TABLE 1.
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) |