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10.1093/ofid/ofab189

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34109257!8083350!34109257
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suck abstract from ncbi


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pmid34109257      Open+Forum+Infect+Dis 2021 ; 8 (6): ofab189
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  • In Silico Evaluation of Cyclophilin Inhibitors as Potential Treatment for SARS-CoV-2 #MMPMID34109257
  • Laurie K; Holcomb D; Kames J; Komar AA; DiCuccio M; Ibla JC; Kimchi-Sarfaty C
  • Open Forum Infect Dis 2021[Jun]; 8 (6): ofab189 PMID34109257show ga
  • BACKGROUND: The advent of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) provoked researchers to propose multiple antiviral strategies to improve patients' outcomes. Studies provide evidence that cyclosporine A (CsA) decreases SARS-CoV-2 replication in vitro and decreases mortality rates of coronavirus disease 2019 (COVID-19) patients. CsA binds cyclophilins, which isomerize prolines, affecting viral protein activity. METHODS: We investigated the proline composition from various coronavirus proteomes to identify proteins that may critically rely on cyclophilin's peptidyl-proline isomerase activity and found that the nucleocapsid (N) protein significantly depends on cyclophilin A (CyPA). We modeled CyPA and N protein interactions to demonstrate the N protein as a potential indirect therapeutic target of CsA, which we propose may impede coronavirus replication by obstructing nucleocapsid folding. RESULTS: Finally, we analyzed the literature and protein-protein interactions, finding evidence that, by inhibiting CyPA, CsA may impact coagulation proteins and hemostasis. CONCLUSIONS: Despite CsA's promising antiviral characteristics, the interactions between cyclophilins and coagulation factors emphasize risk stratification for COVID patients with thrombosis dispositions.
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