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Evaluation of Microalgae Antiviral Activity
Chlamydomonas reinhardtii, una microalga verde, viene utilizzata come vettore per esprimere l'RNA a doppio filamento nel virus della testa gialla (YHV), un virus a RNA a filamento singolo della famiglia Roniviridae che infetta gamberetti e gamberi. Viene somministrato agli animali per introduzione orale. Gli organismi trattati con queste microalghe bioingegnerizzate sopravvivono all'infezione di questo virus.
One of the first studies on the antiviral activity of microalgae was carried out by Umezawa et al. : an extract containing acid polysaccharides fromChlorella pyrenoidosawas shown to have an inhibitory effect in mice against vesicular stomatitis virus (VSV). However, the greatest interest in the antiviral compounds within microalgae spread only in the mid-1990s, when some cyanobacteria, such as Nostoc and Spirulina, showed interesting results against HIV, which was considered a plague in the 1980s .
Recently, the interest in microalgae with antiviral effect has also developed in one of the biggest economic sectors, that of aquaculture and its derivatives . Indeed, water is an excellent vector for the transmission of viruses that often kill or seriously damage some animals .
In this entry, we analyzed the antiviral effects of microalgae against some common human and animal viruses. Moreover, we examined antiviral compounds produced by microalgae, the effect of genetic engineering in this field, and perspectives on a diet enriched in microalgae. We focused our attention on some possible effects against SARS-CoV-2.
2. Microalgae Antiviral Compounds
Among the different strategies to fight viruses, one involves the prevention of the entry of the microbes into the cells by blocking their interaction with the cell membrane. The most famous preventive agents are lectins, proteins of a non-immunoglobulin nature capable of binding carbohydrates without altering the structures of specific glycosyl ligands; for this reason, they are called carbohydrate-binding agents (CBAs) . Lectins have internal repeats containing a carbohydrate recognition domain (CRDs) and they are classified via this domain.
The orientation of CRDs determines the affinity of the carbohydrate structure. Therefore, some lectins only interact with high-mannose polysaccharides, some with glycan branches, and others with the galactose core . Lectins interact directly with the high-glycan structure of virally enveloped glycoproteins that are added after post-translational modification .
Microalgae lectins with antiviral activity all originate from cyanobacteria, and all of them have anti-HIV activity (Table 1; Figure 1).
|Lectins Interact Directly with the High-Glycan Structure of Viral Envelope Glycoproteins|
|Agglutinin OAA||Oscillatoria agardhii||HIV1, HIV2|||
|CV-N||Nostoc ellipsosporum||HIV1, HSV1, HCV, IAV, IBV|||
|Microvirin||Microcystis aeruginosa||HIV1, HIV2|||
|MVL||Microcystin viridis||HIV1, HIV2, HCV|||
|Scytovirin||Scytonema varium||HIV1, ZEBOV|||
HIV is a positive single-stranded enveloped RNA virus of the genusLentivirusof theRetroviridaefamily that infects CD4+cells. This virus induces the lowering of CD4+cell levels, making the body more vulnerable to all types of infections and causing acquired immunodeficiency syndrome (AIDS). There are two main types of this virus: HIV1, diffused around the world, and HIV2, diffused only in West Africa because of its low transmissibility .
In more detail, HIV enters the cells thanks to the envelope protein gp120 that engages the CD4+-like receptor and the CCR5- or CXCR4-like coreceptor. After this interaction, the gp120 and gp41 peptides (glycosylated trimeric assemblies interacting with lectins) fuse inside the membrane  (Figure 1).
There are five lectins from cyanobacteria that are the most studied: Agglutinin OAA, Cyanovirin-N (CV-N), Microcystis Viridis Lectin (MVL), Microvirin, and Scytovirin (Table 1).
Oscillatoria agardhiistrain NIES-204 produces a lot of lectins to support blooms on the surfaces of lakes and ponds; among these, there is Agglutinin OAA (molecular weight 13.9 kDa). This lectin shows anti-HIV1 and anti-HIV 2 activity in vitro, and high mitogenic activity .
CV-N was extracted fromNostoc ellipsosporum and clinical trials around this substance are very advanced: more than 200 papers have been published in the last twenty years . In the USA, it has become a commercial drug, produced by Cellegy Pharmaceuticals Inc., and in experiments and different clinical trials, it has been used as a rectal and vaginal gel .
HCV is an enveloped positive RNA virus from the Flaviviridae family that replicates on intracellular lipid membranes in hepatocytes, but also in peripheral blood mononuclear cells .
ZEBOV is a negative-stranded virus from the Filoviridae family causing a hemorrhagic fever with a high mortality rate .
HSV is a double-stranded DNA enveloped virus of theHerpesviridaefamily causing lithic infections in human mucoepithelial cells, such as fibroblasts and epithelial cells. After the infection, the virus moves to sensory nerve axons and causes latent infection in trigeminal ganglia, thanks to some genes that control the latency-associated transcript. Therefore, it can show up again periodically. The two main forms, HSV1 and HSV2, respectively cause oral and genital herpes .
They are negative stranded RNA viruses belonging tothe Orthomyxo-viridaefamily. IAV is the only species of the genusAlphainfluenzavirus, and is categorized into subtypes based on the type of each of the two proteins present on the viral envelope, hemagglutinin (H) and neuramidase (N) IBV is the only species of the genus Betainfluenzavirus . Viruses belonging to this family have the ability to adsorb the glycoprotein receptors of the red blood cells, generally causing acute respiratory infections, which are highly contagious.
CV-N binds neuraminidase, opening a gap in the cell membrane . Generally, CV-N is expressed in different organisms and carried out different actions, e.g.,Escherichia coli,Streptococcus gordonii,Lactobacillus Jensenii .
Microvirin is an alpha-(1,2)-mannose-specific lectin; it is a protein of 14.7 kDa and shares 33% amino acid identity with CV-N . It is produced byMicrocystis aeruginosaPCC7806 in higher quantities in the presence of iron and light stress conditions . Generally, it is expressed thanks toEscherichia coli, and has a good anti-HIV activity, helping to avoid syncytium formation. It has a higher safety profile, but it is not possible to achieve a high productivity level of CV-N
 showed, thanks to biolayer interferometry, that this lectin also has anti-HCV activity, having high affinity with the HCV E1E2 glycoprotein. Western blot analysis confirms that this lectin has some effect against ZEBOV and HCV, too .  showed that in some 9, BALB/c mice infected with ZEBOV, the presence of this lectin reduced mortality, and its action had some effects when the lectin was added from the day before the infection until the day after the infection. Table 1 Microalgae lectins with antiviral effects.
Polysaccharides originate in a great variety of organisms. Among these substances, sulphate polysaccharides and acidic polysaccharides showed the highest antiviral activities.
Sulphate polysaccharides have a high antiviral activity against enveloped viruses. They interact with the positively charged domains of the virus glycoprotein envelope and create a non-reversible complex; as such, they occupy the sites for virus attachment (Figure 2).
The activity of sulphate polysaccharides is linked to different factors: the degree of sulphation, molecular weight, the distribution of sulphate in the structure and stereochemistry, the effect of counter cations, and hydrophobic and hydrogen bonding interaction .
Among the different microalgae producing sulphate polysaccharides, the best candidates are definitely Spirulinaand Porphyridium (Table 2).
The most famous sulphate polysaccharide fromSpirulinais Calcium-spirulan (Ca-SP), which was isolated by Hayashi and Hayashi in 1996 from a hot water extract via cellulose chromatography. Ca-SP showed its activity against HIV1 by interacting with the V3 loop region of the viral envelope, containing gp120, and stopping the syncytium formation between infected cells and non-infected cells . This polysaccharide also prevents syncytium formation in the presence of HSV1 and HSV2 in vitro and in vivo .
Lastly, this compound also acts against other enveloped viruses, such as human cytomegalovirus (HCMV), and Mumps virus (MuV), IAV .
HCMV is a double-stranded DNA virus of theHerpesviridaefamily, showing its action against people with compromised immune systems and causing retinitis, pneumonitis, and possible liver failure . MuV is a single-stranded RNA virus of theParamyxoviridaefamily causing pain in the salivary glands .
Mass spectrometry showed that Ca-SP is composed of two types of repeating units of disaccharides (O-rhamnosyl-acofriose andO-hexuronosyl-rhamnose). It has a high antiviral activity against all enveloped viruses thanks to the chelation of calcium ions with a sulphate group .
 showed thatSpirulina platensisalso produces TK-V3, another sulphate polysaccharide. In this study, TK-V3 in vitro reduced the replication of two animal viruses, vaccinia virus (VV) and Ectromelia virus (ECTV), but it also has some effect against HSV1. VV is a double-stranded DNA-enveloped virus of the Poxviridae family, and is a constituent of the vaccine that eradicated smallpox and caused smallpox in cattle . ECTV is an enveloped double-stranded DNA virus of the Poxviridae family that causes mousepox in mice .
Arthsospira fusiformeproduces a sulphate polysaccharide with interesting anti-HSV1 and HSV2 activity, and is thought to be linked to the presence of phycobiliproteins .
Porphyridiumis a red microalga of the Porphyridiophyceae family that, in recent years, has received great attention for its possible biotechnological uses in the biomedical field. This microalga is encapsulated by an envelope of sulphate polysaccharides with antitumor, antibacterial and antiviral activity .
It has been seen thatPorphyridiumsp has high activity against murine leukemia virus (MuLV), a single-stranded RNA-enveloped virus from theRetroviridaefamily causing cancer in mice , and it has interesting anti-HSV activity, reducing infection by 50% and showing no cytotoxic effects in vitro .
Among the different species,Porphyridium cruentumproduce some sulphate polysaccharides with high antiviral activity. , methanol extracts of this species containing sulphate polysaccharides had high antiviral activity in vitro against two animal viruses, Piscine novirhabdovirus (VHSV) and African swine fever virus (ASFV). VHSV is a single-stranded RNA-enveloped virus from the Rhabdoviridae family causing serious viral hemorrhagic septicemia (VHS) and death in salmonid fishes . ASFV is an enveloped double-stranded DNA virus in the Asfarviridae family with a high mortality rate and causing a hemorrhagic fever, African swine fever (ASF), in domestic pigs .
Two dinoflagellates produce some sulphate polysaccharides with antiviral activity: Gyrodinium impudiumandCochlodinium polykrikoides.
Gyrodinium impudiumproduces a sulphate polysaccharide rich in galactose and glucose called p-KGO3, and this inhibits IAV until six hours after the viral infection. It has some effects on Encephalomyocarditis virus (EMCV) , a non-enveloped single-stranded RNA virus of thePiconaviridaefamily, which is the causative agent of myocarditis and encephalitis, neurological diseases, reproductive disorders and diabetes in many mammalian species .
Cochlodinium polykrikoidesproduces a sulphate polysaccharide composed predominantly of mannose, galactose, glucose and uronic acid, with antiviral effects and no cytotoxicity effect against HIV1, IBV, HSV, MuV and parainfluenza viruses (HPIVs) , which are single-stranded viruses of theParamyxoviridaefamily causing severe respiratory disease in children under 5 years of age .
One type of diatom collected in deep seawater,Navicula directa, produces a sulphate polysaccharide called Naviculan, which is rich in fucose, xylose, galactose, mannose, rhamnose, and has other trace amounts of sugar moieties. It showed its activity in vitro against HSV, IAV and HIV .
Not all the polysaccharides of microalgae showing anti-HSV activity are sulphated, but some of them are acid polysaccharides with carboxyl group, phosphate group or ester group.
Nostoflan is one of the most famous acidic polysaccharides. It shows a high activity against HSV: in the presence of this substance, there is a reduction in gD, a major component of the virion envelope glycoprotein thought to be required for the fusion of the virus . Nostoflan also has some effect against IAV in vitro, reducing the virus yield at low concentrations, and in vivo in mice models when injected intranasally . These acid polysaccharides did not show antithrombin activity, a typical collateral effect of some sulphate polysaccharides.
Chlorella pyrenoidosaproduced an acid polysaccharide with some effects in mice against vesicular stomatitis virus (VSV) , a negative stranded enveloped RNA virus of theRhabdoviridaefamily causing mucosal vesicles and ulcers in the mouths of cattle, horses and pigs .
Table 2.Microalgae polysaccharides with antiviral effects.
|Polysaccharides Interact with the Positively Charged Domains of the Virus Envelope Glycoprotein and Create a Non-Reversible Complex|
|Calcium-spirulan (Ca-SP)||Spirulina||HIV1, HIV2, HSV1, HSV2, HCMV, MuV, IAV|||
|Naviculan||Navicula directa||HSV, IAV, HIV|
|TK-V3||Spirulina platensis||HSV1, ECTV, VV|||
|/||Arthsospira fusiforme||HSV1, HSV2|||
|/||Porphyridium sp.||HSV, MuLV,|||
|/||Porphyridium cruentum||HH3, VV, ASFV, VHSV|||
|/||Cochlodinium polykrikoides||HIV1, HSV, IBV, HPIVs, MuV|||
|KGO3||Gyrodinium impudium||IAV, EMCV,|||
|/||Chlorella autotrophica||VHSV, ASFV|||
|Nostoflan||Nostoc flagelliforme||HSV, IAV|||
Microalgae pigments are extensively used in the biomedical field, and several studies show they could be used similarly to antivirals. Among these, the main substances that showed the most interesting results are pheophorbide a, carotenoids, astaxanthin, and phycobiliproteins (allophycocyanin, phycocyanin) (Table 3).
Table 3. Microalgae pigments and derivatives with antiviral effects.
|HSV1||Bonds to virus cell receptors, effects post-entry steps|||
|Carotenoids extracts||Dunaliella salina||Su-HV1,
|Inhibition of plaque formation and downregulation of gene and protein expression|||
|Allophycocyanin||Spirulina platentis||EV71||Delay of viral RNA synthesis in vitro|||
|Phycocyanin||Spirulina platentis||IAV||Downregulation of expression of inflammatory factors|||
|Not identified pigment||Ankistrodesmus convolotus,
|EBV||Inhibition of some proteins involved in the lytic cycle|||
Pheoporbide a (PPba) is formed after the dephytylation and demetallation of chlorophyll a . This substance, known for its antiproliferative activity and used as an anticancer cure , shows some antiviral effects, in particular against enveloped viruses . It is commonly believed to bind to virus cell receptors, but some studies demonstrate that it also has some effects in post-entry steps . In more detail, cyanobacteriumLingbyaand green microalgaDunaliella, in particular the speciesDunaliella primolecta, are active against HSV1, and inhibit the cytopathic effect of the virus .
Carotenoids are used in different biotechnology fields, and their antiviral action could be both direct and indirect. It has been seen that extracts ofDunaliella salinadirectly inhibit the plaque formation ofSuid herpesvirus(su-HV1), an enveloped DNA virus of theHerpesviridaefamily, causing fever and high mortality in piglets .
However, it is also known that carotenoids decrease the harmful effects of some viruses indirectly. Indeed, viruses increase the level of reactive oxygen species (ROS) and reactive nitrogen oxygen (RNS), which inhibit virus replication. This hyperinflammation of the cytokine storm is also the origin of two severe syndromes: acute respiratory distress syndrome (ARDS), causing breathlessness and rapid heart rate, and acute lung injury (ALI), involved in the damage of different tissues. One is the consequence of the other: firstly, the alveolar walls are damaged, and consequently, there is a scarcity of oxygen in other organs .
Li et al.  showed that the beta-carotene ofDunaliella salinainhibits the level of nitric oxide and cytokine; moreover, it downregulates the gene and protein expression of the jak/stat pathway in the presence of pseudorabies virus(PRV), anAlphaherpesvirus creating neurological problems in mice.
Furthermore, astaxanthin, a xanthophyll produced at high quantities byHematococcus pluvialisand some diatoms , showed antioxidant effects, in particular against the collateral effect ofWhispovirus(white spot syndrome virus, WSSV), a double-stranded enveloped DNA virus of theNimaviridaefamily that causes white spot disease (WSD), a lethal syndrome in penaeid shrimps, and against infectious hematopoietic necrosis virus (IHNV), a single-stranded DNA virus of theRhabdoviridaefamily .
Phycobiliproteins are other substances with antiviral activity.
Spirulina platenisextracts containing allophycocyanin (APC) were able to delay the RNA synthesis in vitro ofEnterovirus 71(EV71), a single-stranded RNA virus of thePiconaviridae family, causing neurological and cardiovascular disorders .
A cold-water extract ofSpirulina platensisshowed anti-IAV activity. Its action is probably linked to the presence of phycocyanin (CPC), which generally downregulates the expression of inflammatory factors caused by viruses .
This activity is probably linked to unidentified pigments of the phycobiliproteins family . EBV is a member of aherpesvirusfamily that is generally asymptomatic, but, in some cases, it leads to lymphoproliferative disorders, such as Burkitt’s lymphoma (BL) and Hodgkin’s lymphoma (HL) .
Spirulina maximaproduced a peptide called SM that showed antiviral activity against HIV. This peptide inhibits the reverse transcriptase of the virus and p24 antigen production .
Other peptides with antiviral activity are cyclic depsipeptides (CDPs), which are particular peptides wherein one or more amino acids are replaced with a hydroxylated carboxylic acid (Table 4).
Table 4. Other microalgae compounds with antiviral effects.
|IAV||Inhibition of proteins of virus cycle|||
|SM||Peptide||Spirulina maxima||HIV1||Inhibition of the
reverse transcriptase of the virus and p24 antigen production
|Not identified protein||protein||Nannochloropsis oculata||NNV||Increase in α actin activity and immunity system|||
|Not identified protein||protein||Spirulina platensis||NPV||Decrease in mortality|||
|Not identified flavonoids||flavonoid||Geitlerinema sp.||HCV||Reduction in ATPase activity|||
|Inhibition of virus
|Monogalactosyldiacilglyceride||glycolipid||Coccomixa sp.||HSV2||Change of virus shape causing lysis.|||
|HIV, HSV||Inhibition of RNA polymerase.|||
These peptides are generally synthesized by non-ribosomal peptides in combination with fatty acids in algae, sponges, and other marine organisms . Zainuddin et al.  showed that ichthyopeptin A, a CDP produced by Microcystis ichthyoblabe, had a high IAV activity inhibiting the proteins of the virus cycle.
Different works in the field of aquaculture showed that proteins can also act against viruses.
Studies using HPLC showed that the antiviral effect against nuclear polyhedrosis virus (NPV), a double-stranded DNA-enveloped virus from theBaculoviridaefamily killing the silkwormBombyx mori, is linked to the presence of some proteins produced bySpirulina platensis. However, the action is not known .
Proteins ofNannochloropsis oculataincrease α actin activity and immunity system defense, decreasing the mortality linked to Betanodavirus (or nervous disease virus, NNV), an RNA non-enveloped virus from theNodaviridaefamily causing the nerval necrosis of the humpback grouper .
Flavonoids are potent antivirals  and some of them are produced by microalgae (Table 4). In different experiments, a methanol extract of the cyanobacteriumGeitlerinemasp. strain containing a substance of the flavonoids group showed high anti-HCV activity, reducing the ATPase activity and consequently RNA helicase and virus replication .
A pigment with a probable polyphenolic nature that shows interesting antiviral activity is marennine . Water-soluble marennine is a blue-grey accessory pigment produced by the tychopelagic diatomHaslea ostreariaduring blooms. The pigment’s name is derived from the French region Marennes-Olèron, a place rich in this diatom .
Marennine is produced in high quantities in a photobioreactor in the presence of shear stress , and it is utilized for different industrial purposes, such as in food, colorants and cosmetics . Olicard et al.  showed that it has effective antiviral activity against HSV and HIV; its action is not clear in detail.
Two glycolipids, monogalactosyldiacilglyceride and sulfoquinovosyldiacyglycerol, showed an antiviral effect (Table 4).
Monogalactosyldiacilglyceride is produced byCoccomyxasp., a green microalga containing more than 30% lipids by dry weight . This substance is generally the main component of chloroplasts and other organelles. It is a potent viricide of HSV2 in animal cells and in vitro cells. The mechanism of action is not clear: it probably has the ability to change the shape of virus particles, thus harming the viral envelope, and could cause lysis and thus prevent the formation of plaques .
Sulfoquinovosyldiacyglycerol is produced by two cyanobacteria,Phormidiumsp. andLyngbyasp. It is a glycolipid that is rich in sulfur, is associated with photosynthetic membranes, and has high antiviral activity, in particular against HIV and HSV . This substance inhibits DNA polymerase thanks to the negatively charged side of the sulphonate group in quinovose, a dioxide carbohydrate, which interacts with the positively charged side of the enzyme (Figure 3).
3. Antiviral Bioengineering Perspectives Using Microalgae
Table 5. Genetic engineering.
|Phaeodactylum tricornutum||Expression of a recombinant antibody||HBV|||
|Chlamydomonas reinhardtii||Expression of RNA interfering||YHV|||
|Chlorella pyrenoidosa||Expression of antigenic protein||IBDV|||
|Schizochytrium sp.||Expression of antigenic protein||ZIKV|||
One of these is the recombinant antibodies technique that allows the production of cloning antibodies in a vector, which are then subsequently expressed in a host.
Hempel et al.  usedPhaeodactylum tricornutumto treat hepatitis B virus (HBV). In the experiment, monoclonal recombinant human antibody CL.4mAb, which acts against the HBV surface proteins, was expressed and assembled in the endoplasmic reticulum of this microorganism, showing a direct effect against the virus in vitro in human cells.
Genetic engineering is used to create vaccines, which are fundamental weapons against viruses.
The main strategy used to create vaccines, in particular against Sars-CoV 2, is based on a viral vector replicating or not replicating DNA and RNA .
An example is the technique of RNA interference (RNAi), wherein a double-stranded RNA interferes with virus mRNAs.
Chlamydomonas reinhardtii, a green microalga, is used as a vector to express double-stranded RNA in yellow head virus (YHV), a single-stranded RNA virus of theRoniviridaefamily infecting shrimps and prawns. It is given to animals by oral introduction. The organisms treated with these bioengineered microalgae survive the infection of this virus. We have observed that this virus is related to the family of coronaviruses .
Other interesting strategies derived from microalgae could be used to create vaccines.
Reddy et al.  tried to create a vaccine against infectious bursal disease virus (IBDV), a non-enveloped RNA virus of the Birnaviridae family causing an immunosuppressive disease in poultry  This method allows the introduction of genetic material into a host organism thanks to the support of competence bacteria. The protein VP2 was expressed inChlorella pyrenoidosaviaAgrobacterium tumefaciens; serotype-specific antigenic determinants, located on this protein, induce neutralizing antibodies, and confer protection in young chicken against the action of the virus (Figure 4).
4. An Overview of the Antiviral Effects of a Supplementary Microalgae Diet and Its Possible Action on SARS-CoV-2
The oral introduction of both microalgae and microalgae compounds is widely used to counteract virus diseases as well as cancers. A diet rich in these substances is not invasive and does not have side effects .
One of the best candidates for nutritional properties is Spirulina.
A supplementary diet rich in Spirulina could have some antiviral action thanks to its high content of nutraceutical products.
Some of its derivatives are commercially in use as dietary supplements. For example, the company ChromaDex produces an extract called Immulina , with some action against IAV thanks to its Braun-type lipoproteins. These lipoproteins activate toll-like receptors, and consequently the immunity system .
Teas et al.  noted that there is a difference in the rate of HIV/AIDS incidence among Asia, Chad, and the parts of Africa. This phenomenon was thought to be linked to the consumption of Spirulina, which is very high in Chad and in Asia.
Ngo-Matip et al.  showed that a nutrition rich in Spirulina has some effects against the collateral effect of HIV. It increases insulin sensitivity thanks to the antioxidant effects of phycobiliproteins. So, interleukin 6 (IL-6), which inhibits insulin signaling molecules such as insulin receptor substrate, is regularized , and the activity of the lipoprotein lipase, an important enzyme in the lipid metabolism when it is altered in HIV patients, is increased .
In a study carried out in Cameroon and Burkina Faso , based on a randomized multicenter trial, on undernourished children, it was shown that a diet rich in this microalga increased the production of leukocytes, decreasing the probability of developing AIDS.
In a study by Yakoot and Salem , there was a decrease in virulence of HCV and of alanine aminotransferase (ALT) in sixty-six patients with chronic hepatitis after three months of treatment. As in the case of HIV, this effect could be linked to the presence of some compounds, such as fatty acids. Generally, fatty acids increase the immune system cell number, and the effects of a diet rich in these substances against different types of viruses were seen in different studies .
A diet rich in fatty acids ofChlorellaincreases the immunity system of people aged 50–55 after influenza vaccination, and ofSalmon trutta caspiusafter infection with NNV .
Therefore, in the case of SARS-CoV-2, a diet rich in fatty acids could have a threefold effect (Figure 5). Firstly, it could increase the amount of T cells targeting spike proteins of SARS Secondly, it could help to disintegrate the viral particle by entering the virus’ lipid membrane and destabilizing the bilayer of the envelope; this way, coronavirus’ replication in vitro is suppressed . Thirdly, it could help to prevent collateral effects in vaccinated people (Figure 5).
Hematococcus pluvialisis rich in antioxidant substances, in particular astaxanthin. Choi et al.  showed that a nutrition rich in astaxanthin really reduce ALI and ARDS (Figure 6). So, such a diet could be important in preventing the cytokine storm, a collateral effect of SARS-CoV-2 attack, confirmed by the higher presence of IL-6 in SARS-CoV-2 non-survivors .
Park et al.  showed that a diet supplemented with astaxanthin has an immune booster effect, increasing the number of lymphocytes in peripheral blood cells. This activity could also help to contrast the decrease in lymphocytes and granulocytes in the peripheral blood of people with severe SARS-CoV-2 .
A diet containing the green microalgaChlamydomonas reinhardtiiimproves gastrointestinal health thanks to the presence of high-phenol compounds in its biomass . So, this kind of diet could also act against another collateral effect of SARS-CoV-2, the gastrointestinal symptoms caused by alterations in the gut microbiome, a symptom reported in 20% of people affected by this disease .
Furthermore, a diet rich in polysaccharide-inhibiting viruses that bind to the entry site could help to avoid or weaken a viral attack.
It has been shown that the Carrageenan and Chitosan polysaccharides produced by two different macroalgae have some anti SARS-CoV-2 effects . Carrageenan is produced by the macroalgaChondrius crispus, and it is commercially used in a nasal spray solution (Bisolviral®) to contrast IAV, but also as a food additive (approved by GRAS) .
The entry is from 10.3390/antibiotics10060746
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