a conventional zinc salt (ZnSO4). Our study paves the way for evaluation of the potential therapeutic benefit of ZnO(TP) against HEV and HCV.
... research, it may inhibit RNA polymer, which needs further study (66,67). Various vitamins are involved in different stages of the immune response by the following possible mechanisms: Vitamin A plays a key role in boosting the function of innate immune cells, such as neutrophils, macrophages, NK cells, and boosting the antibody response (68,69). ...
Article
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Background Although previous studies observed the relationship between individual dietary supplements and enhancing body resistance against viruses, few studies have been conducted regarding the role of different supplements in treatment of COVID-19. This article aims to determine the association of recent and long-term supplement consumption on the biochemical indices and impatient duration among patients with COVID-19. Methods In this cross-sectional study on 300 adult men and women with COVID-19, recent and long-term supplement intakes were investigated by using a questionnaire. In addition, lifestyle was also assessed in aspects of fruits and vegetable consumption, physical activity, sleeping duration, fluid intake, and smoking status. Furthermore, the laboratory and paraclinical parameters were obtained from medical records. The relationship between supplement intake with the length of hospitalization and clinical laboratory tests was investigated by one-way analysis of variance (ANOVA). Results Those patients with supplement intake in the last 2 months had a significantly lower amount of blood urea nitrogen (BUN) (31.31 ± 13.87 vs. 37.57 ± 19.77 mg/dL, P : 0.002) and higher serum 25(OH)D (28.13 ± 14.09 vs. 23.81 ± 13.55 ng/mL, P : 0.03). Subjects with long-term supplement intake had a significantly lower invasive oxygen support (0.00 vs 5.10 %, P : 0.05), lactate dehydrogenase (LDH) (498.11 ± 221.43 vs. 576.21 ± 239.84 U/L, P: 0.02), fewer days of fever (0.49 ± 3.54 vs. 2.64 ± 9.21, P : 0.02), and higher serum 25(OH)D (31.03 ± 13.20 vs. 22.29± 13.42 ng/mL, P < 0.001). The length of hospital stay was practically the same between groups who received and did not receive supplementation during the 2 months prior to hospitalization (6.36 ± 3.32 vs. 6.71 ± 4.33 days, P : 0.004). Similarly, people who took supplements during the past year had practically similar hospitalization lengths (6.29 ± 4.13 vs. 6.74 ± 3.55 days, P : 0.004). Conclusion In conclusion, although practically the length of hospital stay was the same in both groups of supplement consumers and others, immune-boosting supplements were associated with improved several laboratory indices. However, due to the cross-sectional nature of our study, further longitudinal studies seem to be essential.
... Later, hinokitiol (2-Hydroxy-4-isopropyl-2,4,6cycloheptatrien-1-one; C 10 H 12 O 2 ), also known as beta-thujaplicin, was identified in several other cupressaceous plants [1][2][3]. Hinokitiol has been recognized as a multi-potential pharmaceutical agent, with anti-inflammatory, anti-bacterial, and anti-fungal activities [2,[4][5][6][7][8]. ...
Article
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Background: Hinokitiol (β-thujaplicin), isolated from the wood of Chamaecyparis taiwanensis, has a wide variety of biological properties including anti-inflammatory, anti-microbial, and anti-tumor effects. Therefore, hinokitiol has become a frequent additive in oral and other healthcare products. Objectives: Our goal was to determine the anti-tumor activity of hinokitiol on human papillomavirus (HPV) positive (n = 3) and negative (n = 2) cell lines derived from cervical or head and neck squamous cell carcinoma (HNSCC) and keratinocyte cell lines (n = 3) transformed spontaneously or with HPV16E6 and E7 oncogenes. Methods: The cell-lines were exposed to hinokitiol at different concentrations (0–200 µM) for 24 h. Cell metabolism, proliferation, and the cell cycle distribution were assessed by MTT- and 3H-thymidine incorporation and flow cytometry. Expressions of p21 and on HPV16E6 and E7 oncogenes were assessed by qPCR. Results: In all carcinoma cell lines, hinokitiol treatment declined the metabolic activity irrespective of the HPV status. This decline was statistically significant, however, only in HPV-positive cell lines CaSki and UD-SCC-2 when exposed to hinokitiol concentrations at 100 and 200 µM, respectively (p < 0.05). Immortalized cell lines, HMK and HPV-positive IHGK, were more sensitive as a similar metabolic effect was achieved at lower hinokitiol concentrations of 3.1, 6.25, and 50 µM, respectively. Hinokitiol blocked DNA synthesis of all carcinoma cell lines without evident association with HPV status. G1 cell cycle arrest and p21 upregulation was found in all cell lines after hinokitiol treatment at higher concentration. However, when the p21 results of all HPV-positive cells were pooled together, the increase in p21 expression was statistically significantly higher in HPV-positive than in HPV-negative cell lines (p = 0.03), but only at the highest hinokitiol concentration (200 µM). In HPV-positive cell lines hinokitiol declined the expression of HPV16E7 and E6 along the increase of p21 expression. The dose-dependent inverse correlation between p21 and E7 was statistically significant in SiHa cells (r = −0.975, p-value = 0.03) and borderline in UD-SCC-2 cells (r = −0.944, p-value = 0.06), in which p21 and E6 were also inversely correlated (r = −0.989). Conclusions: Our results indicate that hinokitiol might have potential in preventing the progress of immortalized cells toward malignancy and the growth of malignant lesions. Hinokitiol can also influence on the progression of HPV-associated lesions by downregulating the E6 and E7 expression.
... Through adjustment in viral particle entry, replication, fusion, viral protein translation and secretion for a lot of viruses, including those involved in respiratory system pathology, zinc has shown a significant impact on viral infections [151,152]. The use of zinc ionophores such as pyrithione and hinokitiol to increase the intracellular Zn concentrations can considerably change the replication rates of picornavirus, which is considered to be the leading cause of common cold [153]. Zinc was previously used against rhinovirus for stopping its replication process in the early 1970 s [154]. ...
Article
Background On 31st December 2019 in Wuhan, China, severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), was acknowledged. This virus spread quickly throughout the world causing a global pandemic. The World Health Organization declared COVID-19 a pandemic disease on 11th March 2020. Since then, the whole world has come together and have developed several vaccines against this deadly virus. Similarly, several alternative searches for pandemic disease therapeutics are still ongoing. One of them has been identified as nanotechnology. It has demonstrated significant promise for detecting and inhibiting a variety of viruses, including coronaviruses. Several nanoparticles, including gold nanoparticles, silver nanoparticles, quantum dots, carbon dots, graphene oxide nanoparticles, and zinc oxide nanoparticles, have previously demonstrated remarkable antiviral activity against a diverse array of viruses. Objective This review aims to provide a basic and comprehensive overview of COVID-19's initial global outbreak and its mechanism of infiltration into human host cells, as well as the detailed mechanism and inhibitory effects of various nanoparticles against this virus. In addition to nanoparticles, this review focuses on the role of several antiviral drugs used against COVID-19 to date. Conclusion COVID-19 has severely disrupted the social and economic lives of people all over the world. Due to a lack of adequate medical facilities, countries have struggled to maintain control of the situation. Neither a drug nor a vaccine has a 100% efficacy rate. As a result, nanotechnology may be a better therapeutic alternative for this pandemic disease.
... Despite the lack of evidence on the direct effect of zinc ion on SARS-CoV-2, its antiviral effects have been demonstrated in various viral infections (7). As an antiviral nutrient, zinc ion was reported to be able to inhibit replication of rhinoviruses, respiratory syncytial virus (8,9), picornavirus (10), and the RNA polymerase activity of SARS-associated coronavirus and equine arteritis virus (11). Similar to our finding, hypozincemia was reported in paediatric patients with severe pneumonia or Dengue viral infection (12,13). ...
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Zinc ion as an enzyme cofactor exhibits antiviral and anti-inflammatory activity during infection, but circulating zinc ion level during Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection is unclear. This study aimed to evaluate serum zinc ion level in Coronavirus Disease 2019 (COVID-19) patients and healthy subjects, as well as its correlation with antibodies against SARS-CoV-2. 114 COVID-19 patients and 48 healthy subjects (38 healthy volunteers and 10 close contacts of patients with COVID-19) were included. Zinc ion concentration and levels of antibodies against SARS-CoV-2 Spike 1 + Spike 2 proteins, nucleocapsid protein, and receptor-binding domain in serum were measured. Results showed that the concentration of zinc ion in serum from COVID-19 patients [median: 6.4 nmol/mL (IQR 1.5 – 12.0 nmol/mL)] were significantly lower than that from the healthy subjects [median: 15.0 nmol/mL (IQR 11.9 – 18.8 nmol/mL)] ( p < 0.001) and the difference remained significant after age stratification ( p < 0.001) or when the patients were at the recovery stage ( p < 0.001). Furthermore, COVID-19 patients with more severe hypozincemia showed higher levels of IgG against the receptor-binding domain of SARS-CoV-2 spike protein. Further studies to confirm the effect of zinc supplementation on improving the outcomes of COVID-19, including antibody response against SARS-CoV-2, are warranted.
... Zn supplementation enhances antiviral, intrinsic, and humoral immunity, and restores the function of immune cells or improves the function of normal immune cells, especially in immunocompromised or elderly patients [82]. Specifically, Zn 2+ was shown to inhibit polyprotein processing in cells infected with human rhinovirus and coxsackievirus B3 [83]. The immune response led by interferons (IFN) and cytotoxic T lymphocytes is invariably required to clear viral infections [82]. ...
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The COVID-19 pandemic, which causes severe respiratory tract infections in humans, has become a global health concern and is spreading rapidly. At present, the most important issue associated with COVID-19 is the immune system and the factors that affect it. It is well known that cow’s milk is highly rich in micronutrients that increase and strengthen the immune system. Research shows that the administration of these nutrients is very effective in fighting COVID-19, and a deficiency in any of them can be a weakness in the fight against the virus. On the other hand, cow’s milk is accessible to the whole population, and drinking colostrum, raw, and micro-filtered milk from cows vaccinated against SARS-CoV-2 could provide individuals with short-term protection against the SARS-CoV-2 infection until vaccines become commercially available. This review aimed to discuss the effects of milk vitamins, minerals, and bioactive peptides on general health in humans to combat viral diseases, especially COVID-19, and to what extent cow’s milk consumption plays a role in providing these metabolites. Cow’s milk contains many bioactive compounds that include vitamins, minerals, biogenic amines, nucleotides, oligosaccharides, organic acids, and immunoglobulins. Humans can meet a significant portion of their requirements for vitamins and minerals through the consumption of cow’s milk. Recent studies have shown that micronutrients such as vitamins D, E, B, C, and A as well as minerals Zn, Cu, Mg, I, and Se and bioactive peptides, each can have positive and significant effects on strengthening the immune system and general health in humans.
... 41 Studies on cell cultures have shown that the high concentrations of zinc and the addition of pyrithione to stimulate cellular import of zinc ion will stop the replication of different RNA viruses, including several picornaviruses and influenza viruses. 42,43 Zinc modulates T-cell functions, and preventing immune system hyper-activation by modulating and balancing cytokines. 44 A recent study conducted in the United States using electronic medical records discovered a high recovery rate among patients treated with hydroxychloroquine and azithromycin with zinc sulphate. ...
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Recently, the world has been dealing with a destructive global pandemic COVID-19 infection, since 2020; there were millions of infections and hundreds of thousands of deaths worldwide. With sequencing generations of the virus, around 60 % are expected to become infected during the pandemic. Unfortunately, no drug or vaccine has been approved because no real evidence from clinical trials in treatment was reached. According to current thinking, SARS-COV-2 mortality is caused by a cytokine storm syndrome in patients with hyper-inflammatory conditions, resulting in acute respiratory distress and finally death. In this review, we discuss the various types of natural immune-modulatory agents and their role in the management of SARS-COV-2, and cytokine storm syndrome. For example, Polyphenols as natural products can block the binding of SARS-CoV-2 spike protein to host cell receptor ACE2, stop viral entry into the host cell and block viral RNA replication. Also, Saikosaponins (A, B2, C, and D), triterpene glycosides, which are isolated from medicinal plants exert antiviral action against HCoV-22E9, and Houttuynia cordata water extract has antiviral effects on SARS-CoV. Moreover, eucalyptus oil has promising potential for COVID-19 prevention and treatment. There is an urgent need for research to improve the function of the human immune system all over the world. As a result, actions for better understanding and improving the human immune system are critical steps toward mitigating risks and negative outcomes. These approaches will be strongly recommended for future emerging viruses and pathogens.
... Specifically, ageing, immune deficiency, as well as metabolic diseases such as obesity, diabetes, and atherosclerosis, are known to be both risk factors for high disease mortality (96,97) and zinc deficiency (98). In turn, Zn supplementation may have beneficial effect in modulation of at least some of these risk factors.(99,100) ...
... Using a combination of 10 μg/mL punicalagin and 3 mg/mL Zn sulfate monohydrate, we noticed a significant decrease in 3CL-protease activity (p < 0.001), while not causing recognizable cytotoxicity. Inhibition of replication induced by pyrithione and Zn 2+ over a range from 2 to 10 µM was recently reported for a few picornaviruses, for example, rhinoviruses, foot-and-mouth infections, coxsackievirus, and mengovirus 22,23 . ...
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Abstract. – OBJECTIVE: Coronavirus 2019 (COVID-19) has now been declared as a world-wide pandemic. Currently, no drugs have been endorsed for its treatment; in this manner, a pressing need has been developed for any antiviral drugs that will treat COVID-19. Coronaviruses require the SARS-CoV-2 3CL-Protease (3CL-protease) for cleavage of its polyprotein to yield a single useful protein and assume a basic role in the disease progression. In this study, we demonstrated that punicalagin, the fundamental active element of pomegranate in addition to the combination of punicalagin with zinc (Zn) II, appear to show powerful inhibitory activity against SARS-CoV-2. MATERIALS AND METHODS: The 3CL protease assay kit was used to quantify 3CL protease action. The tetrazolium dye, MTS, was used to evaluate cytotoxicity. RESULTS: Punicalagin showed inhibitory action against the 3CL-protease in a dose-dependent manner, and IC50 was found to be 6.192 μg/ml for punicalagin. Punicalagin (10 µg/mL) demonstrated a significant inhibitory activity toward 3CL-protease activity (p < 0.001), yet when punicalagin is combined with zinc sulfate monohydrate (punicalagin/Zn-II) extremely strong 3CL-protease activity (p < 0.001) was obtained. The action of 3CL-protease with punicalagin/Zn-II was decreased by approximately 4.4-fold in contrast to only punicalagin (10 µg/mL). Likewise, we did not notice any significant cytotoxicity caused by punicalagin, Zn-II, or punicalagin/Zn-II. CONCLUSIONS: We suggest that these compounds could be used as potential antiviral drugs against COVID-19. Key Words: Punicalagin, Zinc II, SARS-CoV-2 3CL-Protease, SARS-CoV-2, COVID-19
... Using a combination of 10 μg/mL punicalagin and 3 mg/mL Zn sulfate monohydrate, we noticed a significant decrease in 3CL-protease activity (p < 0.001), while not causing recognizable cytotoxicity. Inhibition of replication induced by pyrithione and Zn 2+ over a range from 2 to 10 µM was recently reported for a few picornaviruses, for example, rhinoviruses, foot-and-mouth infections, coxsackievirus, and mengovirus 22,23 . ...
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OBJECTIVE: Coronavirus 2019 (COVID-19) has now been declared as a worldwide pandemic. Currently, no drugs have been endorsed for its treatment; in this manner, a pressing need has been developed for any an-tiviral drugs that will treat COVID-19. Corona-viruses require the SARS-CoV-2 3CL-Protease (3CL-protease) for cleavage of its polyprotein to yield a single useful protein and assume a basic role in the disease progression. In this study, we demonstrated that punicalagin, the fundamental active element of pomegranate in addition to the combination of punicalagin with zinc (Zn) II, appear to show powerful inhibitory activity against SARS-CoV-2. MATERIALS AND METHODS: The 3CL prote-ase assay kit was used to quantify 3CL protease action. The tetrazolium dye, MTS, was used to evaluate cytotoxicity. RESULTS: Punicalagin showed inhibitory action against the 3CL-protease in a dose-dependent manner, and IC50 was found to be 6.192 μg/ml for punicalagin. Punicalagin (10 µg/ mL) demonstrated a significant inhibitory activity toward 3CL-protease activity (p < 0.001), yet when punicalagin is combined with zinc sul-fate monohydrate (punicalagin/Zn-II) extremely strong 3CL-protease activity (p < 0.001) was obtained. The action of 3CL-protease with pu-nicalagin/Zn-II was decreased by approximately 4.4-fold in contrast to only punicalagin (10 µg/ mL). Likewise, we did not notice any significant cytotoxicity caused by punicalagin, Zn-II, or pu-nicalagin/Zn-II. CONCLUSIONS: We suggest that these compounds could be used as potential antiviral drugs against COVID-19.
... Using a combination of 10 μg/mL punicalagin and 3 mg/mL Zn sulfate monohydrate, we noticed a significant decrease in 3CL-protease activity (p < 0.001), while not causing recognizable cytotoxicity. Inhibition of replication induced by pyrithione and Zn 2+ over a range from 2 to 10 µM was recently reported for a few picornaviruses, for example, rhinoviruses, foot-and-mouth infections, coxsackievirus, and mengovirus 22,23 . ...
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Full-text available
Objective: Coronavirus 2019 (COVID-19) has now been declared as a worldwide pandemic. Currently, no drugs have been endorsed for its treatment; in this manner, a pressing need has been developed for any antiviral drugs that will treat COVID-19. Coronaviruses require the SARS-CoV-2 3CL-Protease (3CL-protease) for cleavage of its polyprotein to yield a single useful protein and assume a basic role in the disease progression. In this study, we demonstrated that punicalagin, the fundamental active element of pomegranate in addition to the combination of punicalagin with zinc (Zn) II, appear to show powerful inhibitory activity against SARS-CoV-2. Materials and methods: The 3CL protease assay kit was used to quantify 3CL protease action. The tetrazolium dye, MTS, was used to evaluate cytotoxicity. Results: Punicalagin showed inhibitory action against the 3CL-protease in a dose-dependent manner, and IC50 was found to be 6.192 μg/ml for punicalagin. Punicalagin (10 µg/mL) demonstrated a significant inhibitory activity toward 3CL-protease activity (p < 0.001), yet when punicalagin is combined with zinc sulfate monohydrate (punicalagin/Zn-II) extremely strong 3CL-protease activity (p < 0.001) was obtained. The action of 3CL-protease with punicalagin/Zn-II was decreased by approximately 4.4-fold in contrast to only punicalagin (10 µg/mL). Likewise, we did not notice any significant cytotoxicity caused by punicalagin, Zn-II, or punicalagin/Zn-II. Conclusions: We suggest that these compounds could be used as potential antiviral drugs against COVID-19.
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Chapter
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Pyrrolidine dithiocarbamate (PDTC) is a potent inhibitor of nuclear factor kappa B (NF-kappaB) activation. PDTC inhibited basal NF-kappaB activity of endothelial cells. PDTC, however, failed to inhibit basal NF-kappaB activity after withdrawal of serum in the media, and the inhibitory effect of PDTC could be restored by addition of zinc. When various preparations of metal ion-EDTA were tested with PDTC in serum-containing media, only Zn-EDTA failed to block the inhibitory effect of PDTC. The dependence on zinc was also noted in PDTC inhibition of NF-kappaB stimulated by TNF alpha. These facts suggest that zinc is required for PDTC inhibition of NF-kappaB activation.
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Transmission electron microscopy of scalp tape strips indicates that dandruff scalp possesses abnormal stratum corneum (SC) ultrastructure that is normalized by treatment with small-particle zinc pyrithione (ZPT). Similar abnormalities occur throughout the scalp of those with dandruff, even where no flaking is present. SC abnormalities are consistent with hyperproliferation, including parakeratosis, lipid droplets within corneocytes, few desmosomes, corneocyte membrane interdigitation, and excessive disorganized intercellular lipid. Reversal of SC abnormalities would require treatment of the cause(s) of dandruff, not merely flake removal. A protocol was developed to quantify scalp structural abnormalities by scoring cells from scalp tape strips for yeast number, amount of intercellular lipid, normal intercellular lipid structures, prevalence of intracellular lipid droplets, parakeratotic corneocytes, and corneocyte interdigitation. This protocol was used to compare dandruff and normal SC to dandruff SC treated with either commercial ZPT-containing shampoo or a placebo. Treatment with commercial ZPT shampoo significantly returned SC ultrastructure to normal, suggesting control of the cause of dandruff.
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Zinc is essential for cell proliferation and differentiation, especially for the regulation of DNA synthesis and mitosis. On the molecular level, it is a structural constituent of a great number of proteins, including enzymes of cellular signaling pathways and transcription factors. Zinc homeostasis in eukaryotic cells is controlled on the levels of uptake, intracellular sequestration in zinc storing vesicles ('zincosomes'), nucleocytoplasmic distribution and elimination. These processes involve the major zinc binding protein metallothionein as a tool for the regulation of the cellular zinc level and the nuclear translocation of zinc in the course of the cell cycle and differentiation. In addition, there is also increasing evidence for a direct signaling function for zinc on all levels of signal transduction. Zinc can modulate cellular signal recognition, second messenger metabolism, protein kinase and protein phosphatase activities, and it may stimulate or inhibit activities of transcription factors, depending on the experimental systems studied. Zinc has been shown to modify specifically the metabolism of cGMP, the activities of protein kinase C and mitogen activated protein kinases, and the activity of transcription factor MTF-1 which controls the transcription of the genes for metallothionein and the zinc transporter ZnT-1. As a conclusion of these observations new hypotheses regarding regulatory functions of zinc ions in cellular signaling pathways are proposed.
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In mammalian cells, the intracellular availability of zinc influences numerous crucial processes. Its distribution has previously been visualized with several fluorescent probes, but it was unclear how these probes are compartmentalized within the cell. Here, we show that in C6 cells the zinc-specific probe Zinquin is evenly distributed. Thus, the significantly lower level of fluorescence in the nucleus and a punctuate vesicular staining are real differences in the concentrations of zinc. Chemical perturbation of the steady state by releasing intracellular protein-bound zinc with the sulfhydryl-reactive N-ethylmaleimide (NEM) resulted in a vanadate sensitive transport of zinc out of the nucleus and into zincosomes. If the zinc-release was performed with the histidine-reactive diethylpyrocarbonate, sequestration was reduced compared to treatment with NEM, indicating the importance of histidine within membrane zinc transporters. Another major factor regulating the zinc homeostasis is ion export. As determined by atomic absorption spectroscopy, up to 50% of the cellular zinc was exported by a mechanism sensitive to lanthanum ions. We conclude that different concentrations of labile zinc exist in different cellular compartments, which are maintained by export and intracellular transport of zinc.
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Influenza virus (IV) infection induced apoptotic DNA fragmentation and the moderate overproduction of reactive oxygen species (ROS) in primary cultured chorion cells prepared from human fetal membranes, and IV particles were released from the infected cells. The antioxidant pyrrolidine dithiocarbamate (PDTC) inhibited the induced DNA fragmentation, ROS overproduction and IV particle release. Although Trolox inhibited ROS overproduction, it did not inhibit DNA fragmentation or IV production. The inhibitory effect of PDTC on DNA fragmentation was manifested when added up to 3 h after infection or by exposing the infected cells to it for only 1 h after infection. PDTC inhibited IV hemagglutinin (HA) viral (vRNA) and complementary (cRNA and mRNA) RNAs synthesis until 6 h after infection and delayed and decreased HA protein synthesis. However, HA RNA synthesis resumed after 12 h even in the presence of PDTC. These results suggested that PDTC inhibited apoptosis by inhibiting viral macromolecule synthesis rather than through its antioxidant effect, because Trolox did not inhibit apoptosis or IV production, although ROS overproduction was inhibited. The synthesis of specific viral macromolecules at the early stage of infection may play a critical role in the mechanism of apoptosis induction and moderate ROS overproduction may not be involved in the mechanism.
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Zinc (Zn), an endogenous regulator of apoptosis, and has abilities both to induce apoptosis and inhibit the induction of apoptosis via the modulation of caspase activity. Due to the multifunctions of Zn, the intracellular Zn level is strictly regulated by a complex system in physiological and pathological conditions. The commitment of Zn to the regulation of apoptosis is not fully understood. In the present study, we investigated the role of intracellular Zn level in the induction of apoptosis in human leukemia cells (HL-60 cells) using a Zn ionophore [pyrithione (Py)]. Treatment of HL-60 cells with Zn for 6 h in the presence of Py (1 micro m) exhibited cytotoxicity in a Zn dose-dependent manner (25-200 micro m). Necrotic cells, assayed by trypan blue permeability, increased in number in a Zn dose-dependent fashion (50-100 micro m), but the appearance of apoptotic cells, assayed by formation of a DNA ladder and terminal deoxynucleotidyltransferase-mediated dUTP-biotin nick end-labeling method, peaked at 25 micro m, suggesting the dependence of intracellular Zn level on the execution of apoptosis. In fact, treatment with Py resulted in increases in intracellular Zn levels, and N,N,N',N'-tetrakis (2-pyridylmethyl)ethylenediamine, a cell-permeable Zn chelator, inhibited DNA ladder formation induced by Py/Zn treatment (1 micro m Py and 25 micro m Zn). Py/Zn treatment activated the caspases, as assessed by the proteolysis of poly(ADP-ribose) polymerase (PARP), which is a substrate of caspase, and activated p38 mitogen-activated protein kinase (p38MAPK), which is a transducer of apoptotic stimuli to the apparatus of the apoptosis execution. Z-Asp-CH2-DCB, a broad-spectrum inhibitor of caspase, attenuated proteolysis of PARP and DNA ladder formation by Py/Zn, indicating that apoptosis induced by Py/Zn is mediated by caspase activation. The p38MAPK-specific inhibitor SB203580 also inhibited induction of apoptosis by Py/Zn. Although SB203580 suppressed the proteolysis of PARP, Z-Asp-CH2-DCB did not inhibit the phosphorylation of p38MAPK, raising the possibility that apoptosis triggered by Py/Zn might be mediated by the p38MAPK/caspase pathway.
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In summary, the present findings yield the following conclusions: (i) influenza virus-induced moderate ROS overproduction results from apoptosis and it is not responsible for the induction of apoptosis; (ii) PDTC blocks influenza virus-induced apoptosis via the inhibition of viral gene replication and transcription at an early stage of infection rather than through its antioxidant property; (iii) synthesis of specific viral macromolecules at an early stage of infection may play a critical role in the mechanism of apoptosis induction. Finally, virus-induced apoptosis can play a beneficial role in cooperation with the host immune system in the host defence mechanism; in contrast, this process can function in a derogatory capacity, depending on the situation. If virus infection induces massive apoptosis in a broad area of tissue or in essential organs, induction of apoptosis would lead to serious consequences in the infected host. Thus, apoptosis can play a primary role in the pathogenesis of virus. Peptide inhibitors of caspases block the execution of influenza virus-induced apoptosis in vitro but not virus replication.2 Therefore, caspase activation may be involved in the execution of apoptosis by influenza virus infection; however, virus replication may not be directly involved in the process, although it is essential to the induction of apoptosis. It may be said that virus replication is the most important aspect of influenza virus pathogenicity; therefore, genuine anti-apoptosis agents, i.e. caspase inhibitors, may not be suitable for influenza chemotherapy, although these