Theophylline: Old Drug in a New Light, Application in COVID-19 through Computational Studies

Theophylline (3-methyxanthine) is a historically prominent drug used to treat respiratory diseases, alone or in combination with other drugs. The rapid onset of the COVID-19 pandemic urged the development of effective pharmacological treatments to directly attack the development of new variants of t...

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Main Authors: Luis M. Montaño, Bettina Sommer, Juan C. Gomez-Verjan, Genaro S. Morales-Paoli, Gema Lizbeth Ramírez-Salinas, Héctor Solís-Chagoyán, Zuly A. Sanchez-Florentino, Eduardo Calixto, Gloria E. Pérez-Figueroa, Rohan Carter, Ruth Jaimez-Melgoza, Bianca S. Romero-Martínez, Edgar Flores-Soto
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/8/4167
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author Luis M. Montaño
Bettina Sommer
Juan C. Gomez-Verjan
Genaro S. Morales-Paoli
Gema Lizbeth Ramírez-Salinas
Héctor Solís-Chagoyán
Zuly A. Sanchez-Florentino
Eduardo Calixto
Gloria E. Pérez-Figueroa
Rohan Carter
Ruth Jaimez-Melgoza
Bianca S. Romero-Martínez
Edgar Flores-Soto
author_facet Luis M. Montaño
Bettina Sommer
Juan C. Gomez-Verjan
Genaro S. Morales-Paoli
Gema Lizbeth Ramírez-Salinas
Héctor Solís-Chagoyán
Zuly A. Sanchez-Florentino
Eduardo Calixto
Gloria E. Pérez-Figueroa
Rohan Carter
Ruth Jaimez-Melgoza
Bianca S. Romero-Martínez
Edgar Flores-Soto
author_sort Luis M. Montaño
collection DOAJ
description Theophylline (3-methyxanthine) is a historically prominent drug used to treat respiratory diseases, alone or in combination with other drugs. The rapid onset of the COVID-19 pandemic urged the development of effective pharmacological treatments to directly attack the development of new variants of the SARS-CoV-2 virus and possess a therapeutical battery of compounds that could improve the current management of the disease worldwide. In this context, theophylline, through bronchodilatory, immunomodulatory, and potentially antiviral mechanisms, is an interesting proposal as an adjuvant in the treatment of COVID-19 patients. Nevertheless, it is essential to understand how this compound could behave against such a disease, not only at a pharmacodynamic but also at a pharmacokinetic level. In this sense, the quickest approach in drug discovery is through different computational methods, either from network pharmacology or from quantitative systems pharmacology approaches. In the present review, we explore the possibility of using theophylline in the treatment of COVID-19 patients since it seems to be a relevant candidate by aiming at several immunological targets involved in the pathophysiology of the disease. Theophylline down-regulates the inflammatory processes activated by SARS-CoV-2 through various mechanisms, and herein, they are discussed by reviewing computational simulation studies and their different applications and effects.
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spelling doaj.art-6f7cb28cd998479aa8c07f43405851382023-12-01T21:02:36ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-04-01238416710.3390/ijms23084167Theophylline: Old Drug in a New Light, Application in COVID-19 through Computational StudiesLuis M. Montaño0Bettina Sommer1Juan C. Gomez-Verjan2Genaro S. Morales-Paoli3Gema Lizbeth Ramírez-Salinas4Héctor Solís-Chagoyán5Zuly A. Sanchez-Florentino6Eduardo Calixto7Gloria E. Pérez-Figueroa8Rohan Carter9Ruth Jaimez-Melgoza10Bianca S. Romero-Martínez11Edgar Flores-Soto12Departamento de Farmacología, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México 04510, CP, MexicoLaboratorio de Hiperreactividad Bronquial, Instituto Nacional de Enfermedades Respiratorias “Ismael Cosío Villegas”, Ciudad de México 14080, CP, MexicoDirección de Investigación, Instituto Nacional de Geriatría, Ciudad de México 10200, CP, MexicoDirección de Investigación, Instituto Nacional de Geriatría, Ciudad de México 10200, CP, MexicoLaboratorio de Diseño y Desarrollo de Nuevos Fármacos e Innovación Biotecnológica (Laboratory for the Design and Development of New Drugs and Biotechnological Innovation), Escuela Superior de Medicina, Instituto Politécnico Nacional, Plan de San Luis y Díaz Mirón S/N, Col. Santo Tomas, Ciudad de México 11340, CP, MexicoLaboratorio de Neurofarmacología, Instituto Nacional de Psiquiatría “Ramón de la Fuente Muñiz”, Ciudad de México 14370, CP, MexicoLaboratorio de Neurofarmacología, Instituto Nacional de Psiquiatría “Ramón de la Fuente Muñiz”, Ciudad de México 14370, CP, MexicoDepartamento de Neurobiología, Dirección de Investigación en Neurociencias, Instituto Nacional de Psiquiatría “Ramón de la Fuente Muñiz”, Ciudad de México 14370, CP, MexicoInstituto Nacional de Neurología y Neurocirugía, Unidad Periférica en el Estudio de la Neuroinflamación en Patologías Neurológicas, Ciudad de México 06720, CP, MexicoFRACGP/MBBS, Murchison Outreach Service Mount Magnet Western Australia, Mount Magnet, WA 6530, AustraliaDepartamento de Farmacología, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México 04510, CP, MexicoDepartamento de Farmacología, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México 04510, CP, MexicoDepartamento de Farmacología, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México 04510, CP, MexicoTheophylline (3-methyxanthine) is a historically prominent drug used to treat respiratory diseases, alone or in combination with other drugs. The rapid onset of the COVID-19 pandemic urged the development of effective pharmacological treatments to directly attack the development of new variants of the SARS-CoV-2 virus and possess a therapeutical battery of compounds that could improve the current management of the disease worldwide. In this context, theophylline, through bronchodilatory, immunomodulatory, and potentially antiviral mechanisms, is an interesting proposal as an adjuvant in the treatment of COVID-19 patients. Nevertheless, it is essential to understand how this compound could behave against such a disease, not only at a pharmacodynamic but also at a pharmacokinetic level. In this sense, the quickest approach in drug discovery is through different computational methods, either from network pharmacology or from quantitative systems pharmacology approaches. In the present review, we explore the possibility of using theophylline in the treatment of COVID-19 patients since it seems to be a relevant candidate by aiming at several immunological targets involved in the pathophysiology of the disease. Theophylline down-regulates the inflammatory processes activated by SARS-CoV-2 through various mechanisms, and herein, they are discussed by reviewing computational simulation studies and their different applications and effects.https://www.mdpi.com/1422-0067/23/8/4167theophyllineCOVID-19SARS-CoV-2immunomodulatory effectsantiviral activitymolecular docking
spellingShingle Luis M. Montaño
Bettina Sommer
Juan C. Gomez-Verjan
Genaro S. Morales-Paoli
Gema Lizbeth Ramírez-Salinas
Héctor Solís-Chagoyán
Zuly A. Sanchez-Florentino
Eduardo Calixto
Gloria E. Pérez-Figueroa
Rohan Carter
Ruth Jaimez-Melgoza
Bianca S. Romero-Martínez
Edgar Flores-Soto
Theophylline: Old Drug in a New Light, Application in COVID-19 through Computational Studies
International Journal of Molecular Sciences
theophylline
COVID-19
SARS-CoV-2
immunomodulatory effects
antiviral activity
molecular docking
title Theophylline: Old Drug in a New Light, Application in COVID-19 through Computational Studies
title_full Theophylline: Old Drug in a New Light, Application in COVID-19 through Computational Studies
title_fullStr Theophylline: Old Drug in a New Light, Application in COVID-19 through Computational Studies
title_full_unstemmed Theophylline: Old Drug in a New Light, Application in COVID-19 through Computational Studies
title_short Theophylline: Old Drug in a New Light, Application in COVID-19 through Computational Studies
title_sort theophylline old drug in a new light application in covid 19 through computational studies
topic theophylline
COVID-19
SARS-CoV-2
immunomodulatory effects
antiviral activity
molecular docking
url https://www.mdpi.com/1422-0067/23/8/4167
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