The Role of Anti-inflammatory/Antioxidant Intervention in COVID-19

A special issue of Antioxidants (ISSN 2076-3921). This special issue belongs to the section "Health Outcomes of Antioxidants and Oxidative Stress".

Deadline for manuscript submissions: closed (15 March 2022) | Viewed by 24509

Special Issue Editors


E-Mail
Guest Editor
Department of Life and Environmental Sciences, Università Politecnica delle Marche, via Brecce Bianche, 60131 Ancona, Italy
Interests: antioxidants; drug delivery; organic synthesis; liposomes; nanocomposites; dynamic light scattering
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Co-Guest Editor
Dipartimento di Scienze della Vita e dell'Ambiente, Universita Politecnica delle Marche, Ancona, Italy
Interests: computer aided drug design; molecular dynamics simulation of membrane receptors and lipid bilayers; rational drug design; bacterial efflux pumps' inhibitors; computational design of novel nanovectors for drug delivery
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Co-Guest Editor
Research Center c/o, University of Catania, Sooft Italia SpA, Catania, Italy
Interests: COVID-19; food supplements; antioxidants; antinflammatories; drug delivery; eye disease
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The single-stranded RNA SARS Coronavirus-2 (SARS-CoV-2) can cause in humans a wide range of clinical situations from the asymptomatic to respiratory, hepatic, gastrointestinal and neurologic damages that in some cases can lead to a fatal outcome. The major complication of severe SARS Cov-2 infection is the acute respiratory distress syndrome (ARDS) presenting with dyspnoea, hypoxemia and respiratory failure. This severe clinical picture is likely contributed by an excessive production of pro-inflammatory cytokines (cytokine storm syndrome) accompanied by enhanced oxidative stress.  This latter appears to play a critical role in disease progression and its severity by mechanisms involving adenine dinucleotide phosphate (NADPH) oxidase (NOX) activation, reduction of nitric oxide bioavailability and release of free Fe3+ ions into the blood stream.  Ferric ions can mediate the Fenton and Haber–Weiss reactions, generating highly reactive hydroxyl (OH-) free radicals, altering DNA, protein and lipid structures and function. An appropriate way to combat lipid peroxidation, ferroptosis and mitochondrial damage caused by SARS-CoV-2 infection is to enforce a tight control of redox homeostasis, which might be achieved through the use of specific anti-inflammatory and antioxidant compounds taken systemically, mainly via the oral route.  The beneficial effects of selected compounds (food supplements or drugs) are expected to work through either directly, scavenging free radicals, or indirectly through the interaction with nuclear factors such as the kappa-light-chain-enhancer of activated B cells (NFkB) and/or the erythroid 2-related factor (Nrf2), transcription factors regulating the expression of a wide array of genes involved in inflammation and antioxidant defence. In this Special Issue we invite researchers to provide original research or review articles showing how nutrients or other different drugs or interventions (is there a role for the lung or the gut microbiota?) can help to control oxidative stress and inflammatory processes triggered by the SARS Cov-2 infection.  Preclinical and clinical studies, beside computational reports addressing specific receptorial targets are all welcome.

Potential topics include, without being limited to, the following:

  • Natural extracts or drugs with anti-inflammatory/antioxidant properties.
  • Formulation and delivery of anti-inflammatory/antioxidant compounds aimed at improving their stability and bioavailability in order to potentiate their anti-CoV-2 activity.
  • Molecular dynamic/Computational studies to detect and explore the putative receptorial targets involved in the cascade of events controlling inflammation and oxidative stress.
  • Virtual screening addressing specific macromolecular targets in order to identify new lead compounds, potentially able to induce symptom’s relief and to influence disease progression. 

Prof. Dr. Giovanna Mobbili
Prof. Dr. Roberta Galeazzi
Dr. Dario Rusciano
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Antioxidants is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • SARS-CoV-2
  • Antioxidants
  • Oxidative stress
  • Reactive Oxygen Species (ROS)
  • Reactive Nitrogen Species (NOS)
  • Inflammation
  • Nutritional supplements

Published Papers (4 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

Jump to: Review

12 pages, 1414 KiB  
Article
The Efficacy of Antioxidant Oral Supplements on the Progression of COVID-19 in Non-Critically Ill Patients: A Randomized Controlled Trial
by Mahmoud M. A. Abulmeaty, Ghadeer S. Aljuraiban, Sumaya M. Shaikh, Naif E. ALEid, Lulwa R. Al Mazrou, Abdullah A. Turjoman, Mona S. Aldosari, Suhail Razak, Mervat M. El-Sayed, Tahani M. Areabi, Rokia M. Alsalafi, Yasser S. Al-Helio, Abdulrhman B. Almutairy and Haneen N. Molla
Antioxidants 2021, 10(5), 804; https://doi.org/10.3390/antiox10050804 - 19 May 2021
Cited by 12 | Viewed by 4371
Abstract
Modulation of cytokine production using immunonutrition is a relatively novel concept to improve outcomes among patients with SARS-CoV-2 infection and is now hypothesized to help manage COVID-19, however, clinical evidence is lacking. This prospective, double-blinded, randomized parallel-controlled interventional clinical trial investigated the effect [...] Read more.
Modulation of cytokine production using immunonutrition is a relatively novel concept to improve outcomes among patients with SARS-CoV-2 infection and is now hypothesized to help manage COVID-19, however, clinical evidence is lacking. This prospective, double-blinded, randomized parallel-controlled interventional clinical trial investigated the effect of antioxidant supplements on inflammatory cytokines and disease progression in non-critically ill patients. A total of 87 hospitalized COVID-19 patients were randomized using computer-generated-randomization into the supplement group (n = 18) and the placebo group (n = 16) for 10 days. Baseline and final nutritional screening via nutrition risk screening (NRS-2002) and subjective global assessment (SGA), as well as the recording of anthropometric, clinical, biochemical, and functional parameters, were done. Serum ferritin level, cytokine storm parameters such as interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), monocyte chemoattractant protein 1(MCP-1), C-reactive protein, total leukocyte count, lymphocytic count, and neutrophil-to-lymphocyte ratio were measured. Anthropometric and clinical parameters showed nonsignificant differences between groups. The hematology profile showed improvement in lymphocyte count in the supplement group. However, levels of alkaline phosphatase, IL-6, TNF-α, and MCP-1 were significantly lower in the supplement group. In conclusion, antioxidant oral supplementation significantly reduced the cytokine storm and led to partial improvements in clinical parameters among patients with non-critical COVID-19. Full article
(This article belongs to the Special Issue The Role of Anti-inflammatory/Antioxidant Intervention in COVID-19)
Show Figures

Figure 1

Review

Jump to: Research

27 pages, 1402 KiB  
Review
The Variable Nature of Vitamin C—Does It Help When Dealing with Coronavirus?
by Katarzyna Grudlewska-Buda, Natalia Wiktorczyk-Kapischke, Anna Budzyńska, Joanna Kwiecińska-Piróg, Jana Przekwas, Agnieszka Kijewska, Dominika Sabiniarz, Eugenia Gospodarek-Komkowska and Krzysztof Skowron
Antioxidants 2022, 11(7), 1247; https://doi.org/10.3390/antiox11071247 - 24 Jun 2022
Cited by 3 | Viewed by 2696
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is still spreading worldwide. For this reason, new treatment methods are constantly being researched. Consequently, new and already-known preparations are being investigated to potentially reduce the severe course of coronavirus disease 2019 (COVID-19). SARS-CoV-2 infection induces [...] Read more.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is still spreading worldwide. For this reason, new treatment methods are constantly being researched. Consequently, new and already-known preparations are being investigated to potentially reduce the severe course of coronavirus disease 2019 (COVID-19). SARS-CoV-2 infection induces the production of pro-inflammatory cytokines and acute serum biomarkers in the host organism. In addition to antiviral drugs, there are other substances being used in the treatment of COVID-19, e.g., those with antioxidant properties, such as vitamin C (VC). Exciting aspects of the use of VC in antiviral therapy are its antioxidant and pro-oxidative abilities. In this review, we summarized both the positive effects of using VC in treating infections caused by SARS-CoV-2 in the light of the available research. We have tried to answer the question as to whether the use of high doses of VC brings the expected benefits in the treatment of COVID-19 and whether such treatment is the correct therapeutic choice. Each case requires individual assessment to determine whether the positives outweigh the negatives, especially in the light of populational studies concerning the genetic differentiation of genes encoding the solute carriers responsible forVC adsorption. Few data are available on the influence of VC on the course of SARS-CoV-2 infection. Deducing from already-published data, high-dose intravenous vitamin C (HDIVC) does not significantly lower the mortality or length of hospitalization. However, some data prove, among other things, its impact on the serum levels of inflammatory markers. Finally, the non-positive effect of VC administration is mainly neutral, but the negative effect is that it can result in urinary stones or nephropathies. Full article
(This article belongs to the Special Issue The Role of Anti-inflammatory/Antioxidant Intervention in COVID-19)
Show Figures

Figure 1

19 pages, 1744 KiB  
Review
The Therapeutic and Prophylactic Potential of Quercetin against COVID-19: An Outlook on the Clinical Studies, Inventive Compositions, and Patent Literature
by Mohd Imran, Hamdy Khamees Thabet, Saleh I. Alaqel, Abdullah R. Alzahrani, Abida Abida, Mohammed Kanan Alshammari, Mehnaz Kamal, Anupama Diwan, Syed Mohammed Basheeruddin Asdaq and Sultan Alshehri
Antioxidants 2022, 11(5), 876; https://doi.org/10.3390/antiox11050876 - 29 Apr 2022
Cited by 32 | Viewed by 9306
Abstract
Quercetin is a phenolic flavonol compound with established antioxidant, anti-inflammatory, and immuno-stimulant properties. Recent studies demonstrate the potential of quercetin against COVID-19. This article highlighted the prophylactic/therapeutic potential of quercetin against COVID-19 in view of its clinical studies, inventions, and patents. The literature [...] Read more.
Quercetin is a phenolic flavonol compound with established antioxidant, anti-inflammatory, and immuno-stimulant properties. Recent studies demonstrate the potential of quercetin against COVID-19. This article highlighted the prophylactic/therapeutic potential of quercetin against COVID-19 in view of its clinical studies, inventions, and patents. The literature for the subject matter was collected utilizing different databases, including PubMed, Sci-Finder, Espacenet, Patentscope, and USPTO. Clinical studies expose the potential of quercetin monotherapy, and also its combination therapy with other compounds, including zinc, vitamin C, curcumin, vitamin D3, masitinib, hydroxychloroquine, azithromycin, and ivermectin. The patent literature also examines claims that quercetin containing nutraceuticals, pharmaceuticals, and dietary supplements, alone or in combination with other drugs/compounds, including favipiravir, remdesivir, molnupiravir, navitoclax, dasatinib, disulfiram, rucaparib, tamarixin, iota-carrageenan, and various herbal extracts (aloe, poria, rosemary, and sphagnum) has potential for use against COVID-19. The literature reveals that quercetin exhibits anti-COVID-19 activity because of its inhibitory effect on the expression of the human ACE2 receptors and the enzymes of SARS-CoV-2 (MPro, PLPro, and RdRp). The USFDA designated quercetin as a “Generally Recognized as Safe” substance for use in the food and beverage industries. It is also an inexpensive and readily available compound. These facts increase the possibility and foreseeability of making novel and economical drug combinations containing quercetin to prevent/treat COVID-19. Quercetin is an acidic compound and shows metabolic interaction with some antivirals, antibiotics, and anti-inflammatory agents. Therefore, the physicochemical and metabolic drug interactions between quercetin and the combined drugs/compounds must be better understood before developing new compositions. Full article
(This article belongs to the Special Issue The Role of Anti-inflammatory/Antioxidant Intervention in COVID-19)
Show Figures

Figure 1

33 pages, 6542 KiB  
Review
Resveratrol as an Adjunctive Therapy for Excessive Oxidative Stress in Aging COVID-19 Patients
by Min-Tser Liao, Chia-Chao Wu, Shu-Fang Vivienne Wu, Mei-Chen Lee, Wan-Chung Hu, Kuo-Wang Tsai, Chung-Hsiang Yang, Chien-Lin Lu, Sheng-Kang Chiu and Kuo-Cheng Lu
Antioxidants 2021, 10(9), 1440; https://doi.org/10.3390/antiox10091440 - 09 Sep 2021
Cited by 27 | Viewed by 6617
Abstract
The coronavirus disease 2019 (COVID-19) pandemic continues to burden healthcare systems worldwide. COVID-19 symptoms are highly heterogeneous, and the patient may be asymptomatic or may present with mild to severe or fatal symptoms. Factors, such as age, sex, and comorbidities, are key determinants [...] Read more.
The coronavirus disease 2019 (COVID-19) pandemic continues to burden healthcare systems worldwide. COVID-19 symptoms are highly heterogeneous, and the patient may be asymptomatic or may present with mild to severe or fatal symptoms. Factors, such as age, sex, and comorbidities, are key determinants of illness severity and progression. Aging is accompanied by multiple deficiencies in interferon production by dendritic cells or macrophages in response to viral infections, resulting in dysregulation of inflammatory immune responses and excess oxidative stress. Age-related dysregulation of immune function may cause a more obvious pathophysiological response to SARS-CoV-2 infection in elderly patients and may accelerate the risk of biological aging, even after recovery. For more favorable treatment outcomes, inhibiting viral replication and dampening inflammatory and oxidative responses before induction of an overt cytokine storm is crucial. Resveratrol is a potent antioxidant with antiviral activity. Herein, we describe the reasons for impaired interferon production, owing to aging, and the impact of aging on innate and adaptive immune responses to infection, which leads to inflammation distress and immunosuppression, thereby causing fulminant disease. Additionally, the molecular mechanism by which resveratrol could reverse a state of excessive basal inflammatory and oxidative stress and low antiviral immunity is discussed. Full article
(This article belongs to the Special Issue The Role of Anti-inflammatory/Antioxidant Intervention in COVID-19)
Show Figures

Figure 1

Back to TopTop