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Hydroxychloroquine deglycosylates ACE2. 32 / 32
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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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"HCQ inhibits the glycosylation of ACE2 receptors and increases the pH to prevent the fusion of viral and endosomal membrane treatment may increase the risk of different neurodegenerative disorders in older individuals and aggravate protein aggregation in patients with PD, DLB, MSA, AD, PSP, FTD, or HD(Fig. 3c)."
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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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"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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"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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"Although debatable, this mechanism also suggests that HCQ may have a prophylactic effect since it would reduce the chances of COVID-19 infection.Implications of HCQ-Mediated Inhibition of ACE-2 Glycosylation in People with Hypertension and Obesity While HCQ inhibits the entry of COVID-19 into host cells via suppressing the glycosylation and membrane attachment of ACE2, the most important function of ACE2 is to convert a physiological vasoconstrictor (AngII) to a vasodilator (Ang1-7) (Fig. 3a) ."