| Literature DB >> 36090183 |
Manoj Kumar Sarangi1, Sasmita Padhi1, L D Patel2, Goutam Rath3, Sitansu Sekhar Nanda4, Dong Kee Yi4.
Abstract
The world has witnessed an extreme vulnerability of a pandemic during 2020; originated from China. The coronavirus disease 2019 (COVID-19) is infecting and beginning deaths in thousands to millions, creating of the global economic crisis. Biosurfactants (BSs) can carry the prevention, control and management of pandemic out through diverse approaches, such as pharmaceutical, therapeutic, hygienic and environmental. The microbiotas having virulent intrinsic properties towards starting as easily as spreading of diseases (huge morbidity and mortality) could be inhibited via BSs. Such elements could be recognised for their antimicrobial activity, capability to interact with the immune system via micelles formation and in nanoparticulate synthesis. However, they can be used for developing novel and more effective therapeutics, pharmaceuticals, non-toxic formulations, vaccines, and effective cleaning agents. Such approaches can be utilized for product development and implemented for managing and combating the pandemic conditions. This review emphasized on the potentiality of BSs as key components with several ways for protecting against unknown and known pathogens, including COVID-19.Entities:
Keywords: Antimicrobial; Antiviral; Biosurfactants; COVID-19; Drug delivery
Year: 2022 PMID: 36090183 PMCID: PMC9444339 DOI: 10.1016/j.jddst.2022.103764
Source DB: PubMed Journal: J Drug Deliv Sci Technol ISSN: 1773-2247 Impact factor: 5.062
Fig. 1aViral and host factors that influence the pathogenesis of SARS-CoV-2. Bats are the reservoir of a wide variety of coronaviruses, including severe acute respiratory syndrome coronavirus (SARS-CoV) -like viruses. SARS-CoV-2 may originate from bats or unknown intermediate hosts and cross the species barrier into humans. Virus-host interactions affect viral entry and replication. Upper panel: Viral factor. SARS-CoV-2 is an enveloped positive single-stranded RNA (ssRNA) coronavirus. Two-thirds of viral RNA, mainly located in the first open reading frame (ORF 1a/b), encodes 16 non-structure proteins (NSPs). The rest part of the virus genome encodes four essential structural proteins, including spike (S) glycoprotein, small envelope (E) protein, matrix (M) protein, and nucleocapsid (N) protein, and also several accessory proteins. S glycoprotein of SARS-CoV-2 binds to host cell receptors, angiotensin-converting enzyme 2 (ACE2), that is a critical step for virus entry. The possible molecules facilitated membrane invagination for SARS-CoV-2 endocytosis are still unclear. Other virus proteins may contribute to pathogenesis. Host factors (Lower panel) can also influence susceptibility to infection and disease progression. The elderly and people with underlying disease are susceptible to SARS-CoV-2 and tend to develop into critical conditions. RBD, receptor-binding domain; HR1, heptad repeats 1; HR2, heptad repeats 2 [3].
Fig. 1bSARS-COV-2 virus binding ACE2 and the renin-angiotensin system axis.
Fig. 1cSARS-CoV-2 life cycle showing binding, membrane fusion, translation/replication, and virion release. The image was reproduced with permission from Military Med Res (BMC, Springer Nature) & Cellular Signalling (Elsevier) Copyright 2020 [4].
Fig. 2dOverview of the available clinical, diagnostic and research strategies for the effective diagnosis of COVID-19 infection. The image was reproduced with permission from ACS Cent Sci (American Chemical Society) & Int J Mol Med Copyright 2021 [11,17].
Fig. 2bVarious supportive cares for treatment of COVID-19 patients.
Fig. 2aPotential pharmacological targets with select repurposed and investigational drugs in the life cycle of SARS-CoV-2.
Fig. 2cVaccine platforms and their ways of producing immunogen in cells. (A) Inactivated vaccine results in a broader spectrum of antigens when it is taken up and broken down by cells. (B) Protein-based vaccine produces a more focused response to a targeted antigen when it is taken up and processed into multiple epitopes by cells. (C) Viral vector vaccine delivers antigen-encoding DNA to cells and enhances the inflammatory response and immunity. (D) Nucleic acid vaccine enters cells and serves as the transcriptional/translational template for protein antigen synthesis.
Fig. 3Possible anti-viral activity of biosurfactants (BSs) on SARS-CoV-2: On SARS-CoV-2 infection, BSs act on viral structures (spike protein and lipid envelope) and ruptures the outer membrane and makes the virus inactive by targeting the genetic material. Once the viral structures are disrupted it forms as a micelle and engulfs the structural parts and breaks down the materials to make it inactive. The image was reproduced with permission from Current Opinion in Environmental Science & Health, Copyright 2020 (Elsevier) [65].
List of clinical trials using surfactant compounds as a therapeutic agent against respiratory diseases.
| S.No | Study | Intervention | Disease | Study | Description | Status | Country |
|---|---|---|---|---|---|---|---|
| 1 | Surfactant Administration Via Thin Catheter Using a Specially Adapted Video Laryngoscope. | Curosurf | RDS | 20 | Surfactant administration via thin catheter using a specially adapted VN scope | Active, not recruiting | Israel |
| 2 | Surfactant for Neonate with Acute Respiratory | Surfactant | ARDS | 200 | Surfactant combined with mechanical ventilation (MV) is given to the infant with ARDS | Recruiting | China |
| 3 | Aerosolized Surfactant in Neonatal RDS | Surfactant | RDS | 159 | Dose: 100 mg phospholipid/kg and 200 mg phospholipid/kg | Active, not recruiting | United States |
| 4 | Effects of Bolus Surfactant Therapy on Peripheral | Poractant alfa | RDS | 48 | Poractantalfa: 200 mg/kg for n = 15 or beractant: 100 mg/kg for n = 15 were administered in a consecutive randomized manner within the first 6 h of life | Completed | Turkey |
| 5 | First in Human Study on Synthetic Surfactant CHF | Synthetic surfactants | RDS | 40 | CHF5633 200 mg/kg synthetic surfactant sterile suspension in 3.0 mL glass vials with a total concentration of 80 mg/mL for intratracheal administration. Single administration | Completed | United Kingdom |
| 6 | Surfactant Via Endotracheal Tube vs. Laryngeal Mask Airway (LMA) in Preterm Neonates with Respiratory Distress Syndrome | Remifentanil | RDS | 130 | Additional premedication in the endotracheal intubation/INSURE arm | Recruiting | United States |
| 7 | A Multicenter, Randomized, Open Label Trial of a New Animal Extracted Surfactant to Treat RDS in Preterm Infants | Butantan | RDS | 327 | Butantan surfactant: 100 mg/kg, IT, maximum of 3 doses | Completed | Brazil |
| 8 | The Effect of Surfactant Dose on Outcomes in Preterm Infants with RDS | Surfactant | RDS | 2600 | Two doses: 100–130 mg/kg and 170–200 mg/kg | Recruiting | United Kingdom |
| 9 | Laryngeal Mask Airway (LMA) for Surfactant Administration in Neonates | Curosurf | RDS | 103 | – | Completed | United States |
| 10 | Very Early Surfactant and NCPAP for Premature Infants with RDS | Surfactant | RDS | 278 | – | Completed | Colombia |
| 11 | Surfactant Positive Airway Pressure and Pulse Oximetry Trial (SUPPORT) in Extremely Low Birth Weight Infants | Surfactant | RDS | 1316 | – | Completed | France |
| 12 | Exogenous Surfactant in Very Preterm Neonates Presenting with Severe Respiratory Distress in Prevention of Bronchopulmonary Dysplasia | Curosurf | RDS | 100 | 2.5 mL/kg instilled in the trachea | Active, not recruiting | France |
| 13 | Surfactant Application During Spontaneous Breathing with CPAP or During Mechanical Ventilation in the Therapy of IRDS in Premature Infants <27 Weeks | Curosurf | RDS | 213 | Conventional therapy with intubation, initiation of MV and surfactant application | Completed | Germany |
| 14 | Exosurf Neonatal and Survanta for Treatment of Respiratory Distress Syndrome | Exosurf | RDS | 617 | Infants received up to four intratracheal doses of the surfactant | Completed | United States |
| 15 | Pilot Trial of Surfactant Booster Prophylaxis for Ventilated Preterm Neonates Less than or Equal to 1250 gm Birthweight Ver 4.0 | Infasurf | RDS | 89 | Infasurf 3 cc/kg instilled via endotracheal tube, repeated 3 and 7 days later if infant stable | Completed | Philadelphia |
| 16 | Perfusion Index Variability in Preterm Infants Treated with Two Different Natural Surfactants for Respiratory Distress Syndrome | Beractant | RDS | 92 | Beractant; both initial and subsequent dosing are 100 mg/kg (4 mL/kg), which may be given every 6 h up to four total doses. | Completed | Turkey |
| 17 | Curosurf in Adult Acute Respiratory Distress | Poractant alfa | COVID-19 ARDS | 20 | – | Recruiting | France |
Respiratory distress syndrome (RDS), Acute respiratory distress syndrome (ARDS).
Fig. 4Anti-inflammatory role of biosurfactants (BSs) against COVID-19: The above image depicts the hypothetical role of BSs as anti-inflammatory agents against COVID-19. When the SARS-CoV-2 enters the cell, it binds to the ACE2 receptor following which the TMPRSS2 helps in the cleavage of S protein into S1 and S2 subunits. Subsequently, the viral replication gets initiated resulting into NF-kB pathway, which stimulates the release of cytokine storm. In this condition, providing the COVID-19 patients with BSs along with other drugs promises to suppress the production of NF-kB by triggering the hemeoxidase 1 and TH1 macrophages, which in turn would reduce the effect of cytokine storm and inflammation in the patients affected with COVID-19. The image was reproduced with permission from Current Opinion in Environmental Science & Health, Copyright 2020 (Elsevier) [65].
Fig. 5The mechanistic model of probiotics action against COVID-19. Probiotics induce a stronger epithelial barrier that prevents viral entry through the gut (i) Probiotics modulate gut microbiota and induce the synthesis of SCFAs that regulate blood pressure and inflammation. (ii) Probiotics also release ACE-inhibitory peptides that could reduce angiotensin II (Ang II) expression, thereby inhibiting viral entry into the cell. (iii) Probiotics induce anti-inflammation by supressing NF-κb signalling and reducing the levels of IL 1β, IL 18, NO and TNF. (iv) Bacteriocin as well as proinflammatory cytokines produced by the effects of probiotics modulate Th1, Th2, and Th17 cells. (v) Which in turn help in the production of more anti-inflammatory cytokines. (vi)The anti-inflammatory cytokines regulate monocytes, macrophages, dentritic cells and neutrophils. (vii) To down regulate SARS-CoV-2 infection mediated cytokine storm (viii) resulting in decreased total cholesterol, LDL, triglycerides, VEGF, EGF, PDGF, TNF and CRP level in the blood stream (ix) The reduced cytokine storm and inflammation exerted by probiotics cause the reduction in hyaluronan synthesis, which eventually could improve the ARDS condition in SARS-CoV-2 infection. The image was reproduced with permission from Probiotics and Antimicrobial Proteins. Copyright 2021 (Springer) [125].