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Existing bitter medicines for fighting 2019-nCoV-associated infectious diseases
Xiangqi Li1, Chaobao Zhang2, Lianyong Liu3
1Department of Endocrinology, Shanghai Gongli Hospital, The Second Military Medical University, Shanghai, China.
Abstract:
The sudden outbreak of COVID-19 has led to more than seven thousand deaths. Unfortunately, there are no specific drugs available to cure this disease. Type 2 taste receptors (TAS2Rs) may play an important role in host defense mechanisms. Based on the idea of host-directed therapy (HDT), we performed a negative co-expression analysis using big data of 60 000 Affymetrix expression arrays and 5000 TCGA data sets to determine the functions of TAS2R10, which can be activated by numerous bitter substances. Excitingly, we found that the main functions of TAS2R10 involved controlling infectious diseases caused by bacteria, viruses, and parasites, suggesting that TAS2R10 is a key trigger of host defense pathways. To quickly guide the clinical treatment of 2019-nCoV, we searched currently available drugs that are agonists of TAS2Rs. We identified many cheap, available, and safe medicines, such as diphenidol, quinine, chloroquine, artemisinin, chlorpheniramine, yohimbine, and dextromethorphan, which may target the most common symptoms caused by 2019-nCoV. We suggest that a cocktail-like recipe of existing bitter drugs may help doctors to fight this catastrophic disease and that the general public may drink or eat bitter substances, such as coffee, tea, or bitter vegetables, to reduce the risk of infection.
Insights
Type 2 taste receptors (TAS2Rs) activate host defense pathways against infectious diseases. Bitter drugs targeting TAS2Rs may offer a novel treatment strategy for COVID-19 (2019-nCoV) and other viral infections.
Area of Science:
- Pharmacology
- Immunology
- Virology
Background:
- The COVID-19 pandemic caused significant mortality with no specific antiviral treatments.
- Type 2 taste receptors (TAS2Rs) are implicated in host defense mechanisms.
- Host-directed therapy (HDT) offers a promising approach to combat infectious diseases.
Purpose of the Study:
- To investigate the function of TAS2R10 in host defense pathways.
- To identify existing drugs that activate TAS2Rs for potential COVID-19 treatment.
Main Methods:
- Negative co-expression analysis utilizing big data from 60,000 Affymetrix expression arrays and 5,000 TCGA datasets.
- Screening of available drugs for TAS2R agonistic activity.
Main Results:
- TAS2R10 activation is linked to controlling bacterial, viral, and parasitic infections, highlighting its role in host defense.
- Identified several safe, affordable, and readily available drugs (e.g., diphenidol, quinine, chloroquine) as potential TAS2R agonists.
- These drugs may target common symptoms associated with 2019-nCoV infection.
Conclusions:
- TAS2R10 serves as a key regulator of host defense pathways against a range of pathogens.
- A combination therapy using existing bitter drugs could be a viable strategy against COVID-19.
- Consumption of bitter substances may offer a preventative measure against viral infections.
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