The comprehensive study on the therapeutic effects of baicalein for the treatment of COVID-19 in vivo and in vitro

Biochem Pharmacol. 2021 Jan:183:114302. doi: 10.1016/j.bcp.2020.114302. Epub 2020 Oct 27.

Abstract

Baicalein is the main active compound of Scutellaria baicalensis Georgi, a medicinal herb with multiple pharmacological activities, including the broad anti-virus effects. In this paper, the preclinical study of baicalein on the treatment of COVID-19 was performed. Results showed that baicalein inhibited cell damage induced by SARS-CoV-2 and improved the morphology of Vero E6 cells at a concentration of 0.1 μM and above. The effective concentration could be reached after oral administration of 200 mg/kg crystal form β of baicalein in rats. Furthermore, baicalein significantly inhibited the body weight loss, the replication of the virus, and relieved the lesions of lung tissue in hACE2 transgenic mice infected with SARS-CoV-2. In LPS-induced acute lung injury of mice, baicalein improved the respiratory function, inhibited inflammatory cell infiltration in the lung, and decreased the levels of IL-1β and TNF-α in serum. In conclusion, oral administration of crystal form β of baicalein could reach its effective concentration against SARS-CoV-2. Baicalein could inhibit SARS-CoV-2-induced injury both in vitro and in vivo. Therefore, baicalein might be a promising therapeutic drug for the treatment of COVID-19.

Keywords: Baicalein; COVID-19; SARS-CoV-2.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Lung Injury / drug therapy
  • Acute Lung Injury / metabolism
  • Acute Lung Injury / pathology
  • Animals
  • Antioxidants / pharmacokinetics
  • Antioxidants / therapeutic use*
  • COVID-19 / metabolism
  • COVID-19 / pathology*
  • COVID-19 Drug Treatment*
  • Chlorocebus aethiops
  • Dose-Response Relationship, Drug
  • Female
  • Flavanones / pharmacokinetics
  • Flavanones / therapeutic use*
  • Inflammation Mediators / antagonists & inhibitors
  • Inflammation Mediators / metabolism
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Transgenic
  • Random Allocation
  • Rats
  • Rats, Sprague-Dawley
  • Treatment Outcome
  • Vero Cells

Substances

  • Antioxidants
  • Flavanones
  • Inflammation Mediators
  • baicalein