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pmid:33831468

In silico analysis of the potential mechanism of a preventive Chinese medicine formula on coronavirus disease 2019.

Huaying Wu · Ke Gong · You Qin · Zhiying Yuan · Shuaishuai Xia · Shiying Zhang · Jingjing Yang · Ping Yang · Liang Li · Mengzhou Xie

Journal of ethnopharmacology · 2021 doi:10.1016/j.jep.2021.114098

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pmid:33831468
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2026-11-01T15:41:31Z
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2026-11-01T22:03:31Z
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paper object · 10 fields
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title
In silico analysis of the potential mechanism of a preventive Chinese medicine formula on coronavirus disease 2019.
doi
10.1016/j.jep.2021.114098
pmid
33831468
authors array · 10 items
[0]
Huaying Wu
[1]
Ke Gong
[2]
You Qin
[3]
Zhiying Yuan
[4]
Shuaishuai Xia
[5]
Shiying Zhang
[6]
Jingjing Yang
[7]
Ping Yang
[8]
Liang Li
[9]
Mengzhou Xie
journal
Journal of ethnopharmacology
year
2021
abstract
ETHNOPHARMACOLOGICAL RELEVANCE: With the spread of Coronavirus Disease (2019) (COVID-19), combination with traditional Chinese medicine (TCM) has been widely used as a prevention and therapy strategy in China. Xin guan No.1 (XG-1) prescription is a preventive formula recommended by the Hunan Provincial Administration of TCM to prevent the pandemic of COVID-19. AIM OF THE STUDY: To explore the potential preventive mechanisms of XG-1 against COVID-19 in the combination of network pharmacology approach, single-cell RNA expression profiling analysis, molecular docking and retrospective study. MATERIALS AND METHODS: Encyclopedia of Traditional Chinese Medicine (ETCM) database was used to determine the meridian tropism, active components and target genes of XG-1. Gene ontology (GO) analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) functional enrichment analysis were conducted by R Cluster Profiler package (3.14.3). Single cell RNA sequencing (scRNA-seq) data of human lung (GSE122960) was downloaded from Gene Expression Omnibus (GEO) database and analyzed by R Seurat package (3.1.2). Cytoscape (3.7.2) was used to construct the interaction network. The main ingredients in XG-1 were identified by HPLC- Q-TOF- MS and used for molecular docking with COVID-19 3CL hydrolytic enzyme and angiotensin converting enzyme II (ACE2). A retrospective study of 47 close contact participants from Dongtang Community of Hunan Province was conducted to evaluated the preventive effect of XG-1. RESULTS: According to the network pharmacology analysis, XG-1 formula was closely related to lung-, spleen- and stomach-meridians and include a total of 206 active components and 853 target genes. GO and KEGG pathway enrichment revealed that XG-1 mainly regulated cellular amino acid metabolism process and neuroactive ligand-receptors interaction. The scRNA-seq profiling showed that angiotensin converting enzyme 2 (ACE2) was principally expressed in alveolar type 2 epithelial cells (AT2). 153 genes were up-regulated in AT2 cells expressing ACE2 and 12 genes were obtained by intersecting with XG-1 target genes, of which 3 were related to immunity. Five main chemical ingredients were detected in XG-1 sample by HPLC-Q-TOF-MS. The molecular docking showed that Rutin, Liquiritin and Astragaloside Ⅳ had a good affinity with COVID-19 3CL hydrolytic enzyme and ACE2. Compared with participants who didn't take XG-1, preventive treatment with XG-1gradules resulted in a significant lower rate of testing positive for SARS-CoV-2 nucleic acid (P < 0.0001). CONCLUSION: The present study showed that XG-1 exerts a preventive effect in close contacts against COVID-19. The underlying mechanism may be related to modulate immunity response through multiple components, pathways, and several target genes co-expressed with ACE2. These findings provide preliminary evidences and methodological reference for the potential preventive mechanism of XG-1 against COVID-19.
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The human lung tissue single cell transcriptome sequencing data (GSE122960) was downloaded from the GEO database, and the Seurat software package in R (3.6.2) ((http://satijalab.org/seurat/, version: 3.1.2) was used to perform cell clustering.
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The gradient elution procedure in high-performance liquid chromatography.
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High -performance liquid chromatography-quadrupole-time of flight-mass spectrometry (HPLC-Q-TOF-MS)
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The gradient elution procedure in high-performance liquid chromatography.
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High -performance liquid chromatography-quadrupole-time of flight-mass spectrometry (HPLC-Q-TOF-MS)
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Quantitative analysis information of five active ingredients in XG-1.
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Lonicera japonica Thunb.
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Binding affinity of active ingredients in XG-1 with SARS-CoV-2 3CL hydrolase and ACE2 via molecular docking.
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Binding affinity of active ingredients in XG-1 with SARS-CoV-2 3CL hydrolase and ACE2 via molecular docking.
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General characteristics of close contacts and attack rates of COVID-19 in contacts with different characteristics.
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Retrospective study
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[0] array · 5 items
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[2]
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SARS-CoV-2 nucleic acid detection
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Function and distribution information of 12 intersection genes between ACE2 expressed AT2 cells target genes and XG-1 target genes.
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pmcid
PMC8020622
section_index
19
section_title
ACE2 expressed AT2 cells intersect with XG-1 target genes
row_count
13
column_count
4
table object · 8 fields
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Table 2
caption
Function and distribution information of 12 intersection genes between ACE2 expressed AT2 cells target genes and XG-1 target genes.
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[0] array · 4 items
[0]
Gene
[1]
Expressed AT2 cells
[2]
Percentage of AT2
[3]
Immune
[1] array · 4 items
[0]
PLA2G1B
[1]
1932
[2]
94.80%
[3]
NK cells DAP12 receptors
[2] array · 4 items
[0]
SFTPD
[1]
2034
[2]
99.80%
[3]
Innate immune response
[3] array · 4 items
[0]
MAOA
[1]
1649
[2]
80.91%
[3]
[4] array · 4 items
[0]
SLCO4C1
[1]
1253
[2]
61.48%
[3]
Innate immune system
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[0]
SLC22A3
[1]
764
[2]
37.49%
[3]
[6] array · 4 items
[0]
ATP1A1
[1]
1935
[2]
94.95%
[3]
[7] array · 4 items
[0]
SLC7A2
[1]
704
[2]
34.54%
[3]
[8] array · 4 items
[0]
RNASE1
[1]
2033
[2]
99.75%
[3]
[9] array · 4 items
[0]
ASPH
[1]
1539
[2]
75.52%
[3]
[10] array · 4 items
[0]
SQLE
[1]
845
[2]
41.46%
[3]
[11] array · 4 items
[0]
CA2
[1]
1388
[2]
68.11%
[3]
[12] array · 4 items
[0]
DBI
[1]
2034
[2]
99.80%
[3]
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section[19]/table-wrap[1]#tbl2
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Binding affinity of active ingredients in XG-1 with SARS-CoV-2 3CL hydrolase and ACE2 via molecular docking.
structure object · 5 fields
pmcid
PMC8020622
section_index
20
section_title
Molecular docking
row_count
4
column_count
6
table object · 8 fields
label
Table 5
caption
Binding affinity of active ingredients in XG-1 with SARS-CoV-2 3CL hydrolase and ACE2 via molecular docking.
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[0] array · 6 items
[0]
Chemical compound
[1]
Molecular formula
[2]
Molecular Weight (g/mol)
[3]
CAS Number
[4]
Binding energy (kJ/mol)(6LU7)
[5]
Binding energy (kJ/mol)(1R42)
[1] array · 6 items
[0]
Rutin
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C27H30O16
[2]
610.5
[3]
153-18-4
[4]
−7.9
[5]
−8.5
[2] array · 6 items
[0]
Liquiritin
[1]
C21H22O9
[2]
418.4
[3]
551-15-5
[4]
−7.7
[5]
−8.5
[3] array · 6 items
[0]
Astragaloside Ⅳ
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C41H68O14
[2]
785
[3]
84687-43-4
[4]
−8.6
[5]
−8.8
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section[20]/table-wrap[1]#tbl5
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asset:table:pmid:33831468:9
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jats-table
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section[21]/table-wrap[1]#tbl6
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General characteristics of close contacts and attack rates of COVID-19 in contacts with different characteristics.
structure object · 5 fields
pmcid
PMC8020622
section_index
21
section_title
Retrospective study
row_count
22
column_count
5
table object · 8 fields
label
Table 6
caption
General characteristics of close contacts and attack rates of COVID-19 in contacts with different characteristics.
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[0] array · 5 items
[0]
Characteristics
[1]
Total contacts
[2]
Percentage (%)
[3]
Total infects
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Attack rate (%)
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[0]
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[0]
Male
[1]
18
[2]
38.3
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1
[4]
5.6
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[0]
Female
[1]
29
[2]
61.7
[3]
6
[4]
20.7
[4] array · 1 item
[0]
Age (years)
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[0]
0–9
[1]
0
[2]
0
[3]
0
[4]
0
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[0]
10–19
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3
[2]
6.4
[3]
1
[4]
33.3
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[0]
20–29
[1]
13
[2]
27.7
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0
[4]
0
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[0]
30–39
[1]
5
[2]
10.6
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0
[4]
0
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[0]
40–49
[1]
12
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25.5
[3]
2
[4]
16.7
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[0]
50–59
[1]
6
[2]
12.8
[3]
2
[4]
33.3
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5
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10.6
[3]
1
[4]
20.0
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[0]
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3
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6.4
[3]
1
[4]
33.3
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[0]
Relationship with index cases
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[0]
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[1]
12
[2]
25.5
[3]
2
[4]
16.7
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21
[2]
44.7
[3]
4
[4]
19.1
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[1]
8
[2]
17.0
[3]
1
[4]
12.5
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6
[2]
12.8
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0
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0
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[0]
Contact frequency
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[0]
Often
[1]
32
[2]
68.1
[3]
6
[4]
18.8
[20] array · 5 items
[0]
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[1]
13
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27.7
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1
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7.7
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2
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4.2
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section[21]/table-wrap[1]#tbl6
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Comparison of the characteristics between the groups with or without XG-1.
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pmcid
PMC8020622
section_index
21
section_title
Retrospective study
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16
column_count
5
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label
Table 7
caption
Comparison of the characteristics between the groups with or without XG-1.
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[0] array · 5 items
[0]
Characteristics
[1]
With XG-1 (n = 36)
[2]
Without XG-1 (n = 11)
[3]
P -value
[4]
χ2
[1] array · 1 item
[0]
Gender
[2] array · 5 items
[0]
Male
[1]
16 (44.44%)
[2]
2 (18.18%)
[3]
0.12
[4]
2.46
[3] array · 3 items
[0]
Female
[1]
20 (55.56%)
[2]
9 (81.82%)
[4] array · 5 items
[0]
Age (years)
[1]
38.53 ± 13.79
[2]
52.64 ± 20.35
[3]
0.01
[4]
[5] array · 1 item
[0]
SARS-CoV-2 nucleic acid detection
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[0]
Positive
[1]
0 (0%)
[2]
7 (63.64%)
[3]
<0.0001
[4]
26.92
[7] array · 3 items
[0]
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[1]
36 (100%)
[2]
4 (36.36%)
[8] array · 1 item
[0]
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[0]
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0 (0%)
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0 (0%)
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0 (0%)
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0 (0%)
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[4]
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[0]
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0 (0%)
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[0]
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0 (0%)
[3]
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0 (0%)
[3]
[4]
[15] array · 5 items
[0]
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1 (2.78%)
[2]
2 (18.18%)
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[4]
locator
section[21]/table-wrap[2]#tbl7
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[0]
asset:data:geo:GSE122960 not downloaded
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method-1
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group_comparison
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student_t
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group_comparison_mann_whitney
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two_or_more_groups_continuous
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pathway_enrich
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edge_list
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contingency_table
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method.student_t
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complete
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capability:computational_analysis
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meta_analysis
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survival_analysis
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gwas
candidate
Automated Assays Laravel application and simulated adapters
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student_t
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GSE122960
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The human lung tissue single cell transcriptome sequencing data (GSE122960) was downloaded from the GEO database, and the Seurat software package in R (3.6.2) ((http://satijalab.org/seurat/, version: 3.1.2) was used to perform cell clustering.
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Complete file
{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:33831468", "kind": "science-record", "revision": 8, "content_hash": "sha256:d64ca9298d0cd8a8d832f0c98212d3ecbb6068e5ec1021b5ff1eef7dd8cdceb4", "created_at": "2026-11-01T15:41:31Z", "updated_at": "2026-11-01T22:03:31Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "In silico analysis of the potential mechanism of a preventive Chinese medicine formula on coronavirus disease 2019.", "doi": "10.1016/j.jep.2021.114098", "pmid": "33831468", "authors": ["Huaying Wu", "Ke Gong", "You Qin", "Zhiying Yuan", "Shuaishuai Xia", "Shiying Zhang", "Jingjing Yang", "Ping Yang", "Liang Li", "Mengzhou Xie"], "journal": "Journal of ethnopharmacology", "year": 2021, "abstract": "ETHNOPHARMACOLOGICAL RELEVANCE: With the spread of Coronavirus Disease (2019) (COVID-19), combination with traditional Chinese medicine (TCM) has been widely used as a prevention and therapy strategy in China. Xin guan No.1 (XG-1) prescription is a preventive formula recommended by the Hunan Provincial Administration of TCM to prevent the pandemic of COVID-19.\nAIM OF THE STUDY: To explore the potential preventive mechanisms of XG-1 against COVID-19 in the combination of network pharmacology approach, single-cell RNA expression profiling analysis, molecular docking and retrospective study.\nMATERIALS AND METHODS: Encyclopedia of Traditional Chinese Medicine (ETCM) database was used to determine the meridian tropism, active components and target genes of XG-1. Gene ontology (GO) analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) functional enrichment analysis were conducted by R Cluster Profiler package (3.14.3). Single cell RNA sequencing (scRNA-seq) data of human lung (GSE122960) was downloaded from Gene Expression Omnibus (GEO) database and analyzed by R Seurat package (3.1.2). Cytoscape (3.7.2) was used to construct the interaction network. The main ingredients in XG-1 were identified by HPLC- Q-TOF- MS and used for molecular docking with COVID-19 3CL hydrolytic enzyme and angiotensin converting enzyme II (ACE2). A retrospective study of 47 close contact participants from Dongtang Community of Hunan Province was conducted to evaluated the preventive effect of XG-1.\nRESULTS: According to the network pharmacology analysis, XG-1 formula was closely related to lung-, spleen- and stomach-meridians and include a total of 206 active components and 853 target genes. GO and KEGG pathway enrichment revealed that XG-1 mainly regulated cellular amino acid metabolism process and neuroactive ligand-receptors interaction. The scRNA-seq profiling showed that angiotensin converting enzyme 2 (ACE2) was principally expressed in alveolar type 2 epithelial cells (AT2). 153 genes were up-regulated in AT2 cells expressing ACE2 and 12 genes were obtained by intersecting with XG-1 target genes, of which 3 were related to immunity. Five main chemical ingredients were detected in XG-1 sample by HPLC-Q-TOF-MS. The molecular docking showed that Rutin, Liquiritin and Astragaloside Ⅳ had a good affinity with COVID-19 3CL hydrolytic enzyme and ACE2. Compared with participants who didn't take XG-1, preventive treatment with XG-1gradules resulted in a significant lower rate of testing positive for SARS-CoV-2 nucleic acid (P < 0.0001).\nCONCLUSION: The present study showed that XG-1 exerts a preventive effect in close contacts against COVID-19. The underlying mechanism may be related to modulate immunity response through multiple components, pathways, and several target genes co-expressed with ACE2. These findings provide preliminary evidences and methodological reference for the potential preventive mechanism of XG-1 against COVID-19.", "claims": [{"id": "claim-data-access", "statement": "The human lung tissue single cell transcriptome sequencing data (GSE122960) was downloaded from the GEO database, and the Seurat software package in R (3.6.2) ((http://satijalab.org/seurat/, version: 3.1.2) was used to perform cell clustering.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:33831468", "locator": "sections[5] \"Single-cell RNA expression profiling cluster analysis\" paragraph 2", "quote": "The human lung tissue single cell transcriptome sequencing data (GSE122960) was downloaded from the GEO database, and the Seurat software package in R (3.6.2) ((http://satijalab.org/seurat/, version: 3.1.2) was used to perform cell clustering."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "partial", "objective": null, "steps": [{"id": "read_published_estimate", "order": 1, "name": "Read the published estimate from the source", "kind": "other", "state": "complete", "blocked_on": null, "description": "The claim, method and evidence span published with the source article.", "duration_hours": null, "parameters": {}, "inputs": ["source:pmid:33831468"], "outputs": ["the published estimate and its evidence"], "instruments": [], "reagents": []}, {"id": "obtain_source_data", "order": 2, "name": "Obtain the source data from the named repository", "kind": "data-preparation", "state": "complete", "blocked_on": null, "description": "The GEO series accession resolves and its sample accessions are listed. This lane did not download the dataset or read its licence.", "duration_hours": null, "parameters": {}, "inputs": ["data:geo:GSE122960"], "outputs": ["the source data with its repository provenance"], "instruments": [], "reagents": []}, {"id": "run_analysis", "order": 3, "name": "Run the published analysis", "kind": "analysis", "state": "blocked", "blocked_on": "method:student_t", "description": "Apply the paper's statistical method to the resolved series and compare the result with the published target.", "duration_hours": null, "parameters": {}, "inputs": ["data:geo:GSE122960"], "outputs": ["the replicated result and its comparison"], "instruments": [], "reagents": []}], "materials": [], "instruments": [], "reagents": [], "conditions": {}, "gaps": ["step:run_analysis blocked on method:student_t"]}, "data": {"state": "partial", "assets": [{"id": "source:pmid:33831468", "role": "manuscript", "format": "xml", "media_type": "application/xml", "uri": "https://doi.org/10.1016/j.jep.2021.114098", "sha256": "sha256:4ab3e0a56f47a54f6ad596b33732720b1b0e02b40dc25790c3620b6c43d28a6e", "bytes": 58673, "access": "open", "state": "resolved", "reader": null, "reader_status": "reader_required", "identifier": "10.1016/j.jep.2021.114098", "version": null, "note": "Full article fetched from PMC; the checksum covers the rendered section body, not the original XML bytes.", "structure": {"pmcid": "PMC8020622", "source": "europe_pmc_fulltext", "coverage": "whole_body", "text_hash_scope": "rendered_section_body"}}, {"id": "data:geo:GSE122960", "role": "raw", "format": "geo-series", "media_type": "application/vnd.ncbi.geo-series+json", "uri": "https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE122960", "sha256": null, "bytes": null, "access": "open", "state": "resolved", "reader": null, "reader_status": "reader_required", "identifier": "GSE122960", "version": null, "note": "The human lung tissue single cell transcriptome sequencing data (GSE122960) was downloaded from the GEO database, and the Seurat software package in R (3.6.2) ((http://satijalab.org/seurat/, version: 3.1.2) was used to perform cell clustering.", "structure": {"repository": "GEO", "access_route": "GEO accession URL", "access_statement_verbatim": "The human lung tissue single cell transcriptome sequencing data (GSE122960) was downloaded from the GEO database, and the Seurat software package in R (3.6.2) ((http://satijalab.org/seurat/, version: 3.1.2) was used to perform cell clustering.", "access_statement_kind": "repository_route_statement", "sample_accessions": ["GSM3489182", "GSM3489183", "GSM3489184", "GSM3489185", "GSM3489186", "GSM3489187", "GSM3489188", "GSM3489189", "GSM3489190", "GSM3489191", "GSM3489192", "GSM3489193", "GSM3489194", "GSM3489195", "GSM3489196", "GSM3489197", "GSM3489198"], "sample_count": 17, "group_sizes": null, "group_sizes_basis": null, "platform": "20301", "taxon": "Homo sapiens", "title": "Single-Cell Transcriptomic Analysis of Human Lung Reveals Complex Multicellular Changes During Pulmonary Fibrosis II", "resolution_checked_at": "2026-11-01T15:39:54Z", "resolution_check": "identifier_resolution_only_no_download_no_licence_read", "downloaded": false, "licence_read": false}}, {"id": "asset:table:pmid:33831468:1", "role": "table", "format": "jats-table", "media_type": "application/vnd.jats.table+json", "uri": null, "sha256": "sha256:5f4a5d982a875c39237762d47dd178be806166edc3037aa6db96f1bf48f6b363", "bytes": 821, "access": "open", "state": "verified", "reader": "read_table", "reader_status": "available", "identifier": "section[3]/table-wrap[1]#tbl1", "version": null, "note": "Number of compounds contained in herbs of XG-1 and corresponding putative targets.", "structure": {"pmcid": "PMC8020622", "section_index": 3, "section_title": "Information collection of XG-1", "row_count": 9, "column_count": 4}, "table": {"label": "Table 1", "caption": "Number of compounds contained in herbs of XG-1 and corresponding putative targets.", "rows": [["Chinese name", "Scientific name", "Number of active ingredients", "Number of targets"], ["HUANG QI", "Astragalus mongholicus Bunge", "27", "461"], ["BAI ZHU", "Atractylodes macrocephala Koidz.", "20", "368"], ["LIAN QIAO", "Forsythia suspensa (Thunb.) 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COVID-19 in contacts with different characteristics.", "structure": {"pmcid": "PMC8020622", "section_index": 9, "section_title": "Retrospective study", "row_count": 22, "column_count": 5}, "table": {"label": "Table 6", "caption": "General characteristics of close contacts and attack rates of COVID-19 in contacts with different characteristics.", "rows": [["Characteristics", "Total contacts", "Percentage (%)", "Total infects", "Attack rate (%)"], ["Gender"], ["Male", "18", "38.3", "1", "5.6"], ["Female", "29", "61.7", "6", "20.7"], ["Age (years)"], ["0–9", "0", "0", "0", "0"], ["10–19", "3", "6.4", "1", "33.3"], ["20–29", "13", "27.7", "0", "0"], ["30–39", "5", "10.6", "0", "0"], ["40–49", "12", "25.5", "2", "16.7"], ["50–59", "6", "12.8", "2", "33.3"], ["60–69", "5", "10.6", "1", "20.0"], ["≥70", "3", "6.4", "1", "33.3"], ["Relationship with index cases"], ["Spouse", "12", "25.5", "2", "16.7"], ["Family members (non-spouse)", "21", "44.7", "4", "19.1"], ["Relatives", "8", "17.0", "1", 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between the groups with or without XG-1.", "rows": [["Characteristics", "With XG-1 (n = 36)", "Without XG-1 (n = 11)", "P -value", "χ2"], ["Gender"], ["Male", "16 (44.44%)", "2 (18.18%)", "0.12", "2.46"], ["Female", "20 (55.56%)", "9 (81.82%)"], ["Age (years)", "38.53 ± 13.79", "52.64 ± 20.35", "0.01", ""], ["SARS-CoV-2 nucleic acid detection"], ["Positive", "0 (0%)", "7 (63.64%)", "<0.0001", "26.92"], ["Negative", "36 (100%)", "4 (36.36%)"], ["Signs and symptoms"], ["Fever", "0 (0%)", "0 (0%)", "", ""], ["Cough", "0 (0%)", "0 (0%)", "", ""], ["Dyspnea", "0 (0%)", "0 (0%)", "", ""], ["Headache", "0 (0%)", "1 (9.09%)", "", ""], ["Nausea", "0 (0%)", "0 (0%)", "", ""], ["Muscle soreness", "0 (0%)", "0 (0%)", "", ""], ["Mild insomnia", "1 (2.78%)", "2 (18.18%)", "", ""]], "row_count": 16, "column_count": 5, "numeric_cells": 33, "header_rows": 1, "locator": "section[21]/table-wrap[2]#tbl7"}}, {"id": "asset:table:pmid:33831468:7", "role": "table", "format": "jats-table", "media_type": 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