Evidence map›Paper›PMID 36064077›Full record

ArticlePharmacological research2022

Targeting spike protein-induced TLR/NET axis by COVID-19 therapeutic NRICM102 ameliorates pulmonary embolism and fibrosis.

Wen-Chi Wei, Chia-Ching Liaw, Keng-Chang Tsai, Chun-Tang Chiou, Yu-Hwei Tseng, Wen-Fei Chiou, Yu-Chi Lin, Chia-I Tsai, Chen-Shien Lin, Chen-Sung Lin and 4 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Pharmacological research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07583992 (Multicenter Phase II Trial of NRICM102 Combined With Standard Therapy in Pneumonia), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.2field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07583992 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Multicenter Phase II Trial of NRICM102 Combined With Standard Therapy in Pneumonia

TypeinterventionalSponsorNational Research Institute of Chinese Medicine, Ministry of Health and WelfareRan2026 to 2027Enrolled150ConditionsMild to Moderate, Community-Acquired Pneumonia (CAP), Antibiotic Therapy, IntravenousArmsNRICM102, Placebo, Intravenous Antibiotic
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 26 citations in OpenAlex.

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  15. Fibrinolytic system and COVID-19: From an innovative view of epithelial ion transport.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2023
    Review
  16. How Taiwan has responded to COVID-19 and how COVID-19 has affected Taiwan, 2020-2022.Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 2 countries.

Wen-Chi WeiNational Research Institute of Chinese Medicine, Ministry of Health and Welfare, Taipei 112026, Taiwan.
Chia-Ching LiawNational Research Institute of Chinese Medicine, Ministry of Health and Welfare, Taipei 112026, Taiwan; Department of Biochemical Science and Technology, National Chiayi University, Chiayi 600355, Taiwan.
Keng-Chang TsaiNational Research Institute of Chinese Medicine, Ministry of Health and Welfare, Taipei 112026, Taiwan; Ph.D. Program in Medical Biotechnology, College of Medical Science and Technology, Taipei Medical University, Taipei 110301, Taiwan.
Chun-Tang ChiouNational Research Institute of Chinese Medicine, Ministry of Health and Welfare, Taipei 112026, Taiwan.
Yu-Hwei TsengNational Research Institute of Chinese Medicine, Ministry of Health and Welfare, Taipei 112026, Taiwan.
Wen-Fei ChiouNational Research Institute of Chinese Medicine, Ministry of Health and Welfare, Taipei 112026, Taiwan.
Yu-Chi LinNational Research Institute of Chinese Medicine, Ministry of Health and Welfare, Taipei 112026, Taiwan.
Chia-I TsaiDepartment of Traditional Chinese Medicine, Taichung Veterans General Hospital, Taichung 407204, Taiwan.
Chen-Shien LinDepartment of Chinese Medicine, Taipei Hospital, Ministry of Health and Welfare, New Taipei City 424033, Taiwan.
Chen-Sung LinDivision of Thoracic Surgery, Department of Surgery, Taipei Hospital, Ministry of Health and Welfare, New Taipei City 424033, Taiwan.
Kuo-Tong LiouNational Research Institute of Chinese Medicine, Ministry of Health and Welfare, Taipei 112026, Taiwan.
I-Shing YuLaboratory Animal Center, College of Medicine, National Taiwan University, Taipei 100233, Taiwan.
Yuh-Chiang ShenNational Research Institute of Chinese Medicine, Ministry of Health and Welfare, Taipei 112026, Taiwan. Electronic address: yuhcs@nricm.edu.tw.
Yi-Chang SuNational Research Institute of Chinese Medicine, Ministry of Health and Welfare, Taipei 112026, Taiwan. Electronic address: sychang@nricm.edu.tw.
National Research Institute of Chinese Medicine · TWMinistry of Health and Welfare · TWTaipei City Government · TWNational Taiwan University · TWPharmaceutical Biotechnology (Czechia) · CZTaichung Veterans General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The global COVID-19 pandemic remains a critical public health threat, as existing vaccines and drugs appear insufficient to halt the rapid transmission. During an outbreak from May to August 2021 in Taiwan, patients with severe COVID-19 were administered NRICM102, which was a traditional Chinese medicine (TCM) formula developed based on its predecessor NRICM101 approved for treating mild cases. This study aimed to explore the mechanism of NRICM102 in ameliorating severe COVID-19-related embolic and fibrotic pulmonary injury. NRICM102 was found to disrupt spike protein/ACE2 interaction, 3CL protease activity, reduce activation of neutrophils, monocytes and expression of cytokines (TNF-α, IL-1β, IL-6, IL-8), chemokines (MCP-1, MIP-1, RANTES) and proinflammatory receptor (TLR4). NRICM102 also inhibited the spread of virus and progression to embolic and fibrotic pulmonary injury through reducing prothrombotic (vWF, PAI-1, NET) and fibrotic (c-Kit, SCF) factors, and reducing alveolar type I (AT1) and type II (AT2) cell apoptosis. NRICM102 may exhibit its protective capability via regulation of TLRs, JAK/STAT, PI3K/AKT, and NET signaling pathways. The study demonstrates the ability of NRICM102 to ameliorate severe COVID-19-related embolic and fibrotic pulmonary injury in vitro and in vivo and elucidates the underlying mechanisms.

Indexed as

COVID-19 Drug TreatmentLung InjuryPulmonary EmbolismAngiotensin-Converting Enzyme 2Chemokine CCL5CytokinesFibrosisHumansInterleukin-6Interleukin-8PandemicsPhosphatidylinositol 3-KinasesPlasminogen Activator Inhibitor 1Proto-Oncogene Proteins c-aktSpike Glycoprotein, CoronavirusToll-Like Receptor 4Angiotensin-Converting Enzyme 2Chemokine CCL5CytokinesInterleukin-6Interleukin-8Phosphatidylinositol 3-KinasesPlasminogen Activator Inhibitor 1Proto-Oncogene Proteins c-aktSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2Toll-Like Receptor 4Tumor Necrosis Factor-alphavon Willebrand Factor3-caffeoylquinic acid (PubChem CID: 1794427)4-caffeoylquinic acid (PubChem CID: 9798666)5-caffeoylquinic acid (PubChem CID: 5280633)Baicalin (PubChem CID: 64982)COVID-19Glycyrrhizic acid (PubChem CID: 14982)Norwogonin 7-glucuronide (PubChem CID: 44258552)NRICM102Oroxyloside (PubChem CID: 14655552)Pulmonary embolismPulmonary fibrosisQuercetin 3-galactoside (PubChem CID: 5281643)Quercetin 3-glucoside (PubChem CID: 5280804)Quercetin 3-rhamnoside (PubChem CID: 5280459)Traditional Chinese medicine

Identifiers

PMID36064077
PMCPMC9443660
OpenAlexW4294646913

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.