Feasibility Analysis of Siji Kangbingdu Mixture for Treatment of Children COVID-19
Abstract:Objective:This paper is to evaluate Siji Kangbingdu Mixture effectiveness and safety and explore its mechanisms in treatment of children COVID-19.Methods:Firstly,we conducted a meta-analysis for Siji Kangbingdu Mixture efficacy and safety in the treatment of children respiratory system infections.Secondly,we performed network pharmacology method to screen active compounds and targets,and explore potential anti-virus mechanism.Finally,we used molecular docking model to evaluate the binding abilities between active compounds and 2019 novel coronavirus (2019-nCoV,SARS-CoV-2) 3CL protease receptor-binding domain (PBD ID 6LU7),which involving in mediating viral replication and transcription functions.Results:The meta-analysis showed that Siji Kangbingdu Mixture had potential power to be an outstanding drug with better effectiveness and safety,compared to chemical anti-virus drugs.According to constructed ′herb-compounds-disease-target′ network analysis,there were 88 compounds and 24 targets which had closely linked with COVID-19.At last,the molecular docking results revealed that 12 of the 88 compounds were identified with higher docking score rank against 2019-nCoV 3CL protease,and most of them were attributed to flavonoids.Conclusion:Taken together,we predict that the Siji Kangbingdu Mixture treatment has a ′win-win′ mechanism,not only for symptoms alleviation,but also for permanent rescue.The mechanism may relate to IL-17 signaling pathway and arachidonic acid metabolism pathway regulation in systemic immune response and inflammation,and it could also interfere novel coronavirus replication by inhibiting 3CL protease.