Surfactant-based prophylaxis and therapy against COVID-19: A possibility

Med Hypotheses. 2020 Oct:143:110081. doi: 10.1016/j.mehy.2020.110081. Epub 2020 Jul 7.

Abstract

Hand hygiene by washing with soap and water is recommended for the prevention of COVID-19 spread. Soaps and detergents are explained to act by damaging viral spike glycoproteins (peplomers) or by washing out the virus through entrapment in the micelles. Technically, soaps come under a functional category of molecules known as surfactants. Surfactants are widely used in pharmaceutical formulations as excipients. We wonder why surfactants are still not tried for prophylaxis or therapy against COVID-19? That too when many of them have proven antiviral properties. Moreover, lung surfactants have already shown benefits in respiratory viral infections. Therefore, we postulate that surfactant-based prophylaxis and therapy would be promising. We believe that our hypothesis would stimulate debate or new research exploring the possibility of surfactant-based prophylaxis and therapy against COVID-19. The success of a surfactant-based technique would save the world from any such pandemic in the future too.

Keywords: COVID-19; Peplomer; SARS-CoV-2; Spike glycoprotein; Surfactants.

MeSH terms

  • Antiviral Agents / administration & dosage
  • Antiviral Agents / pharmacology
  • Betacoronavirus* / drug effects
  • COVID-19
  • COVID-19 Drug Treatment
  • Coronavirus Infections / drug therapy*
  • Coronavirus Infections / prevention & control*
  • Coronavirus Infections / transmission
  • Humans
  • Micelles
  • Models, Biological
  • Mouthwashes / administration & dosage
  • Mouthwashes / pharmacology
  • Pandemics / prevention & control*
  • Pneumonia, Viral / drug therapy*
  • Pneumonia, Viral / prevention & control*
  • Pneumonia, Viral / transmission
  • SARS-CoV-2
  • Surface-Active Agents / administration & dosage
  • Surface-Active Agents / pharmacology*

Substances

  • Antiviral Agents
  • Micelles
  • Mouthwashes
  • Surface-Active Agents