Id |
Subject |
Object |
Predicate |
Lexical cue |
T41 |
0-2 |
Sentence |
denotes |
2. |
T42 |
3-25 |
Sentence |
denotes |
Results and Discussion |
T43 |
26-247 |
Sentence |
denotes |
In order to have a preliminary insight into the affinity of ralixofene towards the bradykinin receptors, the compound was first tested at 20 µM for its capacity to displace a reference ligand from B1 and B2, respectively. |
T44 |
248-352 |
Sentence |
denotes |
Specifically, desArg10-kallidin was used in the case of the B1 receptor and NPC 567 for the B2 receptor. |
T45 |
353-549 |
Sentence |
denotes |
The results of this study indicate that at this concentration, ralixofene does not displace desArg10-kallidin at the B1 receptor, whereas the reference ligand at the B2 receptor is displaced ~54%. |
T46 |
550-726 |
Sentence |
denotes |
We subsequently proceeded to carry out a study of the pharmacodynamic profile of the compound towards the BK B2 receptor in vitro, using a functional efficacy measurement [31]. |
T47 |
727-857 |
Sentence |
denotes |
Accordingly, we tested its capacity to antagonize BK on Chinese Hamster Ovary (CHO) cells stably transfected with the B2 receptor. |
T48 |
858-1215 |
Sentence |
denotes |
As can be seen in Figure 1a, raloxifene antagonizes BK with an IC50 ~16 µM with an apparent dissociation constant KB = 1.8 µM, computed using the modified Cheng Prusoff equation [32]:KB=IC501+AEC50 where, IC50 = 16 µM corresponds to raloxifene and EC50 = 2.4 pM corresponds to BK, and A = 0.03 nM is the concentration of BK that was used in the experiments. |
T49 |
1216-1311 |
Sentence |
denotes |
We also tested its activity as an agonist on CHO cells stably transfected with the B2 receptor. |
T50 |
1312-1478 |
Sentence |
denotes |
Present results also showed (Figure 1b) that the compound exhibited a partial agonistic profile, with a maximum effect of 20% of BK that was achieved at around 20 µM. |
T51 |
1479-1561 |
Sentence |
denotes |
The antagonistic profile of the compound can be rationalized from docking studies. |
T52 |
1562-1753 |
Sentence |
denotes |
Figure 2 shows the prospective bound conformation of raloxifene (orange) to the B2 receptor, superimposed with the conformation matching the query (yellow) from the virtual screening process. |
T53 |
1754-1901 |
Sentence |
denotes |
Despite fulfilling the four pharmacophore points, the directionality of the hydrogen bond interactions (not included in the query) was not optimal. |
T54 |
1902-2023 |
Sentence |
denotes |
However, in the docking process, the molecule was relaxed to satisfy new interactions that may improve its docking score. |
T55 |
2024-2152 |
Sentence |
denotes |
As can be seen in Figure 2, from its initial position (yellow), the molecule tilts to get a few favorable interactions (orange). |
T56 |
2153-2285 |
Sentence |
denotes |
Specifically, the phenoxyl moiety sacrifices a hydrogen bond interaction with Arg169 that is compensated with a new one with Asn104. |
T57 |
2286-2433 |
Sentence |
denotes |
This in turn, permits the phenoxyl aromatic ring to get closer to Trp86 and the carbonyl group establishes a hydrogen bond interaction with Arg169. |
T58 |
2434-2604 |
Sentence |
denotes |
On the other hand, some interactions are weakened, for example, the interaction of the bicycle moiety with Trp86 and the interaction of the pyridine nitrogen with Asp266. |
T59 |
2605-2699 |
Sentence |
denotes |
Partial fulfilment of the pharmacophore may explain the low IC50 exhibited by raloxifene [26]. |
T60 |
2700-2886 |
Sentence |
denotes |
On the other hand, the fact that raloxifene does not bind to the B1 can only be explained by steric interactions, since most of the residues between the two receptors are conserved [27]. |
T61 |
2887-3099 |
Sentence |
denotes |
Inspection of the results of the docking study reveals that the pyridine nitrogen of raloxifene exhibits a hydrogen bond with Thr286 that cannot not be established in B1, since the position is occupied by Leu294. |
T62 |
3100-3214 |
Sentence |
denotes |
Bradykinin signaling though the B2 receptor induces a proinflammatory action as well as a hypotensive effect [33]. |
T63 |
3215-3447 |
Sentence |
denotes |
The proinflammatory activity of BK involves the stimulation of cytokines, like IL-6 and IL-8, through the MAPK/AP-1 signaling axis [17,34], whereas the hypotensive effects are due to vasodilation and increased vascular permeability. |
T64 |
3448-3637 |
Sentence |
denotes |
Due to the partial agonist profile of raloxifene, it is expected that the compound antagonizes the proinflammatory effects of BK, modulating the levels of diverse cytokines, including IL-6. |
T65 |
3638-3985 |
Sentence |
denotes |
To support this hypothesis, in clinical trials aimed at understanding the effect of hormone replacement therapy for menopausal women on the risk of cardiovascular disease, in contrast to other compounds raloxifene did not exhibit a proinflammatory profile [35,36] that could, in part, be explained by its antagonistic effect on the BK B2 receptor. |
T66 |
3986-4124 |
Sentence |
denotes |
The beneficial vascular effects of ralixofene could, in part, be explained by its partial agonist profile towards the BK B2 receptor [36]. |
T67 |
4125-4391 |
Sentence |
denotes |
Thus, in a study aimed at assessing the vasoprotective effects of the compound, rats treated with raloxifene showed an increased reduction of systolic blood pressure on administration of bradykinin, suggesting an enhanced bioavailability of NO in these animals [37]. |
T68 |
4392-4589 |
Sentence |
denotes |
Moreover, diverse experiments subsequently confirmed a role of raloxifene inducing endothelium-dependent relaxation as due to the upregulation of nitric-oxide synthase (eNOS) expression [38,39,40]. |
T69 |
4590-4782 |
Sentence |
denotes |
Although these results can be due to the partial agonist profile of raloxifene reported in this work [33], the effect can also be explained as due to the activation of the GPR30 receptor [41]. |
T70 |
4783-4865 |
Sentence |
denotes |
Accordingly, further experimental work is necessary to differentiate both effects. |
T71 |
4866-5020 |
Sentence |
denotes |
Present results strongly support the need to perform a deeper investigation on the use of raloxifene as a therapeutic agent for the treatment of Covid-19. |
T72 |
5021-5231 |
Sentence |
denotes |
As shown in the present communication, its pharmacological profile as a partial BK B2 agonist is expected to antagonize the inflammatory action of BK, shown to be upregulated in Covid-19 patients [12,13,14,15]. |
T73 |
5232-5404 |
Sentence |
denotes |
This, in turn, will produce a reduction of cytokine levels, including IL-6, which is the primary proinflammatory cytokine associated with the severity of the illness [5,6]. |
T74 |
5405-5550 |
Sentence |
denotes |
On the other hand, its partial agonism profile is expected to maintain a base level of BK, preserving its beneficial cardiovascular effects [42]. |
T75 |
5551-5721 |
Sentence |
denotes |
Despite the novel beneficial effects identified, caution should be paid due to the necessary higher dose required for the compound to be used for a novel therapeutic use. |
T76 |
5722-5797 |
Sentence |
denotes |
The treatment of osteoporosis requires an oral dose between 30 to 150 mg/d. |
T77 |
5798-5928 |
Sentence |
denotes |
Taking into account its poor bioavailability of 2%, a single dose of 100 mg gives a maximal concentration in plasma of ~2 nM [43]. |
T78 |
5929-6135 |
Sentence |
denotes |
Concentrations necessary for the therapeutical benefit of raloxifene towards the BK B2 receptor are expected to be, at most, around 100 times higher, which is within the therapeutic window of the drug [44]. |
T79 |
6136-6331 |
Sentence |
denotes |
The results of this work complement recent comments suggesting the use of raloxifene for the treatment of Covid-19 [45], based on its capacity to inhibit the IL-6/STAT3 signaling pathway [46,47]. |
T80 |
6332-6536 |
Sentence |
denotes |
In addition, the presumed antiviral profile of ralixofene against the SARS-Cov2 virus through its capability to block the two-pore channel TCP2 [48], as found for the ebola virus [49] has been underlined. |
T81 |
6537-6716 |
Sentence |
denotes |
In conclusion, the pharmacodynamic profile exhibited by ralidoxene described in the present report represents a reasonable base to test the compound for the treatment of Covid-19. |
T82 |
6717-6839 |
Sentence |
denotes |
Very recently a clinical trial in Italy has been approved to test ralixofene in COVID-19 patients with mild symptoms [50]. |