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Curcumin and Piperine in COVID-19: A Promising Duo to the Rescue?

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Identification of Biomarkers, New Treatments, and Vaccines for COVID-19

Abstract

COVID-19 is now pandemic throughout the world, and scientists are searching for effective therapies to prevent or treat the disease. The combination of curcumin and piperine is a potential option for the management of COVID-19 based on several mechanisms including antiviral, anti-inflammatory, immunomodulatory, antifibrotic, and antioxidant effects. Here, we describe the probable mechanism of curcumin-piperine against COVID-19. Administration of curcumin-piperine combination appears as a potential strategy to counterbalance the pathophysiological features of COVID-19 including inflammation. The optimal dose and duration of curcumin-piperine supplementation should be determined in the future.

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References

  1. McIntosh K, Hirsch M, Bloom A (2020) Coronavirus disease 2019 (COVID-19): Epidemiology, virology, and prevention. Lancet Infect Dis 1:2019–2020

    Google Scholar 

  2. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J et al (2020) A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 382(8):727–733

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Organization WH (2020) Health topics. Coronavírus. Coronavirus: symptoms. World Health Organization, 2020. https://www.who.int/health-topics/coronavirus#tab=tab_1

  4. Lorusso A, Calistri P, Petrini A, Savini G, Decaro N (2020) Novel coronavirus (SARS-CoV-2) epidemic: a veterinary perspective. Vet Ital 56(1):5–10

    PubMed  Google Scholar 

  5. Groneberg DA, Hilgenfeld R, Zabel P (2005) Molecular mechanisms of severe acute respiratory syndrome (SARS). Respir Res 6(1):8. https://doi.org/10.1186/1465-9921-6-8

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Munster VJ, Koopmans M, van Doremalen N, van Riel D, de Wit E (2020) A novel coronavirus emerging in China—key questions for impact assessment. N Engl J Med 382(8):692–694

    Article  CAS  PubMed  Google Scholar 

  7. Xu XW, Wu XX, Jiang XG, Xu KJ, Ying LJ, Ma CL et al (2020) Clinical findings in a group of patients infected with the 2019 novel coronavirus (SARS-Cov-2) outside of Wuhan, China: retrospective case series. BMJ 368:m606. https://doi.org/10.1136/bmj.m606

    Article  PubMed  PubMed Central  Google Scholar 

  8. Clay C, Donart N, Fomukong N, Knight JB, Lei W, Price L et al (2012) Primary severe acute respiratory syndrome coronavirus infection limits replication but not lung inflammation upon homologous rechallenge. J Virol 86(8):4234–4244

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Valizadeh H, Abdolmohammadi-Vahid S, Danshina S, Ziya Gencer M, Ammari A, Sadeghi A et al (2020) Nano-curcumin therapy, a promising method in modulating inflammatory cytokines in COVID-19 patients. Int Immunopharmacol 89(Pt B):107088. https://doi.org/10.1016/j.intimp.2020.107088

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Bagheri H, Ghasemi F, Barreto GE, Rafiee R, Sathyapalan T, Sahebkar A (2020) Effects of curcumin on mitochondria in neurodegenerative diseases. Biofactors 46(1):5–20

    Article  CAS  PubMed  Google Scholar 

  11. Iranshahi M, Sahebkar A, Hosseini ST, Takasaki M, Konoshima T, Tokuda H (2010) Cancer chemopreventive activity of diversin from Ferula diversivittata in vitro and in vivo. Phytomedicine 17(3–4):269–273

    Article  CAS  PubMed  Google Scholar 

  12. Mollazadeh H, Cicero AFG, Blesso CN, Pirro M, Majeed M, Sahebkar A (2019) Immune modulation by curcumin: the role of interleukin-10. Crit Rev Food Sci Nutr 59(1):89–101

    Article  CAS  PubMed  Google Scholar 

  13. Momtazi AA, Derosa G, Maffioli P, Banach M, Sahebkar A (2016) Role of microRNAs in the therapeutic effects of curcumin in non-cancer diseases. Mol Diagn Ther 20(4):335–345

    Article  CAS  PubMed  Google Scholar 

  14. Panahi Y, Ahmadi Y, Teymouri M, Johnston TP, Sahebkar A (2018) Curcumin as a potential candidate for treating hyperlipidemia: a review of cellular and metabolic mechanisms. J Cell Physiol 233(1):141–152

    Article  CAS  PubMed  Google Scholar 

  15. Soleimani V, Sahebkar A, Hosseinzadeh H (2018) Turmeric (Curcuma longa) and its major constituent (curcumin) as nontoxic and safe substances: review. Phytother Res 32(6):985–995

    Article  CAS  PubMed  Google Scholar 

  16. Teymouri M, Pirro M, Johnston TP, Sahebkar A (2017) Curcumin as a multifaceted compound against human papilloma virus infection and cervical cancers: a review of chemistry, cellular, molecular, and preclinical features. Biofactors 43(3):331–346

    Article  CAS  PubMed  Google Scholar 

  17. Jennings MR, Parks RJ (2020) Curcumin as an antiviral agent. Viruses 12(11):1242. https://doi.org/10.3390/v12111242

    Article  CAS  PubMed Central  Google Scholar 

  18. Moghadamtousi SZ, Kadir HA, Hassandarvish P, Tajik H, Abubakar S, Zandi K (2014) A review on antibacterial, antiviral, and antifungal activity of curcumin. Biomed Res Int 2014:186864. https://doi.org/10.1155/2014/186864

    Article  CAS  PubMed  Google Scholar 

  19. Salehi B, Stojanovic-Radic Z, Matejic J, Sharifi-Rad M, Anil Kumar NV, Martins N et al (2019) The therapeutic potential of curcumin: a review of clinical trials. Eur J Med Chem 163:527–545

    Article  CAS  PubMed  Google Scholar 

  20. White CM, Pasupuleti V, Roman YM, Li Y, Hernandez AV (2019) Oral turmeric/curcumin effects on inflammatory markers in chronic inflammatory diseases: a systematic review and meta-analysis of randomized controlled trials. Pharmacol Res 146:104280. https://doi.org/10.1016/j.phrs.2019.104280

    Article  CAS  PubMed  Google Scholar 

  21. Gera M, Sharma N, Ghosh M, Huynh DL, Lee SJ, Min T et al (2017) Nanoformulations of curcumin: an emerging paradigm for improved remedial application. Oncotarget 8(39):66680–66698

    Article  PubMed  PubMed Central  Google Scholar 

  22. Anand P, Kunnumakkara AB, Newman RA, Aggarwal BB (2007) Bioavailability of curcumin: problems and promises. Mol Pharm 4(6):807–818

    Article  CAS  PubMed  Google Scholar 

  23. Siviero A, Gallo E, Maggini V, Gori L, Mugelli A, Firenzuoli F et al (2015) Curcumin, a golden spice with a low bioavailability. J Herb Med 5(2):57–70

    Article  Google Scholar 

  24. Her C, Venier-Julienne M, Roger E (2018) Improvement of curcumin bioavailability for medical applications. Med Aromat Plants (Los Angel) 7:326. https://doi.org/10.4172/2167-0412.1000326

    Article  Google Scholar 

  25. Panahi Y, Badeli R, Karami GR, Sahebkar A (2015) Investigation of the efficacy of adjunctive therapy with bioavailability-boosted curcuminoids in major depressive disorder. Phytother Res 29(1):17–21

    Article  CAS  PubMed  Google Scholar 

  26. Esmaily H, Sahebkar A, Iranshahi M, Ganjali S, Mohammadi A, Ferns G et al (2015) An investigation of the effects of curcumin on anxiety and depression in obese individuals: a randomized controlled trial. Chin J Integr Med 21(5):332–338

    Article  CAS  PubMed  Google Scholar 

  27. Rahimnia AR, Panahi Y, Alishiri G, Sharafi M, Sahebkar A (2015) Impact of supplementation with curcuminoids on systemic inflammation in patients with knee osteoarthritis: findings from a randomized double-blind placebo-controlled trial. Drug Res 65(10):521–525

    CAS  Google Scholar 

  28. Saberi-Karimian M, Keshvari M, Ghayour-Mobarhan M, Salehizadeh L, Rahmani S, Behnam B et al (2020) Effects of curcuminoids on inflammatory status in patients with non-alcoholic fatty liver disease: a randomized controlled trial. Complemen Ther Med 49:102322. https://doi.org/10.1016/j.ctim.2020.102322

    Article  Google Scholar 

  29. Hewlings SJ, Kalman DS (2017) Curcumin: a review of its’ effects on human health. Foods 6(10):92. https://doi.org/10.3390/foods6100092

    Article  CAS  PubMed Central  Google Scholar 

  30. Qin S, Huang L, Gong J, Shen S, Huang J, Tang Y et al (2018) Meta-analysis of randomized controlled trials of 4 weeks or longer suggest that curcumin may afford some protection against oxidative stress. Nutr Res 60:1–12

    Article  CAS  PubMed  Google Scholar 

  31. Avasarala S, Zhang F, Liu G, Wang R, London SD, London L (2013) Curcumin modulates the inflammatory response and inhibits subsequent fibrosis in a mouse model of viral-induced acute respiratory distress syndrome. PLoS One 8(2):e57285. https://doi.org/10.1371/journal.pone.0057285

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Han S, Xu J, Guo X, Huang M (2018) Curcumin ameliorates severe influenza pneumonia via attenuating lung injury and regulating macrophage cytokines production. Clin Exp Pharmacol Physiol 45(1):84–93

    Article  CAS  PubMed  Google Scholar 

  33. Dai J, Gu L, Su Y, Wang Q, Zhao Y, Chen X et al (2018) Inhibition of curcumin on influenza A virus infection and influenzal pneumonia via oxidative stress, TLR2/4, p38/JNK MAPK and NF-κB pathways. Int Immunopharmacol 54:177–187

    Article  CAS  PubMed  Google Scholar 

  34. Alikiaii B, Bagherniya M, Askari G, Sathyapalan T, Sahebkar A (2020) Evaluation of the effect of curcumin on pneumonia: a systematic review of preclinical studies. Phytother Res. Nov 5. https://doi.org/10.1002/ptr.6939. Online ahead of print

  35. Lu Y, Liu J, Li H, Gu L (2016) Piperine ameliorates lipopolysaccharide-induced acute lung injury via modulating NF-κB signaling pathways. Inflammation 39(1):303–308

    Article  CAS  PubMed  Google Scholar 

  36. Klok F, Kruip M, Van der Meer N, Arbous M, Gommers D, Kant K et al (2020) Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res 191:145–147

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Srivastava K, Bordia A, Verma S (1995) Curcumin, a major component of food spice turmeric (Curcuma longa) inhibits aggregation and alters eicosanoid metabolism in human blood platelets. Prostaglandins Leukot Essent Fat Acids 52(4):223–227

    Article  CAS  Google Scholar 

  38. Heemskerk J, Sage S (1994) Calcium signalling in platelets and other cells. Platelets 5(6):295–316

    Article  CAS  PubMed  Google Scholar 

  39. Manikandan P, Sumitra M, Aishwarya S, Manohar BM, Lokanadam B, Puvanakrishnan R (2004) Curcumin modulates free radical quenching in myocardial ischaemia in rats. Int J Biochem Cell Biol 36(10):1967–1980

    Article  CAS  PubMed  Google Scholar 

  40. Somparn P, Phisalaphong C, Nakornchai S, Unchern S, Morales NP (2007) Comparative antioxidant activities of curcumin and its demethoxy and hydrogenated derivatives. Biol Pharm Bull 30(1):74–78

    Article  CAS  PubMed  Google Scholar 

  41. Kim DC, Ku SK, Bae JS (2012) Anticoagulant activities of curcumin and its derivative. BMB Rep 45(4):221–226

    Article  CAS  PubMed  Google Scholar 

  42. Madhyastha R, Madhyastha H, Nakajima Y, Omura S, Maruyama M (2010) Curcumin facilitates fibrinolysis and cellular migration during wound healing by modulating urokinase plasminogen activator expression. Pathophysiol Haemost Thromb 37(2–4):59–66

    Article  CAS  PubMed  Google Scholar 

  43. Son DJ, Akiba S, Hong JT, Yun YP, Hwang SY, Park YH et al (2014) Piperine inhibits the activities of platelet cytosolic phospholipase A2 and thromboxane A2 synthase without affecting cyclooxygenase-1 activity: different mechanisms of action are involved in the inhibition of platelet aggregation and macrophage inflammatory response. Nutrients 6(8):3336–3352

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  44. Mirzaei H, Shakeri A, Rashidi B, Jalili A, Banikazemi Z, Sahebkar A (2017) Phytosomal curcumin: a review of pharmacokinetic, experimental and clinical studies. Biomed Pharmacother 85:102–112

    Article  CAS  PubMed  Google Scholar 

  45. Dhillon N, Aggarwal BB, Newman RA, Wolff RA, Kunnumakkara AB, Abbruzzese JL et al (2008) Phase II trial of curcumin in patients with advanced pancreatic cancer. Clin Cancer Res 14(14):4491–4499

    Article  CAS  PubMed  Google Scholar 

  46. Johnson JJ, Mukhtar H (2007) Curcumin for chemoprevention of colon cancer. Cancer Lett 255(2):170–181

    Article  CAS  PubMed  Google Scholar 

  47. Anand P, Sundaram C, Jhurani S, Kunnumakkara AB, Aggarwal BB (2008) Curcumin and cancer: an “old-age” disease with an “age-old” solution. Cancer Lett 267(1):133–164

    Article  CAS  PubMed  Google Scholar 

  48. Bisht S, Feldmann G, Soni S, Ravi R, Karikar C, Maitra A et al (2007) Polymeric nanoparticle-encapsulated curcumin (“nanocurcumin”): a novel strategy for human cancer therapy. J Nanobiotechnol 5(1):3. https://doi.org/10.1186/1477-3155-5-3

    Article  CAS  Google Scholar 

  49. Li Q, Zhai W, Jiang Q, Huang R, Liu L, Dai J et al (2015) Curcumin–piperine mixtures in self-microemulsifying drug delivery system for ulcerative colitis therapy. Int J Pharm 490(1–2):22–31

    Article  CAS  PubMed  Google Scholar 

  50. Kakarala M, Brenner DE, Korkaya H, Cheng C, Tazi K, Ginestier C et al (2010) Targeting breast stem cells with the cancer preventive compounds curcumin and piperine. Breast Cancer Res Treat 122(3):777–785

    Article  CAS  PubMed  Google Scholar 

  51. Shoba G, Joy D, Joseph T, Rajendran MMR, Srinivas P (1998) Influence of piperine on the pharmacokinetics of curcumin in animals and human volunteers. Planta Med 64(4):353–356

    Article  CAS  PubMed  Google Scholar 

  52. Moorthi C, Kathiresan K (2013) Curcumin–Piperine/curcumin–quercetin/curcumin–Silibinin dual drug-loaded nanoparticulate combination therapy: a novel approach to target and treat multidrug-resistant cancers. J Med Hypotheses Ideas 7(1):15–20

    Article  CAS  Google Scholar 

  53. Saberi-Karimian M, Keshvari M, Ghayour-Mobarhan M, Salehizadeh L, Rahmani S, Behnam B et al (2020) Effects of curcuminoids on inflammatory status in patients with non-alcoholic fatty liver disease: a randomized controlled trial. Complemen Ther Med 49:102322. https://doi.org/10.1016/j.ctim.2020.102322

    Article  Google Scholar 

  54. Panahi Y, Valizadegan G, Ahamdi N, Ganjali S, Majeed M, Sahebkar A (2019) Curcuminoids plus piperine improve nonalcoholic fatty liver disease: a clinical trial. J Cell Biochem 120(9):15989–15996

    Article  CAS  PubMed  Google Scholar 

  55. Panahi Y, Khalili N, Sahebi E, Namazi S, Simental-Mendía LE, Majeed M et al (2018) Effects of Curcuminoids plus piperine on glycemic, hepatic and inflammatory biomarkers in patients with type 2 diabetes mellitus: a randomized double-blind placebo-controlled trial. Drug Res (Stuttg) 68(7):403–409

    Article  CAS  Google Scholar 

  56. Panahi Y, Khalili N, Sahebi E, Namazi S, Reiner Ž, Majeed M et al (2017) Curcuminoids modify lipid profile in type 2 diabetes mellitus: a randomized controlled trial. Complemen Ther Med 33:1–5

    Article  Google Scholar 

  57. Panahi Y, Khalili N, Sahebi E, Namazi S, Atkin SL, Majeed M et al (2017) Curcuminoids plus piperine modulate adipokines in type 2 diabetes mellitus. Curr Clin Pharmacol 12(4):253–258

    Article  CAS  PubMed  Google Scholar 

  58. Panahi Y, Khalili N, Hosseini MS, Abbasinazari M, Sahebkar A (2014) Lipid-modifying effects of adjunctive therapy with curcuminoids-piperine combination in patients with metabolic syndrome: results of a randomized controlled trial. Complemen Ther Med 22(5):851–857

    Article  Google Scholar 

  59. Panahi Y, Hosseini MS, Khalili N, Naimi E, Majeed M, Sahebkar A (2015) Antioxidant and anti-inflammatory effects of curcuminoid-piperine combination in subjects with metabolic syndrome: a randomized controlled trial and an updated meta-analysis. Clin Nutr 34(6):1101–1108

    Article  CAS  PubMed  Google Scholar 

  60. Mirhafez SR, Farimani AR, Gholami A, Hooshmand E, Tavallaie S, Nobakht MGBF (2019) The effect of curcumin with piperine supplementation on pro-oxidant and antioxidant balance in patients with non-alcoholic fatty liver disease: a randomized, double-blind, placebo-controlled trial. Drug Metab Pers Ther 34(2). https://doi.org/10.1515/dmpt-2018-0040

  61. Shadnoush M, Zahedi H, Norouzy A, Sahebkar A, Sadeghi O, Najafi A et al (2020) Effects of supplementation with curcuminoids on serum adipokines in critically ill patients: a randomized double-blind placebo-controlled trial. Phytother Res. Jun 15. https://doi.org/10.1002/ptr.6749. Online ahead of print

  62. Singh J, Dubey RK, Atal CK (1986) Piperine-mediated inhibition of glucuronidation activity in isolated epithelial cells of the guinea-pig small intestine: evidence that piperine lowers the endogeneous UDP-glucuronic acid content. J Pharmacol Exp Ther 236(2):488–493

    CAS  PubMed  Google Scholar 

  63. Sunila E, Kuttan G (2004) Immunomodulatory and antitumor activity of Piper longum Linn. and piperine. J Ethnopharmacol 90(2–3):339–346

    Article  CAS  PubMed  Google Scholar 

  64. Derosa G, Maffioli P, Sahebkar A (2016) Piperine and its role in chronic diseases. Adv Exp Med Biol 928:173–184

    Article  CAS  PubMed  Google Scholar 

  65. Mujumdar AM, Dhuley JN, Deshmukh VK, Raman PH, Naik SR (1990) Anti-inflammatory activity of piperine. Jpn J Med Sci Biol 43(3):95–100

    Article  CAS  PubMed  Google Scholar 

  66. Bang JS, Choi HM, Sur BJ, Lim SJ, Kim JY, Yang HI et al (2009) Anti-inflammatory and antiarthritic effects of piperine in human interleukin 1β-stimulated fibroblast-like synoviocytes and in rat arthritis models. Arthritis Res Ther 11(2):1–9

    Article  CAS  Google Scholar 

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Acknowledgements

The authors would like to thank the Department of Community Nutrition of Isfahan University of Medical Sciences.

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Correspondence to Mohammad Bagherniya or Amirhossein Sahebkar .

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Miryan, M. et al. (2021). Curcumin and Piperine in COVID-19: A Promising Duo to the Rescue?. In: Guest, P.C. (eds) Identification of Biomarkers, New Treatments, and Vaccines for COVID-19. Advances in Experimental Medicine and Biology(), vol 1327. Springer, Cham. https://doi.org/10.1007/978-3-030-71697-4_16

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