Evidence map›Paper›PMID 37483781›Full record

ArticleHeliyon2023

The anti-SARS-CoV-2 effect and mechanism of Chiehyuan herbal oral protection solution.

Ching-Yuan Wu, Yao-Hsu Yang, Yu-Shih Lin, Li-Hsin Shu, Yu-Ching Cheng, Hung-Te Liu, Yin-Yin Lin, I-Yun Lee, Wei-Tai Shih, Pei-Rung Yang and 8 more

Abstract read
In one paragraph

Article in Heliyon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
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

18 authors.

Ching-Yuan WuDepartment of Chinese Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Yao-Hsu YangDepartment of Chinese Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Yu-Shih LinDepartment of Pharmacy, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Li-Hsin ShuDepartment of Chinese Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Yu-Ching ChengDepartment of Chinese Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Hung-Te LiuDepartment of Chinese Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Yin-Yin LinDepartment of Chinese Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
I-Yun LeeDepartment of Chinese Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Wei-Tai ShihDepartment of Chinese Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Pei-Rung YangDepartment of Chinese Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Ying-Ying TsaiDepartment of Chinese Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Geng-He ChangDepartment of Otolaryngology, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Cheng-Ming HsuDepartment of Otolaryngology, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Reming-Albert YehDepartment of Otolaryngology, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Yu-Huei WuDepartment of Biomedical Sciences, Chang Gung University, Taoyuan, Taiwan.
Yu-Heng WuDepartment of Electrical Engineering, National Sun Yat-Sen University, Kaohsiung, Taiwan.
Rou-Chen ShenDepartment of Otolaryngology, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Ming-Shao TsaiDepartment of Otolaryngology, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Chiehyuan herbal oral protection solution (GB-2) is a herbal mixture commonly utilized in Taiwan for combating severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as per traditional Chinese medicine practices. This study assessed the clinical impact of GB-2 through prospective clinical trials. With twice-daily use for a week, GB-2 was shown to diminish the expression of angiotensin-converting enzyme 2 (ACE2) in oral mucosal cells. Moreover, after two weeks of use, it could reduce transmembrane protease, serine 2 (TMRPSS2) expression in these cells. Additionally, in vitro experiments demonstrated that GB-2 lessened the entry efficiency of the Omicron, L452R-D614G, T478K-D614G, and L452R-T478K-D614G variants of the SARS-CoV-2 pseudotyped lentivirus. It also impeded the interaction between ACE2 and the receptor-binding domain (RBD) presenting N501Y-K417N-E484A-G339D-Q493R-G496S-Q498R and L452R-T478K mutations. Glycyrrhizic acid, a major compound in GB-2, also hindered the entry of the Omicron variant (BA.1) of the SARS-CoV-2 pseudotyped lentivirus by obstructing the binding between ACE2 and the RBD presenting the N501Y-K417N-E484A-G339D-Q493R-G496S-Q498R mutation. To sum up, these findings suggest that GB-2 can decrease ACE2 and TMPRSS2 expression in oral mucosal cells. Both glycyrrhizic acid and GB-2 were found to reduce the entry efficiency of the Omicron variant (BA.1) of the SARS-CoV-2 pseudotyped lentivirus and block the binding between ACE2 and the RBD with the N501Y-K417N-E484A-G339D-Q493R-G496S-Q498R mutation. This evidence implies that GB-2 might be a potential candidate for further study as a preventative measure against SARS-CoV-2 infection.

Indexed as

ACE2Mouth washingOmicron variantSARS-CoV-2Spike proteinTMPRSS2

Identifiers

PMID37483781
PMCPMC10359827

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.