{"id":374045,"date":"2024-02-18T14:00:00","date_gmt":"2024-02-18T13:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/?p=374045"},"modified":"2024-02-18T21:45:20","modified_gmt":"2024-02-18T20:45:20","slug":"preclinical-findings-on-the-antiviral-effects-of-pelargonium-sidoides","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/en\/preclinical-findings-on-the-antiviral-effects-of-pelargonium-sidoides\/","title":{"rendered":"Preclinical findings on the antiviral effects of Pelargonium sidoides"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Due to the immune escape of SARS-CoV-2 strains, the search for broad-spectrum antiviral agents remains an important research goal. A study published in 2023 shows that a phytopharmacological based on <em>Pelargonium sidoides<\/em> improves the course of the disease in hamsters infected with SARS-CoV-2. In addition, antiviral effects against the Delta AY.4 and Omicron BA.2 variants were detected in human nasal and bronchial epithelial cells.  <\/strong><\/p>\n\n<!--more-->\n\n<p class=\"wp-block-paragraph\">The use of <em>Pelargonium sidoides extract<\/em> EPs\u00ae 7630 has proven to be an effective and safe treatment option for acute respiratory infections. Cell culture studies indicate that EPs\u00ae 7630 has comparable activity against SARS-CoV-2 as against other respiratory viruses. In an in-vitro study published in 2021, Papies et al. antiviral and immunomodulatory properties of EPs\u00ae 7630 in SARS-CoV-2 infected human lung cells [1]. To find out more about the properties of EPs\u00ae 7630 and its functionally relevant components in the context of phenotypically different SARS-CoV-2 variants, Emanuel et al. conducted another preclinical study [2]. On the one hand, they used an animal model &#8211; experimental studies on the Syrian hamster are considered a recognized model for analyzing the pathomechanisms of Covid-19 &#8211; and on the other hand, they analyzed treatment effects in a human in vitro model [2,3].<\/p>\n\n<h3 id=\"effects-of-eps-7630-in-sars-cov-2-infected-hamsters\" class=\"wp-block-heading\">Effects of EPs\u00ae 7630 in SARS-CoV-2 infected hamsters<\/h3>\n\n<p class=\"wp-block-paragraph\">For the first experimental group, a prophylactic pre-treatment strategy was used in which the hamsters received oral treatment with a dose of 50 mg\/kg body weight of EPs\u00ae 7630 twice daily, starting 24 hours before infection [2]. For the second test group, a combined oral (p.o.) plus intranasal (i.n.) treatment strategy was used, so that the hamsters received EPs\u00ae 7630 in addition to the oral dose (twice daily 50 mg\/kg body weight from the time of infection), once intranasally 5 mg\/kg body weight with the viral inoculum. The control group was also infected with SARS-CoV-2 and received a vehicle without EPs\u00ae 7630.  <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Virus replication in the lower respiratory tract was delayed: <\/strong>both the oral-only group and the oral plus i.n. treatment group showed an approximately tenfold reduction in SARS-CoV-2 plaque-forming units (PFU) on the second day after infection compared to the vehicle-treated controls [2]. Two days after infection, both EPs\u00ae 7630 trial groups showed a statistically significant reduction in viral titers and viral RNA of SARS-CoV-2 in the lower respiratory tract, with the effects being slightly more pronounced in the oral plus i.n. treatment group.  <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Delayed onset of pneumonia: <\/strong>Lung histopathology (paraffin-embedded tissue of the left-sided lungs; hematoxylin-eosin staining) was performed to determine whether treatment with EPs\u00ae 7630 also led to a change in Covid-19 pathology [2].  <\/p>\n\n<ul class=\"wp-block-list\">\n<li>Hamsters treated with EPs\u00ae 7630 had significantly fewer lung areas with signs of disease pathology 4 days post-infection than vehicle-treated controls.  <\/li>\n\n\n\n<li>Hamsters treated with vehicle showed a peak of bronchitis 2 days after infection, whereas the hamsters treated with EPs\u00ae 7630 only showed a peak 4 days after infection.  <\/li>\n\n\n\n<li>Both p.o. and i.n. EPs\u00ae 7630-treated hamsters had a significantly lower pneumonia score 4 days post-infection, but comparable scores to controls 7 days post-infection, suggesting an EPs\u00ae 7630-mediated delay in the onset of pneumonia.  <\/li>\n\n\n\n<li>The hamsters treated with EPs\u00ae 7630 showed significantly less pulmonary edema compared to the vehicle-treated controls 4 days after infection. This was most pronounced in the combined oral and intravenous treatment group.<\/li>\n<\/ul>\n\n<h3 id=\"antiviral-properties-of-eps-7630-in-human-epithelial-cells\" class=\"wp-block-heading\">Antiviral properties of EPs\u00ae 7630 in human epithelial cells  <\/h3>\n\n<p class=\"wp-block-paragraph\">In human nasal and bronchial epithelial cells, EPs\u00ae 7630 inhibits SARS-CoV-2 variants differently [2]. Significant antiviral effects were observed against Delta AY.4 and Omicron BA.2 in both nasal and bronchial human epithelial cells (AEC), indicating a variant-specific antiviral effect  <strong> (Fig. 1). <\/strong>According to the study authors, it seems plausible that the therapeutic efficacy of EPs\u00ae 7630 is based on a combination of inhibition of viral entry and direct anti-inflammatory effects. This is also consistent with the positive effects of EPs\u00ae 7630 observed in other respiratory tract infections in clinical settings [4\u20137].<\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><a href=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2024\/01\/abb1_HP1_s50.png\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1463\" height=\"1461\" src=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2024\/01\/abb1_HP1_s50.png\" alt=\"\" class=\"wp-image-373996\" style=\"width:500px\" srcset=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2024\/01\/abb1_HP1_s50.png 1463w, https:\/\/medizinonline.com\/wp-content\/uploads\/2024\/01\/abb1_HP1_s50-800x800.png 800w, https:\/\/medizinonline.com\/wp-content\/uploads\/2024\/01\/abb1_HP1_s50-1160x1158.png 1160w, https:\/\/medizinonline.com\/wp-content\/uploads\/2024\/01\/abb1_HP1_s50-80x80.png 80w, https:\/\/medizinonline.com\/wp-content\/uploads\/2024\/01\/abb1_HP1_s50-120x120.png 120w, https:\/\/medizinonline.com\/wp-content\/uploads\/2024\/01\/abb1_HP1_s50-90x90.png 90w, https:\/\/medizinonline.com\/wp-content\/uploads\/2024\/01\/abb1_HP1_s50-320x320.png 320w, https:\/\/medizinonline.com\/wp-content\/uploads\/2024\/01\/abb1_HP1_s50-560x560.png 560w, https:\/\/medizinonline.com\/wp-content\/uploads\/2024\/01\/abb1_HP1_s50-1120x1118.png 1120w\" sizes=\"(max-width: 1463px) 100vw, 1463px\" \/><\/a><\/figure>\n<\/div>\n<p class=\"wp-block-paragraph\">In addition, at least two molecular components of EPs\u00ae 7630, namely (-)-epigallocatechin and (+)-taxifolin, were shown to have antiviral effects on SARS-CoV-2 replication and cell entry. It was also found that the mechanism by which epigallocatechin blocks SARS-CoV-2 is dependent on the SARS-CoV variant. Epigallocatechin and its component epigallocatechin gallate exhibited stronger entry inhibition against Omicron BA.2 compared to B.1 and Delta AY.117. This corresponds with the increased antiviral activity of EPs\u00ae 7630 and the two aforementioned ingredients against Omicron BA.2 <strong>(Fig. 1)<\/strong>.<\/p>\n\n<p class=\"wp-block-paragraph\">Literature:  <\/p>\n\n<ol class=\"wp-block-list\">\n<li>Papies J, et al: Antiviral and Immunomodulatory Effects of Pelargonium sidoides DC. Root Extract <sup>EPs\u00ae<\/sup> 7630 in SARS-CoV-2-Infected Human Lung Cells. Front Pharmacol 2021; 12: 757666. doi: 10.3389\/fphar.2023.1214351<\/li>\n\n\n\n<li>Emanuel J, et al: In vitro and in vivo effects of Pelargonium sidoides DC. root extract <sup>EPs\u00ae<\/sup> 7630 and selected constituents against SARS-CoV-2 B.1, Delta AY.4\/AY.117 and Omicron BA.2. Front Pharmacol 2023 Jul 26; 14: 1214351.<\/li>\n\n\n\n<li>Osterrieder N, et al: Age-dependent progression of SARS-CoV-2 infection in Syrian hamsters. Viruses 2020; 12: 779. 10.3390\/v12070779<\/li>\n\n\n\n<li>Kamin W, et al: Efficacy and tolerability of EPs 7630 in children and adolescents with acute bronchitis-a randomized, double-blind, placebo-controlled multicenter trial with a herbal drug preparation from Pelargonium sidoides roots. Int J Clin Pharmacol Ther 2010a; 48, 184-191.  <\/li>\n\n\n\n<li>Kamin W, et al: Efficacy and tolerability of EPs 7630 in patients (aged 6-18 years old) with acute bronchitis: A randomized, double-blind, placebo-controlled clinical dose-finding study. Acta Paediatr 99: 537-543.<\/li>\n\n\n\n<li>Matthys H, et al: Efficacy and tolerability of EPs 7630 tablets in patients with acute bronchitis: A randomized, double-blind, placebo-controlled dose-finding study with a herbal drug preparation from Pelargonium sidoides. Curr Med Res Opin 2010; 26: 1413-1422.<\/li>\n\n\n\n<li>Riley DS, et al: Treatment with EPs 7630, a Pelargonium sidoides root extract, is effective and safe in patients with the common cold: results from a randomized, double blind, placebo-controlled clinical trial. Integr Med (Encinitas) 2019; 18 (1): 42-51.<\/li>\n<\/ol>\n\n<p class=\"has-small-font-size wp-block-paragraph\"><em>FAMILY PHYSICIAN PRACTICE 2024; 19(1): 48-50<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Due to the immune escape of SARS-CoV-2 strains, the search for broad-spectrum antiviral agents remains an important research goal. A study published in 2023 shows that a phytopharmacological based on&hellip;<\/p>\n","protected":false},"author":7,"featured_media":374048,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"SARS-CoV-2  ","footnotes":""},"category":[74318],"tags":[73818,25748,73820,18251,12550,73816,13179],"powerkit_post_featured":[],"class_list":["post-374045","post","type-post","status-publish","format-standard","has-post-thumbnail","category-phytotherapie","tag-antiviral-agents","tag-eps-7630-en","tag-immune-escape","tag-pelargonium-sidoides-en","tag-phytotherapy","tag-preclinical-findings","tag-sars-cov-2-en","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-07-05 00:13:43","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"en_US","wpml_translations":{"fr_FR":{"locale":"fr_FR","id":374054,"slug":"resultats-precliniques-sur-les-effets-antiviraux-du-pelargonium-sidoides","post_title":"R\u00e9sultats pr\u00e9cliniques sur les effets antiviraux du Pelargonium sidoides","href":"https:\/\/medizinonline.com\/fr\/resultats-precliniques-sur-les-effets-antiviraux-du-pelargonium-sidoides\/"},"it_IT":{"locale":"it_IT","id":374059,"slug":"risultati-preclinici-sugli-effetti-antivirali-del-pelargonium-sidoides","post_title":"Risultati preclinici sugli effetti antivirali del Pelargonium sidoides","href":"https:\/\/medizinonline.com\/it\/risultati-preclinici-sugli-effetti-antivirali-del-pelargonium-sidoides\/"},"pt_PT":{"locale":"pt_PT","id":374067,"slug":"resultados-pre-clinicos-sobre-os-efeitos-antivirais-do-pelargonium-sidoides","post_title":"Resultados pr\u00e9-cl\u00ednicos sobre os efeitos antivirais do Pelargonium sidoides","href":"https:\/\/medizinonline.com\/pt-pt\/resultados-pre-clinicos-sobre-os-efeitos-antivirais-do-pelargonium-sidoides\/"},"es_ES":{"locale":"es_ES","id":374073,"slug":"hallazgos-preclinicos-sobre-los-efectos-antivirales-del-pelargonium-sidoides","post_title":"Hallazgos precl\u00ednicos sobre los efectos antivirales del Pelargonium sidoides","href":"https:\/\/medizinonline.com\/es\/hallazgos-preclinicos-sobre-los-efectos-antivirales-del-pelargonium-sidoides\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/374045","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/comments?post=374045"}],"version-history":[{"count":1,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/374045\/revisions"}],"predecessor-version":[{"id":374049,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/374045\/revisions\/374049"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/media\/374048"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/media?parent=374045"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/category?post=374045"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/tags?post=374045"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/powerkit_post_featured?post=374045"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}