Id |
Subject |
Object |
Predicate |
Lexical cue |
T425 |
0-86 |
Sentence |
denotes |
Sirolimus is a natural macrolide (Figure S5) obtained from Streptomyces hygroscopicus. |
T426 |
87-120 |
Sentence |
denotes |
It was first approved by the U.S. |
T427 |
121-207 |
Sentence |
denotes |
FDA in 1999 and is orally used for lymphangioleiomyomatosis and renal transplantation. |
T428 |
208-325 |
Sentence |
denotes |
Mechanistically, the drug is an immunosuppressive agent and an inhibitor of the mammalian target of rapamycin (mTOR). |
T429 |
326-466 |
Sentence |
denotes |
Sirolimus forms an immunosuppressive complex with FK-binding protein-12, and subsequently, the complex inhibits the regulatory kinase, mTOR. |
T430 |
467-588 |
Sentence |
denotes |
This inhibition suppresses cytokine mediated proliferation of T and B cells as well as the antibody production [180,181]. |
T431 |
589-745 |
Sentence |
denotes |
Furthermore, the drug may influence the virus because mTOR complex 1 is involved in the replication of various viruses, including coronavirus [182,183,184]. |
T432 |
746-866 |
Sentence |
denotes |
Furthermore, in vitro studies demonstrated a specific inhibitory activity against MERS-CoV infection by sirolimus [184]. |
T433 |
867-1120 |
Sentence |
denotes |
In an open-label, prospective randomized study in H1N1 pneumonia patients, treatment with sirolimus and corticosteroids combination for two weeks alleviated hypoxia, shortened the mechanical ventilation duration, and improved multi-organ function [185]. |
T434 |
1121-1281 |
Sentence |
denotes |
Accordingly, sirolimus is being tested for the treatment of COVID-19 patients either alone or in combination with hydroxychloroquine in several clinical trials. |
T435 |
1282-1442 |
Sentence |
denotes |
Likewise, RTB101 (dactolisib), another mTOR inhibitor and phosphoinositide 3-kinase inhibitor, is also being tested in COVID-19 patients (NCT04409327; n = 550). |