Id |
Subject |
Object |
Predicate |
Lexical cue |
T90 |
0-2 |
Sentence |
denotes |
4. |
T91 |
3-18 |
Sentence |
denotes |
Pathophysiology |
T92 |
19-177 |
Sentence |
denotes |
To understand the pathophysiological mechanism of SARS-CoV-2, its genomic sequence was compared to the other two similar coronaviruses, SARS-CoV and MERS-CoV. |
T93 |
178-289 |
Sentence |
denotes |
In fact, it emerged that SARS-CoV-2 has a sequence identity of 79% with SARS-CoV and 50% with MERS-CoV [37,40]. |
T94 |
290-538 |
Sentence |
denotes |
Upon analysis of certain proteins, such as the coronavirus main proteinase (3CLpro), papain-like protease (PLpro) and RNA-dependent RNA polymerase (RdRp), it was observed that the sequence identity value between SARS-CoV and SARS-CoV-2 is 96% [41]. |
T95 |
539-657 |
Sentence |
denotes |
Therefore, an analogy between the physiopathological mechanisms of SARS-CoV and SARS-CoV-2 has been hypothesized [42]. |
T96 |
658-790 |
Sentence |
denotes |
Many studies reported that SARS-CoV-2, like SARS-CoV, uses Angiotensin converting enzyme 2 (ACE-2) to enter target cells [43,44,45]. |
T97 |
791-1098 |
Sentence |
denotes |
ACE-2 is a carboxypeptidase expressed on the cell surface which cleaves Angiotensin I (Ang I) into Angiotensin 1–9 and Angiotensin II (Ang II) into Angiotensin 1–7, counteracting the vasoconstrictor, proliferative and fibrotic effects of Angiotensin II generated by Angiotensin converting enzyme (ACE) [46]. |
T98 |
1099-1264 |
Sentence |
denotes |
Single-cell RNA sequencing analysis demonstrated a wide distribution of ACE-2 in different tissues [12,47] and histochemical staining then confirmed these data [48]. |
T99 |
1265-1530 |
Sentence |
denotes |
However, since low levels of ACE-2 expression were found on several cells types [47], it was supposed that cellular interaction and internalization by SARS-CoV-2did not depend only on ACE-2, but depended also on other auxiliary cell membrane receptors and proteins. |
T100 |
1531-1613 |
Sentence |
denotes |
In fact, it is recognized that ssRNA viruses tend to have multiple receptors [49]. |
T101 |
1614-1791 |
Sentence |
denotes |
Qi et al. analyzed the expression of ACE-2 on 119 cell types from 13 human tissues and the coexpression characteristics of the ssRNA human viral receptors and membrane proteins. |
T102 |
1792-1918 |
Sentence |
denotes |
Pearson correlation analysis of gene expression matrices showed 94 genes were found to be significantly correlated with ACE-2. |
T103 |
1919-2111 |
Sentence |
denotes |
Among these, the coding genes of the peptidases alanylaminopeptidase (ANPEP), glutamyl aminopeptidase (ENPEP) and dipeptidyl peptidase 4 (DPP 4) showed the highest correlation with ACE-2 [12]. |
T104 |
2112-2405 |
Sentence |
denotes |
While both ANPEP and DPP4 are already known as a target receptors for other coronaviruses (human coronavirus 229E, swine epidemic diarrhea virus, canine coronavirus, feline coronavirus, for ANPEP and MERS-CoV for DPP4), the relationship between ENPEP and viral infection is not yet known [12]. |
T105 |
2406-2536 |
Sentence |
denotes |
ENPEP is a member of the M1 family of endopeptidases which are mammalian type II integral membrane zinc-containing endopeptidases. |
T106 |
2537-2767 |
Sentence |
denotes |
It is mainly expressed in the terminal ileum and in the renal cortex and plays a role in the catabolic pathway of the Renin-Angiotensin system (RAAS), in the regulation of blood pressure and in the formation of blood vessels [50]. |
T107 |
2768-2902 |
Sentence |
denotes |
While the observations of Qi et al. suggest ENPEP may be a coronavirus receptor, further investigation is needed to confirm this [12]. |
T108 |
2903-3015 |
Sentence |
denotes |
However, the low expression of ACE-2 on the cell surface could also be interpreted as a viral defense mechanism. |
T109 |
3016-3188 |
Sentence |
denotes |
In the past, the down regulation of ACE-2 had been correlated with faster cell-cell spread of human coronaviruses [51] and with more severe clinical manifestations [52,53]. |
T110 |
3189-3378 |
Sentence |
denotes |
Guzzi et al., in a recent study, hypothesized that even for COVID-19 the down regulation of ACE-2 could be a mechanism induced by SARS-CoV-2 to obtain a faster intercellular diffusion [54]. |
T111 |
3379-3612 |
Sentence |
denotes |
Studies carried out to understand the effect of angiotensin receptor blocker (ARB) drugs in patients with COVID-19, have suggested mechanisms through which the upregulation of ACE-2 may be protective during SARS-CoV-2 infection [55]. |
T112 |
3613-3683 |
Sentence |
denotes |
ARBs, in fact, greatly increase the cellular expression of ACE-2 [56]. |
T113 |
3684-4022 |
Sentence |
denotes |
However, since SARS-CoV-2-ACE-2 interaction represents the first step of a chain of events, if the upregulation of ACE-2 is not followed by the increase of certain cell proteases essential for internalization and viral activation, it would only result in the sequestration of SARS-CoV-2 on the cell membrane limiting viral infection [35]. |
T114 |
4023-4154 |
Sentence |
denotes |
Furthermore, the metalloproteinase ADAM17 can act upon the membrane-bound ACE-2, leading to the release of a soluble form of ACE-2. |
T115 |
4155-4335 |
Sentence |
denotes |
If the increased expression of ACE-2 correlates with an increase in soluble ACE-2, this might act as a decoy receptor for SARS-CoV-2 by limiting viral entry into target cells [35]. |
T116 |
4336-4533 |
Sentence |
denotes |
Upon analysis of the SARS-CoV-2-ACE-2 interaction, there was confirmation that this occurs through the spike glycoprotein expressed on the viral envelope, being the same for all coronaviruses [35]. |
T117 |
4534-4787 |
Sentence |
denotes |
The coronavirus spike protein is composed of an intracellular segment, a transmembrane segment and a large ectodomain formed by an S1 subunit for interaction with the target receptor and an S2 subunit for fusion between the viral and cell membrane [57]. |
T118 |
4788-4904 |
Sentence |
denotes |
Subunit S1 consists of four domains, one N terminal domain (NTD) and three C-terminal domains (CTD1, CTD2 and CTD3). |
T119 |
4905-5049 |
Sentence |
denotes |
The cell receptor and the viral protein bind through the receptor-binding domain (RBD), located in the CTD1 domain in the case of SARS-CoV [58]. |
T120 |
5050-5264 |
Sentence |
denotes |
Experiments undertaken to investigate virus-receptor interaction with resolution at the atomic level showed that SARS-CoV and SARS-CoV-2 had a high sequence similarity (89.2%) and sequence identity (73.7%) [14,22]. |
T121 |
5265-5432 |
Sentence |
denotes |
However, a more targeted evaluation of SARS-CoV-2 RBD revealed peculiar characteristics that are probably responsible for the greater diffusion compared with SARS-CoV. |
T122 |
5433-5547 |
Sentence |
denotes |
Wan et al. found that the SARS-CoV-2 RBD has a single mutation that improves its binding affinity with ACE-2 [59]. |
T123 |
5548-5762 |
Sentence |
denotes |
Heet al. have shown that the characteristics of SARS-CoV-2 RBD make the virus more soluble, therefore capable of binding ACE-2 more easily, but also more stable, therefore able to survive at high temperatures [42]. |
T124 |
5763-5880 |
Sentence |
denotes |
At the same time, the SARS-CoV-2 RBD has greater flexibility than the SARS-CoV RBD, especially near the binding site. |
T125 |
5881-6075 |
Sentence |
denotes |
For this reason, SARS-CoV-2 is much more sensitive to temperature than SARS-CoV in terms of the RBD-ACE-2 bond and this would cause the decrease in infectivity with increasing temperatures [42]. |
T126 |
6076-6226 |
Sentence |
denotes |
The SARS-CoV RBD-ACE-2 binding induces conformational changes in the S2 subunit, such as to induce the fusion between the viral membrane and the cell. |
T127 |
6227-6345 |
Sentence |
denotes |
A low pH and pH-dependent endosomal cysteine proteases called cathepsins facilitate endosomal cell entry of the virus. |
T128 |
6346-6558 |
Sentence |
denotes |
Furthermore, the S protein is cleaved into the S1 and S2 subunits by the host transmembrane cell proteases [60], which are necessary for the entry of the virus through the cell surface non-endosomal pathway [61]. |
T129 |
6559-6718 |
Sentence |
denotes |
Hoffmann et al. have shown that in particular SARS-CoV-2 S protein depends on the cellular protease Transmembrane Serine Protease 2 (TMPRSS2) for priming [62]. |
T130 |
6719-6845 |
Sentence |
denotes |
Therefore, the coexpression of ACE-2 and TMPRSS2 is a determining factor for the entry of SARS-CoV-2 into the host cells [63]. |
T131 |
6846-6991 |
Sentence |
denotes |
After entering the cell and becoming activated, SARS-CoV-2 uses the endogenous transcription mechanism of the cells to replicate and spread [60]. |
T132 |
6992-7119 |
Sentence |
denotes |
Cells infected by SARS-CoV-2 can recruit and modulate immune cells through the secretion of chemokines or other cytokines [12]. |
T133 |
7120-7166 |
Sentence |
denotes |
The role of macrophages remains to be defined. |
T134 |
7167-7332 |
Sentence |
denotes |
In fact, the interaction between macrophages and cells expressing ACE-2 is known, suggesting a primary role of macrophages as a sentinel during viral infection [12]. |
T135 |
7333-7442 |
Sentence |
denotes |
A recent study, however, has shown a down regulation of mitochondrial proteins that interact with SARS-CoV-2. |
T136 |
7443-7564 |
Sentence |
denotes |
This mechanism could be interpreted as a process through which the virus prevents apoptosis induced by mitochondria [54]. |