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. 2022 Aug 5:10.1002/ptr.7580. Online ahead of print. doi: 10.1002/ptr.7580

TABLE 1.

Mechanism and research progress of EGCG

Mode of action Effect Research phase System for experiment Reference
EGCG target virus/host cells protein 1. Inhibits GRP78 receptor and makes it accumulate in ER rather than on cell membrane Preclinical study (in vivo & in vitro) Nervous system diseases (MME cells, Ren cells) (Martinotti, Ranzato, & Burlando, 2018)
2. Inhibits GRP78 expression by enhancing mir‐155‐5p level Preclinical study Colon cancer (HCT116) (La, Zhang, Li, Li, & Yang, 2019)
3. Inhibits the binding of S‐spike protein to ACE2 receptor and effectively blocks the infection of SARS‐COV‐2 and new variants Preclinical study SARS‐CoV‐2 and its variants with D614G, K417N, E484K, and N501Y mutation) (Liu et al., 2021)
4. Targets to inhibit 3CLpro Preclinical study (in vitro) SARS‐CoV‐2 (Zhu & Xie, 2020)
Regulate immune level
  1. Via TLR4/MyD88/NF‐κB signaling pathway, EGCG maintains Th1/Th2 balance and reduces inflammatory factors

Preclinical study (animal level) Ulcerative colitis rat model (Xue, Liu, Dong, Liang, & Chen, 2017)
2. Increases lymphocytosis and shows a reduction in the absolute number of circulating Treg, and serum IL‐10 and TGF‐β d Clinical study 12 CLL patients and 12 healthy person as control (Most et al., 2018)
  • 2

    Mixed flavonoids and EGCG induces immune enhancement and antiinflammatory transcriptional changes in overweight women

Clinical study Overweight women (Cialdella‐Kam et al., 2016)
Inhibits cytokine storm
  1. Reduces the lung severity and TNF‐α, elevation of MIP‐2 and neutrophils in mice induced by LPS

Preclinical study (animal level) Lipopolysaccharide‐induced acute lung injury model in mice (Bae et al., 2010 )
  • 2

    Reduces the concentration of inflammatory factors in plasma and the severity of ARDS

Preclinical study (animal level) Lung injury in thermal injury rat model (Liu et al., 2017)
  • 3

    Significantly inhibits radiation‐induced pulmonary fibrosis, activates Nrf‐2, and regulates serum level of TGF‐β1, IL‐6, IL‐10, and TNF‐α

Preclinical study (animal level) Pulmonary fibrosis (radiation‐induced pulmonary fibrosis rat model) (You et al., 2014)
Broad‐spectrum antivirus function EGCG has a broad spectrum of antiviral activities against RNA viruses such as HIV, HCV, human immunodeficiency virus, Ebola virus, influenza virus, and respiratory virus Clinical study (animal level) HIV and HCV (Halegoua‐De Marzio et al., 2012; Shiha, Soliman, Elbasiony, Darwish, & Mousa, 2019)