Id |
Subject |
Object |
Predicate |
Lexical cue |
T443 |
0-5 |
Sentence |
denotes |
4.10. |
T444 |
6-30 |
Sentence |
denotes |
Cyclosporine A (Gengraf) |
T445 |
31-131 |
Sentence |
denotes |
Cyclosporine A is a cyclic peptide that is naturally obtained from the fungus Beauveria nivea [191]. |
T446 |
132-220 |
Sentence |
denotes |
It is immunosuppressant and calcineurin inhibitor that inhibits T cell activation [192]. |
T447 |
221-319 |
Sentence |
denotes |
It binds to the intracellular receptor cyclophilin-1 producing a cyclosporine-cyclophilin complex. |
T448 |
320-490 |
Sentence |
denotes |
This complex subsequently inhibits calcineurin, which stops the activation of the nuclear factor of activated T cells (NF-AT) that normally causes inflammatory reactions. |
T449 |
491-624 |
Sentence |
denotes |
The inhibition of NF-AT also leads to lower levels of other factors associated with T helper cell function and thymocyte development. |
T450 |
625-668 |
Sentence |
denotes |
Cyclosporine was first approved by the U.S. |
T451 |
669-937 |
Sentence |
denotes |
FDA in 1983 and is orally, parenterally, or topically used to prevent organ transplant rejection, treat/prevent graft-versus-host disease, and treat various inflammatory and autoimmune conditions such as severe rheumatoid arthritis and psoriasis [191,192,193,194,195]. |
T452 |
938-1125 |
Sentence |
denotes |
Importantly, low micromolar concentrations of cyclosporin A (<35 µM) substantially impacted the replication of SARS-CoV, human coronavirus 229E, and mouse hepatitis virus in cell culture. |
T453 |
1126-1207 |
Sentence |
denotes |
Cyclosporin A significantly inhibited gene expression and reduced progeny titers. |
T454 |
1208-1292 |
Sentence |
denotes |
Cyclosporin A treatment completely blocked SARS-CoV RNA and protein synthesis [196]. |
T455 |
1293-1464 |
Sentence |
denotes |
Cyclosporine A also in vitro reduced the replication of MERS-CoV, transmissible gastroenteritis coronavirus, porcine epidemic diarrhea virus, and feline coronavirus [196]. |
T456 |
1465-1539 |
Sentence |
denotes |
In fact, cyclosporine A has demonstrated broad-spectrum antiviral effects. |
T457 |
1540-1596 |
Sentence |
denotes |
It inhibited the replication of HBV, HCV, and HIV [197]. |
T458 |
1597-1842 |
Sentence |
denotes |
Cyclosporine also inhibited the replication of Zika virus, West Nile virus, Rift Valley fever virus, and influenza A virus by blocking the interaction of cellular cyclophilins with viral proteins as well as by inhibiting the RNA synthesis [198]. |
T459 |
1843-1920 |
Sentence |
denotes |
By targeting cyclophilins, the drug can also prevent acute lung injury [199]. |
T460 |
1921-2202 |
Sentence |
denotes |
Currently, the use of cyclosporin A is being tested in patients with moderate COVID-19 (NCT04412785; n = 20), hospitalized COVID-19 patients (NCT04392531; n = 120), and combined with topical corticosteroid in COVID-19 patients with acute keratoconjunctivitis (NCT04451239; n = 12). |
T461 |
2203-2262 |
Sentence |
denotes |
It has also been used in psoriatic COVID-19 patients [200]. |