Possible therapeutic effects of Nigella sativa and its thymoquinone on COVID-19

Pharm Biol. 2021 Dec;59(1):696-703. doi: 10.1080/13880209.2021.1931353.

Abstract

Context: COVID-19 is a novel coronavirus that causes a severe infection in the respiratory system. Nigella sativa L. (Ranunculaceae) is an annual flowering plant used traditionally as a natural food supplement and multipurpose medicinal agent.

Objective: The possible beneficial effects of N. sativa, and its constituent, thymoquinone (TQ) on COVID-19 were reviewed.

Methods: The key words including, COVID-19, N. sativa, thymoquinone, antiviral effects, anti-inflammatory and immunomodulatory effects in different databases such as Web of Science (ISI), PubMed, Scopus, and Google Scholar were searched from 1990 up to February 2021.

Results: The current literature review showed that N. sativa and TQ reduced the level of pro-inflammatory mediators including, IL-2, IL-4, IL-6, and IL-12, while enhancing IFN-γ. Nigella sativa and TQ increased the serum levels of IgG1 and IgG2a, and improved pulmonary function tests in restrictive respiratory disorders.

Discussion and conclusions: These preliminary data of molecular docking, animal, and clinical studies propose N. sativa and TQ might have beneficial effects on the treatment or control of COVID-19 due to antiviral, anti-inflammatory and immunomodulatory properties as well as bronchodilatory effects. The efficacy of N. sativa and TQ on infected patients with COVID-19 in randomize clinical trials will be suggested.

Keywords: Immunomodulation; anti-inflammatory; antiviral effects; medicinal plant.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / isolation & purification
  • Anti-Inflammatory Agents / pharmacology*
  • Antiviral Agents / isolation & purification
  • Antiviral Agents / pharmacology*
  • Benzoquinones / isolation & purification
  • Benzoquinones / pharmacology*
  • COVID-19 / immunology
  • COVID-19 / metabolism
  • COVID-19 / virology
  • COVID-19 Drug Treatment*
  • Cytokines / metabolism
  • Humans
  • Immune System / drug effects
  • Immune System / immunology
  • Immune System / metabolism
  • Immune System / virology
  • Inflammation Mediators / metabolism
  • Lung / drug effects
  • Lung / immunology
  • Lung / metabolism
  • Lung / virology
  • Nigella sativa* / chemistry
  • Plant Extracts / isolation & purification
  • Plant Extracts / pharmacology*
  • SARS-CoV-2 / drug effects*
  • SARS-CoV-2 / immunology
  • SARS-CoV-2 / pathogenicity

Substances

  • Anti-Inflammatory Agents
  • Antiviral Agents
  • Benzoquinones
  • Cytokines
  • Inflammation Mediators
  • Plant Extracts
  • thymoquinone