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Review

Harnessing the Power of Venomous Animal-Derived Toxins against COVID-19

by
Isadora Oliveira
1,
Isabela Ferreira
1,
Beatriz Jacob
1,
Kiara Cardenas
2,
Felipe Cerni
3,
Djane Baia-da-Silva
4,5,6,7,8,
Eliane Arantes
1,
Wuelton Monteiro
4,5,* and
Manuela Pucca
2,3,5,*
1
Department of BioMolecular Sciences, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-903, SP, Brazil
2
Medical School, Federal University of Roraima, Boa Vista 69310-000, RR, Brazil
3
Health Sciences Postgraduate Program, Federal University of Roraima, Boa Vista 69310-000, RR, Brazil
4
Institute of Clinical Research Carlos Borborema, Dr. Heitor Vieira Dourado Tropical Medicine Foundation, Manaus 69850-000, AM, Brazil
5
Postgraduate Program in Tropical Medicine, School of Health Sciences, Amazonas State University, Manaus 69850-000, AM, Brazil
6
Department of Collective Health, Faculty of Medicine, Federal University of Amazonas, Manaus 69077-000, AM, Brazil
7
Leônidas and Maria Deane Institute, Fiocruz Amazônia, Manaus 69057-070, AM, Brazil
8
Faculty of Pharmacy, Nilton Lins University, Manaus 69058-040, AM, Brazil
*
Authors to whom correspondence should be addressed.
Toxins 2023, 15(2), 159; https://doi.org/10.3390/toxins15020159
Submission received: 1 December 2022 / Revised: 11 January 2023 / Accepted: 9 February 2023 / Published: 14 February 2023
(This article belongs to the Special Issue Venom-Derived Toxins as Potential Pharmacologic Tools and Therapeutic Drugs: A Special Issue in Memory of Dr. Sérgio Henrique Ferreira)
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Abstract

:
Animal-derived venoms are complex mixtures of toxins triggering important biological effects during envenomings. Although venom-derived toxins are known for their potential of causing harm to victims, toxins can also act as pharmacological agents. During the COVID-19 pandemic, there was observed an increase in in-depth studies on antiviral agents, and since, to date, there has been no completely effective drug against the global disease. This review explores the crosstalk of animal toxins and COVID-19, aiming to map potential therapeutic agents derived from venoms (e.g., bees, snakes, scorpions, etc.) targeting COVID-19.
Keywords:
SARS-CoV2; COVID-19; coronavirus; animal toxins; venoms
Key Contribution: Animal-derived venoms are rich sources of bioactive compounds that can act as antiviral agents; however, only a few studies have provided evidence of their antiviral activities against SARS-CoV-2. Our review summarizes and discusses promising molecules derived from venoms potentially able to treat COVID-19, and it highlights future perspectives about this.

1. Introduction

A virus is a non-cellular agent with nucleic acid surrounded by a protein coating (some may also have a lipid envelope over the capsid) and which can only reproduce within host cells [1]. Virus-borne diseases affect millions of people every year, causing mild infections to severe complications and deaths, such as Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV-AIDS) and Coronavirus Disease 2019 (COVID-19) [2,3]. COVID-19 is an important cause of morbidity and mortality; however, the pathogenic mechanisms are still poorly understood, and possible treatments are being explored in a growing phase of studies [4].
Animal-derived venoms are rich and complex sources of bioactive compounds that can act as antiparasitic, antimicrobial, and antiviral agents [5,6,7]; indeed, some antimicrobial peptides (AMPs) from animal venoms have shown antiviral activity such as melittin, phospholipases (PLA2), and L-amino oxidases (LAAO), albeit they are usually cytotoxic to host cells [8]; thus, bioactive compounds, such as toxins, frequently need to be modified to make them more selective [9,10,11]. Unlike molecules that interact with virus lipids, molecules targeting specific virus proteins may interfere with the virus replication or affect the interaction between the virus and the host cell, making them potentially more selective; in addition, compared to traditional small molecule drugs, natural proteins and peptides exhibit higher specificity and potency to their targets [12].
This review presents COVID-19 in its historical, epidemiological, and pathological contexts, in addition to addressing the use of animal-derived toxins against the disease, providing a new approach to the subject and new perspectives of treatment.

2. COVID-19 Disease

In 2020, the world suffered a chaotic situation from the pandemic of COVID-19, a disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which first emerged from China (December 2019) [13,14,15]. So far, it has been reported that more than 650 million people have been infected by the disease and there have been 6.7 million deaths [3]. The signs and symptoms of COVID-19 have been considered very complex, ranging from flu-like mild symptoms to a severe spectrum in high-risk individuals [16]; indeed, COVID-19 symptoms include common fever, cough, fatigue, slight dyspnea, sore throat, headache, conjunctivitis, and serious complications such as renal failure, acute respiratory discomfort syndrome (SDRA), heart failure, and coagulation abnormalities such as thrombosis [16]. The transmission occurs by person-to-person contact, via airborne droplets, or aerosols [3,13].
SARS-CoV-2 belongs to the Nidovirales order, Coronaviridae family, represented by four genera, such as α, β, δ, and γ-Coronaviruses [17,18]. The coronavirus is an enveloped single-strand RNA virus and non-segmented virus which has crown-shape glycoprotein spikes projecting from its surface. These glycoproteins attach to cellular receptors on the host cells and mediate viral entry, resulting in interspecies transmission and pathogenesis [19]. Cell entry of SARS-CoV-2 occurs through the binding of the spike glycoprotein (glycoprotein S) to angiotensin-converting enzyme (ACE2) expressed on the surface of the host cells, with the lung tissues being the main target [20]; therefore, intervention at the stage of adsorption/binding or replication of the virus using therapeutic agents can effectively block viral infection [21]; additionally, SARS-CoV-2 presents encoded non-structural proteins which participate in viral replication and pathogenesis [22,23]. One of these proteins, cysteine protease papain-like, is essential for the viral replication and it affects post-translational modifications on host proteins, contributing to the evasion of host immune responses [22,24].
RNA viruses are capable of infecting humans, and, when adapted, they can develop mutations, resulting in different variants, which has implications for the development of effective treatments [25]. Until now, five SARS-CoV-2 variants of concern for the World Health Organization (WHO) were identified: (i) α (B.1.1.7), in 2020 in the United Kingdom (UK); (ii) β (B.1.351), in 2020 in South Africa; (iii) Δ (B.1.617.2), in 2020 in India; (iv) γ (P.1), in 2021 in Brazil; and (v) Omicron (B.1.1.529), in 2021 in South Africa; but its subvariants BA.1, BA.2, BA.3, BA.4, and BA.5 were also identified elsewhere [25].
Patients infected with COVID-19 present high serum levels of inflammatory cytokines, such as IL-6, TNF-α, IL-1β, IL-8, and cytotoxic peptides (e.g., granulysin and perforin), resulting in a mechanism appropriately named “cytokine storm” [26]. The cytokine storm is a life-threatening systemic inflammatory syndrome involving elevated levels of circulating cytokines and immune-cell hyperactivation that can be triggered by various therapies, pathogens, cancer, autoimmune conditions, and COVID-19, generating exacerbated lung damage [27]; thus, cytokine storm implies that the levels of released cytokines are injurious to host cells (Figure 1); however, defining clinical criteria for the so-called cytokine storm is challenging, and studies propose a series of features such as clinical symptoms and laboratory findings to confirm the status [28,29]. Moreover, the proposition that the cytokine storm is pathological has also been met with skepticism [30]. In addition to this inflammatory picture, as lymphocytes are directly invaded by SARS-CoV-2 virus or indirectly damaged by the cytokines, lymphocytopenia usually is a prominent marker of COVID-19 [31].
The National Institute of Health (NIH) classified COVID-19 according to clinical symptoms, hemodynamics, organ function, laboratory, and radiographic abnormalities. The classification is (i) asymptomatic; (ii) mild; (iii) moderate; (iv) severe; and (v) critical illness. In several cases, the classification is difficult since it varies a lot, including lack of clinical manifestation until the presentation of acute respiratory distress syndrome, multiple organ dysfunction, and septic shock [25].
For the detection and confirmation of COVID-19 diagnosis, besides the clinical signs and patient history, diagnostic tests are mainly required, such as molecular tests (real-time polymerase chain reaction (PCR)), serological tests, and image analysis (computed tomography, X-ray of chest, or ultrasound of the lungs) [25].

3. Available Treatments for COVID-19

Due to the pandemic situation, the FDA has issued emergency-use authorization (EUA) for several medicines that were still undergoing clinical trials, such as anti-inflammatory and antiviral drugs, immunomodulator agents, and anti-SARS-CoV-2 monoclonal antibodies [25,32]; nevertheless, clinical studies regarding these treatments have shown good and bad results regarding effectiveness as well as their capacity to neutralize certain coronavirus strains in vitro [25].
The clinical usage of COVID-19 treatments is very complex and depends on the severity of the illness and risk factors. The COVID-19 clinical course occurs in two phases: (1) an early phase in which the replication of SARS-CoV-2 is more expressive before or right after the symptoms (in this situation, antiviral medications and antibody-based treatments are shown to be more effective); and (2) a later phase, driven by the release of cytokines and the activation of coagulation system, in which there are prominent hyperinflammatory and prothrombotic activities. In the late phase, anti-inflammatory drugs, such as corticosteroids and immunomodulating therapies, or even a combination of these therapies, can help diminish the hyperinflammatory state [33].
Among the antiviral therapies explored for COVID-19, Ivermectin figured in the early pandemic. Although the referred drug is known as an efficient antiparasitic drug, it was demonstrated that the drug could also inhibit SARS-CoV-2 replication in vitro [34]; however, the drug did not reduce the risk of developing severe COVID-19 and it is not indicated nowadays for patients [25]. Chloroquine and hydroxychloroquine were also the focus of tremendous public attention [35]; however, the results have failed to show survival benefit with these drugs, or even that they prevented SARS-CoV-2 infection or symptomatic COVID-19 illness [25,36,37,38,39]; moreover, chloroquine and hydroxychloroquine present wide-ranging drug interactions and potential cardiotoxicity [35]. Lopinavir/ritonavir were also considered to be used for COVID-19 therapy, since they are drugs used to treat HIV, but they also did not show any benefit to COVID-19 patients [25,40]. Other medications can be used for COVID-19 patients, such as molnupiravir (which reduced the hospitalizations and deaths of patients with mild COVID-19 and on nonvaccinated people [41,42]), and paxlovid (which reduced hospitalizations and deaths of patients when it was used within three days of symptoms appearing [43], and which was indicated for mild and moderate COVID-19 patients) [25]. Although remdesivir can also be a drug option, its therapeutical use is quite controversial because it did not show good results in terms of length of stay, initiation of oxygen therapy, or mortality [37]; however, other studies have shown that remdesivir was able to reduce the recovery time and death of patients with COVID-19 [44,45,46,47].
As regarding the roles of neutralizing antibodies targeting SARS-CoV-2, these have been extensively studied in ongoing clinical trials. One of them is convalescent plasma therapy, approved by the FDA for patients with severe life-threatening COVID-19 [48]. Although it appeared promising, multiple studies evaluating this therapy have generated mixed results. An example is a retrospective study based on a U.S. national registry report that patients hospitalized with COVID-19, not under mechanical ventilation, receiving a transfusion of convalescent plasma containing higher anti-SARS-CoV-2 IgG antibody, had a risk of death that was lower than patients who received a transfusion of convalescent plasma with lower levels of antibody [49].
Monoclonal antibodies (mAb) have been considered the most promising treatments for COVID-19. The REGN-COV2 is a key example of mAb, which contains two noncompeting IgG1 antibodies (casirivimab and imdevimab) targeting RBD on the SARS-CoV-2 spike protein. Preliminary data from a Phase 3 trial of REGN-COV revealed a 70% reduction in hospitalization or death in non-hospitalized COVID-19 patients [50].
Since SARS-CoV-2 and SARS-CoV share similarities, studies suggest the use of SARS antiviral monoclonal antibodies in patients with SARS-CoV-2. Many monoclonal antibodies have been described to identify the S1 fragment of SARS-CoV and RBD in subunit S1. This is the most important goal for SARS-CoV-2 [51] because monoclonal antibodies can block the interaction of RBD and its ACE2 receptor [52]. There are monoclonal antibodies binding the epitopes in unit S2 of SARS-CoV, suggesting neutralization [53]. So far, there are 10 monoclonal antibodies targeting S1 fragment of SARS-CoV and, 4 targeting S2 fragment of SARS-CoV [54].
Researchers have also studied other neutralizing antibodies that block COVID-19. One example is 47D11, which was discovered using an ELISA-(cross) reactivity approach to assess antibodies contained in supernatant samples from immunized transgenic mice. These antibodies demonstrated that they bind to SARS-CoV-2 and could strongly inhibit the virus infection on Vero cells [55]. There are also reports on four human-origin monoclonal antibodies (B5, B38, H2, and H4) from convalescent patients which demonstrated that they could bind to RBD. The ability of each antibody to inhibit binding between RBD and ACE was evaluated and showed that B38 and H4 have complete competition with ACE2 for binding RBD, while, in contrast, B5 displayed partial competition and H2 demonstrated no competition with ACE2 for RBD binding [56].
Immunomodulating agents have also been explored for COVID-19 treatment, such as corticosteroids, IFN-β-1a, IL-1 antagonists, anti-IL-6 receptor (tocilizumab, sarilumab, and siltuximab), Janus kinase (JAK) inhibitors (baricitinib, ruxolitinib, and tofacitinib), and tyrosine kinase inhibitors (acalabrutinib, ibrutinib, and rilzabrutinib) [25].
In addition to the pharmacological treatment, the complementary therapy must be conducted on COVID-19 patients to improve the symptoms and oxygen saturation (oxygenation and ventilation) [25].
Besides all the above therapies and others still in research phase, vaccination is the most effective way to avoid coronavirus infection. Currently, some vaccines were granted authorization in the USA: BNT162b2 vaccine (mRNA-based, BioNTech/Pfizer, New York, NY, USA) [57], mRNA-1273 vaccine (mRNA based, Moderna, Cambridge, MA, USA) [58], and Ad26.COV2.S vaccine (Janssen Research and Development, Beerse, Belgium) [59]. ChAdOx1 nCoV-19 vaccine (AstraZeneca, Cambridge, UK) [60] has been authorized for emergency use in several countries, but has not been granted an EUA from the FDA [25], while NVX-CoV2373 vaccine (Novavax, Gaithersburg, MD, EUA) had clinical trials performed [61,62]. Other vaccines had their emergency use approved or were approved as prevention worldwide, such as CoronaVac (Sinovac Biotech, Haidian District, Beijing, China), Covaxin (Bharat Biotech, Hyderabad, Telangana, India), and Sputnik V (Gamaleya Research Institute of Epidemiology and Microbiology, Moscow, Russia) [25].

4. Crosstalk of Animal-Derived Toxins and COVID-19

Animal venoms are rich in active biological compounds [63] and several toxins from different venomous and poisonous animals, whether aquatic or terrestrial, have already had their antiviral potential determined against many types of viruses. For dengue virus, a PLA2 from Bothrops leucurus snake venom was able to decrease amounts of viral RNA [64]; similarly, a PLA2 from honey bee Apis mellifera also prevented intracellular release of the viral capsid protein of human immunodeficiency virus (HIV), and hepatitis C virus (HCV), among others, suggesting it blocks viral entry into cells [1,65]. In 2011, Li et al. observed that the optimized toxin mucroporin from Lychas mucronatus scorpion venom, mucroporin-M1, was able to perform a potent antiviral activity against measles, influenza H5N1, and SARS-CoV viruses, demonstrating that toxins could be prototypes of new antiviral drugs [66].
As regards animal toxins’ effects on SARS-CoV-2, there are still only a few studies which give some evidence of antiviral activities against COVID-19 (Table 1). In a recent study, researchers explored a few PLA2 and their subunits—two PLA2 from the venom of the krait Bungarus fasciatus (BF-PLA2 I and II), one from Viper ursinii renardi (Vur-PLA2), and one from Viper nikolskii (HDP-1 and HDP-2). The antiviral activity of the Viper nikolskii-derived molecules (HDP-1 and HDP-2—dimeric proteins; HDP-1I and HDP-2P—subunits) were tested through the cytopathic effects (CPE) of SARS-CoV-2 on Vero E6 cells, a cell line commonly used in virology because viruses produce CPE [67]. The results showed that all PLA2 demonstrated antiviral activity and prevented morphological changes with HDP-1 and HDP-2, presenting the most potent antiviral activity and inhibiting close to 50% of the CPE. The authors speculated that this potent antiviral activity could be due to the enzyme phospholipolytic activity being responsible for the destruction of the viral envelope. On the other hand, Vur-PLA2 was less potent, while BF-PLA2-I and II showed the lowest antiviral activity, inhibiting less than 50% of the CPE [68].
Also from snake venoms, three peptide dimers derived from the C-terminus of the myotoxin bothropstoxin-I, from Bothrops jararacussu, were tested against SARS-CoV-2. They demonstrated inhibition of viral infection, targeting the viral papain-like cysteine protease with low and micromolar potency [69]; still, we can cite the Cobrotoxin, from the Naja naja atra snake, which could be a candidate for alternative therapy for COVID-19 because it may have an inhibitory role on the cytokine storm caused by SARS-CoV-2 in COVID-19 [70].
As regards bee venom (Apis mellifera), some studies have been published regarding its action on SARS-CoV-2. Authors hypothesized that the whole venom may attenuate the cytokine storm caused by SARS-CoV-2 and could be used in a prophylactic context for COVID-19 [71,72]; in addition, melittin was tested for in vitro assay using Vero cells and it was found that it could neutralize SARS-CoV-2 virus, showing more pronounced antiviral activity at 12 h with 95% of viral reduction; also, the effect of melittin on the ability of the virus to infect Vero cells was studied through high-throughput proteomic analysis. The omics analysis revealed that proteins were found to be down-regulated in the cells following melittin treatment, indicating that the toxin induces a metabolic effect and not merely viral lysis [73]. Although this study shows benefits of melittin against SARS-CoV-2, a formulation containing melittin must be very well adjusted so that it causes no cytolytic effects [73,74].
Table
Table 1. Animal toxins targeting COVID-19.
Table 1. Animal toxins targeting COVID-19.
ToxinsSpeciesAnimalMechanismYearRef.
Bee venomApis
mellifera		BeeHypothesis: attenuate cytokine storm
caused by SARS-CoV-2.		2020[71,72]
Prophylactic context for COVID-19.
MelittinApis
mellifera		BeeIn vitro assay using VERO cells:
neutralizes the SARS-CoV-2 virus.		2022[73]
Dermaseptin-S9Phyllomedusa sauvagiiFrogInhibitor of SARS-CoV-2 spike glycoprotein
by protein-peptide analysis in silico by docking.		2020[75]
Meucin18 and its mutationMesobuthus
eupeus		ScorpionInhibitor of SARS-CoV-2 spike glycoprotein.
Protein-peptide analysis in silico by docking.		2021[76]
CobrotoxinNaja naja
atra		SnakeInhibitory effect on the cytokine storm
caused by SARS-CoV-2 in COVID-19.		2020[70]
Dimeric
peptides from BthTX-I (PLA2)		Bothrops
jararacussu		SnakeInhibitory activity against the Papain-like
protease of SARS-CoV-2.		2021[69]
PLA2Vipera
nikolskii		SnakeInhibition of SARS-CoV-2 spike
glycoprotein-mediated cell-cell infusion.		2021[68]
Frogs’ venoms can be interesting for studying their roles for SARS-CoV-2. The Dermaseptin-S9 toxin, from Phyllomedusa sauvagii, was studied along with ACE2 and eight negative control molecules and the study shows their abilities to act as inhibitors of SARS-CoV-2 spike glycoprotein. These were assessed by protein–peptide analysis in silico by docking [75]; however, other studies must be conducted to lead to an increased affinity and specificity of Dermaseptin-S9 against SARS-CoV-2 [75].
Meucin18, from the Mesobuthus eupeus scorpion, had its binding ability evaluated by molecular docking and this showed that the toxin was able to prevent the ACE receptor binding with the SARS-CoV-2 spike protein [76]. In the same study, using in silico analysis, the authors reported that the mutated Meucin18 toxin (A9T) more effectively inhibited the ACE–spike interaction than native toxin [76].
Our in-depth searching using the main bibliographic databases reveal only seven studies even applying different match descriptors such as ‘COVID-19 and venoms’ or ‘COVID-19 and venom-derived toxins’; moreover, to the best of our knowledge, none of these toxins are under clinical trials for treating COVID-19.

5. Venom-Derived Toxins as COVID-19 Therapy: New Perspectives

Vaccines and antiviral drugs are effective in fighting viral replication in host cells. Although highly advantageous, the development of vaccines and antiviral drugs follows high standards of demand and procedural protocols in all stages of the test (in vitro, in vivo, and clinical trials) and their development needs to succeed in many phases until registration and commercialization, which take a long period in addition to high costs. As an exception, the COVID-19 pandemic demonstrated a different experience through the rapid production of vaccines, along with accountable concomitant studies trying to discover novel compounds with SARS-CoV-2 antiviral activity. Such activity has been investigated through approaches such as in silico and in vitro studies with different effects on the phases of virus pathogenesis and immunostimulant effects [77]. Notably, venom-derived molecules have been evaluated as potential candidates for the development of novel antivirals (Table 1) [68,69,70,71,72,73,75,76]. The animals, virus targets, and potential mechanisms are represented in the Figure 2.
The dynamic of venom-induced biological activities in humans (e.g., antiviral, anti-inflammatory, and coagulopathies) cause venom compounds to be a rich resource for possible design of new drugs targeting COVID-19, especially those provided from snake venoms. Although a promising future is foreseen for venom-derived drugs, unfortunately, few studies focus on this [78]. For instance, there is a direct relationship of venom-derived toxins and the systems renin-angiotensin and kinin-kallikrein, with direct action on angiotensin-converting enzyme 2 (ACE2), and it is well known that SARS-COV-2 down-regulates ACE2, which significantly contributes to the pathophysiology of COVID-19 [71,79]; moreover, developing antithrombotic agents derived from snake venoms could be promising to prevent and treat cardiovascular disorders in COVID-19 patients since the clinical management of COVID-19-associated thrombosis is very complex, producing many challenges related to the use, dose, and choice of anticoagulants [80]; indeed, blood circulation, particularly thrombosis and haemostasis, is one of the major targets of several snake venom proteins [81].
Venom-derived anti-inflammatory toxins could also be potential coadjutant treatments for COVID-19.
A metalloproteinase from the Bothrops moojeni snake venom, called BmooMP-alpha-I, was shown to be able to inhibit TNF-a through its degradation, in both in vitro and in vivo assays [82].
The synthetic peptide HsTx2 was demonstrated to reduce TNF-α, IFN-γ, and IL-6 levels in BALB/c mice [83]. This molecule is based on peptide HsTx2 from the Heterometrus spinifer scorpion venom, and it presented neuroprotective effects in rats during ischemic stroke [84].
A low dose of honeybee venom was also able to reduce IL-1β, IL-6, and TNF-α levels during in vivo assays and, using higher doses, these levels might be improved [85].
Naja naja atra snake venom and its toxin neurotoxin-Nna has been shown to decrease IL-1β and TNF-α levels in the kidney and the serum of rats, respectively [86,87]; in addition, N. n. atra venom can inhibit IL-6 and TNF-α production in systemic lupus erythematosus in mice [88].
Based on the foregoing, anti-inflammatory toxins are seen to be able to affect the human immune system [89] and could be used as a coadjutant therapy to COVID-19 in special targeting of the cytokine storm; therefore, bioprospecting novel therapeutic drugs derived from venoms for COVID-19 have demonstrated several advantages. Among the matters discussed above, we can also highlight that some venom-derived peptides can present low immunogenicity and can be easily optimized and manufactured in the laboratory; however, these toxins still do not have acceptable efficacy and do not demonstrate the risk/benefit ratio for human treatments, and appropriate clinical studies are needed for their use; thus, more studies in the toxinology field should be developed to suggest new antiviral drugs against COVID-19. Bioinformatics tools (i.e., venomics) could also facilitate this.

6. Conclusions

After more than two years since the COVID-19 outbreak, there is no specific therapy for this life-threating disease, making the search for an effective therapy uniquely importance to the world at present; thus, bioprospecting antiviral drugs in venoms is very promising since several venom-derived compounds have demonstrated that they can be effective in similar biological systems as those affected by SARS-CoV-2 (e.g., coagulation, hemodynamics, and immune and renal systems). Although there are just a few studies in the scientific literature, the venom-derived drugs currently in development, and the recent gains in knowledge of the virus and the disease itself, give us hope for finding new therapies for COVID-19 soon.

Author Contributions

I.O. and M.P. conceived the main idea of this work. I.F., B.J., K.C. and D.B.-d.-S. wrote parts of the review. E.A. and W.M. provided important contributions during the development of this work. F.C. elaborated the figures of the review article. All authors have read and agreed to the published version of the manuscript.

Funding

This research was funded Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP, the São Paulo Research Foundation, scholarship to IO 2020/13176-3, and grants to EA 2019/10173-6 and 2021/11936-3), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES, the Coordination for the Improvement of Higher Education Personnel, Finance Code 001, scholarships to IF and BJ), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq, The National Council for Scientific and Technological Development, scholarship to MP 307184/2020-0, WM 309207/2020-7, and EA 309399/2021-1). WM acknowledges funding support from Fundacão de Amparo à Pesquisa do Estado do Amazonas (FAPEAM, PAPAC 005/2019, PRO-ESTADO, and Posgrad calls). DCBS was funded by FAPEAM (National Visiting Research II Scholarship).

Institutional Review Board Statement

Not applicable.

Informed Consent Statement

Not applicable.

Data Availability Statement

Not applicable.

Conflicts of Interest

The authors declare no conflict of interest.

References

  1. Utkin, Y.; Siniavin, A.; Kasheverov, I.; Tsetlin, V. Antiviral Effects of Animal Toxins: Is There a Way to Drugs? Int. J. Mol. Sci. 2022, 23, 73634. [Google Scholar] [CrossRef]
  2. Govender, R.D.; Hashim, M.J.; Khan, M.A.; Mustafa, H.; Khan, G. Global Epidemiology of HIV/AIDS: A Resurgence in North America and Europe. JEGH 2021, 11, 296. [Google Scholar] [CrossRef]
  3. World Health Organization. WHO Coronavirus (COVID-19) Dashboard. Available online: https://covid19.who.int (accessed on 17 January 2023).
  4. Shariare, M.H.; Parvez, M.A.K.; Karikas, G.A.; Kazi, M. The Growing Complexity of COVID-19 Drug and Vaccine Candidates: Challenges and Critical Transitions. J. Infect. Public Health 2021, 14, 214–220. [Google Scholar] [CrossRef] [PubMed]
  5. Herzig, V.; Cristofori-Armstrong, B.; Israel, M.R.; Nixon, S.A.; Vetter, I.; King, G.F. Animal Toxins—Nature’s Evolutionary-Refined Toolkit for Basic Research and Drug Discovery. Biochem. Pharmacol. 2020, 181, 114096. [Google Scholar] [CrossRef] [PubMed]
  6. Pucca, M.B.; Cerni, F.A.; Pinheiro-Junior, E.L.; Zoccal, K.F.; Bordon, K.d.C.F.; Amorim, F.G.; Peigneur, S.; Vriens, K.; Thevissen, K.; Cammue, B.P.A.; et al. Non-Disulfide-Bridged Peptides from Tityus Serrulatus Venom: Evidence for Proline-Free ACE-Inhibitors. Peptides 2016, 82, 44–51. [Google Scholar] [CrossRef] [PubMed]
  7. Ahmadi, S.; Knerr, J.M.; Argemi, L.; Bordon, K.C.F.; Pucca, M.B.; Cerni, F.A.; Arantes, E.C.; Çalışkan, F.; Laustsen, A.H. Scorpion Venom: Detriments and Benefits. Biomedicines 2020, 8, 118. [Google Scholar] [CrossRef] [PubMed]
  8. Pucca, M.B.; Ahmadi, S.; Cerni, F.A.; Ledsgaard, L.; Sørensen, C.V.; McGeoghan, F.T.S.; Stewart, T.; Schoof, E.; Lomonte, B.; auf dem Keller, U.; et al. Unity Makes Strength: Exploring Intraspecies and Interspecies Toxin Synergism between Phospholipases A2 and Cytotoxins. Front. Pharmacol. 2020, 11, 611. [Google Scholar] [CrossRef]
  9. Da Mata, É.C.G.; Mourão, C.B.F.; Rangel, M.; Schwartz, E.F. Antiviral Activity of Animal Venom Peptides and Related Compounds. J. Venom. Anim. Toxins Incl. Trop. Dis. 2017, 23, 3. [Google Scholar] [CrossRef]
  10. Vilas Boas, L.C.P.; Campos, M.L.; Berlanda, R.L.A.; de Carvalho Neves, N.; Franco, O.L. Antiviral Peptides as Promising Therapeutic Drugs. Cell. Mol. Life Sci. 2019, 76, 3525–3542. [Google Scholar] [CrossRef]
  11. Sample, C.J.; Hudak, K.E.; Barefoot, B.E.; Koci, M.D.; Wanyonyi, M.S.; Abraham, S.; Staats, H.F.; Ramsburg, E.A. A Mastoparan-Derived Peptide Has Broad-Spectrum Antiviral Activity against Enveloped Viruses. Peptides 2013, 48, 96–105. [Google Scholar] [CrossRef]
  12. Chen, N.; Xu, S.; Zhang, Y.; Wang, F. Animal Protein Toxins: Origins and Therapeutic Applications. Biophys. Rep. 2018, 4, 233–242. [Google Scholar] [CrossRef] [PubMed]
  13. Fauci, A.S.; Lane, H.C.; Redfield, R.R. Covid-19—Navigating the Uncharted. N. Engl. J. Med. 2020, 382, 1268–1269. [Google Scholar] [CrossRef] [PubMed]
  14. Li, Q.; Guan, X.; Wu, P.; Wang, X.; Zhou, L.; Tong, Y.; Ren, R.; Leung, K.S.M.; Lau, E.H.Y.; Wong, J.Y.; et al. Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus–Infected Pneumonia. N. Engl. J. Med. 2020, 382, 1199–1207. [Google Scholar] [CrossRef] [PubMed]
  15. Coronaviridae Study Group of the International Committee on Taxonomy of Viruses. The Species Severe Acute Respiratory Syndrome-Related Coronavirus: Classifying 2019-NCoV and Naming It SARS-CoV-2. Nat. Microbiol. 2020, 5, 536–544. [Google Scholar] [CrossRef]
  16. Holshue, M.L.; DeBolt, C.; Lindquist, S.; Lofy, K.H.; Wiesman, J.; Bruce, H.; Spitters, C.; Ericson, K.; Wilkerson, S.; Tural, A.; et al. First Case of 2019 Novel Coronavirus in the United States. N. Engl. J. Med. 2020, 382, 929–936. [Google Scholar] [CrossRef]
  17. Tarighi, P.; Eftekhari, S.; Chizari, M.; Sabernavaei, M.; Jafari, D.; Mirzabeigi, P. A Review of Potential Suggested Drugs for Coronavirus Disease (COVID-19) Treatment. Eur. J. Pharmacol. 2021, 895, 173890. [Google Scholar] [CrossRef]
  18. Ko, W.-C.; Rolain, J.-M.; Lee, N.-Y.; Chen, P.-L.; Huang, C.-T.; Lee, P.-I.; Hsueh, P.-R. Arguments in Favour of Remdesivir for Treating SARS-CoV-2 Infections. Int. J. Antimicrob. Agents 2020, 55, 105933. [Google Scholar] [CrossRef]
  19. Zhu, Z.; Zhang, Z.; Chen, W.; Cai, Z.; Ge, X.; Zhu, H.; Jiang, T.; Tan, W.; Peng, Y. Predicting the Receptor-Binding Domain Usage of the Coronavirus Based on Kmer Frequency on Spike Protein. Infect. Genet. Evol. 2018, 61, 183–184. [Google Scholar] [CrossRef]
  20. Yang, J.; Petitjean, S.J.L.; Koehler, M.; Zhang, Q.; Dumitru, A.C.; Chen, W.; Derclaye, S.; Vincent, S.P.; Soumillion, P.; Alsteens, D. Molecular Interaction and Inhibition of SARS-CoV-2 Binding to the ACE2 Receptor. Nat. Commun. 2020, 11, 4541. [Google Scholar] [CrossRef]
  21. Sheahan, T.P.; Sims, A.C.; Zhou, S.; Graham, R.L.; Pruijssers, A.J.; Agostini, M.L.; Leist, S.R.; Schäfer, A.; Dinnon, K.H.; Stevens, L.J.; et al. An Orally Bioavailable Broad-Spectrum Antiviral Inhibits SARS-CoV-2 in Human Airway Epithelial Cell Cultures and Multiple Coronaviruses in Mice. Sci. Transl. Med. 2020, 12, eabb5883. [Google Scholar] [CrossRef]
  22. Dömling, A.; Gao, L. Chemistry and Biology of SARS-CoV-2. Chem 2020, 6, 1283–1295. [Google Scholar] [CrossRef]
  23. Da Silva, S.J.R.; Alves da Silva, C.T.; Mendes, R.P.G.; Pena, L. Role of Nonstructural Proteins in the Pathogenesis of SARS-CoV-2. J. Med. Virol. 2020, 92, 1427–1429. [Google Scholar] [CrossRef]
  24. Shin, D.; Mukherjee, R.; Grewe, D.; Bojkova, D.; Baek, K.; Bhattacharya, A.; Schulz, L.; Widera, M.; Mehdipour, A.R.; Tascher, G.; et al. Papain-like Protease Regulates SARS-CoV-2 Viral Spread and Innate Immunity. Nature 2020, 587, 657–662. [Google Scholar] [CrossRef] [PubMed]
  25. Cascella, M.; Rajnik, M.; Aleem, A.; Dulebohn, S.C.; Di Napoli, R. Features, Evaluation, and Treatment of Coronavirus (COVID-19). In StatPearls; StatPearls Publishing: Treasure Island, FL, USA, 2022. [Google Scholar]
  26. Gao, Y.-M.; Xu, G.; Wang, B.; Liu, B.-C. Cytokine Storm Syndrome in Coronavirus Disease 2019: A Narrative Review. J. Intern. Med. 2021, 289, 147–161. [Google Scholar] [CrossRef] [PubMed]
  27. Xu, Z.; Shi, L.; Wang, Y.; Zhang, J.; Huang, L.; Zhang, C.; Liu, S.; Zhao, P.; Liu, H.; Zhu, L.; et al. Pathological Findings of COVID-19 Associated with Acute Respiratory Distress Syndrome. Lancet Respir. Med. 2020, 8, 420–422. [Google Scholar] [CrossRef] [PubMed]
  28. Caricchio, R.; Gallucci, M.; Dass, C.; Zhang, X.; Gallucci, S.; Fleece, D.; Bromberg, M.; Criner, G.J.; Temple University COVID-19 Research Group. Preliminary Predictive Criteria for COVID-19 Cytokine Storm. Ann. Rheum. Dis. 2021, 80, 88–95. [Google Scholar] [CrossRef] [PubMed]
  29. Webb, B.J.; Peltan, I.D.; Jensen, P.; Hoda, D.; Hunter, B.; Silver, A.; Starr, N.; Buckel, W.; Grisel, N.; Hummel, E.; et al. Clinical Criteria for COVID-19-Associated Hyperinflammatory Syndrome: A Cohort Study. Lancet Rheumatol. 2020, 2, e754–e763. [Google Scholar] [CrossRef]
  30. Chen, L.Y.C.; Quach, T.T.T. COVID-19 Cytokine Storm Syndrome: A Threshold Concept. Lancet Microbe 2021, 2, e49–e50. [Google Scholar] [CrossRef]
  31. Chen, G.; Wu, D.; Guo, W.; Cao, Y.; Huang, D.; Wang, H.; Wang, T.; Zhang, X.; Chen, H.; Yu, H.; et al. Clinical and Immunological Features of Severe and Moderate Coronavirus Disease 2019. J. Clin. Investig. 2020, 130, 2620–2629. [Google Scholar] [CrossRef]
  32. Coopersmith, C.M.; Antonelli, M.; Bauer, S.R.; Deutschman, C.S.; Evans, L.E.; Ferrer, R.; Hellman, J.; Jog, S.; Kesecioglu, J.; Kissoon, N.; et al. The Surviving Sepsis Campaign: Research Priorities for Coronavirus Disease 2019 in Critical Illness. Crit. Care Med. 2021, 49, 598–622. [Google Scholar] [CrossRef]
  33. Gandhi, R.T.; Lynch, J.B.; Del Rio, C. Mild or Moderate COVID-19. N. Engl. J. Med. 2020, 383, 1757–1766. [Google Scholar] [CrossRef] [PubMed]
  34. Caly, L.; Druce, J.D.; Catton, M.G.; Jans, D.A.; Wagstaff, K.M. The FDA-Approved Drug Ivermectin Inhibits the Replication of SARS-CoV-2 in Vitro. Antivir. Res. 2020, 178, 104787. [Google Scholar] [CrossRef] [PubMed]
  35. Khuroo, M.S. Chloroquine and Hydroxychloroquine in Coronavirus Disease 2019 (COVID-19). Facts, Fiction and the Hype: A Critical Appraisal. Int. J. Antimicrob. Agents 2020, 56, 106101. [Google Scholar] [CrossRef] [PubMed]
  36. The RECOVERY Collaborative Group Effect of Hydroxychloroquine in Hospitalized Patients with COVID-19. N. Engl. J. Med. 2020, 383, 2030–2040. [CrossRef]
  37. Zhang, R.; Mylonakis, E. In Inpatients with COVID-19, None of Remdesivir, Hydroxychloroquine, Lopinavir, or Interferon β-1a Differed from Standard Care for in-Hospital Mortality. Ann. Intern. Med. 2021, 174, JC17. [Google Scholar] [CrossRef]
  38. Mitjà, O.; Corbacho-Monné, M.; Ubals, M.; Tebé, C.; Peñafiel, J.; Tobias, A.; Ballana, E.; Alemany, A.; Riera-Martí, N.; Pérez, C.A.; et al. Hydroxychloroquine for Early Treatment of Adults with Mild Coronavirus Disease 2019: A Randomized, Controlled Trial. Clin. Infect. Dis. 2021, 73, e4073–e4081. [Google Scholar] [CrossRef]
  39. Boulware, D.R.; Pullen, M.F.; Bangdiwala, A.S.; Pastick, K.A.; Lofgren, S.M.; Okafor, E.C.; Skipper, C.P.; Nascene, A.A.; Nicol, M.R.; Abassi, M.; et al. A Randomized Trial of Hydroxychloroquine as Postexposure Prophylaxis for COVID-19. N. Engl. J. Med. 2020, 383, 517–525. [Google Scholar] [CrossRef]
  40. Cao, B.; Wang, Y.; Wen, D.; Liu, W.; Wang, J.; Fan, G.; Ruan, L.; Song, B.; Cai, Y.; Wei, M.; et al. A Trial of Lopinavir–Ritonavir in Adults Hospitalized with Severe COVID-19. N. Engl. J. Med. 2020, 382, 1787–1799. [Google Scholar] [CrossRef]
  41. Singh, A.K.; Singh, A.; Singh, R.; Misra, A. Molnupiravir in COVID-19: A Systematic Review of Literature. Diabetes Metab. Syndr. 2021, 15, 102329. [Google Scholar] [CrossRef]
  42. Jayk Bernal, A.; Gomes da Silva, M.M.; Musungaie, D.B.; Kovalchuk, E.; Gonzalez, A.; Delos Reyes, V.; Martín-Quirós, A.; Caraco, Y.; Williams-Diaz, A.; Brown, M.L.; et al. Molnupiravir for Oral Treatment of COVID-19 in Nonhospitalized Patients. N. Engl. J. Med. 2022, 386, 509–520. [Google Scholar] [CrossRef]
  43. Mahase, E. COVID-19: Pfizer’s Paxlovid Is 89% Effective in Patients at Risk of Serious Illness, Company Reports. BMJ 2021, 375, n2713. [Google Scholar] [CrossRef] [PubMed]
  44. Goldman, J.D.; Lye, D.C.B.; Hui, D.S.; Marks, K.M.; Bruno, R.; Montejano, R.; Spinner, C.D.; Galli, M.; Ahn, M.-Y.; Nahass, R.G.; et al. Remdesivir for 5 or 10 Days in Patients with Severe COVID-19. N. Engl. J. Med. 2020, 383, 1827–1837. [Google Scholar] [CrossRef] [PubMed]
  45. Gottlieb, R.L.; Vaca, C.E.; Paredes, R.; Mera, J.; Webb, B.J.; Perez, G.; Oguchi, G.; Ryan, P.; Nielsen, B.U.; Brown, M.; et al. Early Remdesivir to Prevent Progression to Severe COVID-19 in Outpatients. N. Engl. J. Med. 2022, 386, 305–315. [Google Scholar] [CrossRef] [PubMed]
  46. Spinner, C.D.; Gottlieb, R.L.; Criner, G.J.; Arribas López, J.R.; Cattelan, A.M.; Soriano Viladomiu, A.; Ogbuagu, O.; Malhotra, P.; Mullane, K.M.; Castagna, A.; et al. Effect of Remdesivir vs Standard Care on Clinical Status at 11 Days in Patients with Moderate COVID-19: A Randomized Clinical Trial. JAMA 2020, 324, 1048–1057. [Google Scholar] [CrossRef] [PubMed]
  47. Beigel, J.H.; Tomashek, K.M.; Dodd, L.E.; Mehta, A.K.; Zingman, B.S.; Kalil, A.C.; Hohmann, E.; Chu, H.Y.; Luetkemeyer, A.; Kline, S.; et al. Remdesivir for the Treatment of COVID-19-Final Report. N. Engl. J. Med. 2020, 383, 1813–1826. [Google Scholar] [CrossRef]
  48. Joyner, M.J.; Bruno, K.A.; Klassen, S.A.; Kunze, K.L.; Johnson, P.W.; Lesser, E.R.; Wiggins, C.C.; Senefeld, J.W.; Klompas, A.M.; Hodge, D.O.; et al. Safety Update: COVID-19 Convalescent Plasma in 20,000 Hospitalized Patients. Mayo Clin. Proc. 2020, 95, 1888–1897. [Google Scholar] [CrossRef]
  49. Simonovich, V.A.; Burgos Pratx, L.D.; Scibona, P.; Beruto, M.V.; Vallone, M.G.; Vázquez, C.; Savoy, N.; Giunta, D.H.; Pérez, L.G.; Sánchez, M.D.L.; et al. A Randomized Trial of Convalescent Plasma in COVID-19 Severe Pneumonia. N. Engl. J. Med. 2021, 384, 619–629. [Google Scholar] [CrossRef]
  50. Weinreich, D.M.; Sivapalasingam, S.; Norton, T.; Ali, S.; Gao, H.; Bhore, R.; Musser, B.J.; Soo, Y.; Rofail, D.; Im, J.; et al. REGN-COV2, a Neutralizing Antibody Cocktail, in Outpatients with COVID-19. N. Engl. J. Med. 2021, 384, 238–251. [Google Scholar] [CrossRef]
  51. Wong, S.K.; Li, W.; Moore, M.J.; Choe, H.; Farzan, M. A 193-Amino Acid Fragment of the SARS Coronavirus S Protein Efficiently Binds Angiotensin-Converting Enzyme 2. J. Biol. Chem. 2004, 279, 3197–3201. [Google Scholar] [CrossRef] [PubMed]
  52. Van den Brink, E.N.; Ter Meulen, J.; Cox, F.; Jongeneelen, M.A.C.; Thijsse, A.; Throsby, M.; Marissen, W.E.; Rood, P.M.L.; Bakker, A.B.H.; Gelderblom, H.R.; et al. Molecular and Biological Characterization of Human Monoclonal Antibodies Binding to the Spike and Nucleocapsid Proteins of Severe Acute Respiratory Syndrome Coronavirus. J. Virol. 2005, 79, 1635–1644. [Google Scholar] [CrossRef] [PubMed]
  53. Duan, J.; Yan, X.; Guo, X.; Cao, W.; Han, W.; Qi, C.; Feng, J.; Yang, D.; Gao, G.; Jin, G. A Human SARS-CoV Neutralizing Antibody against Epitope on S2 Protein. Biochem. Biophys. Res. Commun. 2005, 333, 186–193. [Google Scholar] [CrossRef] [PubMed]
  54. Jahanshahlu, L.; Rezaei, N. Monoclonal Antibody as a Potential Anti-COVID-19. Biomed. Pharmacother. 2020, 129, 110337. [Google Scholar] [CrossRef]
  55. Wang, C.; Li, W.; Drabek, D.; Okba, N.M.A.; van Haperen, R.; Osterhaus, A.D.M.E.; van Kuppeveld, F.J.M.; Haagmans, B.L.; Grosveld, F.; Bosch, B.-J. A Human Monoclonal Antibody Blocking SARS-CoV-2 Infection. Nat. Commun. 2020, 11, 2251. [Google Scholar] [CrossRef]
  56. Wu, Y.; Wang, F.; Shen, C.; Peng, W.; Li, D.; Zhao, C.; Li, Z.; Li, S.; Bi, Y.; Yang, Y.; et al. A Noncompeting Pair of Human Neutralizing Antibodies Block COVID-19 Virus Binding to Its Receptor ACE2. Science 2020, 368, 1274–1278. [Google Scholar] [CrossRef]
  57. Polack, F.P.; Thomas, S.J.; Kitchin, N.; Absalon, J.; Gurtman, A.; Lockhart, S.; Perez, J.L.; Pérez Marc, G.; Moreira, E.D.; Zerbini, C.; et al. Safety and Efficacy of the BNT162b2 MRNA COVID-19 Vaccine. N. Engl. J. Med. 2020, 383, 2603–2615. [Google Scholar] [CrossRef]
  58. Baden, L.R.; El Sahly, H.M.; Essink, B.; Kotloff, K.; Frey, S.; Novak, R.; Diemert, D.; Spector, S.A.; Rouphael, N.; Creech, C.B.; et al. Efficacy and Safety of the MRNA-1273 SARS-CoV-2 Vaccine. N. Engl. J. Med. 2021, 384, 403–416. [Google Scholar] [CrossRef]
  59. Sadoff, J.; Gray, G.; Vandebosch, A.; Cárdenas, V.; Shukarev, G.; Grinsztejn, B.; Goepfert, P.A.; Truyers, C.; Fennema, H.; Spiessens, B.; et al. Safety and Efficacy of Single-Dose Ad26.COV2.S Vaccine against COVID-19. N. Engl. J. Med. 2021, 384, 2187–2201. [Google Scholar] [CrossRef]
  60. Voysey, M.; Clemens, S.A.C.; Madhi, S.A.; Weckx, L.Y.; Folegatti, P.M.; Aley, P.K.; Angus, B.; Baillie, V.L.; Barnabas, S.L.; Bhorat, Q.E.; et al. Safety and Efficacy of the ChAdOx1 NCoV-19 Vaccine (AZD1222) against SARS-CoV-2: An Interim Analysis of Four Randomised Controlled Trials in Brazil, South Africa, and the UK. Lancet 2021, 397, 99–111. [Google Scholar] [CrossRef] [PubMed]
  61. Shinde, V.; Bhikha, S.; Hoosain, Z.; Archary, M.; Bhorat, Q.; Fairlie, L.; Lalloo, U.; Masilela, M.S.L.; Moodley, D.; Hanley, S.; et al. Efficacy of NVX-CoV2373 COVID-19 Vaccine against the B.1.351 Variant. N. Engl. J. Med. 2021, 384, 1899–1909. [Google Scholar] [CrossRef]
  62. Dunkle, L.M.; Kotloff, K.L.; Gay, C.L.; Áñez, G.; Adelglass, J.M.; Barrat Hernández, A.Q.; Harper, W.L.; Duncanson, D.M.; McArthur, M.A.; Florescu, D.F.; et al. Efficacy and Safety of NVX-CoV2373 in Adults in the United States and Mexico. N. Engl. J. Med. 2022, 386, 531–543. [Google Scholar] [CrossRef]
  63. Bordon, K.d.C.F.; Cologna, C.T.; Fornari-Baldo, E.C.; Pinheiro-Júnior, E.L.; Cerni, F.A.; Amorim, F.G.; Anjolette, F.A.P.; Cordeiro, F.A.; Wiezel, G.A.; Cardoso, I.A.; et al. From Animal Poisons and Venoms to Medicines: Achievements, Challenges and Perspectives in Drug Discovery. Front. Pharmacol. 2020, 11, 1132. [Google Scholar] [CrossRef]
  64. Cecilio, A.B.; Caldas, S.; Oliveira, R.A.D.; Santos, A.S.B.; Richardson, M.; Naumann, G.B.; Schneider, F.S.; Alvarenga, V.G.; Estevão-Costa, M.I.; Fuly, A.L.; et al. Molecular Characterization of Lys49 and Asp49 Phospholipases A2 from Snake Venom and Their Antiviral Activities against Dengue Virus. Toxins 2013, 5, 1780–1798. [Google Scholar] [CrossRef] [PubMed]
  65. Fenard, D.; Lambeau, G.; Valentin, E.; Lefebvre, J.C.; Lazdunski, M.; Doglio, A. Secreted Phospholipases A(2), a New Class of HIV Inhibitors That Block Virus Entry into Host Cells. J. Clin. Investig. 1999, 104, 611–618. [Google Scholar] [CrossRef] [PubMed]
  66. Li, Q.; Zhao, Z.; Zhou, D.; Chen, Y.; Hong, W.; Cao, L.; Yang, J.; Zhang, Y.; Shi, W.; Cao, Z.; et al. Virucidal Activity of a Scorpion Venom Peptide Variant Mucroporin-M1 against Measles, SARS-CoV and Influenza H5N1 Viruses. Peptides 2011, 32, 1518–1525. [Google Scholar] [CrossRef] [PubMed]
  67. Ogando, N.S.; Dalebout, T.J.; Zevenhoven-Dobbe, J.C.; Limpens, R.W.A.L.; van der Meer, Y.; Caly, L.; Druce, J.; de Vries, J.J.C.; Kikkert, M.; Bárcena, M.; et al. SARS-Coronavirus-2 Replication in Vero E6 Cells: Replication Kinetics, Rapid Adaptation and Cytopathology. J. Gen. Virol. 2020, 101, 925–940. [Google Scholar] [CrossRef] [PubMed]
  68. Ae, S.; Ma, S.; Ma, N.; Ds, K.; Sd, G.; Va, G.; Va, M.; Vg, S.; Av, O.; Scr, L.; et al. Snake Venom Phospholipase A 2 s Exhibit Strong Virucidal Activity against SARS-CoV-2 and Inhibit the Viral Spike Glycoprotein Interaction with ACE2. Cell. Mol. Life Sci. CMLS 2021, 78, 7777–7794. [Google Scholar] [CrossRef]
  69. Freire, M.C.L.C.; Noske, G.D.; Bitencourt, N.V.; Sanches, P.R.S.; Santos-Filho, N.A.; Gawriljuk, V.O.; de Souza, E.P.; Nogueira, V.H.R.; de Godoy, M.O.; Nakamura, A.M.; et al. Non-Toxic Dimeric Peptides Derived from the Bothropstoxin-I Are Potent SARS-CoV-2 and Papain-like Protease Inhibitors. Molecules 2021, 26, 4896. [Google Scholar] [CrossRef] [PubMed]
  70. Lin, F.; Reid, P.F.; Qin, Z.-H. Cobrotoxin Could Be an Effective Therapeutic for COVID-19. Acta Pharmacol. Sin. 2020, 41, 1258–1260. [Google Scholar] [CrossRef]
  71. Kasozi, K.I.; Niedbała, G.; Alqarni, M.; Zirintunda, G.; Ssempijja, F.; Musinguzi, S.P.; Usman, I.M.; Matama, K.; Hetta, H.F.; Mbiydzenyuy, N.E.; et al. Bee Venom—A Potential Complementary Medicine Candidate for SARS-CoV-2 Infections. Front. Public Health 2020, 8, 594458. [Google Scholar] [CrossRef]
  72. Block, J. High Risk COVID-19: Potential Intervention at Multiple Points in the COVID-19 Disease Process Via Prophylactic Treatment with Azithromycin or Bee Derived Products. Preprints 2020, 2020040013. [Google Scholar] [CrossRef]
  73. Enayathullah, M.G.; Parekh, Y.; Banu, S.; Ram, S.; Nagaraj, R.; Kumar, B.K.; Idris, M.M. Gramicidin S and Melittin: Potential Anti-Viral Therapeutic Peptides to Treat SARS-CoV-2 Infection. Sci. Rep. 2022, 12, 3446. [Google Scholar] [CrossRef] [PubMed]
  74. Pucca, M.B.; Cerni, F.A.; Oliveira, I.S.; Jenkins, T.P.; Argemí, L.; Sørensen, C.V.; Ahmadi, S.; Barbosa, J.E.; Laustsen, A.H. Bee Updated: Current Knowledge on Bee Venom and Bee Envenoming Therapy. Front. Immunol. 2019, 10, 2090. [Google Scholar] [CrossRef] [PubMed]
  75. Satpathy, R. In Silico Prediction of Anti–SARS-CoV-2 Effect of Dermaseptin Peptides from Amphibian Origin. Trends Pept. Protein Sci. 2020, 5, 1–9 (e6). [Google Scholar] [CrossRef]
  76. Mahnam, K.; Lotfi, M.; Shapoorabadi, F.A. Examining the Interactions Scorpion Venom Peptides (HP1090, Meucin-13, and Meucin-18) with the Receptor Binding Domain of the Coronavirus Spike Protein to Design a Mutated Therapeutic Peptide. J. Mol. Graph. Model. 2021, 107, 107952. [Google Scholar] [CrossRef]
  77. Alqathama, A.A.; Ahmad, R.; Alsaedi, R.B.; Alghamdi, R.A.; Abkar, E.H.; Alrehaly, R.H.; Abdalla, A.N. The Vital Role of Animal, Marine, and Microbial Natural Products against COVID-19. Pharm. Biol. 2022, 60, 509–524. [Google Scholar] [CrossRef]
  78. Chérifi, F.; Laraba-Djebari, F. Bioactive Molecules Derived from Snake Venoms with Therapeutic Potential for the Treatment of Thrombo-Cardiovascular Disorders Associated with COVID-19. Protein J. 2021, 40, 799–841. [Google Scholar] [CrossRef]
  79. Gouda, A.S.; Mégarbane, B. Snake Venom-derived Bradykinin-potentiating Peptides: A Promising Therapy for COVID-19? Drug Dev. Res. 2020, 82, 38–48. [Google Scholar] [CrossRef]
  80. Kalita, B.; Saviola, A.J.; Samuel, S.P.; Mukherjee, A.K. State-of-the-Art Review—A Review on Snake Venom-Derived Antithrombotics: Potential Therapeutics for COVID-19-Associated Thrombosis? Int. J. Biol. Macromol. 2021, 192, 1040–1057. [Google Scholar] [CrossRef]
  81. Kini, R.M. Anticoagulant Proteins from Snake Venoms: Structure, Function and Mechanism. Biochem. J. 2006, 397, 377–387. [Google Scholar] [CrossRef]
  82. Silva, M.C.; Lopes Silva, T.; Silva, M.V.; Mota, C.M.; Santiago, F.M.; Fonseca, K.C.; Oliveira, F.; Mineo, T.W.P.; Mineo, J.R. Interaction between TNF and BmooMP-Alpha-I, a Zinc Metalloprotease Derived from Bothrops moojeni Snake Venom, Promotes Direct Proteolysis of This Cytokine: Molecular Modeling and Docking at a Glance. Toxins 2016, 8, 223. [Google Scholar] [CrossRef]
  83. Hu, Y.; Meng, B.; Yin, S.; Yang, M.; Li, Y.; Liu, N.; Li, S.; Liu, Y.; Sun, D.; Wang, S.; et al. Scorpion Venom Peptide HsTx2 Suppressed PTZ-Induced Seizures in Mice via the Circ_0001293/MiR-8114/TGF-Β2 Axis. J. Neuroinflamm. 2022, 19, 284. [Google Scholar] [CrossRef]
  84. Tao, J.; Yin, S.; Song, Y.; Zeng, L.; Li, S.; Liu, N.; Sun, H.; Fu, Z.; Wang, Y.; Li, Y.; et al. Novel Scorpion Venom Peptide HsTx2 Ameliorates Cerebral Ischemic Brain Injury in Rats via the MAPK Signaling Pathway. Biochem. Biophys. Res. Commun. 2021, 534, 442–449. [Google Scholar] [CrossRef] [PubMed]
  85. Kocyigit, A.; Guler, E.M.; Kaleli, S. Anti-Inflammatory and Antioxidative Properties of Honey Bee Venom on Freund’s Complete Adjuvant-Induced Arthritis Model in Rats. Toxicon 2019, 161, 4–11. [Google Scholar] [CrossRef] [PubMed]
  86. Ruan, Y.; Yao, L.; Zhang, B.; Zhang, S.; Guo, J. Anti-Inflammatory Effects of Neurotoxin-Nna, a Peptide Separated from the Venom of Naja Naja Atra. BMC Complement. Altern. Med. 2013, 13, 86. [Google Scholar] [CrossRef] [PubMed]
  87. Wang, S.-Z.; He, H.; Han, R.; Zhu, J.-L.; Kou, J.-Q.; Ding, X.-L.; Qin, Z.-H. The Protective Effects of Cobra Venom from Naja Naja Atra on Acute and Chronic Nephropathy. Evid.-Based Complement. Altern. Med. 2013, 2013, e478049. [Google Scholar] [CrossRef]
  88. Zhu, J.; Cui, K.; Kou, J.; Wang, S.; Xu, Y.; Ding, Z.; Han, R.; Qin, Z. Naja Naja Atra Venom Protects against Manifestations of Systemic Lupus Erythematosus in MRL/Lpr Mice. Evid.-Based Complement. Altern. Med. 2014, 2014, e969482. [Google Scholar] [CrossRef]
  89. Avalo, Z.; Barrera, M.C.; Agudelo-Delgado, M.; Tobón, G.J.; Cañas, C.A. Biological Effects of Animal Venoms on the Human Immune System. Toxins 2022, 14, 344. [Google Scholar] [CrossRef]
Toxins 15 00159 g001 550
Figure 1. Cytokine storm. (1) Coronavirus infects lung cells. (2) The immune cells recognize the virus, are activated, and produce cytokines. (3) Cytokines attract more immune cells, which, in turn, produce more cytokines, creating a cycle of inflammation that damages the lung cells, resulting in (4) fibrin formation. (5) Fluid fills the lung cavities, leading to respiratory failure. Figure created with BioRender.com.
Figure 1. Cytokine storm. (1) Coronavirus infects lung cells. (2) The immune cells recognize the virus, are activated, and produce cytokines. (3) Cytokines attract more immune cells, which, in turn, produce more cytokines, creating a cycle of inflammation that damages the lung cells, resulting in (4) fibrin formation. (5) Fluid fills the lung cavities, leading to respiratory failure. Figure created with BioRender.com.
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Figure 2. Targets of venom-derived toxins during SARS-CoV-2 infection. (A) Virus inactivation or absorption/binding inhibition. During SARS-CoV-2 infection, the enveloped virus binds its spike glycoprotein (red) to ACE2 receptor (blue) from host cells. (B) Inhibition of cytokine storm. Neutrophils (green), macrophages (red), and T cells (blue) are activated and release pro-inflammatory cytokines, triggering a cytokine storm. The animals (bee, snake, scorpion, and frog) are placed according to their possibly therapeutic action. Figure created with BioRender.com.
Figure 2. Targets of venom-derived toxins during SARS-CoV-2 infection. (A) Virus inactivation or absorption/binding inhibition. During SARS-CoV-2 infection, the enveloped virus binds its spike glycoprotein (red) to ACE2 receptor (blue) from host cells. (B) Inhibition of cytokine storm. Neutrophils (green), macrophages (red), and T cells (blue) are activated and release pro-inflammatory cytokines, triggering a cytokine storm. The animals (bee, snake, scorpion, and frog) are placed according to their possibly therapeutic action. Figure created with BioRender.com.
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MDPI and ACS Style

Oliveira, I.; Ferreira, I.; Jacob, B.; Cardenas, K.; Cerni, F.; Baia-da-Silva, D.; Arantes, E.; Monteiro, W.; Pucca, M. Harnessing the Power of Venomous Animal-Derived Toxins against COVID-19. Toxins 2023, 15, 159. https://doi.org/10.3390/toxins15020159

AMA Style

Oliveira I, Ferreira I, Jacob B, Cardenas K, Cerni F, Baia-da-Silva D, Arantes E, Monteiro W, Pucca M. Harnessing the Power of Venomous Animal-Derived Toxins against COVID-19. Toxins. 2023; 15(2):159. https://doi.org/10.3390/toxins15020159

Chicago/Turabian Style

Oliveira, Isadora, Isabela Ferreira, Beatriz Jacob, Kiara Cardenas, Felipe Cerni, Djane Baia-da-Silva, Eliane Arantes, Wuelton Monteiro, and Manuela Pucca. 2023. "Harnessing the Power of Venomous Animal-Derived Toxins against COVID-19" Toxins 15, no. 2: 159. https://doi.org/10.3390/toxins15020159

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