Id |
Subject |
Object |
Predicate |
Lexical cue |
T12 |
0-2 |
Sentence |
denotes |
1. |
T13 |
3-15 |
Sentence |
denotes |
Introduction |
T14 |
16-181 |
Sentence |
denotes |
The 4-aminoquinolonehydroxychloroquine (HCQ) was synthesized for the first time in 1946, but its history began as far back as the 1600s thanks to the Incas in Chile. |
T15 |
182-404 |
Sentence |
denotes |
They introduced the special properties of cinchona bark to the Jesuits and in 1820 quinine and cinchonine were isolated and identified as the main alkaloids responsible for the antimalarial activity attributed to the bark. |
T16 |
405-499 |
Sentence |
denotes |
For these reasons, in 1900, the Dutch and British transplanted this “miraculous tree” to Java. |
T17 |
500-597 |
Sentence |
denotes |
The quinine soon began to be also used for the treatment of systemic lupus erythematosus [1,2,3]. |
T18 |
598-729 |
Sentence |
denotes |
The increasing need for quinine, due to malaria diffusion, led the pharmaceutical industry to the creation of a synthetic molecule. |
T19 |
730-793 |
Sentence |
denotes |
In 1934 Johann (Hans) Andersag and co-workers at the Bayer I.G. |
T20 |
794-937 |
Sentence |
denotes |
Farbenindustrie in Elberfeld laboratories, Germany, synthesized chloroquine (CQ) for the first time, judged by the Germans to be too toxic [4]. |
T21 |
938-1063 |
Sentence |
denotes |
However, the production of natural quinine was blocked by the Japanese army’s occupation of Java during the Second World War. |
T22 |
1064-1162 |
Sentence |
denotes |
Therefore, it was necessary to deepen the studies on molecules that could replace natural quinine. |
T23 |
1163-1344 |
Sentence |
denotes |
The Americans soon synthesized from CQ the HCQ, which resulted in it being less toxic than its ancestor so that in 1955 the scientific community proposed it as an alternative to CQ. |
T24 |
1345-1422 |
Sentence |
denotes |
Figure 1 represents the historical development that led to HCQ synthesis [5]. |
T25 |
1423-1678 |
Sentence |
denotes |
This molecule, which has always been known as antimalarial, has come back into vogue in recent months due to the ongoing new coronavirus (2019-nCoV, or COVID-19 or 2019-nCo) worldwide pandemic, that causes a severe acute respiratory syndrome (SARS-CoV-2). |
T26 |
1679-1861 |
Sentence |
denotes |
In fact, several research groups have evaluated the use of CQ (C18H26ClN3) and in particular its derivative HCQ (C18H26ClN3O), as a promising treatment for COVID-19 patients [6,7,8]. |
T27 |
1862-2070 |
Sentence |
denotes |
CQ and HCQ have a core structure consisting of two aromatic rings fused, the 4-aminoquinoline nucleus, and an amphiphilic weak basic side chain (represented in green and red colors in Figure 1, respectively). |
T28 |
2071-2207 |
Sentence |
denotes |
The two chemical structures differ only for the hydroxyl group at the end of N-ethyl side chain (represented in blue color in Figure 1). |
T29 |
2208-2402 |
Sentence |
denotes |
These are water-soluble molecules and, for their chemical nature, can pass the cell membranes; however, the presence of the hydroxyl group in the HCQ makes it more polar and less lipophilic [8]. |
T30 |
2403-2555 |
Sentence |
denotes |
Moreover, the accumulation of CQ and HCQ in intracellular compartments is due principally to the side chain and both have enantiomers (R and S isomers). |
T31 |
2556-2660 |
Sentence |
denotes |
Researches also demonstrated that the R-HCQ is present in the blood at higher concentrations than S-HCQ. |
T32 |
2661-2753 |
Sentence |
denotes |
These results suggested the stereoselective processes in the metabolism of the molecule [9]. |
T33 |
2754-2960 |
Sentence |
denotes |
Studies of structure-activity relationships have demonstrated that the halogen substitutions of different 4-aminoquinolinesderivatives reduced the toxicity, but it also reduced the pharmacological activity. |
T34 |
2961-3064 |
Sentence |
denotes |
Instead, the therapeutic ratio is decreased by substitution of the alkyl side chain with an aryl chain. |
T35 |
3065-3205 |
Sentence |
denotes |
Nevertheless, the therapeutic ratio decreases and toxicity increases with an increase of the alkyl side-chain length above 5 carbons [7,10]. |
T36 |
3206-3348 |
Sentence |
denotes |
Usually, CQ and HCQ are administered as phosphate and sulphate salts, respectively, and both drugs are absorbed in the upper intestinal tract. |
T37 |
3349-3435 |
Sentence |
denotes |
However, clinically, HCQ is more frequently used than CQ for its lesser toxicity [11]. |
T38 |
3436-3626 |
Sentence |
denotes |
Both molecules give mild nausea, stomach cramps, gastrointestinal upset, and mild diarrhoea as adverse effects and long-term usage determines loss of retinal function and severe retinopathy. |
T39 |
3627-3819 |
Sentence |
denotes |
These drugs are used, to date, in malaria patients and in several inflammatory diseases like rheumatoid arthritis, Sjögren syndrome, dermatomyositis, and systemic lupus erythematosus [7,8,10]. |