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The Nrf2 Activator (DMF) and Covid-19: Is there a Possible Role?
Saif M Hassan1, Mahmood J Jawad1, Salam W Ahjel1
1Department of Pharmacy, of Al-Zahrawi University College, Karbala, Iraq.
Introduction:
COVID-19 is a new viral illness that can affect the lungs and airways with lethal consequences leading to the death of the patients. The ACE2 receptors were widely disturbed among body tissues such as lung, kidney, small intestine, heart, and others in different percent and considered a target for the nCOVID-19 virus. S-protein of the virus was binding to ACE2 receptors caused downregulation of endogenous anti-viral mediators, upregulation of NF-κB pathway, ROS and pro-apoptotic protein. Nrf2 was a transcription factor that's play a role in generation of anti-oxidant enzymes.
Aim:
To describe and establish role of Nrf2 activators for treatment COVID-19 positive patients.
Methods:
We used method of analysis of the published papers with described studies about COVID-19 connected with pharmacological issues and aspects which are included in global fighting against COVID-19 infection, and how using DMF (Nrf2 activator) in clinical trial for nCOVID-19 produce positive effects in patients for reduce lung alveolar cells damage.
Results:
we are found that Nrf2 activators an important medication that's have a role in reduce viral pathogenesis via inhibit virus entry through induce SPLI gene expression as well as inhibit TRMPSS2, upregulation of ACE2 that's make a competition with the virus on binding site, induce gene expression of anti-viral mediators such as RIG-1 and INFs, induce anti-oxidant enzymes, also they have a role in inhibit NF-κB pathway, inhibit both apoptosis proteins and gene expression of TLRs.
Conclusion:
We are concluded that use DMF (Nrf2 activator) in clinical trial for nCOVID-19 positive patients to reduce lung alveolar cells damage.
Insights
Nrf2 activators, like DMF, show promise in treating COVID-19 by reducing lung damage. These compounds help inhibit viral entry and boost antioxidant defenses, offering a potential therapeutic strategy for patients.
Area of Science:
- Molecular Biology
- Virology
- Pharmacology
Background:
- COVID-19, a severe respiratory illness, targets ACE2 receptors in various tissues.
- Viral S-protein binding to ACE2 disrupts antiviral mediators and activates inflammatory pathways.
- Nrf2 is a transcription factor crucial for generating antioxidant enzymes.
Purpose of the Study:
- To investigate the therapeutic potential of Nrf2 activators in treating COVID-19 patients.
- To establish the role of Nrf2 activators in mitigating lung alveolar cell damage.
Main Methods:
- Systematic analysis of published research on COVID-19 and its pharmacological aspects.
- Review of clinical trial data involving Nrf2 activators, specifically DMF, in COVID-19 patients.
Main Results:
- Nrf2 activators reduce viral pathogenesis by inhibiting viral entry (e.g., suppressing TMPRSS2).
- They upregulate ACE2, creating competitive binding sites for the virus, and induce antiviral mediators (RIG-1, INFs).
- Nrf2 activators inhibit inflammatory pathways (NF-κB), apoptosis, and TLR gene expression while boosting antioxidant enzymes.
Conclusions:
- Nrf2 activators, such as DMF, demonstrate efficacy in reducing lung alveolar cell damage in COVID-19 patients.
- These findings support the use of Nrf2 activators as a therapeutic strategy against COVID-19.
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