Effects of tea, catechins and catechin derivatives on Omicron subvariants of SARS-CoV-2

The Omicron subvariants of SARS-CoV-2 have multiple mutations in the S-proteins and show high transmissibility. We previously reported that tea catechin (−)-epigallocatechin gallate (EGCG) and its derivatives including theaflavin-3,3’-di-O-digallate (TFDG) strongly inactivated the conventional SARS-CoV-2 by binding to the receptor binding domain (RBD) of the S-protein. Here we show that Omicron subvariants were effectively inactivated by green tea, Matcha, and black tea. EGCG and TFDG strongly suppressed infectivity of BA.1 and XE subvariants, while effect on BA.2.75 was weaker. Neutralization assay showed that EGCG and TFDG inhibited interaction between BA.1 RBD and ACE2. In silico analyses suggested that N460K, G446S and F490S mutations in RBDs crucially influenced the binding of EGCG/TFDG to the RBDs. Healthy volunteers consumed a candy containing green tea or black tea, and saliva collected from them immediately after the candy consumption significantly decreased BA.1 virus infectivity in vitro. These results indicate specific amino acid substitutions in RBDs that crucially influence the binding of EGCG/TFDG to the RBDs and different susceptibility of each Omicron subvariant to EGCG/TFDG. The study may suggest molecular basis for potential usefulness of these compounds in suppression of mutant viruses that could emerge in the future and cause next pandemic.

In this study we examined the efficiencies of tea, tea catechins and catechin derivatives to inactivate the Omicron subvariant strains of the SARS-CoV-2.We also assessed whether saliva from healthy volunteers who consumed a candy containing green tea or black tea inactivates BA.1 in vitro.

Decrease in infectivity of omicron subvariants by treatment with tea
To estimate whether Omicron subvariants of SARS-CoV-2 were inactivated by tea, the virus suspension was exposed to green tea or black tea that was freshly brewed by pouring hot or boiled water over tea leaves, or to Matcha green tea that was freshly prepared by whisking powdered Matcha tea in hot water, just like preparation of ordinary beverage (see "Materials and Methods").The virus suspension was mixed with the original tea beverage at the final concentration of × 9/10 (90%).After 10 s, the tea/virus mixtures were serially diluted and subjected to TCID 50 assay to determine infectivity of the virus.As shown in Fig. 1a, the titer of BA.1 dropped to less than 1/100 of that of DW-treated control virus by the treatment with any of these tea samples.Similar results were also seen using other subvariants.
Meanwhile, a bottled green tea beverage remarkably decreased infectivity of BA.1, BA.5 and BQ.1.1 but failed to do so on BA.2.75 subvariant.Virus titers of BA.2 and XE were reduced to approximately 1/100 after treatment with a bottled green tea beverage.
These results were not caused by artificial effects due to different concentrations of fresh culture medium in the wells nor by toxic effects of tea on the VeroE6/TMPRSS2 cells (Supplementary Fig. S2).

EGCG and GCG effectively inactivated some but not all omicron subvariants
We treated Omicron subvariants with various tea catechins for 10 s, and evaluated TCID 50 values.Catechins were contained in green tea at different concentrations.Virus was treated with each catechin at the same concentration in the bottled green tea beverage that we used (Supplementary Table S1).For an example, to treat virus with EGCG, the concentration of EGCG was adjusted to 641 µM that is the same as the EGCG concentration in the bottled green tea beverage.( +)-catechin (C), ( −)-epicatechin (EC), ( −)-catechin gallate (CG), ( −)-epicatechin gallate (ECG), ( −)-gallocatechin (GC), and ( −)-epigallocatechin (EGC) did not significantly affect the infectivity of all the Omicron subvariants under these experimental conditions (Fig. 1b).In contrast, EGCG and its epimer, ( −)-gallocatechin gallate (GCG), reduced the virus titers of BA.1 and XE to less than 1/100, and declined the infectivity of BA.2 and BA.2.75 to approximately 1/10.These anti-virus effects of EGCG were comparable to, or weaker than, those of the bottled green tea beverage (Fig. 1a and b).
We also examined inactivation effects of various concentrations of TFDG on the Omicron subvariants.As shown in Fig. 3b, TFDG at 50 or 100 µM reduced the infectivity of most of the subvariants to 1/100 or less, except that more than 1% of the BA.2.75 was not inactivated by the treatment with 100 µM of the compound.

EGCG inactivated virus but did not render cells resistant to the virus
We examined the possibility that anti-virus effect of EGCG was seen because EGCG acted on cells rather than on virus.To clarify this point, we pretreated the cells with EGCG, before washing and infection with BA.1 virus that had been treated with distilled water (DW) ("Pre" protocol).As shown in the Fig. 4a, virus titer was not significantly reduced.The result was in sharp contrast to the remarkable inactivation of virus that had been mixed with EGCG ("Mix" protocol in Fig. 4a that is the same procedure as performed in Figs.1b and 2a).Therefore, it is strongly suggested that EGCG inactivated the virus but did not induce anti-virus effects in the cells.

EGCG, GCG and TFDG inhibited interaction of BA.1 RBD with ACE2
Neutralizing assay was performed to test whether EGCG, GCG and TFDG prevented interaction between RBD of the BA.1 Spike protein and ACE2.As results, the interaction between RBD and ACE2 was strongly suppressed by EGCG, GCG and TFDG that were mixed with RBD followed by an addition of the resultant RBD/compound mixture to ACE2-pre-coated wells ("mix protocol") (Fig. 4b, c, and green bars in d).In contrast, the protein a TCID 50 /50 μL 1.E+00  www.nature.com/scientificreports/interaction was not significantly inhibited if ACE2 was pretreated with EGCG before an addition of DW-treated RBD (Fig. 4d, pink bars).These data strongly suggest that EGCG inhibited interaction between RBD and ACE2 by binding to RBD rather than to ACE2.

In silico simulation analyses
To analyze the inhibition of the physical association of Omicron RBD of S-protein with ACE2 by EGCG and TFDG, we employed in silico molecular docking simulation to elucidate how EGCG and TFDG abolished the interaction of the Omicron RBD of S-protein with ACE2 23,24 .According to Han P et al. 25 , the contact between the RBD of surface spike glycoprotein (S-protein) of SARS-CoV-2 and the extracellular peptidase domain of ACE2 can be divided into two patches, Patch 1 and Patch 2. At Patch 1, Y453, A475, N477, F486, N487, Y489, and R493 of the RBD form a network of H-bonds with S19, Q24, F28, H34, E35, L79, M82, and Y83 from ACE2.Besides, at Patch 2, Y449, R498, T500, Y501, and G502 of the RBD is H-bonded to D38, Y41, Q42, and K353 of ACE2.Han et al. 25    BA.1 virus and EGCG was mixed, and the mixture was infected to cells ("Mix"), while other cells were pretreated with EGCG followed by washing and infection by DW-treated BA.1 virus ("Pre").As a control (DW), DW-treated BA.1 virus was infected to non-treated cells.Virus titers were determined as in Fig. 1. (b-d) HRP-RBD was mixed with EGCG, and the mixture was added to ACE2-pre-coated wells ("Mix protocol") (b,c), and green bars in (d), while other ACE2-pre-coated wells were pretreated with EGCG followed by washing and an addition of DW-treated HRP-RBD ("Pretreatment protocol") (pink bars in (d)).As a control (DW), DW-treated HRP-RBD was added to ACE2-pre-coated wells.The binding between RBD and ACE2 was evaluated www.nature.com/scientificreports/A comparative study of amino acid mutation status in the RBD domains of seven mutants revealed that all seven strains shared the K417N, E484A, and Y505H substitutions (Supplementary Fig. S1).Meanwhile, the results of in vitro analysis (Fig. 2a) suggested that the N460K substitution may be correlated with the inactivation of the virus by EGCG.
As for the BA.1 (Group 1), EGCG could interact with either Patch 1 (any of Y453, A475, N477, F486, N487, Y489, and R493) or Patch 2 (any of Y449, R498, T500, Y501, and G502) depending on the situation (Fig. 5a,b).Both the galloyl group and 3,4,5-trihydroxyphenyl group of EGCG may be involved in the interaction between EGCG and the RBD of Spike protein of Group 1 viruses, and this may explain why Group 1 viruses were inactivated by EGCG and GCG but not by other catechins (Fig. 5a,b and Supplementary Fig. S3).
Figure 5c and d show the interaction between EGCG and RBD of BA.2.75 (Group 2).The N460K is located outside Patch 1 and Patch 2, presumably making it difficult for EGCG to interfere with the physical association between the Omicron RBD of the S protein of Group 2 and ACE2.
We analyzed XBB.1 RBD separately from other Group 2' subvariants, because it has F490 S substitution in addition to the G446S.This may allow TFDG to bind to both Patch 1 and 2 of the RBD of the XBB.1 S-protein (Fig. 6e,f).
TFDG contains two galloyl groups (at positions 3 and 3'), and both of them may be involved in the interaction of TFDG to RBDs of BA.2 (Group 1') and XBB.1 (Fig. 6a,b,e,f and Supplementary Fig. S4).This may explain why these viruses were efficiently inactivated by TFDG but not by TF3G, TF3'G, nor TF (Fig. 3a).With regard to the interaction between TFDG and RBD of Group 2' viruses (Fig. 6c and d www.nature.com/scientificreports/(at position 3) may play an important role (Supplementary Fig. S4), and this may explain different activities of TF3G and TF3'G to inactivate BA.1 that belongs to Group 2' viruses (Fig. 3a).

BA.1 virus was inactivated by saliva from volunteers who consumed a candy containing tea
Finally, we examined whether consumption of a candy containing green tea or black tea may render the saliva capable of inactivating SARS-CoV-2.Seven healthy volunteers consumed a placebo candy (without tea) or a candy containing either green tea or black tea (the contents of the candies are shown in the Supplementary Table S4).Saliva was collected from the volunteers before the candy consumption, or after cessation of the candy consumption.BA.1 virus was treated with each saliva sample in vitro for 10 s.The virus was significantly inactivated by the treatment with saliva from healthy volunteers who consumed a candy containing green tea or black tea, provided that the saliva was collected from the volunteers immediately after the cessation of the candy consumption (Fig. 7).Five or 15 min after the cessation of the candy, the inactivation effect was almost lost in the saliva.These results were not caused by toxic effects of sucrose on the virus or on VeroE6/TMPRSS2 cells (Supplementary Fig. S5).
High concentrations of EGCG and TFDG were demonstrated in the saliva collected from volunteers 0 min after cessation of consumption of the green tea or black tea candy, respectively (Supplementary Table S5).

Discussion
The Omicron subvariants of SARS-CoV-2 have various mutations in the viral Spike proteins, including N501Y, E484K, E484Q, L452R [26][27][28][29][30] .These amino acid substitutions may be associated with the high contagiousness and/ or immune escape of the variants 26,27 .We found that all the Omicron subvariants that we tested were efficiently inactivated by treatment with green tea, Matcha green tea, and black tea for 10 s (Fig. 1a), which is consistent with our previous study using conventional SARS-CoV-2 17,18 .A bottled green tea beverage was also effective to some subvariants, whereas its effects on other subvariants were not satisfactory, probably because concentrations of catechins and their derivatives were relatively low in this beverage compared with green tea that was freshly brewed from tea leaves by boiled water.
Each subvariant showed different sensitivity to catechins and theaflavins (Figs. 1, 2, 3).This may be due to various amino acid substitutions in the RBD of the S protein of each subvariant.The N460K substitution may crucially influence the binding of EGCG to the Omicron S protein RBD (Fig. 5).Consistent with the in vitro analysis, in silico molecular docking analysis showed that TFDG formed a stable association with the Omicron RBD of the S protein of the BA.2 lineage of Group 1' with Y453, F486, and Q493R in Patch 1, Y449, Q498R, and N501Y in Patch 2. In contrast, the G446S substitution in BA.2.75 lineage of Group 2' suggested that TFDG mainly interacted with Patch 2 (G446S, Y449, and Q498R in Patch 2).We speculate that the G446S substitution makes it difficult for TFDG to interact with patch 1 of the Omicron RBD of the S protein.On the other hand, on the XBB.1 lineage of Group 2' , the F490S substitution makes it possible to interact with patch 1 of the Omicron RBD of the S protein (Fig. 6e,f).Therefore, we calculated the binding free energy including contributions such as solvation, entropy, and enthalpy terms based on the polar interaction energy as the interaction of TFDG with each omicron RBD of the S protein.As a result, the interaction energy of the XBB.1 lineage (− 89.67 kcal/mol) is weaker than that of the BA.2 lineage (− 108.41 kcal/mol) and more substantial than that of the BA.2.75 lineage (− 89.13 kcal/mol).These results explain the consistency between in silico and in vitro experiments concerning the TFDG's inhibition for the Omicron RBD of S protein binding with ACE2.
As Han et al. 25 explained in the limitations of their study, we also focused on the interaction between the Omicron RBD of the S protein and hACE2 in our in silico molecular docking analysis.We should consider that those mutations in other regions of the Omicron RBD of the S protein may also affect GCG, EGCG, and TFDG defense against viral infection.
Our clinical study showed that BA.1 virus was strongly inactivated in vitro by saliva from healthy volunteers who had just consumed a candy containing either green tea or black tea (Fig. 7).This is consistent with our previous study that catechins and catechin derivatives inactivate SARS-CoV-2 even in the presence of human saliva 18 .A candy containing green tea or black tea may be useful for inactivating virus if infected persons consume it, to decrease virus load in the oral cavity and gastrointestinal tract of the infected person, as well as to prevent spread of the virus from the infected persons to nearby noninfected persons.It has been reported that virus infect salivary grand and other oral tissues to propagate 6,7 .But the virus inactivating effect was not demonstrated in the saliva collected from healthy volunteers 5 or 15 min after the cessation of the candy consumption (Fig. 7).This may be due to high flow rates of saliva in heathy volunteers 31 .
These results indicate specific amino acid substitutions in Omicron RBDs that crucially influence the binding of EGCG/TFDG to the RBDs and different susceptibility of each Omicron subvariant to EGCG/TFDG.The study may suggest molecular basis for potential usefulness of tea catechins and their derivatives in suppression of transmission of mutant viruses that could emerge in the future and cause next pandemic.

Virus, cells, and culture medium
The SARS-CoV-2 shown in Supplementary Table S2 were kindly provided from Japan National Institute of Infectious Diseases (Tokyo, Japan) and propagated using VeroE6/TMPRSS2 cells 32 that were obtained from

Tea and chemicals
Commercially available green tea leaves, powdered Matcha and black tea leaves were purchased from a local grocery store.To prepare "original tea beverage", green tea was brewed by pouring 25 mL prewarmed hot water (70 °C) over 1 g green tea leaves for 2 min.Matcha green tea was prepared by whisking 1 g powdered Matcha in 30 mL hot water (80 °C).Black tea was brewed by pouring 300 mL boiled water (95-100 °C) over 10 g black tea leaves for 2 min.After the brewing or whisking, all tea samples were filtrated through 0.45 μm cellulose acetate filters and equilibrated to room temperature before use.Bottled green tea beverage was a commercial product by ITO EN ltd.and purchased from a grocery store (Supplementary Table S1).Chemical compounds were purchased from Nagara Science (Gifu, Japan) as shown in the Supplementary Table S3.

TCID 50 assay for virus treated with tea
The "original tea beverage" was placed into 96-well-plates at 180 μL/well (N = 3).SARS-CoV-2 suspension was added to the plate at 10 5 TCID 50 /20 μL/well (vol:vol = 9:1).Thus, virus was treated with a final concentration of × 9/10 (90%) of the original tea beverage.After incubation for 10 s, the virus/tea mixtures were serially diluted tenfold with MS.Chilled on ice, 50 μL of each sample was added to the VeroE6/TMPRSS2 cells that had been seeded into 96-well-plates at 5 × 10 4 /100 μL/well a day before (N = 4).Cells were incubated for 1 h, followed by replacement of the supernatant by fresh 100 μL MS (DMEM supplemented with 0.5% FBS).After culture for 3 days, cytopathic effect (CPE) (cell death caused by Omicron variants of SARS-CoV-2) was observed under a phase contrast microscope 33 .

Calculation of TCID 50 values
TCID 50 values were calculated by Reed-Muench method as described elsewhere 17 .If one or more triplicate wells of the lowest dilution of a sample did not show CPE, the highest possible average of TCID 50 value was calculated for the sample.

TCID 50 assay for virus treated with chemical compounds
In some experiments, catechins and theaflavins were dissolved in MS, and virus suspension in DMEM (1.5 × 10 6 TCID 50 /50 μL) was mixed with the catechin/theaflavin solutions for 10 s.The concentrations of catechins and theaflavins had been adjusted to the same concentrations in typical bottled green tea beverage and black tea, respectively (Supplementary Table S1).In other experiments, virus was treated with EGCG, GCG, and TFDG solutions at various concentrations for 10 s.Immediately after the treatment, the virus/chemical mixtures were serially diluted tenfold with MS, and TCID 50 assay and calculation of TCID 50 values were performed as above.
In other experiments, "Pre" and "Mix" protocols were performed.In some groups (Pre), VeroE6/TMPRSS2 cells were pre-treated with various concentration of EGCG for 1 h, followed by washing and infection with non-treated Omicron BA.1 virus (10 5 TCID 50 /25 µL) for 1 h.In other groups (Mix), non-treated VeroE6/TMPRSS2 cells were infected for 1 h with the Omicron BA.1 virus (10 5 TCID 50 /25 µL) that had been pre-treated with the indicated concentration of EGCG for 10 s.In a control group (DW), non-treated VeroE6/TMPRSS2 cells were infected with DW-treated Omicron BA.1 virus (10 5 TCID 50 /25 µL) for 1 h.After washing, cells were cultured for 3 days, and virus titer was determined as above.

Neutralizing assay
Neutralizing assay was performed using SARS-CoV-2 Surrogate Virus Neutralization Test Kit (GenScript, Piscataway, NJ, USA) by "mix protocol" and "pretreatment protocol".In the "mix protocol", various concentrations of EGCG, GCG or TFDG, or distilled water as a control, were mixed with a horseradish peroxidase (HRP)conjugated recombinant BA.1 RBD fragment at a volume ratio of 1:1 at 37 °C for 1 min.One hundred µL of each mixture was added to the wells pre-coated with human ACE2 protein.In the "pretreatment protocol", ACE2pre-coated wells were treated with various concentrations of EGCG, or distilled water as a control, for 30 min, followed by washing and an addition of HRP-BA.1 RBD to the wells.After incubation at 37 °C for 15 min, wells were washed and 100 μL of 3, 3′, 5, 5′-tetramethyl-benzidene (TMB) solution was added.Following incubation in the dark at 20-25 °C for 15 min, absorbance at 450 nm was measured.

In silico analysis
The construction of the three-dimensional structure of the hACE2 interaction site of the surface spike glycoprotein (S-protein) of SARS-CoV-2 and the extracellular peptidase domain of ACE2 complex was performed with MOE, version 2022.02 (CCG Inc, Montreal, Canada) based on the Brookhaven Protein Databank 7WBP.Molecular mechanics calculations for this complex were performed to obtain the local minimum structure of the RBD of S-proteins of BA.Candies were originally produced, and the contents are shown in the Supplementary Table S4).Seven healthy volunteers (ages, 38.1 ± 3.6 (AV ± SE, n = 7), gender F/M = 3/4) were starved for 2 h and consumed a placebo candy (without tea) or a candy containing either green tea or black tea for 5 min.Saliva was collected from the volunteers immediately before the candy consumption, and 0, 5 or 15 min after cessation of the candy consumption.The samples were vortexed and centrifuged at × 20,000 g for 5 min at 4 °C to collect supernatant.Virus suspension of Omicron BA.1 (1.5 × 10 5 TCID 50 /25 μL) was mixed with 225 μL of saliva or water for 10 s.Immediately, the mixtures were serially diluted at tenfold with MS in quadruplicate in 96-well-plates.Chilled on ice, each sample was added to the VeroE6/TMPRSS2 cells and TCID 50 assay and TCID 50 evaluation were performed as above.

Statistical analysis
Statistical significance was analyzed by Tukey's multiple comparison and ANOVA (analysis of variance) using GraphPad Prism 9 manufactured by GraphPad Software.p < 0.05 was considered significant.

Informed consent statement
Clinical studies were approved by the ethical committee of the ITO EN, ltd.

Figure 4 .
Figure 4. EGCG, GCG, and TFDG hampered the interaction between ACE2 and RBD of Omicron BA.1.(a) BA.1 virus and EGCG was mixed, and the mixture was infected to cells ("Mix"), while other cells were pretreated with EGCG followed by washing and infection by DW-treated BA.1 virus ("Pre").As a control (DW), DW-treated BA.1 virus was infected to non-treated cells.Virus titers were determined as in Fig.1.(b-d) HRP-RBD was mixed with EGCG, and the mixture was added to ACE2-pre-coated wells ("Mix protocol") (b,c), and green bars in (d), while other ACE2-pre-coated wells were pretreated with EGCG followed by washing and an addition of DW-treated HRP-RBD ("Pretreatment protocol") (pink bars in (d)).As a control (DW), DW-treated HRP-RBD was added to ACE2-pre-coated wells.The binding between RBD and ACE2 was evaluated, and % Inhibition for each sample is shown.Values are means ± S.D. (n = 3).****p < 0.0001 vs.Control (DW), N.S., p > 0.05 vs.Control (DW), + + + +p < 0.0001, between indicated groups, by Tukey's multiple comparison test.
Figure 4. EGCG, GCG, and TFDG hampered the interaction between ACE2 and RBD of Omicron BA.1.(a) BA.1 virus and EGCG was mixed, and the mixture was infected to cells ("Mix"), while other cells were pretreated with EGCG followed by washing and infection by DW-treated BA.1 virus ("Pre").As a control (DW), DW-treated BA.1 virus was infected to non-treated cells.Virus titers were determined as in Fig.1.(b-d) HRP-RBD was mixed with EGCG, and the mixture was added to ACE2-pre-coated wells ("Mix protocol") (b,c), and green bars in (d), while other ACE2-pre-coated wells were pretreated with EGCG followed by washing and an addition of DW-treated HRP-RBD ("Pretreatment protocol") (pink bars in (d)).As a control (DW), DW-treated HRP-RBD was added to ACE2-pre-coated wells.The binding between RBD and ACE2 was evaluated, and % Inhibition for each sample is shown.Values are means ± S.D. (n = 3).****p < 0.0001 vs.Control (DW), N.S., p > 0.05 vs.Control (DW), + + + +p < 0.0001, between indicated groups, by Tukey's multiple comparison test.

Figure 5 .
Figure 5. Structure of EGCG binding with the Omicron RBD of the BA.1 and BA.2.75 lineages.(a) EGCG (Stick model as yellow) on the binding surface of RBD of the BA.1 lineage (Surface model).(b) EGCG (Spacefilling model) on the binding surface of RBD of the BA.1 lineage (Skelton model).(c) EGCG (Stick model as yellow) on the binding surface of RBD of the BA.2.75 lineage (Surface model).(d) EGCG (Space-filling model) on the binding surface of RBD of the BA.2.75 lineage (Skelton model).The residues in Patch 1 of RBD are shown as cyan sticks, and those in Patch 2 of RBD are shown as green sticks.The residue (N460K) mutated in the BA.2.75 lineage is shown as orange.

Figure 6 .
Figure 6.Structural comparison of TFDG binding with the Omicron RBD.(a) TFDG (Stick model as Magenta) on the binding surface of RBD of the BA.2 lineage (Surface model).(b) TFDG (Space-filling model) on the binding surface of RBD of the BA.2 lineage (Skelton model).(c) TFDG (Stick model as Magenta) on the binding surface of RBD of the BA.2.75 lineage (Surface model).(d) TFDG (Space-filling model) on the binding surface of RBD of the BA.2.75 lineage (Skelton model).(e) TFDG (Stick model as Magenta) on the binding surface of RBD of the XBB.1 lineage (Surface model).(f) TFDG (Space-filling model) on the binding surface of RBD of the XBB.1 lineage (Skelton model).The residues in Patch 1 of RBD are shown as cyan sticks, and those in Patch 2 of RBD are shown as green sticks.The G446S and F490S mutated residues are shown as orange.

Figure 7 .
Figure 7. Inactivation of BA.1 Virus in vitro by Saliva from Volunteers Who Consumed a Candy Containing Tea.Healthy volunteers consumed a placebo candy (without tea) or a candy containing either green tea or black tea for 5 min.Saliva was collected from the volunteers before, or the indicated time after cessation of, the candy consumption.BA.1 virus was treated with each saliva sample for 10 s.After dilution, virus titers were determined by TCID 50 method (n = 7 persons).(a) Kinetic change of virus titers for each single person is plotted.(b) Means ± S.D. of virus titers are shown.****p < 0.0001, *p < 0.05, vs. placebo candy (without tea) group at the same time point.+ + + + p < 0.0001, vs. "before" time point of the same groups (Tukey's multiple comparisons test).
1, BA.2, and BA.2.75 lineages for molecular docking simulations with EGCG (PubChem CID: 65,064), and TFDG (PubChem CID: 136,277,567) using the Amber99 force field in MOE.Clinical studies were approved by ethical committee of the ITO EN, ltd.All experiments were performed in accordance with relevant named guidelines and regulations.Informed consent was obtained from all volunteers.