Id |
Subject |
Object |
Predicate |
Lexical cue |
T10 |
0-135 |
Sentence |
denotes |
The emergence of SARS-coronavirus-2 (SARS-CoV-2) has led to a global pandemic disease referred to as coronavirus disease 19 (COVID-19). |
T11 |
136-283 |
Sentence |
denotes |
Hydroxychloroquine (CLQ-OH)/azithromycin (ATM) combination therapy is currently being tested for the treatment of COVID-19, with promising results. |
T12 |
284-370 |
Sentence |
denotes |
However, the molecular mechanism of action of this combination is not yet established. |
T13 |
371-546 |
Sentence |
denotes |
Using molecular dynamics (MD) simulations, this study shows that the drugs act in synergy to prevent any close contact between the virus and the plasma membrane of host cells. |
T14 |
547-715 |
Sentence |
denotes |
Unexpected molecular similarity is shown between ATM and the sugar moiety of GM1, a lipid raft ganglioside acting as a host attachment cofactor for respiratory viruses. |
T15 |
716-815 |
Sentence |
denotes |
Due to this mimicry, ATM interacts with the ganglioside-binding domain of SARS-CoV-2 spike protein. |
T16 |
816-952 |
Sentence |
denotes |
This binding site shared by ATM and GM1 displays a conserved amino acid triad Q-134/F-135/N-137 located at the tip of the spike protein. |
T17 |
953-1124 |
Sentence |
denotes |
CLQ-OH molecules are shown to saturate virus attachment sites on gangliosides in the vicinity of the primary coronavirus receptor, angiotensin-converting enzyme-2 (ACE-2). |
T18 |
1125-1262 |
Sentence |
denotes |
Taken together, these data show that ATM is directed against the virus, whereas CLQ-OH is directed against cellular attachment cofactors. |
T19 |
1263-1372 |
Sentence |
denotes |
We conclude that both drugs act as competitive inhibitors of SARS-CoV-2 attachment to the host-cell membrane. |
T20 |
1373-1523 |
Sentence |
denotes |
This is consistent with a synergistic antiviral mechanism at the plasma membrane level, where therapeutic intervention is likely to be most efficient. |
T21 |
1524-1644 |
Sentence |
denotes |
This molecular mechanism may explain the beneficial effects of CLQ-OH/ATM combination therapy in patients with COVID-19. |
T22 |
1645-1780 |
Sentence |
denotes |
Incidentally, the data also indicate that the conserved Q-134/F-135/N-137 triad could be considered as a target for vaccine strategies. |