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Hydroxychloroquine deglycosylates ACE2. 28 / 28
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"There are many ongoing clinical trials which may provide more information on this issue.At the beginning of COVID-19 pandemic, scientists discovered in in-vitro studies that Chloroquine (CQ) and Hydroxychloroquine (HCQ) can inhibit glycosylation of ACE2 receptors [77] and block SARS-CoV-2 transfer from primary endosomes to intracellular lysosomes, thus potentially preventing the release of viral genome [78]."
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"However, Hydroxychloroquine increase in human organelles raises their pH, thereby inhibiting antigen processing, preventing the alpha and beta chains of the major histocompatibility complex (MHC) class II from dimerizing, inhibiting antigen presentation of the cell, and reducing the inflammatory response.10 Hydroxychloroquine prevents terminal glycosylation of ACE2, the receptor that SARS-CoV and SARS-CoV-2 target for cell pass."
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"By contrast, hydroxychloroquine, which inhibits viral entry by increasing endosomal pH and affecting terminal glycosylation of the ACE2 receptor (19) , is predicted by the model to be less likely to be effective since drugs that act on viral entry would require exceptionally high suppression to achieve appreciable effects on viral production."
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