| Id |
Subject |
Object |
Predicate |
Lexical cue |
| T1 |
171-314 |
DRI_Challenge |
denotes |
The emergence of SARS-coronavirus-2 (SARS-CoV-2) is responsible for a global pandemic disease referred to as coronavirus disease 19 (Covid-19). |
| T2 |
315-431 |
DRI_Background |
denotes |
Hydroxychloroquine/azithromycin combination therapy is currently tested for curing Covid-19, with promising results. |
| T3 |
432-518 |
DRI_Background |
denotes |
However, the molecular mechanism of action of this combination is not established yet. |
| T4 |
519-685 |
DRI_Approach |
denotes |
Using molecular dynamics (MD) simulations we show that both drugs act in synergy to prevent any close contact between the virus and the plasma membrane of host cells. |
| T5 |
686-864 |
DRI_Challenge |
denotes |
We reveal unexpected molecular similarity between azithromycin and the sugar moiety of GM1, a lipid raft ganglioside acting as a host attachment cofactor for respiratory viruses. |
| T6 |
865-973 |
DRI_Background |
denotes |
Due to this mimicry, azithromycin interacts with the ganglioside-binding domain of SARS-CoV-2 spike protein. |
| T7 |
974-1119 |
DRI_Background |
denotes |
This binding site shared by azithromycin and GM1 displays a conserved amino acid triad Q-134/F-135/N-137 located at the tip of the spike protein. |
| T8 |
1120-1277 |
DRI_Outcome |
denotes |
We also show that hydroxychloroquine molecules can saturate virus attachment sites on gangliosides in the vicinity of the primary coronavirus receptor ACE-2. |
| T9 |
1278-1436 |
DRI_Background |
denotes |
Taken together, these data show that azithromycin is directed against the virus, whereas hydroxychloroquine is directed against cellular attachment cofactors. |
| T10 |
1437-1546 |
DRI_Outcome |
denotes |
We conclude that both drugs act as competitive inhibitors of SARS-CoV-2 attachment to the host cell membrane. |
| T11 |
1547-1701 |
DRI_Outcome |
denotes |
This is consistent with a synergistic antiviral mechanism at the plasma membrane level, where the most efficient therapeutic intervention probably stands. |
| T12 |
1702-1843 |
DRI_Outcome |
denotes |
This molecular mechanism may explain the beneficial effects of hydroxychloroquine/azithromycin combination therapy in patients with Covid-19. |
| T13 |
1844-1973 |
DRI_Outcome |
denotes |
Incidentally, our data suggest that the conserved Q-134/F-135/N-137 triad could be considered as a target for vaccine strategies. |