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. Author manuscript; available in PMC: 2021 Mar 24.
Published in final edited form as: J Cell Signal. 2021;2(1):63–79.

Table 1:

Potential natural compounds against SARS-CoV-2 infection and COVID-19 pathogenesis (Scoring according to evidence; +++ (high confidence), ++ (moderate confidence).

Compounds mTOR inactivation Endolysosomes and autophagy Anti-inflammatory Anti-SARS-CoV-2 activity [References] Scoring
Spermidine and spermine Negatively regulates mTOR signaling pathway [15,78,79] Autophagy inducer [15] Potential anti-inflammatory [74,75] Restricts SARS-CoV-2 infection by SKP2 modulation (in vitro) [15] ++
Resveratrol Negatively regulates mTOR signaling pathways [8588] Autophagy inducer [86,230,231] Potential anti-inflammatory [232] MERS-CoV inhibition in vitro [49] +++
SARS-CoV-2 inhibition in vitro [93,94]
Proposed for clinical trials (NCT04542993)
Phytoestrogen Negatively regulates mTOR signaling pathways [104106] Autophagy inducer [103,104] Potential anti-inflammatory [97,98,100,233] Restricts SARS-CoV in vivo [111] +++
Suggested as a suppressor of COVID-19 [112,114,224,234236]
Estrogen therapy (NCT04539626)
Trehalose No effect on mTOR [124] Induces autophagy and lysosomal biogenesis by TFEB activation [120,122] Potential anti-inflammatory [237] Potential target against COVID-19 [238] ++
Induces lysosomes acidification and autophagy by mucolipin-1 (TRPML1) activation to protect mycobacterium tuberculosis infection [123]
Baicalin Negatively regulates mTOR signaling pathways [133135] Autophagy inducer [133] Potential anti-inflammatory [239241] Suppresses COVID-19 pathological condition in vivo, in vitro [137,242244] +++
Induces lysosomes acidification by promoting assembly of v-ATPase pump [132]
Proposed for clinical trial (NCT03830684)
Curcumin Negatively regulates mTOR signaling pathways [152154] Autophagy inducer [59,60] Potential anti-inflammatory [142,143,245] Proposed against COVID-19
[245248]
+++
Proposed for clinical trial against COVID-19 (NCT04353310)
Quercetin Negatively regulates mTOR signaling pathways [161,162] Autophagy inducer [160,161] Potential anti-inflammatory [156,249] Potential target against COVID-19 [168,250253] +++
Proposed for clinical trial against COVID-19 (NCT04377789)
Coumarin Negatively regulates mTOR signaling pathways [177] Autophagy inducer [176,178] Potential anti-inflammatory [254] Potential target against COVID-19 (in silico) 179,180] ++
Epigallocat-echin 3-gal-late [EGCG] Negatively regulates mTOR signaling pathways [192,194,195] Autophagy inducer [194,255] Potential anti-inflammatory [183,185,187,189] Potential target against COVID-19 and Proposed as previfenon (NCT04446065) [186,256258] +++
Naringenin Negatively regulates mTOR signaling pathways [217] Autophagy inducer [217,219,259] Potential anti-inflammatory [200,261,262] Suppresses SARS-CoV-2 infection in vitro [221,222,263] +++
A blocker of Two pore channels (TPCs). TPCs are highly involved in SARS-CoV-2’s entry into cells [260]