This document discusses potential herbal treatments for COVID-19 from Tulsi plant extracts. It summarizes the rationale, objectives, and introduction to SARS viruses. Molecular docking studies show good binding affinity of chicoric acid, rosmarinic acid, and caftaric acid from Tulsi with SARS-CoV-2 proteins. Formulations for herbal mouthwash, gargle, nasal spray, nasal gel and throat paint were developed using Tulsi and evaluated for stability and efficacy.
A broad perspective on COVID-19: a global pandemic and a focus on preventive ...LucyPi1
Abstract Coronavirus 2019 has become a highly infectious disease caused by severe acute respiratory syndrome coronavirus-2, a strain of novel coronavirus, which challenges millions of global healthcare facilities. Coronavirus are sub-microscopic, single stranded positive sense RNA viruses that leads to multi organ dysfunction syndrome, severe acute and chronic respiratory distress syndrome and pneumonia. The spike glycoprotein structure of the virus causes the viral protein to bind with the receptors on the lung and gut through angiotensin-converting enzyme 2. In some cases, the infected patients become hyper to the immune system because of the uncontrolled production of cytokines resulting in “cytokine storm”, a devastating consequence of coronavirus disease 2019. Due to the rapid mutant strain and infective nature of severe acute respiratory syndrome coronavirus-2, discovering a drug or developing a vaccine remains a global challenge. However, some anti-viral agents, certain protease inhibitor drugs, non-steroidal inflammatory drugs and convalescent plasma treatment were suggested. The containment and social distancing measures only aim at reducing the rate of new infections. In this view, we suggest certain traditional herbs and complementary and alternative medicine as a supporting public healthcare measure to boost the immune system and also may provide some lead to treat and prevent this infection.
Chlorogenic acid may be a potent inhibitor of dimeric SARS-CoV-2 main proteas...LucyPi1
Abstract Background: Since the emergence of coronavirus disease 2019 to date, there is no available approved drug or definitive treatment for coronavirus disease 2019 viral infection, and the identification of novel hits against therapeutic targets has become a global emergency. Echinacea purpurea is a traditional herb utilized to treat cough, fever, sore throat, respiratory tract infection, and so on as an immune stimulant. In this study, in silico molecular docking approach was used to screen phytocompounds from E. purpurea against severe acute respiratory syndrome coronavirus 2 main protease 3C-like protease (3CLpro) and severe acute respiratory syndrome coronavirus main peptidase (96% sequence similarity) to blunt the viral gene expression and viral replication. Methods: Initially, we screened phytocompounds for their druggability and ADMET property. Furthermore, x-ray crystallographic structures of main proteases 3CLpro and main peptidase having Protein Data Bank ID 6LU7 and 2GTB were used as protein targets for the identification of potential drug candidates. We performed docking using AutoDock Vina by PyRx 0.8 software. BIOVIA Discovery Studio Visualizer v2019 was used to analyze ligand-protein complex. The probable protein targets of the selected compound were predicted by BindingDB (P ≥ 0.7). STRING and Kyoto Encyclopedia of Genes and Genomes pathways are utilized to identify the molecular pathways modulated by the predicted targets (FDR ≤ 0.05), and the network interaction between compounds and protein pathways was constricted by Cytoscape 3.6.1. Results: Among all the compounds, chlorogenic acid showed druggable characteristics and scored the lowest binding energy with main protease and main peptidase via interacting with active site 1 domain amino acid residues. Interestingly, chlorogenic acid interacted with Phe140 main protease 3CLpro, which is potentially involved in the dimerization. Enrichment analysis identified chlorogenic acid to modulate insulin resistance, necroptosis, interleukin-17, tumor necrosis factor signaling pathway, legionellosis, T helper 17 cell differentiation, advanced glycation end products and receptor for advanced glycation end products, mitogen-activated protein kinase, Ras, estrogen, vascular endothelial growth factor, B-cell receptor, nuclear factor kappa B, Rap1, hypoxia inducible factor-1, phosphatidylinositide 3-kinase-Akt, insulin, mechanistic target of rapamycin, p53, retinoic acid inducible gene I like receptor, and ErbB signaling pathways. Conclusion: Chlorogenic acid may act as a potent main protease 3CLpro inhibitor and may also inhibit the severe acute respiratory syndrome coronavirus 2 dimerization, viral gene expression, and replication within the lung epithelium. Chlorogenic acid may go a long way in finding one of the multipronged solutions to tackle coronavirus disease 2019 viral infection in the future.
A broad perspective on COVID-19: a global pandemic and a focus on preventive ...LucyPi1
Abstract Coronavirus 2019 has become a highly infectious disease caused by severe acute respiratory syndrome coronavirus-2, a strain of novel coronavirus, which challenges millions of global healthcare facilities. Coronavirus are sub-microscopic, single stranded positive sense RNA viruses that leads to multi organ dysfunction syndrome, severe acute and chronic respiratory distress syndrome and pneumonia. The spike glycoprotein structure of the virus causes the viral protein to bind with the receptors on the lung and gut through angiotensin-converting enzyme 2. In some cases, the infected patients become hyper to the immune system because of the uncontrolled production of cytokines resulting in “cytokine storm”, a devastating consequence of coronavirus disease 2019. Due to the rapid mutant strain and infective nature of severe acute respiratory syndrome coronavirus-2, discovering a drug or developing a vaccine remains a global challenge. However, some anti-viral agents, certain protease inhibitor drugs, non-steroidal inflammatory drugs and convalescent plasma treatment were suggested. The containment and social distancing measures only aim at reducing the rate of new infections. In this view, we suggest certain traditional herbs and complementary and alternative medicine as a supporting public healthcare measure to boost the immune system and also may provide some lead to treat and prevent this infection.
Chlorogenic acid may be a potent inhibitor of dimeric SARS-CoV-2 main proteas...LucyPi1
Abstract Background: Since the emergence of coronavirus disease 2019 to date, there is no available approved drug or definitive treatment for coronavirus disease 2019 viral infection, and the identification of novel hits against therapeutic targets has become a global emergency. Echinacea purpurea is a traditional herb utilized to treat cough, fever, sore throat, respiratory tract infection, and so on as an immune stimulant. In this study, in silico molecular docking approach was used to screen phytocompounds from E. purpurea against severe acute respiratory syndrome coronavirus 2 main protease 3C-like protease (3CLpro) and severe acute respiratory syndrome coronavirus main peptidase (96% sequence similarity) to blunt the viral gene expression and viral replication. Methods: Initially, we screened phytocompounds for their druggability and ADMET property. Furthermore, x-ray crystallographic structures of main proteases 3CLpro and main peptidase having Protein Data Bank ID 6LU7 and 2GTB were used as protein targets for the identification of potential drug candidates. We performed docking using AutoDock Vina by PyRx 0.8 software. BIOVIA Discovery Studio Visualizer v2019 was used to analyze ligand-protein complex. The probable protein targets of the selected compound were predicted by BindingDB (P ≥ 0.7). STRING and Kyoto Encyclopedia of Genes and Genomes pathways are utilized to identify the molecular pathways modulated by the predicted targets (FDR ≤ 0.05), and the network interaction between compounds and protein pathways was constricted by Cytoscape 3.6.1. Results: Among all the compounds, chlorogenic acid showed druggable characteristics and scored the lowest binding energy with main protease and main peptidase via interacting with active site 1 domain amino acid residues. Interestingly, chlorogenic acid interacted with Phe140 main protease 3CLpro, which is potentially involved in the dimerization. Enrichment analysis identified chlorogenic acid to modulate insulin resistance, necroptosis, interleukin-17, tumor necrosis factor signaling pathway, legionellosis, T helper 17 cell differentiation, advanced glycation end products and receptor for advanced glycation end products, mitogen-activated protein kinase, Ras, estrogen, vascular endothelial growth factor, B-cell receptor, nuclear factor kappa B, Rap1, hypoxia inducible factor-1, phosphatidylinositide 3-kinase-Akt, insulin, mechanistic target of rapamycin, p53, retinoic acid inducible gene I like receptor, and ErbB signaling pathways. Conclusion: Chlorogenic acid may act as a potent main protease 3CLpro inhibitor and may also inhibit the severe acute respiratory syndrome coronavirus 2 dimerization, viral gene expression, and replication within the lung epithelium. Chlorogenic acid may go a long way in finding one of the multipronged solutions to tackle coronavirus disease 2019 viral infection in the future.
COMPUTER AIDED PERSPECTIVE OF SELECTION OF PLANTS AGAINST VIRUSESManik Ghosh
Discovery of drugs against viruses is always an attractive area of research. Plants are important natural source for discovery of drugs against viruses. Here in this article we targeted at two points. First the selection of a particular plant against viruses can be done more rationally by using the latest computer techniques i.e. docking studies of the known phytochemicals on various viral protein targets. Second with help of literature search and docking studies we identified some important natural compounds that can be used as natural leads. For this, we selected important phytoconstituents from 20 plants for docking studies using Maestro (Glide) and Lead IT (FlexX). Later those phytochemicals which got good docking scores were further docked in Autodock 4.2 in order to find out the estimated inhibition constant. Flavonoids, curcumin and other compounds gave good docking scores and better inhibition constant. These compounds can be used as natural leads and analogues and derivatives can be synthesized to get effective antiviral agents. In addition this approach gives a way to avoid random selection of plant for a particular activity, in order to save time, chemicals and effort of the medicinal chemist.
Isolation and characterization of Hesperidin nanoparticles from Citrus sinens...VikhyathiChalla
Major project research - presentation
Gives a brief understanding about our research work on isolating, characterizing and developing nanoparticles of a phytochemical called Hesperidin from Blood Orange (Citrus sinensis) peel extract which can be used as an effective inhibitor of binding of ACE 2 receptor with SARS CoV 2 and hence manage and prevent COVID-19 infection.
A pneumonia of unknown cause detected in Wuhan, China was first reported to the WHO
Country Office in China on 31 December 2019.In the last Nine months, almost Ten lakhs of
lives have already been Death, around three billion of people are in quarantine, and global
economies have been decreased. The outbreak of pandemic Covid-19 all over the world has
broken down the political, social, economic, religious and financial structures of the whole
world. The World’s top economies country such as the Australia, USA, India China, UK,
Germany, France, Italy, Japan and many others. The Stock Markets around the world have
been broken down and oil prices have fallen off a cliff. A report was published on BBC where
they describe every single week 3.3 million Americans have been unemployment and a week
later another 6.6 million people started searching for new jobs. The novel coronavirus is a
microscopic organism that has become an epidemic over time around the world. The United
States, Europe, Britain, Italy, Spain and France have already been hit by the virus. These
countries have already become mortal by Corona virus.
: The COVID-19 pandemic is spreading across the globe at an alarming rate. Corona Virus is a large
family of positive-sense, single-stranded Ribo Nuclic Acid(RNA) viruses that belong to the Nidovirales order. It
was first started in Wuhan, Hubei Province, China and then subsequently spread to dozens of other countries
becoming a global pandemic. COVID-19 manifests with a wide clinical spectrum ranging from asymptomatic
patients to septic shock and multi organ dysfunction. The most common symptoms of patients include fever (98.
6%), fatigue (69.6%), dry cough, and diarrhea. The WHO recommends collecting samples from both the upper
and lower respiratory tracts. This can be achieved through expectorated sputum, broncho-alveolar lavage or
endotrachial aspirate, These samples are then assessed for viral RNA using polymerase chain reaction(PCR).
Patients with pre-existing co-morbidities have a higher case fatality rate. These co-morbidities include diabetes (7.
3%), respiratory disease(6.5%), cardiovascular disease(10.5%), hypertension(6%) and malignncy(5.6%). Patients
without co-morbidities have a lower case fatality rate(0.9%). Preventive measures must focus on optimizing
infection control protocols, self-isolation, and patient isolation during the provision of clinical care. No confirmed
medication or vaccine has been developed. Current treatment strategies are aimed at symptomatic care and
oxygen therapy. Chloroquine phosphate and lopinavir/ritonavir have been suggested. Other suggested anti-virals
include ribavirin and abidor. Usage of personal protective equipment, washing hands, sanitization, social distance
and general awareness can stop transmission of virus. Prophylactic vaccination is required for the future
prevention of COV-related epidemic or pandemic.
This review study was conducted on the information of COVID-19 ethio-pathogenesis, clinical features, diagnosis, complication and
Management, and we have compiled the most recent information on the methods and pharmacological agents used in the diagnosis
and treatment of Coronavirus disease, including pharmacological approaches, fluid therapy, oxygen therapy, Adoptive T cell therapy,
Mesenchymal stromal cell therapy, Nano medicine approaches in COVID-19 and Vaccination approaches.
Five drug development strategies to combat SARS-CoV2Anton Yuryev
Slides were presented at webinar on “Opportunities & Challenges in Drug Discovery and Development” organised by Elsevier in collaboration with Dr Reddy’s Institute of Life Sciences, Hyderabad on July 16th,2020
Ομιλία – Παρουσίαση: Αχιλλέας Γραβάνης, Καθηγητής Φαρμακολογίας, Ιατρική Σχολή Πανεπιστήμιο Κρήτης, Ερευνητής, Ινστιτούτο Μοριακής Βιολογίας & Βιοτεχνολογίας του ΙΤΕ
Antiviral Agents,Medicinal Chemistry
•Introduction to Viruses
•Structure of Virus
•Types of Viruses.
•The viral Life cycle.
•Classification of Antiviral Agents
In this section of the coronavirus pandemic series, we discuss the current capacity of local healthcare systems and the need for effective treatment options as well as the pathogenesis of the coronavirus. Current treatment options include RNA, monoclonal antibodies (mAb), antibodies, convalescent plasma, and others. Critical stage implications such as cytokine storm and the need for immunomodulatory agents would also be discussed. Therapeutic pathways would are also compared.
The emergence of the severe acute respiratory syndrome coronavirus-2, responsible for causing corona virus disease 2019 (COVID-19), marked the third time in the twenty-first century when a new, highly pathogenic human coronavirus outbreak has led to an epidemic. The COVID-19 epidemic has emerged in late December 2019 in Wuhan city of China and spread rapidly to other parts of the world. This quick spread of SARS-CoV-2 infection to many states across the globe affecting many people has led WHO to declare it a pandemic on March 11, 2020. In this presentation, we discuss recent updates regarding various therapeutic approaches to combat COVID-19 pandemic according to the biosynthetic source and enlist the major pipeline drugs and traditional medicines that are under trial for COVID-19. Altogether, the information provided in this project dissertation will work as an intellectual groundwork and provides an insight into the ongoing development of various therapeutic agents.
Paxlovid and Molnupiravir What Are The Differences.pdfDoriaFang
On November 4, 2021, the Medicines and Healthcare Products Regulatory Agency (MHRA) granted marketing approval for Molnupiravir (trade name: Lagevrio), an oral COVID-19 drug co-developed by Merck and Ridgeback, for the treatment of patients with mild to moderate COVID-19. This is the first oral antiviral drug approved globally for the treatment of mild to moderate COVID-19 in adults.
Role of pharmacist in Community pharmacy and public health practice in India:...Yamini Shah
The knowledge, skills and expertise of a pharmacist enable them to support the public health care by promoting healthy lifestyles, preventing long-term illness and by guiding patients to better manage their medicines. A community pharmacist strengthens the public health system in a broad perspective. To improve health, patient care and medication-related outcomes through education, clinical practice and research. To ensure the safety and efficacy of medications which are prescribed by medical practitioner.
CO–PROCESSED EXCIPIENTS FOR TABLETS.pdfYamini Shah
Purpose of the present review is to provide an in depth knowledge on recent developments in excipients preparation, technology and approaches involved in their formation and development. Excipients play an important role in dosage form development. In conventional formulation of dosage forms, each excipient is used to provide its required function/performance. Presently, excipient manufacturers have focused their attention on producing a multifunctional excipients with improvement in their performance and quality of dosage form. Manipulation in the functionality of excipient is provided by the co-processing of two or more existing excipients.
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COMPUTER AIDED PERSPECTIVE OF SELECTION OF PLANTS AGAINST VIRUSESManik Ghosh
Discovery of drugs against viruses is always an attractive area of research. Plants are important natural source for discovery of drugs against viruses. Here in this article we targeted at two points. First the selection of a particular plant against viruses can be done more rationally by using the latest computer techniques i.e. docking studies of the known phytochemicals on various viral protein targets. Second with help of literature search and docking studies we identified some important natural compounds that can be used as natural leads. For this, we selected important phytoconstituents from 20 plants for docking studies using Maestro (Glide) and Lead IT (FlexX). Later those phytochemicals which got good docking scores were further docked in Autodock 4.2 in order to find out the estimated inhibition constant. Flavonoids, curcumin and other compounds gave good docking scores and better inhibition constant. These compounds can be used as natural leads and analogues and derivatives can be synthesized to get effective antiviral agents. In addition this approach gives a way to avoid random selection of plant for a particular activity, in order to save time, chemicals and effort of the medicinal chemist.
Isolation and characterization of Hesperidin nanoparticles from Citrus sinens...VikhyathiChalla
Major project research - presentation
Gives a brief understanding about our research work on isolating, characterizing and developing nanoparticles of a phytochemical called Hesperidin from Blood Orange (Citrus sinensis) peel extract which can be used as an effective inhibitor of binding of ACE 2 receptor with SARS CoV 2 and hence manage and prevent COVID-19 infection.
A pneumonia of unknown cause detected in Wuhan, China was first reported to the WHO
Country Office in China on 31 December 2019.In the last Nine months, almost Ten lakhs of
lives have already been Death, around three billion of people are in quarantine, and global
economies have been decreased. The outbreak of pandemic Covid-19 all over the world has
broken down the political, social, economic, religious and financial structures of the whole
world. The World’s top economies country such as the Australia, USA, India China, UK,
Germany, France, Italy, Japan and many others. The Stock Markets around the world have
been broken down and oil prices have fallen off a cliff. A report was published on BBC where
they describe every single week 3.3 million Americans have been unemployment and a week
later another 6.6 million people started searching for new jobs. The novel coronavirus is a
microscopic organism that has become an epidemic over time around the world. The United
States, Europe, Britain, Italy, Spain and France have already been hit by the virus. These
countries have already become mortal by Corona virus.
: The COVID-19 pandemic is spreading across the globe at an alarming rate. Corona Virus is a large
family of positive-sense, single-stranded Ribo Nuclic Acid(RNA) viruses that belong to the Nidovirales order. It
was first started in Wuhan, Hubei Province, China and then subsequently spread to dozens of other countries
becoming a global pandemic. COVID-19 manifests with a wide clinical spectrum ranging from asymptomatic
patients to septic shock and multi organ dysfunction. The most common symptoms of patients include fever (98.
6%), fatigue (69.6%), dry cough, and diarrhea. The WHO recommends collecting samples from both the upper
and lower respiratory tracts. This can be achieved through expectorated sputum, broncho-alveolar lavage or
endotrachial aspirate, These samples are then assessed for viral RNA using polymerase chain reaction(PCR).
Patients with pre-existing co-morbidities have a higher case fatality rate. These co-morbidities include diabetes (7.
3%), respiratory disease(6.5%), cardiovascular disease(10.5%), hypertension(6%) and malignncy(5.6%). Patients
without co-morbidities have a lower case fatality rate(0.9%). Preventive measures must focus on optimizing
infection control protocols, self-isolation, and patient isolation during the provision of clinical care. No confirmed
medication or vaccine has been developed. Current treatment strategies are aimed at symptomatic care and
oxygen therapy. Chloroquine phosphate and lopinavir/ritonavir have been suggested. Other suggested anti-virals
include ribavirin and abidor. Usage of personal protective equipment, washing hands, sanitization, social distance
and general awareness can stop transmission of virus. Prophylactic vaccination is required for the future
prevention of COV-related epidemic or pandemic.
This review study was conducted on the information of COVID-19 ethio-pathogenesis, clinical features, diagnosis, complication and
Management, and we have compiled the most recent information on the methods and pharmacological agents used in the diagnosis
and treatment of Coronavirus disease, including pharmacological approaches, fluid therapy, oxygen therapy, Adoptive T cell therapy,
Mesenchymal stromal cell therapy, Nano medicine approaches in COVID-19 and Vaccination approaches.
Five drug development strategies to combat SARS-CoV2Anton Yuryev
Slides were presented at webinar on “Opportunities & Challenges in Drug Discovery and Development” organised by Elsevier in collaboration with Dr Reddy’s Institute of Life Sciences, Hyderabad on July 16th,2020
Ομιλία – Παρουσίαση: Αχιλλέας Γραβάνης, Καθηγητής Φαρμακολογίας, Ιατρική Σχολή Πανεπιστήμιο Κρήτης, Ερευνητής, Ινστιτούτο Μοριακής Βιολογίας & Βιοτεχνολογίας του ΙΤΕ
Antiviral Agents,Medicinal Chemistry
•Introduction to Viruses
•Structure of Virus
•Types of Viruses.
•The viral Life cycle.
•Classification of Antiviral Agents
In this section of the coronavirus pandemic series, we discuss the current capacity of local healthcare systems and the need for effective treatment options as well as the pathogenesis of the coronavirus. Current treatment options include RNA, monoclonal antibodies (mAb), antibodies, convalescent plasma, and others. Critical stage implications such as cytokine storm and the need for immunomodulatory agents would also be discussed. Therapeutic pathways would are also compared.
The emergence of the severe acute respiratory syndrome coronavirus-2, responsible for causing corona virus disease 2019 (COVID-19), marked the third time in the twenty-first century when a new, highly pathogenic human coronavirus outbreak has led to an epidemic. The COVID-19 epidemic has emerged in late December 2019 in Wuhan city of China and spread rapidly to other parts of the world. This quick spread of SARS-CoV-2 infection to many states across the globe affecting many people has led WHO to declare it a pandemic on March 11, 2020. In this presentation, we discuss recent updates regarding various therapeutic approaches to combat COVID-19 pandemic according to the biosynthetic source and enlist the major pipeline drugs and traditional medicines that are under trial for COVID-19. Altogether, the information provided in this project dissertation will work as an intellectual groundwork and provides an insight into the ongoing development of various therapeutic agents.
Paxlovid and Molnupiravir What Are The Differences.pdfDoriaFang
On November 4, 2021, the Medicines and Healthcare Products Regulatory Agency (MHRA) granted marketing approval for Molnupiravir (trade name: Lagevrio), an oral COVID-19 drug co-developed by Merck and Ridgeback, for the treatment of patients with mild to moderate COVID-19. This is the first oral antiviral drug approved globally for the treatment of mild to moderate COVID-19 in adults.
Role of pharmacist in Community pharmacy and public health practice in India:...Yamini Shah
The knowledge, skills and expertise of a pharmacist enable them to support the public health care by promoting healthy lifestyles, preventing long-term illness and by guiding patients to better manage their medicines. A community pharmacist strengthens the public health system in a broad perspective. To improve health, patient care and medication-related outcomes through education, clinical practice and research. To ensure the safety and efficacy of medications which are prescribed by medical practitioner.
CO–PROCESSED EXCIPIENTS FOR TABLETS.pdfYamini Shah
Purpose of the present review is to provide an in depth knowledge on recent developments in excipients preparation, technology and approaches involved in their formation and development. Excipients play an important role in dosage form development. In conventional formulation of dosage forms, each excipient is used to provide its required function/performance. Presently, excipient manufacturers have focused their attention on producing a multifunctional excipients with improvement in their performance and quality of dosage form. Manipulation in the functionality of excipient is provided by the co-processing of two or more existing excipients.
Ultraviolet radiation (UVR) has been shown to cause skin disorders, including sunburn and symptoms such as erythema, ageing and formation of wrinkles, pigmentation or dyspigmentation, DNA damage and ultimately photocarcinogenesis on prolonged exposure. It has been reported that sunscreens have beneficial effects in reducing the incidence of skin disorders and protect the skin against exogenous and endogenous harmful agents by absorption, scattering and by blocking phenomena. Ultraviolet (UV) rays are classified into three wavelengths UV-A, UV-B and UV-C. The generation of reactive oxygen species (ROS), which can react with DNA, proteins, and fatty acids in the skin causes oxidative damage and impairment of antioxidant system in the human body is triggered by skin exposure to sunlight and other climatic circumstances. Such injuries disrupt the skin’s regulation pathways, causing photoaging and the development of skin cancer. Active ingredient of sunscreen agents are synthetic substances which are divided into organic and inorganic filters used in the market. Synthetic agents have shown some serious side effects. Therefore, to overcome this deleterious effects natural sunscreens were found by the researchers from nature. Natural products are efficacious as sunscreens and produce healing, softening, rejuvenating, and sunscreen effects. However, the use of sunscreen has faced many challenges, including inducing photoallergic dermatitis, environment pollution, and deficiency of vitamin D production. Therefore, consumers should efficiently apply suitable herbal formulations to improve sun protection as well as to avoid the side effects of synthetic sunscreens.
Sterilization (or sterilisation) referring to any process that eliminates (removes) or kills (deactivates) all forms of life and other biological agents (such as prions, as well as viruses which some do not consider to be alive but are biological pathogens nonetheless), including transmissible agents (such as fungi, bacteria, viruses, prions, spore forms, unicellular eukaryotic organisms such as Plasmodium, etc.) present in a specified region, such as a surface, a volume of fluid, medication, or in a compound such as biological culture media
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
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ANTI-VIRAL HERBAL PHYTOCONSTITUENTS OF TULSI (OCIMUM SANCTUM) AGAINST COVID-19.pdf
1. 1
ANTI-VIRAL HERBAL
PHYTOCONSTITUENTS
AND FORMULATION
OF TULSI (OCIMUM
SANCTUM) AGAINST
COVID-19.
Guided by,
Dr. Yamini D. Shah
Head of department of
Pharmaceutics
Submitted by : Kavish Shah
B. Pharm
LM College of pharmacy,
Ahmedabad.
2. Rationale
At present there is no effective treatment that
could mitigate SARS-CoV-2. Available clinical
intervention for covid-19 is only limited to
support.
Herbal medicine has a wide array chemical entity
with potential health benefits and cure including
antiviral activity which may be explored as
alternative treatment of COVID-19.
Major content of medicinal plant are structural
analogue of surface protein of SARS-CoV-2
determined through molecular docking.
Objective
To provide basic knowledge of the disease and risk associated with
patients.
To promote the effective implementation of infection control measures in
order to development of herbal medicine using Tulsi plant.
Safety measure of patients can be evaluated through parameter with
respect to herbal formulation.
2
3. Introduction to SARS viruses:
SARS is known as severe acute respiratory
syndrome (SARS) fatal viral disease and it is
rapidly spreading to all over globe.
According to the Centers for Disease Control and
Prevention (CDC), USA, SARS was recognized as a
global threat in March 2003.
The disease was first seen in the city of Foshan in
Guangdong Province in China in 2002 and was
traced back to the Himalayan (masked) palm civet,
racoon dogs and the Chinese ferret-badger (1).
All of these animals are sold in the live wild animal
markets in China. The civet cats were thought to be
the intermediaries who passed the SARS virus from
bats to humans.
Viruses
A virus is defined as an obligate intracellular parasite.
They are only seen by electron microscope.
3
5. Newly emerging Human corona virus:
Pathogenic human corona viruses emerged beginning with the discovery of SARS-CoV
in 2002.
Presently there are now seven human coronaviruses (2).
1. HCoV-229E
2. HCoV-NL63
3. HCoV-OC43
4. HCoV-HKU1
5. SARS-CoV
6. MERS-CoV
7. SARS-CoV2
5
6. Clinical signs and symptoms
Patients with SARS show flu-like symptoms that will improve after the first week
(30% of patients) and 20-30% Patients will require special care. A history of SARS-
CoV-2 contact is often found in patients with immense infection. Initial symptoms
of SARS-CoV-2 patient include:
fever
rigors
myalgia
malaise
cough
pleuritic pain
dyspnea
pneumonia-like symptoms Complications include, acute respiratory distress
syndrome (ARDS), acute cardiac injury, tachycardia, hypotension, acute renal
failure, encephalitis (3).
6
7. Origin of SARS-CoV-2
The International Committee on the Taxonomy of Viruses (ICTV) suggested that
SARS-CoV-2 belonging to the species of Severe acute respiratory syndrome
currently considers SARS-CoV-2 as sampled from a patient in Wuhan, China, on
26 December 2019 .
By January 2019, approximately eighteen countries were reported to be infected
with the virus emerged in China led to the declaration as “Public Health
Emergency of International Concern” by World Health Organization (WHO) on
Mar 11, 2020. As on July 21, 2021 there have been reported 19,06,71,330
confirmed cases with 40,98,758 fatality cases worldwide.
7
8. Structure of corona virus with spike
protein
Corona viruses are single stranded positive RNA
viruses comprising of membrane enveloped
genome with neucleotides size range between 26-
32 kilobases. SARS-CoV-2 encode five structural
proteins
Spike protein (S)
Hemagglutinin esterase protein (HE)
Membrane protein (M)
Envelope protein (E)
Neucleocapcid protein (N)
S Protein, located outside of the virus is
glycoprotein.
This glycoprotein gives typical shape to the virion.
Thus virion activates inside living body.
These proteins act as cell surface receptor protein
for their penetration into the host cell and interact
with membrane protein.
8
9. Hemagglutinin esterase (HE) proteins are surface proteins of SARS-CoV-2
which can be found in some beta- coronaviruses in order to strengthen
invading mechanism of that particular virus.
Membrane proteins are glycosylated glycoproteins that are essential for
regeneration of virus cell.
They are also necessary to fuse into host cell .
E (Envelope proteins) are hydrophobic small proteins, covering whole
membrane. They allow attachment to the membrane of viruses and play a
key role in the combining of viral particles in the host cell.
N (Neucleocapcid proteins) are also called as phosphoproteins that are able
to bind with viral genomic RNA. These proteins are important for structure,
replication and transcription mechanism of coronaviruses through
interactions with the viral RNA genome (4).
9
10. Classification Human CoVs Symptoms Receptor protein
α-coronavirus HCoV-229E Mild respiratory tract
infections
Human aminopeptidase N (CD13)
β-coronavirus HCoV-OC43 Mild respiratory tract
infections
9-O-acetylated sialic acid
β-coronavirus SARS-CoV Severe acute respiratory
infections, 10% mortality
rate
Angiotensin-converting enzyme 2
(ACE2)
α-coronavirus HCoV-NL63 Mild respiratory tract
infections
Angiotensin-converting enzyme 2
(ACE2)
β-coronavirus HCoV-HKU1 Pneumonia, lung
inflammation
9-O-acetylated sialic acid
β-coronavirus MERS-CoV Severe acute respiratory
infections, 37% mortality
rate
Dipeptidyl peptidase 4 (DPP4)
β-coronavirus SARS-CoV-2 Fever, cough, muscle pain,
weakness, respiratory
symptoms, shortness of
breath and death.
Angiotensin-converting enzyme 2
(ACE2) and transmembrane
protease serine 2 (TMPRSS2)
Human coronavirus and other coronavirus receptor binding site
10
14. Indian herbs against covid-19
The traditional system of herbal medicine focused on cure of the disease and
promptly implementing infection control.
Various potential Indian herbs
Liquorice Tulsi Turmeric
Giloy cinnamon Ashwagandha
14
15. Kalmegh Wheatgrass Neem
Potential selected Indian herbs such as Ocimum sanctum (Tulsi), Glycyrrhiza
glabra (Liquorice), Curcuma domestica Vahl (Turmeric), Tinospora cordifolia
(Giloy), Withania somnifera (Ashwagandha), Cinnamon (Dalchini), Shoot of
Triticumaestivum Linn. (Wheatgrass), and Andrographis paniculata
(Kalmegh) with their antiviral properties to prevent infection.
Potential of herbal plants for their biological effects as growth promotion,
immunostimulation, antistress, antibacterial, antifungal, antivirals, appetite
stimulators, and aphrodisiac .
15
16. Tulsi
A recent study in India reported that Ocimum Sanctum (Tulsi) effective in the
prevention and management of COVID19.
It is found in a tropical climate like Asia, Africa, Central, and South America.
Basil leaves of ocimum sanctum contains Caffeic acid derivative
chicoric acid (chicoric acid; also known as dicaffeoyltartaric acid, which is a
caffeic acid derivatized with tartaric acid)
Rosmarinic acid
Caftaric acid (in the order of most abundant to least; all derivatives of caffeic
acid)
Rosmarinic acid was the main phenolic compound found in both leaves and
stems.
Chicoric acid was not detected in sweet basil stems, although a small amount
was present in Thai basil stems (11).
16
17. Computer Assisted Drug Design
The conventional approach to the drug design and development may take
plenty of resources such as cost, time and manpower with no guarantee to
afford the desired candidates with efficiency and potency.
Therefore, the computer assisted drug design (CADD) have been preferred
over several years above the traditional approaches reducing the cost-burden
and improved results through biological science.
CADD provide significant interactions of identified hits against their
biological targets to understand their mode of action.
We have performed the virtual screening of 3 ligands Chicoric acid,
Rosmarinic acid and Caftaric acid from pubchem using AutoDock Vina
against RdRp(RNA Dependent RNA polymerase) and Membrane
protein using molecular docking docking in search of effective SARS CoV-2
inhibitors motivated by the potential of computational chemistry.
Experimental Section
17
18. Computational studies for analysis of membrane protein and RNA
dependent RNA polymerase
The molecular docking has been performed against selected protein (PDB
ID: 7BV2 (RNA Dependent RNA polymerase and 6M0J (Membrane
protein) using AutoDock Vina to evaluate binding affinity of ligand and
interactions in the active site.
This proteins and ligands in PDBQT format have been used for docking
process.
Caftaric acid Rosmarinic acid Chicoric acid
18
19. Compound no. Dataset Name Binding Energy
(Kcal/mol)
1. Chicoric acid(A) -8.6
2. Caftaric acid(B) -7.1
3. Rosmarinic acid(C) -8.2
Binding Energy of ligands with 7BV2 (RNA Dependent RNA polymerase
protein)
Compound no. Dataset Name Binding Energy
(Kcal/mol)
1. Chicoric acid(A) -7.6
2. Caftaric acid(B) -5.8
3. Rosmarinic acid(C) -6.0
Binding Energy of ligand with 6M0J (Membrane protein)
19
21. 3D interaction of ligands A, B, C with 7BV2 (RdRp).
Chicoric acid Cafaric
acid
Rosmarinic acid
21
22. Chicoric acid Caftaric acid
Rosmarinic acid
3-D interaction of ligands A, B, C with membrane protein (6M0J).
22
23. Molecular Docking
The Pubchem website contains proteins and ligands. From pubchem we
downloaded 3 ligands namely chicoric acid (A), caftaric acid (B) and rosmarinic
acid (C). All Ligands have been optimized and converted into PDBQT format
using OpenBabel and further used for molecular dockings.
Molecular docking with three ligands was performed using the prepared protein
using Autodock vina to reveal the binding affinity and interactions of the
lingands with RdRp protein (PDB ID: 7BV2) and membrane protein (6M0J).
All the ligands were docked on the site using optimized grid box and ten poses
per ligand were generated. The docking interaction of hits have been visualized
and analyzed using Biovia Discovery studio 2020 (12).
23
24. Formulation Development
We have prepared herbal mouthwash, gargle, nasal spray, nasal gel and
throat paint using tulsi and further evaluates parameter for determine
stability and efficacy.
Gargle Mouthwash Throat paint
Evaluation parameters
Colour and odour
pH
Stability studies
24
25. Nasal spray Nasal gel
Evaluation parameters
Determination of pH
Viscosity of solution
Drug content uniformity
Sterility
Stability
Drug content assay
Spreadability
25
26. References
26
1. Wu F. A new coronavirus associated with human respiratory disease in China.
Nature. 2020 Mar 12;579(7798):265–9.
2. Paul NS, Roberts H, Butany J, Chung TB, Gold W, Mehta S, et al. Radiologic
pattern of disease in patients with severe acute respiratory syndrome: The
Toronto experience. Radiographics. 2004;24(2):553–63.
3. Wu F. A new coronavirus associated with human respiratory disease in China.
Nature. 2020 Mar 12;579(7798):265–9.
4. Wang MY, Zhao R, Gao LJ, Gao XF, Wang DP, Cao JM. SARS-CoV-2:
Structure, Biology, and Structure-Based Therapeutics Development. Front Cell
Infect Microbiol. 2020;10(November):1–17.
5. World Health Organization. Genomic sequencing of SARS-CoV-2 [Internet].
2021. 94 p. Available from:
https://www.who.int/publications/i/item/9789240018440
6. Cevik M, Kuppalli K, Kindrachuk J, Peiris M. Virology, transmission, and
pathogenesis of SARS-CoV-2. BMJ. 2020;371:1–6.
27. 27
7. Kumar AH. Molecular Docking of Natural Compounds from Tulsi (Ocimum
sanctum) and neem (Azadirachta indica) against SARS-CoV-2 Protein Targets.
Biol Eng Med Sci Reports. 2020;6(1):11–3.
8. Lee J, Scagel CF. Chicoric acid found in basil (Ocimum basilicum L.) leaves.
Food Chem. 2009 Jul 15;115(2):650–6.
9. Susmitha A, Devi AS. Formulation and Evaluation of Herbal Emulgel of
Ocimum Tenuiflorum and Mentha Arevensis Leaves Extract for Anti-Acne.
2018;8(11).
10. Mankar SD, Shaikh SB, Tamboli AA. Formulation of Herbal Tablet with the
help of Tulsi and Turmeric Extract which Showing Antimicrobial Activity. Res J
Sci Technol [Internet]. 2020 Feb 28 [cited 2021 Oct 19];12(1):69–73
11. Verma R, Misra V, Tiwari D, Bisen PS. Potential of Selected Indian Herbs for
COVID-19. Curr Tradit Med. 2020 Nov 26;06.
12. Nagar PR, Gajjar ND, Dhameliya TM. In search of SARS CoV-2 replication
inhibitors: Virtual screening, molecular dynamics simulations and ADMET
analysis. J Mol Struct [Internet]. 2021;1246:131190