EC16 Nanoformulation: A Potential Nasal Drug for Treating Long COVID

Garrison Lovett, Stephen Hsu
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Abstract

OBJECTIVES

To test the effectiveness of EGCG palmitate (EC16), a lipophilic derivative of (-)-epigallocatechin-3-gallate (EGCG, an anti-oxidant catechin component found in green tea), in reducing the neurological complications of persistent SARS CoV-2 infection particularly in the Human Olfactory Epithelium. The goal of this project was to evaluate the in vitro properties and antiviral activity of a prototype aqueous EC16 nanoformulation.

METHODS

Nanoparticles of EC16 were obtained by a natural-forming method. Nanoparticle size and Zeta potential were measured by the ZetaView Nanoparticle Tracking Analysis (NTA) system. The pH and viscosity of the formulations were measured. Contact suspension antiviral activity of EC16 nanoformulations against OC43 β-coronavirus was determined by TCID50 assay in human respiratory fibroblast cells (MRC-5). Post-infection antiviral activity of the EC16 nanoformulation was assessed using human nasal primary epithelial cells (HNpECs). Cytotoxicity tests were conducted by MTT assay in HNpECs and HCT-8 cells.

RESULTS

A nanoformulation containing 0.1% w/v EC16 inactivated 99.9999% of OC43 on direct contact within 1 minute. After a single 10-minute incubation of HNpECs with formulation EC16m (EGCG-4’ monopalmitate) nanoformulation, OC43 viral replication was inhibited by 99%. Cytotoxicity tests showed that EC16 nanoformulations were comparable to normal saline commonly used in nasal irrigations.]

CONCLUSIONS

The prototype of a nasal nanoformulation containing EC16 showed potential capabilities to rapidly inactivate SARS-CoV-2 virus in the olfactory epithelium. The results indicated that these novel nanoformulations could be the basis for a nasal drug for treatment of Long- COVID associated anosmia and other associated neurological symptoms, pending future clinical studies.

IMPLICATION

EC16, a food-grade compound derive from natural materials, has the potential to be a novel intranasal drug for the treatment of Long COVID, pending safety studies and optimization of a specific nasal spray formulation. Additionally, future studies will determine the antiviral effectiveness of EC16 for pathogens besides SARS-CoV-2, such as norovirus, herpes simplex virus, and influenza viruses, etc…

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EC16 纳米制剂:一种潜在的鼻腔药物,可用于治疗长 COVID
目的测试EGCG棕榈酸酯(EC16)((-)-表没食子儿茶素-3-棓酸盐(EGCG,绿茶中的一种抗氧化儿茶素成分)的一种亲脂性衍生物)在减少SARS CoV-2持续感染的神经并发症方面的有效性,尤其是在人类嗅觉上皮细胞中的有效性。本项目的目标是评估 EC16 纳米水制剂原型的体外特性和抗病毒活性。采用 ZetaView 纳米粒子跟踪分析(NTA)系统测量了纳米粒子的尺寸和 Zeta 电位。还测量了制剂的 pH 值和粘度。在人呼吸道成纤维细胞(MRC-5)中通过 TCID50 试验测定了 EC16 纳米制剂对 OC43 β-冠状病毒的接触悬浮抗病毒活性。用人鼻原代上皮细胞(HNpECs)评估了 EC16 纳米制剂感染后的抗病毒活性。结果含有 0.1% w/v EC16 的纳米制剂在 1 分钟内灭活了直接接触的 99.9999% 的 OC43。HNpECs 与 EC16m(EGCG-4'单棕榈酸酯)纳米制剂孵育 10 分钟后,OC43 病毒复制的抑制率为 99%。细胞毒性测试表明,EC16 纳米制剂与鼻腔灌洗常用的生理盐水相当。结果表明,这些新型纳米制剂可作为鼻腔用药的基础,用于治疗与朗-柯瓦兹病相关的嗅觉障碍和其他相关的神经症状,但有待于今后的临床研究。 意义EC16 是一种从天然材料中提取的食品级化合物,有可能成为治疗朗-柯瓦兹病的新型鼻腔用药,但有待于安全性研究和特定鼻腔喷雾制剂的优化。此外,未来的研究还将确定 EC16 对 SARS-CoV-2 以外的病原体,如诺如病毒、单纯疱疹病毒和流感病毒等的抗病毒效果。
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