Early in the matriarchal society 4000 years ago, medical activities of the Yi nationality had been carried out for a long time [28]. The ancestors of Yi nationality accumulated an enormous wealth of medical knowledge, including acupuncture, medicinal wine, and herbs, which established a valuable foundation for further studies on the medicine of Chinese minorities [28]. Ethnomedicine research is essential to prevent future devastating pandemic emergencies [29].
Since 2019, the COVID-19 pandemic caused by SAS-CoV-2 has had a profound health impact worldwide [30]. Prediction of a near end of COVID-19 pandemic released by World Health Organization should be interpreted cautiously. Due to SARS-CoV-2 continuous mutation-evolve, limited durability of infection-acquired protection in individuals with hybrid immunity, and the effects of long COVID-19 or Post-COVID-19 syndrome, COVID-19 may keep on to be a global threat. Alternative therapeutics are incorporated into some countries’ health guidelines for COVID-19. Seeking effective and easily accessible natural products or compounds as alternative and supplementary medications for COVID-19 will probably help to decrease incidence, rate of hospitalization, disease severity, and mortality. Curcumin and resveratrol are the main bioactive compounds in turmeric and red grapes, respectively [31]. This study of cytotoxicity assays on Vero E6 cells demonstrated that the 50% cytotoxic concentration (CC50) of curcumin and resveratrol were 238.6 µM and 288.7 µM, respectively (Supplementary Fig. 1). Curcumin and resveratrol possess anti-inflammatory, antioxidant, anti-microbial, anti-viral, anti-cancer, anti-diabetes, and anti-hypertension abilities via influencing multiple signal pathways [32, 33]. Based on the enrichment analysis in this study, it can be speculated that curcumin, resveratrol, or curcumin + resveratrol may probably prevent and treat COVID-19 via affecting the transcription and biosynthesis of viral RNA, virus cell entry, inflammation, and oxidative stress (Supplementary Table 1–3). These predictions need to be confirmed by further experiments.
Spike glycoprotein of SARS-CoV-2, a structural protein encoded by gene S, can be cleaved into 3 chains (S1, S2, S2') in post-translational modifications [34, 35]. Spike glycoprotein is a homotrimer, and each monomer consists of a S1 (bulb) and a S2 (stalk) subunit [36], which resulting peplomers protruding from the virus surface as spikes [37]. Spike protein S1 binding to human angiotensin-converting enzyme 2 (ACE2) receptor will induce conformational changes in the spike glycoprotein and internalization of the virus into the endosomes of the host cell [38]. Spike protein S2 mediates the fusion of the virion and cellular membranes by acting as a class I viral fusion protein [39]. Spike protein S2', a viral fusion peptide, is unmasked following S2 cleavage occurring upon virus endocytosis[39]. In conclusion, specific binding of SARS-CoV-2 spike protein S1 to the host receptor ACE2 will promote viral-host cell membrane fusion, subsequently leading to endocytosis of the viral particle and release of the viral contents, allowing viral replication [40]. In silico studies indicated that curcumin, a significant inhibitor of Omicron S protein, can disrupt the Omicron S-hACE2 complex and form a stable structure with Omicron S in the physiological environment [41]. Molecular Docking simulations demonstrated that resveratrol could bind Spike, ACE2, and ACE2:Spike complex with good affinity [42]. This study ulteriorly confirmed that curcumin or resveratrol could notably inhibit SARS-CoV-2-S pseudotyped particles (P.P.) entry into Vero-E6 cells with the 50% inhibiting concentration as 18.02 and 8.76 µM and the selectivity index as 13.24 and 32.96, respectively (Fig. 1A and 1B, Supplementary Table 4). Notably, the combined treatment with curcumin (18.02 µM) and resveratrol (8.76 µM) could more significantly decrease SARS-CoV-2-S PP cell entry, compared with curcumin or resveratrol alone (Fig. 1C). Moreover, single or combined treatments with curcumin (18.02 µM) and resveratrol (8.76 µM) did not cause a significant decrease in cell viability of Vero E6 cells (Fig. 1D). These results prompted that single or combined treatments with curcumin and resveratrol could effectively suppress SARS-CoV-2 spike protein mediated-cell entry.
After SARS-CoV-2 entry and uncoating, the genomic RNA serves as a transcript to produce Replicase polyprotein (pp1ab) [43]. pp1ab, a multifunctional protein, involves the transcription and replication of viral RNAs and contains the proteinases responsible for polyprotein cleavage [43]. The polyproteins are cleaved by their proteases to yield 15 nonstructural proteins (nsp 1–15), including 3C-like proteinase (3CLpro) [44]. 3CLpro can cleave the C-terminus of pp1ab at 11 sites by an autocatalytic process to yield 12 mature nonstructural proteins, which is critical for coronavirus replication [45]. Moreover, 3CLpro can recognize substrates containing the core sequence [ILMVF]-Q-|-[SGACN], and is also able to bind an ADP-ribose-1''-phosphate (ADRP) [45]. Consequently, inhibiting the transcription and replication of SARS-CoV-2 viral RNAs mediated by 3CLpro is a target of anti-SARS-CoV-2 therapy. The molecular docking, molecular dynamics (M.D.) simulation, and binding energy calculations have confirmed curcumin as an effective inhibitor against SARS-CoV-2 3CLpro [46]. In-silico studies have proved that resveratrol could effectively bind SARS-CoV-2 3CLpro and inhibit activity [47]. This study further confirmed that curcumin or resveratrol could markedly inhibit the activity of SARS-CoV-2 3CLpro with the 50% inhibiting concentration at 10.98 and 15.90 µM and the selectivity index of 21.73 and 18.16, respectively (Fig. 2A and 2B, Supplementary Table 5). Notably, the combined treatment with curcumin (10.98 µM) and resveratrol (15.90 µM) could more markedly decrease the activity of SARS-CoV-2 3CLpro, compared to curcumin or resveratrol alone (Fig. 2C). Furthermore, single or combined treatments with curcumin (10.98 µM) and resveratrol (15.90 µM) did not induce noticeable reduction in cell viability of Vero E6 cells (Fig. 2D). These results pointed out that single or combined treatments with curcumin and resveratrol could effectively inhibit the activity of SARS-CoV-2 3CLpro.
SARS-CoV-2 spike protein could mediate MAPK and NF-kB activation and inflammatory cytokine production in human host cells [48]. Especially, TLR4 is most likely to be involved in recognizing molecular patterns of SARS-CoV-2 to induce inflammatory responses [49]. After SARS-CoV-2 infection, the host's inflammatory cytokine storm may often be initiated by an uncontrolled immune response [50]. Cytokine storms would trigger damage to host cells through the immune system and are associated with disease severity, leading to multiple organ failure or death [51]. This research testified that spike protein could significantly induce the cytokine storm by mediating the over-activation of NFKB in HEK293T-hACE2 cells in a concentration-dependent manner (Supplementary Fig. 2). Previous in vivo researches demonstrated that curcumin and resveratrol could effectively alleviate acute lung injury through inhibiting the pathway of NFKB [52, 53]. In-vitro studies indicated that curcumin and resveratrol could ameliorate LPS-induced cytokine storm via suppressing over-activation of NFKB [54, 55]. This study proved that single or combined treatments with curcumin or resveratrol could markedly improve the cytokine storm via inhibiting over-activation of NFKB mediated by spike protein, and combined treatment showed a better effect than alone treatment (Fig. 3 and Fig. 4). These results hinted that single or combined treatments with curcumin or resveratrol could effectively ameliorate the exaggerated inflammatory responses via suppressing the over-activation of NFKB mediated by SARS-CoV-2 spike protein.
SARS-CoV-2 spike protein would also mediate an imbalance between oxidation and antioxidation systems, thus triggering oxidative stress [56]. Initially, SARS-CoV-2 spike protein would up-regulate intracellular ROS levels, probably induced by phagocytosis/endocytosis, the subsequent upregulation of inflammatory cytokine expression, and the activation of nicotinamide adenine dinucleotide phosphate oxidase2 (NOX2) [57–59]. Meanwhile, molecular docking analysis indicated that SARS-CoV-2 spike protein could strongly interact with the active sites of SOD and CAT, leading to enzymatic dysfunction [60]. Ultimately, SARS-COV-2 infection triggered a severe imbalance between oxidation and antioxidation systems. The development of oxidative stress contributes to the cytopathologic process initiated by SARS-CoV-2, including cell death, activation of the innate immune response, and secretion of inflammatory cytokines [61]. Therefore, improving oxidative stress caused by redox status imbalance is an effective treatment for COVID-19 to prevent progressing to more severe stages. This study attested that spike protein could remarkably mediate the reduction of the activities of SOD and CAT and the increase in MDA and ROS production in a concentration-dependent manner (Supplementary Fig. 3), which suggested that spike protein-mediated an imbalance between oxidation and antioxidation systems, thus triggered oxidative stress. Previous studies indicated that curcumin and resveratrol could effectively attenuate oxidative stress via scavenging ROS and regulating multiple signal pathways [62]. This study attested that single or combined treatments with curcumin or resveratrol could significantly improve spike protein-mediated oxidative stress via scavenging ROS and enhancing the activity of SOD and CAT, and the combined treatment showed a better effect than alone treatment (Fig. 5 and Supplementary Fig. 4). It suggested that single or combined treatments with curcumin or resveratrol could effectively ameliorate spike protein-mediated oxidative stress through scavenging ROS and enhancing the function of antioxidation system.