Existing bitter medicines for fighting 2019-nCoV-associated infectious diseases

FASEB J. 2020 May;34(5):6008-6016. doi: 10.1096/fj.202000502. Epub 2020 Apr 13.

Abstract

The sudden outbreak of COVID-19 has led to more than seven thousand deaths. Unfortunately, there are no specific drugs available to cure this disease. Type 2 taste receptors (TAS2Rs) may play an important role in host defense mechanisms. Based on the idea of host-directed therapy (HDT), we performed a negative co-expression analysis using big data of 60 000 Affymetrix expression arrays and 5000 TCGA data sets to determine the functions of TAS2R10, which can be activated by numerous bitter substances. Excitingly, we found that the main functions of TAS2R10 involved controlling infectious diseases caused by bacteria, viruses, and parasites, suggesting that TAS2R10 is a key trigger of host defense pathways. To quickly guide the clinical treatment of 2019-nCoV, we searched currently available drugs that are agonists of TAS2Rs. We identified many cheap, available, and safe medicines, such as diphenidol, quinine, chloroquine, artemisinin, chlorpheniramine, yohimbine, and dextromethorphan, which may target the most common symptoms caused by 2019-nCoV. We suggest that a cocktail-like recipe of existing bitter drugs may help doctors to fight this catastrophic disease and that the general public may drink or eat bitter substances, such as coffee, tea, or bitter vegetables, to reduce the risk of infection.

Keywords: 2019-nCoV; COVID-19; coronavirus; cytokine storm; infectious disease; type 2 taste receptors (TAS2Rs).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antiviral Agents / pharmacology
  • Antiviral Agents / therapeutic use*
  • Betacoronavirus
  • COVID-19
  • Computational Biology*
  • Coronavirus Infections / drug therapy*
  • Databases, Genetic
  • Databases, Pharmaceutical
  • Gene Expression Profiling
  • Gene Expression Regulation / drug effects
  • Humans
  • Pandemics
  • Pneumonia, Viral / drug therapy*
  • Receptors, Cell Surface / genetics
  • Receptors, Cell Surface / metabolism
  • Receptors, G-Protein-Coupled / agonists*
  • Receptors, G-Protein-Coupled / genetics
  • SARS-CoV-2

Substances

  • Antiviral Agents
  • Receptors, Cell Surface
  • Receptors, G-Protein-Coupled
  • TAS2R10 protein, human
  • taste receptors, type 2