Title:Could Targeting HMGB1 be Useful for the Clinical Management of COVID-19 Infection?
Volume: 24
Issue: 4
Author(s): Mustafa Çelebier and İbrahim Celalettin Haznedaroğlu*
Affiliation:
- Department of Hematology, Faculty of Medicine, Hacettepe University, Ankara,Turkey
Keywords:
High mobility group box-1 (HMGB1), COVID-19, infection, drug repurposing, herbal medicinal products, clinical
trial.
Abstract: Since the high mobility group box-1 (HMGB1) molecule had been recognized as a proinflammatory
cytokine, which mediates endotoxin lethality of mice, there have been lots of papers
about targeting the HMGB1 within the contexts of infection, inflammation, and cancer. The pathogenic
impact of HMGB1 to the severe acute respiratory syndrome (SARS) and disease management
with herbal formulations targeting this unique protein have already been proposed. However,
the failure of the numerous current anti-viral therapies on the ongoing viral infections casts reappraisal
of the possible interrelationships regarding the HMGB1 and SARS-CoV-2. COVID-19 pandemic
due to the SARS-CoV-2 virus is a currently ongoing challenging global health crisis. There
is still not any proven exact treatment of COVID-19 with high level of evidence. In this paper, we
focused on the potential usage of external and/or inhalation preparation of antiviral/antibacterial
herbal products capable of targeting HMGB1 for the clinical management candidates of the ongoing
COVID-19 infection.