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Recuperative herbal formula Jing Si maintains vasculature permeability balance, regulates inflammation and assuages concomitants of “Long-Covid” - 23/05/23

Doi : 10.1016/j.biopha.2023.114752 
Chien-Yi Chiang a, 1, Yu-Jung Lin a, 1, Wen-Tsan Weng a, 1, Heng-Dao Lin a, Cheng-You Lu a, b, Wan-Jing Chen a, Cheng Yen Shih c, d, Pi-Yu Lin c, Shinn-Zong Lin d, e, f, Tsung-Jung Ho g, h, i, Marthandam Asokan Shibu j, , Chih-Yang Huang a, k, l, m, n,
a Cardiovascular and Mitochondrial Related Disease Research Center, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, Taiwan 
b Department of Post Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung 40227, Taiwan 
c Buddhist Compassion Relief Tzu Chi Foundation, Hualien 970, Taiwan 
d Buddhist Tzu Chi Foundation Hospital, Hualien 97002, Tawian 
e Bioinnovation Center, Buddhist Tzu Chi Medical Foundation, Hualien 970, Taiwan 
f Department of Neurosurgery, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, Taiwan 
g Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien, Taiwan 
h School of Post-Baccalaure-ate Chinese Medicine, College of Medicine, Tzu Chi University, Hualien 97004,Taiwan 
i Integration Center of Traditional Chinese and Modern Medicine, HualienTzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 97002, Taiwan 
j Department of Biotechnology, Bharathiar University, Coimbatore 641046, India 
k Graduate Institute of Biomedical Sciences, China Medical University, Taichung 404, Taiwan 
l Department of Biological Science and Technology, Asia University, Taichung 413, Taiwan 
m Center of General Education, Buddhist Tzu Chi Medical Foundation, Tzu Chi University of Science and Technology, Hualien 970, Taiwan 
n Department of Medical Research, China Medical University Hospital, China Medical University, Taichung 404, Taiwan 

Corresponding author.⁎⁎Correspondence to: Cardiovascular and Mitochondria related diseases research center, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University of Science and Technology, Hualien 2032295, Taiwan.Cardiovascular and Mitochondria related diseases research center, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University of Science and TechnologyHualien2032295Taiwan

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Abstract

Coronavirus disease 2019 (COVID-19) is a worldwide health threat that has long-term effects on the patients and there is currently no efficient cure prescribed for the treatment and the prolonging effects. Traditional Chinese medicines (TCMs) have been reported to exert therapeutic effect against COVID-19. In this study, the therapeutic effects of Jing Si herbal tea (JSHT) against COVID-19 infection and associated long-term effects were evaluated in different in vitro and in vivo models. The anti-inflammatory effects of JSHT were studied in lipopolysaccharide (LPS)-stimulated RAW 264.7 cells and in Omicron pseudotyped virus-induced acute lung injury model. The effect of JSHT on cellular stress was determined in HK-2 proximal tubular cells and H9c2 cardiomyoblasts. The therapeutic benefits of JSHT on anhedonia and depression symptoms associated with long COVID were evaluated in mice models for unpredictable chronic mild stress (UCMS). JSHT inhibited the NF-ƙB activities, and significantly reduced LPS-induced expression of TNFα, COX-2, NLRP3 inflammasome, and HMGB1. JSHT was also found to significantly suppress the production of NO by reducing iNOS expression in LPS-stimulated RAW 264.7 cells. Further, the protective effects of JSHT on lung tissue were confirmed based on mitigation of lung injury, repression in TMRRSS2 and HMGB-1 expression and reduction of cytokine storm in the Omicron pseudotyped virus-induced acute lung injury model. JSHT treatment in UCMS models also relieved chronic stress and combated depression symptoms. The results therefore show that JSHT attenuates the cytokine storm by repressing NF-κB cascades and provides the protective functions against symptoms associated with long COVID-19 infection.

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Keywords : Decoction, Respiratory disease, NF-ƙB, Cytokine storm, Acute lung injury, Severe COVID


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Vol 163

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