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. 2022 Oct 22;18:e01407. doi: 10.1016/j.sciaf.2022.e01407

Table 1.

the relevance of NLRP3 inflammasome inhibitors in Covid-19

NLRP3 inhibitors The mechanisms References Relevance in Covid-19 Refs.
Natural products
Parthenolide Inhibits NLRP3 inflammasome ATPase 42 Cytokine storm inhibition 43
Oridonin Inhibits NLRP3 inflammasome cysteine 279 43 Cytokine storm inhibition 43
Resveratrol Inhibits NLRP3 inflammasome 66 Inhibition of autophagy, cytokine storm, ACE2 upregulation 67
NSAIDs
Mefenamic acid Inhibits NLRP3 inflammasome via membrane volume anion chloride channel suppression 44 Reduction of viral entry through inhibition of transmembrane protease serine 2 (TMPRSS2) 45
Aspirin Inhibits NLRP3 inflammasome 46 Reduction in patient's mortality rate with Covid-19 pneumonia 47
Indomethacin Inhibits NLRP3 inflammasome 48 Anti-inflammatory and antiviral activities 49,50
Anti-diabetic drugs
Glyburide Inhibition of NLRP3 inflammasome 55 Anti-inflammatory and antiviral activities with upregulation of ACE2 58,59
Metformin Inhibition of NLRP3 inflammasome, block caspase-1 and GSDMD-N 57 Inhibition of cytokine storm and upregulation of ACE2 61
Lipid-lowering drugs
Pioglitazone Inhibition of NLRP3 inflammasome 60 Anti-inflammatory effects 52
Omega-3 fatty acids Inhibition of NLRP3 inflammasome through down-streaming of scaffold protein β-arrestin-2 51 Reduced death in Covid-19 patients by 30%.
Statins Inhibits NLRP3 inflammasome, Regulation of molecular platform of ATP signaling, cathepsin-B, lysosomal function, blocking of pregnane x receptors (PXR). 69-72 Inhibits pro-inflammatory cytokines release so as to reduce Covid-19 severity 73
Others
Tranilast Prevents the assembly and activation of NLRP3 inflammasome 62 Inhibits pro-inflammatory cytokines release so as to reduce 63
Colchicine Inhibits NLRP3 inflammasome, neutrophil recruitments and adhesion molecules 64 Covid-19 severity 65