151. Nano-curcumin therapy, a promising method in modulating inflammatory cytokines in COVID-19 patients
- Author
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Leila Roshangar, Samaneh Abdolmohammadi-Vahid, Mehmet Ziya Gencer, Sepehr Valizadeh, Ali Ammari, Armin Sadeghi, Saeed Aslani, Mahnaz Ghaebi, Svetlana Danshina, Hamed Valizadeh, Majid Ahmadi, and Abdolreza Esmaeilzadeh
- Subjects
Male ,0301 basic medicine ,CD80, cluster of differentiation 80 ,ARDS ,Th1, T-helper-1 ,MERS-CoV, middle east respiratory syndrome-CoV ,medicine.medical_treatment ,Cytokine storm ,chemistry.chemical_compound ,PCR, polymerase chain reaction ,0302 clinical medicine ,Nanotechnology ,Immunology and Allergy ,TLR, toll-like receptors ,Micelles ,COVID-19, Coronavirus disease 2019 ,IL-7, Interleukin_7 ,CD86, cluster of differentiation 86 ,IBD, inflammatory bowel disease ,biology ,ELISA, enzyme-linked immunosorbent assay ,Middle Aged ,ICU, intensive care unit ,PMA, phorbol myristate acetate ,mRNA, messenger RNA ,Cytokine ,IL-1β ,030220 oncology & carcinogenesis ,Cytokines ,G-CSF, granulocyte-colony stimulating factor ,Female ,IL-8, Interleukin-8 ,Adult ,Curcumin ,Immunology ,Article ,Nano-curcumin ,IL-18, Interleukin-18 ,MS, multiple sclerosis ,Proinflammatory cytokine ,cDNA, complementary DNA ,Young Adult ,03 medical and health sciences ,MCP-1, monocyte chemoattractant peptide ,ROS, reactive oxygen species ,Pharmacotherapy ,PBS, phosphate buffered saline ,Double-Blind Method ,medicine ,Humans ,RNA, Messenger ,IL-6, Interleukin-6 ,Interleukin 6 ,ARDS, acute respiratory distress syndrome ,IL-1β, Interleukin-1 β ,Aged ,PBMCs, peripheral blood mononuclear cells ,Pharmacology ,IL-6 ,SARS-CoV-2 ,business.industry ,TNF-α, tumor necrosis factor-alpha ,COVID-19 ,medicine.disease ,COVID-19 Drug Treatment ,Pneumonia ,030104 developmental biology ,chemistry ,SARS-CoV, severe acute respiratory syndrome-CoV ,biology.protein ,TMB, tetra methyl benzidine ,FCS, fetal calf serum ,business - Abstract
Background As an ongoing worldwide health issue, Coronavirus disease 2019 (COVID–19) has been causing serious complications, including pneumonia, acute respiratory distress syndrome (ARDS), and multi-organ failure. However, there is no decisive treatment approach available for this disorder, which is primarily attributed to the large amount of inflammatory cytokine production. We aimed to identify the effects of Nano-curcumin on the modulation of inflammatory cytokines in COVID-19 patients. Method Forty COVID-19 patients and 40 healthy controls were recruited and evaluated for inflammatory cytokine expression and secretion. Subsequently, COVID-19 patients were divided into two groups: 20 patients receiving Nano-curcumin and 20 patients as the placebo group. The mRNA expression and cytokine secretion levels of IL-1β, IL-6, TNF-α and IL‐18 were assessed by Real‐time PCR and ELISA, respectively. Result Our primary results indicated that the mRNA expression and cytokine secretion of IL-1β, IL-6, TNF-α, and IL-18 were increased significantly in COVID-19 patients compared with healthy control group. After treatment with Nano-curcumin, a significant decrease in IL-6 expression and secretion in serum and in supernatant (P = 0.0003, 0.0038, and 0.0001, respectively) and IL-1β gene expression and secretion level in serum and supernatant (P = 0.0017, 0.0082, and 0.0041, respectively) was observed. However, IL-18 mRNA expression and TNF-α concentration were not influenced by Nano-curcumin. Conclusion Nano-curcumin, as an anti-inflammatory herbal based agent, may be able to modulate the increased rate of inflammatory cytokines especially IL-1β and IL-6 mRNA expression and cytokine secretion in COVID-19 patients, which may cause an improvement in clinical manifestation and overall recovery.
- Published
- 2020
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