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COVID-19: A Case for Inhibiting NLRP3 Inflammasome, Suppression of Inflammation with Curcumin?

Journal

BASIC & CLINICAL PHARMACOLOGY & TOXICOLOGY
Volume 128, Issue 1, Pages 37-45

Publisher

WILEY
DOI: 10.1111/bcpt.13503

Keywords

acute lung injury; acute respiratory distress syndrome; COVID-19; Curcumin; inflammasome; inflammation; NLRP3; SARS-CoV-2

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Curcumin, the active ingredient in turmeric, exhibits anti-inflammatory and anti-inflammasome properties, making it a potential candidate for the treatment of COVID-19 infection due to its regulation of intracellular signaling pathways involved in inflammation.
Curcumin is the effective ingredient of turmeric, sometimes used as a painkiller in traditional medicine. It has extensive biological properties such as anti-inflammatory and antioxidant activities. SARS-CoV-2 is a betacoronavirus developing severe pneumonitis. Inflammasome is one of the most important components of innate immunity, which exacerbates inflammation by increasing IL-1 beta and IL-18 production. Studies on viral infections have shown overactivity of inflammasome and thus the occurrence of destructive and systemic inflammation in patients. NLRP3 inflammasome has been shown to play a key role in the pathogenesis of viral diseases. The proliferation of SARS-CoV-2 in a wide range of cells can be combined with numerous observations of direct and indirect activation of inflammasome by other coronaviruses. Activation of the inflammasome is likely to be involved in the formation of cytokine storm. Curcumin regulates several molecules in the intracellular signal transduction pathways involved in inflammation, including IBB, NF-kBERK1,2, AP-1, TGF-beta, TXNIP, STAT3, PPAR gamma, JAK2-STAT3, NLRP3, p38MAPK, Nrf2, Notch-1, AMPK, TLR-4 and MyD-88. Due to anti-inflammatory and anti-inflammasome properties without any special side effects, curcumin can potentially play a role in the treatment of COVID-19 infection along with other drug regimens.

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