A Comprehensive Review of Andrographis paniculata (Burm. f.) Nees and Its Constituents as Potential Lead Compounds for COVID-19 Drug Discovery

• Published in: Molecules (Basel, Switzerland) Vol. 27; no. 14; p. 4479
• Main Authors: Intharuksa, Aekkhaluck, Arunotayanun, Warunya, Yooin, Wipawadee, Sirisa-ard, Panee
• Format: Journal Article
• Language: English
• Published: Basel MDPI AG 13-07-2022; MDPI
• Subjects: Andrographis paniculata; Antiviral activity; Biological properties; Clinical trials; Constituents; Coronaviruses; COVID-19; Critical point; Drug discovery; Global health; Herbal medicine; Immunomodulation; Inflammation; lead compound; Lead compounds; natural product; Phytochemicals; Prophylaxis; Proteins; Public health; Respiratory tract; Respiratory tract diseases; Review; Reviews; SARS-CoV-2; Severe acute respiratory syndrome coronavirus 2; Side effects; Virions; Viruses; Thailand; Malaysia; India
• ISSN: 1420-3049; 1420-3049
• DOI: 10.3390/molecules27144479

The COVID-19 pandemic has intensively disrupted global health, economics, and well-being. Andrographis paniculata (Burm. f.) Nees has been used as a complementary treatment for COVID-19 in several Asian countries. This review aimed to summarize the information available regarding A. paniculata and its constituents, to provide critical points relating to its pharmacological properties, safety, and efficacy, revealing its potential to serve as a source of lead compounds for COVID-19 drug discovery. A. paniculata and its active compounds possess favorable antiviral, anti-inflammatory, immunomodulatory, and antipyretic activities that could be beneficial for COVID-19 treatment. Interestingly, recent in silico and in vitro studies have revealed that the active ingredients in A. paniculata showed promising activities against 3CLpro and its virus-specific target protein, human hACE2 protein; they also inhibit infectious virion production. Moreover, existing publications regarding randomized controlled trials demonstrated that the use of A. paniculata alone or in combination was superior to the placebo in reducing the severity of upper respiratory tract infection (URTI) manifestations, especially as part of early treatment, without serious side effects. Taken together, its chemical and biological properties, especially its antiviral activities against SARS-CoV-2, clinical trials on URTI, and the safety of A. paniculata, as discussed in this review, support the argument that A. paniculata is a promising natural source for drug discovery regarding COVID-19 post-infectious treatment, rather than prophylaxis.