Id |
Subject |
Object |
Predicate |
Lexical cue |
T23 |
0-15 |
Sentence |
denotes |
1 Introduction |
T24 |
16-176 |
Sentence |
denotes |
The emergence of the novel pathogenic SARS-coronavirus 2 (SARS-CoV-2) has led to a global pandemic disease referred to as coronavirus disease 19 (COVID-19) [1]. |
T25 |
177-257 |
Sentence |
denotes |
In such a health emergency, it is critical to find a cure and stop the pandemic. |
T26 |
258-482 |
Sentence |
denotes |
Among the potential solutions currently under investigation, a combination bitherapy consisting of the antimalarial drug, hydroxychloroquine (CLQ-OH) with the antibiotic, azithromycin (ATM) has received particular attention. |
T27 |
483-674 |
Sentence |
denotes |
Following initial reports from China indicating a potential effect of chloroquine (CLQ) [2], a preliminary clinical trial was implemented in France on a small cohort of COVID-19 patients [3]. |
T28 |
675-846 |
Sentence |
denotes |
A significant viral load reduction was observed in the 20 patients treated with CLQ-OH [3], a CLQ derivative with increased solubility in water and decreased toxicity [4]. |
T29 |
847-968 |
Sentence |
denotes |
With the aim of preventing bacterial super-infection, six additional patients in this trial also received ATM for 5 days. |
T30 |
969-1033 |
Sentence |
denotes |
All these patients had undetectable viral load after 6 days [3]. |
T31 |
1034-1225 |
Sentence |
denotes |
Thus, although these promising data need clinical confirmation with more patients, CLQ-OH/ATM combination therapy already appears superior to CLQ alone as a first-line treatment for COVID-19. |
T32 |
1226-1362 |
Sentence |
denotes |
Both CLQ-OH and ATM are repositioned drugs and their antiviral mechanism of action, particularly in combination, remains mostly unclear. |
T33 |
1363-1437 |
Sentence |
denotes |
In vitro studies have shown that CLQ-OH inhibits SARS-CoV-2 [4], [5], [6]. |
T34 |
1438-1571 |
Sentence |
denotes |
Far less is known about the antiviral effects of ATM, which has been suggested to interfere with influenza virus internalization [7]. |
T35 |
1572-1689 |
Sentence |
denotes |
Interestingly, CLQ is also considered as an inhibitor of endocytic pathways through an elevation of endosomal pH [8]. |
T36 |
1690-1831 |
Sentence |
denotes |
However, several reports indicate that CLQ could also prevent virus attachment through a direct effect on host-cell surface molecules [9,10]. |
T37 |
1832-2082 |
Sentence |
denotes |
The first step of the replication cycle in human coronaviruses is the attachment of the virus to the host plasma membrane, which is mediated by a membrane protein receptor, i.e., angiotensin-converting enzyme-2 (ACE-2) in the case of SARS-CoV-2 [11]. |
T38 |
2083-2273 |
Sentence |
denotes |
Moreover, coronaviruses are also dependent upon sialylated membrane components, such as gangliosides, which act as attachment cofactors within lipid raft membrane platforms [12], [13], [14]. |
T39 |
2274-2497 |
Sentence |
denotes |
As ACE-2 is localized in lipid rafts [15], SARS-CoV-2 infection requires specific targeting to these plasma membrane microdomains, where multivalent interactions between the spike protein and raft components can take place. |
T40 |
2498-2657 |
Sentence |
denotes |
In line with this notion, lipid raft disruption through cholesterol depletion resulted in a significant reduction of human coronavirus SARS-CoV infection [15]. |
T41 |
2658-2943 |
Sentence |
denotes |
The recent identification of a potential ganglioside-binding domain in the N-terminal domain (NTD) of the SARS-CoV-2 spike protein, and its potential role in membrane recognition [10], prompted this study of the molecular relationship between this domain, gangliosides, ATM and CLQ-OH. |
T42 |
2944-3166 |
Sentence |
denotes |
This study involved a molecular modelling strategy that has been successfully applied to unravel the molecular mechanisms of protein binding to raft lipid components, including gangliosides [16,17] and cholesterol [18,19]. |