Elsevier

Phytomedicine

Volume 91, October 2021, 153704
Phytomedicine

Original Article
Effect of dihydromyricetin on SARS-CoV-2 viral replication and pulmonary inflammation and fibrosis

https://doi.org/10.1016/j.phymed.2021.153704Get rights and content

  • Dihydromyricetin could inhibit SARS-CoV-2 viral replication and BLM-induced pulmonary inflammation and fibrosis.

  • Dihydromyricetin inhibit SARS-CoV-2 viral replication via targeting Mpro.

  • Dihydromyricetin attenuated pulmonary inflammation by inhibiting the infiltration of inflammatory cells and the secretion of inflammatory cytokines and ameliorate pulmonary fibrosis via TGF-β1/Smad signaling pathways.

  • Dihydromyricetin may be a potential drug for anti-virus and symptomatic treatment of COVID-19.

Abstract

Background

COVID-19 (Coronavirus Disease-2019) has spread widely around the world and impacted human health for millions. The lack of effective targeted drugs and vaccines forces scientific world to search for new effective antiviral therapeutic drugs. It has reported that flavonoids have potential inhibitory activity on SARS-CoV-2 Mpro and anti-inflammatory properties. Dihydromyricetin, as a flavonol, also has antiviral and anti-inflammatory potential. However, the inhibition of dihydromyricetin on SARS-CoV-2 Mpro and the protective effect of dihydromyricetin on pulmonary inflammation and fibrosis have not been proved and explained.

Purpose

The coronavirus main protease (Mpro) is essential for SARS-CoV-2 replication and to be recognized as an attractive drug target, we expect to find the inhibitor of Mpro. Novel coronavirus infection can cause severe inflammation and even sequelae of pulmonary fibrosis in critically ill patients. We hope to find a drug that can not only inhibit virus replication but also alleviate inflammation and pulmonary fibrosis in patients.

Methods

FRET-based enzymatic assay was used to evaluate the inhibit activity of dihydromyricetin on SARS-CoV-2 Mpro. Molecular docking was used to identify the binding pose of dihydromyricetin with SARS-CoV-2 Mpro. The protective effects of dihydromyricetin against BLM-induced pulmonary inflammation and fibrosis were investigated in C57BL6 mice. BALF and lung tissue were collected for inflammation cells count, ELISA, masson and HE staining, western blotting and immunohistochemistry to analyze the effects of dihydromyricetin on pulmonary inflammation and fibrosis. MTT, western blotting, reverse transcription-polymerase chain reaction (RT-PCR) and wound healing were used to analyze the effects of dihydromyricetin on lung fibrosis mechanisms in Mlg cells.

Results

In this study, we found that dihydromyricetin is a potent inhibitor targeting the SARS-CoV-2 Mpro with a half-maximum inhibitory concentration (IC50) of 1.716 ± 0.419 μM, using molecular docking and the FRET-based enzymatic assay. The binding pose of dihydromyricetin with SARS-CoV-2 Mpro was identified using molecular docking method. In the binding pocket of SARS-CoV-2 Mpro, the dihydrochromone ring of dihydromyricetin interact with the imidazole side chain of His163 through π-π stacking. The 1-oxygen of dihydromyricetin forms a hydrogen bond with the backbone nitrogen of Glu166. The 3-, 7-, 3’- and 4’-hydroxyl of dihydromyricetin interact with Gln189, Leu141, Arg188 and Thr190 through hydrogen bonds. Moreover, our results showed that dihydromyricetin can significantly alleviate BLM-induced pulmonary inflammation by inhibiting the infiltration of inflammation cells and the secretion of inflammation factors in the early process and also ameliorate pulmonary fibrosis by improving pulmonary function and down-regulate the expression of α-SMA and fibronectin in vivo. Our results also showed that dihydromyricetin inhibits the migration and activation of myofibroblasts and extracellular matrix production via transforming growth factor (TGF)-β1/Smad signaling pathways.

Conclusion

Dihydromyricetin is an effective inhibitor for SARS-CoV-2 Mpro and it prevents BLM-induced pulmonary inflammation and fibrosis in mice. Dihydromyricetin will be a potential medicine for the treatment of COVID-19 and its sequelae.

Keywords

COVID-19
SARS-CoV-2 Mpro
Dihydromyricetin
Pulmonary inflammation
Pulmonary fibrosis

Abbreviations

α-SMA
α-smooth muscle actin
BLM
bleomycin
COVID-19
coronavirus disease 2019
Col Ⅰ
Collagen-Ⅰ
Cydn
dynamic compliance
DHM
Dihydromyricetin
ECM
extracellular matrix
Fn
fibronectin
FRET
fluorescence resonance energy transfer
FVC
forced vital capacity
IL-1β
interleukin-1β
IL-6
interleukin-6
Mlg
mouse lung fibroblasts
Mpro
main protease
Re
expiratory resistance
Ri
inspiratory resistance
SARS-CoV-2
Severe Acute Respiratory Syndrome coronavirus 2
TGF-β
transform growth factor-β
TNF-α
tumor necrosis factor-α

Cited by (0)

1

These authors contributed equally to this work.

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