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. 2022 Mar 18;36(5):2042–2060. doi: 10.1002/ptr.7436

TABLE 1.

Flavonoids list used in modulation of individual clinical manifestations during post‐COVID‐19 syndrome

Clinical manifestation Mechanism of action Flavonoid References
Pulmonary post‐COVID‐19 syndrome Pulmonary fibrosis Inhibition of TGF‐β1 and MMP‐9 expression

Apigenin

Epigallocatechin

Quercetin

Naringenin

Grape seed extract

L. Chen and Zhao (2016)

Sriram et al. (2009)

Baowen et al. (2010)

Y. Lin et al. (2018)

Liu et al. (2017)

Cardiovascular post‐COVID‐19 syndrome Myocarditis Inhibition of pro‐inflammatory cytokine and inflammatory enzymes PLA2, COX‐2, antioxidant effect

Quercetin

Kaempferol

Myricetin

Hesperidin

Naringenin

Catechin

Mirossay et al. (2001)

Rice‐Evans et al. (1996)

Knekt et al. (2002)

Grzesik et al. (2018)

Heart damage Restrain the release of tissue damaging proteases, increase of PGI2 release, reduction in the coronary perfusion pressure induced by angiotensin II Procyanidins Facino et al. (1999)
Increased blood pressure ACE inhibitors

Quercetin

Hesperidin

Naringenin

Epicatechin

Epigallocatcheningallate

Procyanidin

Delphinidin‐3‐O‐glucoside

Daidzein

Genistein

Luteolin

Kaempferol

Isosakuranetin

Dihydrokaempferide

Betuletol

Egert et al. (2009)

Maruyama et al. (2009)

Blood clots Decrease of TXA2, inhibition of COX‐1, interaction with GPIIb/IIIa receptors

Quercetin

Rutin

Genistein

Daidzein

Equol

Kaempferol

Epicatechin

Tangeritin

Naringin

Naringenin

Myricetin

Fisetin

Morin

Gryglewski et al. (1987)

Shafi et al. (2019)

Corvazier and Maclouf (1985)

H. Wang et al. (2000)

Pearson et al. (2005)

Holt et al. (2006)

Tzeng et al. (1991)

Neurological post‐COVID‐19 syndrome

Anxiety

Depression

Positive modulators of GABAA, modulators of ion channels GIRK and hERG

Hesperidin

Linarin

Naringin

Diosmin

Neohesperidin

Gossypin

Baicalein

Chrysin

Astilbin

Kaempferitrin

Luteolin

Vitexin

Nobiletin

Fernandez et al. (2009)

Fernandez et al. (2006)

de Carvalho et al. (2011)

Borges et al. (2016)

Aruna et al. (2014)

Cassani et al. (2014)

de la Pena et al. (2014)

Can et al. (2013)

H. Huang et al. (2016)

Cognitive dysfunction—memory disorders, chronic fatigue syndrome, sleep disorders Attenuation of oxidative stress, decrease of TNF‐α levels

Epigallocatechin

Naringin

Curcumin

Sachdeva et al. (2011)

Vij et al. (2009)

Gupta et al. (2009)

Nephrological post‐COVID‐19 syndrome/kidney failure

Kidney tubular injury

Proteinuria

Hematuria

Renal fibrosis

Inhibition of TGFβ/SMAD3 and JAK2/STAT3

Quercetin

Pectolinaringenin

Rutin

Y. Li et al. (2021)

H. Yang et al. (2018)

Diwan et al. (2017)

Y. Han et al. (2015)

Panchal et al. (2011)

Gastrointestinal post‐COVID‐19 syndrome Liver injury elevated ALT, AST

Decrease of ALT, AST, ALP, MDA

Increase of SOD, CAT, GPx, GSH

Reduction of NF‐κB and TNF‐α

Morin

Ternatin

Silymarin

Quercetin

Glycone (rutin)

Gossypin

Hydroxyetilrutinoside

Ozdemir et al. (2020)

Rao et al. (1994)

Kvasnička et al. (2003)

Sikder et al. (2014)

Vijayaraghavan et al. (1991)

Acute pancreatitis

Pancreas injury

Diabetes mellitus type I

Increase in SOD and CAT activity and GSH content, decrease of glucose level, serum insulin level, hepatic and muscle glycogen content, AST, LDH and CK‐MB

Quercetin

Chrysin

Apigenin

Baicalein

Hesperidin

Naringin

Lukačínová et al. (2008)

Panda and Kar (2007)

Keshari et al. (2016)

Ahmed et al. (2012)