Evidence map›Paper›PMID 32142651›Full record

ArticleCell2020

SARS-CoV-2 Cell Entry Depends on ACE2 and TMPRSS2 and Is Blocked by a Clinically Proven Protease Inhibitor.

Markus Hoffmann, Hannah Kleine-Weber, Simon Schroeder, Nadine Krüger, Tanja Herrler, Sandra Erichsen, Tobias S Schiergens, Georg Herrler, Nai-Huei Wu, Andreas Nitsche and 3 more

20 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Cell, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 20 registered trials, which are not on this map. Cited by 11,949 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11,949citing papers in PubMed, 3 pooled it
472.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04338009 nacompletednot on this map

The Randomized Elimination or Prolongation of Angiotensin Converting Enzyme Inhibitors and Angiotensin Receptor Blockers in Coronavirus Disease 2019

TypeinterventionalSponsorUniversity of PennsylvaniaRan2020 to 2020Enrolled152ConditionsCOVID-19ArmsDiscontinuation of ARB/ACEI, Continuation of ARB/ACEI
NCT04340349 early_phase1unknown statusnot on this mapstarted 2021, after this paper: background citation

Low-dose Hydroxychloroquine and Bromhexine: a Novel Regimen for COVID-19 Prophylaxis in Healthcare Professionals (ELEVATE Trial)

TypeinterventionalSponsorInstituto Nacional de RehabilitacionRan2021 to 2021Enrolled214ConditionsHydroxychloroquine, Antimalarials, Enzyme Inhibitors, Antirheumatic AgentsArmsHydroxychloroquine Sulfate, Bromhexine 8 MG
NCT04352400 phase2 / phase3unknown statusnot on this mapstarted 2021, after this paper: background citation

RAndomized Clinical Trial in COvid19 Patients to Assess the Efficacy of the Transmembrane Protease Serine 2 (TMPRSS2) Inhibitor NAfamostat (RACONA Study)

TypeinterventionalSponsorUniversity Hospital PadovaRan2021 to 2024Enrolled256ConditionsCOVID19ArmsNafamostat Mesilate, Placebo
NCT04362059 nacompletednot on this map

A Clinical Trial of Nebulized Surfactant for the Treatment of Moderate to Severe COVID-19

TypeinterventionalSponsorUniversity Hospital Southampton NHS Foundation TrustRan2020 to 2023Enrolled20ConditionsRespiratory InfectionsArmsCOVSurf Drug Delivery System, Standard of Care
NCT04378244 phase1 / phase2withdrawnnot on this mapstarted 2022, after this paper: background citation

CORONA: A Phase 1/2 Study Using DeltaRex-G Gene Therapy for Symptomatic COVID-19

TypeinterventionalSponsorAveni FoundationRan2022 to 2024Enrolled0ConditionsCOVID-19, Cytokine Storm, Acute Respiratory Distress SyndromeArmsDeltaRex-G
NCT04388631 unknown statusnot on this map

Detection Rate of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in Male Genitourinary System and Its Impact on Male Reproductive Health: an Observational Clinical Study.

Typeobservational_patient_registrySponsorTongji HospitalRan2020 to 2021Enrolled200ConditionsCoronavirus Disease 2019ArmsCoronavirus Disease 2019
NCT04418128 phase2 / phase3unknown statusnot on this map

Treatment Effect of Nafamostat Mesylate in Patients With COVID-19 Pneumonia: Open Labelled Randomized Controlled Clinical Trial

TypeinterventionalSponsorGyeongsang National University HospitalRan2020 to 2021Enrolled84ConditionsCorona Virus Infection, COVID-19ArmsNafamostat Mesylate
NCT04466670 phase2unknown statusnot on this map

Dynamics of Hemostatic Parameters in COVID-19 and Comparison of Intervention Strategies Through Adaptive Clinical Trial

TypeinterventionalSponsorUniversity of Sao Paulo General HospitalRan2020 to 2022Enrolled379ConditionsCOVID-19Armsacetylsalicylic acid, Unfractionated heparin nebulized
NCT04480593 phase2 / phase3completednot on this map

The Use of Brazilian Green Propolis Extract (EPP-AF) in Patients Affected by COVID-19: a Randomized, Open and Pilot Clinical Study.

TypeinterventionalSponsorD'Or Institute for Research and EducationRan2020 to 2020Enrolled120ConditionsCovid19ArmsBrazilian Green Propolis Extract (EPP-AF), Standard care
NCT04530617 phase2terminatednot on this map

Randomized, Double-blind, Placebo-controlled, Multicenter, Multi-arm, Phase II Trial of Novel Agents for the Treatment of Mild to Moderate COVID-19 Positive Outpatients

TypeinterventionalSponsorInstituto Nacional de Ciencias Medicas y Nutricion Salvador ZubiranRan2020 to 2021Enrolled246ConditionsCovid19, Diabetes, Hypertension, ObesityArmsCamostat Mesilate, Artemisia Annua Leaf
NCT04625036 completednot on this map

Pilot Study on Peripheral Vascular Function in Covid-19 Patient

Typeobservational_patient_registrySponsorIstituti Clinici Scientifici Maugeri SpARan2020 to 2021Enrolled22ConditionsCOVID-19 PneumoniaArmsSingle passive leg movement
NCT04632732 completednot on this map

Apelin; ACE2 and Biomarkers of Alveolar-capillary Permeability in SARS-cov-2 (COVID-19).

Typeobservational_patient_registrySponsorCentre de recherche du Centre hospitalier universitaire de SherbrookeRan2020 to 2021Enrolled140ConditionsCovid19ArmsCOVID-19 test, Blood sampling
NCT04800224 phase2 / phase3completednot on this mapstarted 2021, after this paper: background citation

The Use of the Standardized Brazilian Green Propolis Extract (EPP-AF) as an Adjunct Treatment for Hospitalized COVID-19 Patients: A Randomized, Double-blind, Placebo-controlled Trial

TypeinterventionalSponsorD'Or Institute for Research and EducationRan2021 to 2021Enrolled200ConditionsCovid19, InflammationArmsStandardized Brazilian Green Propolis Extract, Placebo
NCT05157217 unknown statusnot on this mapstarted 2021, after this paper: background citation

Impact of the Genetic Polymorphism on the Severity of COVID-19 Infection in Egyptian Patients

TypeobservationalSponsorCairo UniversityRan2021 to 2022Enrolled98ConditionsCOVID-19
NCT05205746 phase2completednot on this mapstarted 2021, after this paper: background citation

Phase II Study to Evaluate Immunogenicity and Safety in Subjects With Evidence of Prior Immunity to SARS-CoV-2 of a Single Intramuscular or Intranasal Dose of the Live Recombinant Newcastle Disease Virus Based AVX/COVID-12 Vaccine

TypeinterventionalSponsorLaboratorio Avi-Mex, S.A. de C.V.Ran2021 to 2023Enrolled158ConditionsSARS CoV 2 InfectionArmsRecombinant NDV Vectored Vaccine for SARS-CoV-2, Placebo
NCT05446961 phase2completednot on this mapstarted 2021, after this paper: background citation

Pilot Phase II Randomized, Placebo-Controlled Clinical Trial for the Prevention and Progression of SARS-CoV-2 Infection of Subjects and Patients Using a Supplement Treatment With Carnipure Tartrate ( LCLT)

TypeinterventionalSponsorSENAI CIMATECRan2021 to 2022Enrolled224ConditionsCOVID-19 Virus InfectionArmsLCLT : 68% elemental L-carnitine and 32 % Tartric acid, Placebo
NCT05648110 phase2 / phase3completednot on this mapstarted 2022, after this paper: background citation

A Phase I/III Randomized, Double-blind Study to Evaluate the Safety, Efficacy and Neutralizing Activity of AZD5156/AZD3152 for Pre-exposure Prophylaxis of COVID-19 in Participants With Conditions Causing Immune Impairment. Sub-study: Phase II Open Label Sub-study to Evaluate the Safety, PK, and Neutralizing Activity of AZD3152 for Pre-exposure Prophylaxis of COVID-19

TypeinterventionalSponsorAstraZenecaRan2022 to 2025Enrolled3,882ConditionsCOVID-19, SARS-CoV-2ArmsAZD5156 (Parent study Sentinel Safety Cohort), Placebo (Parent study Sentinel Safety Cohort), EVUSHELD™ (Parent study Main Cohort), AZD3152 (Parent study Main Cohort), Placebo (Parent study Main Cohort)
NCT05710783 phase2 / phase3completednot on this mapstarted 2022, after this paper: background citation

Phase II/III Parallel, Double-blind, Non-inferiority Study With Active Control, to Evaluate the Immunogenicity and Safety of a Booster Immunization Scheme With a Single Intramuscular Dose of the Recombinant Vaccine Against SARS-CoV-2

TypeinterventionalSponsorLaboratorio Avi-Mex, S.A. de C.V.Ran2022 to 2023Enrolled4,065ConditionsSARS-CoV-2 InfectionArmsAVX-COVID/12, ChAdOx-1-S[recombinant]
NCT05799521 phase2active not recruitingnot on this mapstarted 2023, after this paper: background citation

A Novel Nasal Treatment for COVID-19

TypeinterventionalSponsorIndiana UniversityRan2023 to 2027Enrolled24ConditionsCOVID-19, HealthyArmsOptate, Placebo
NCT07312409 recruitingnot on this mapstarted 2026, after this paper: background citation

Does Taurine Supplementation Improve Vascular Function and Orthostatic Responses in Long COVID?

Typeobservational_patient_registrySponsorYork UniversityRan2026 to 2027Enrolled30ConditionsLong COVID SyndromeArmsTaurine supplementation
3 · Its place in the literature

Who cites it

11,949 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21,183 citations in OpenAlex.

  1. Pooled it
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  7. Review
  8. Human brain matters: Navigating the neuropathology of COVID-19.Brain pathology (Zurich, Switzerland) · 2026
    Review
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11,889 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 3 countries.

Markus HoffmannInfection Biology Unit, German Primate Center - Leibniz Institute for Primate Research, Göttingen, Germany. Electronic address: mhoffmann@dpz.eu.
Hannah Kleine-WeberInfection Biology Unit, German Primate Center - Leibniz Institute for Primate Research, Göttingen, Germany; Faculty of Biology and Psychology, University Göttingen, Göttingen, Germany.
Simon SchroederCharité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institute of Virology, Berlin, Germany; German Centre for Infection Research, associated partner Charité, Berlin, Germany.
Nadine KrügerInstitute of Virology, University of Veterinary Medicine Hannover, Hannover, Germany; Research Center for Emerging Infections and Zoonoses, University of Veterinary Medicine Hannover, Hannover, Germany.
Tanja HerrlerBG Unfallklinik Murnau, Murnau, Germany.
Sandra ErichsenInstitute for Biomechanics, BG Unfallklinik Murnau, Murnau, Germany; Institute for Biomechanics, Paracelsus Medical University Salzburg, Salzburg, Austria.
Tobias S SchiergensBiobank of the Department of General, Visceral, and Transplant Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
Georg HerrlerInstitute of Virology, University of Veterinary Medicine Hannover, Hannover, Germany.
Nai-Huei WuInstitute of Virology, University of Veterinary Medicine Hannover, Hannover, Germany.
Andreas NitscheRobert Koch Institute, ZBS 1 Highly Pathogenic Viruses, WHO Collaborating Centre for Emerging Infections and Biological Threats, Berlin, Germany.
Marcel A MüllerCharité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institute of Virology, Berlin, Germany; German Centre for Infection Research, associated partner Charité, Berlin, Germany; Martsinovsky Institute of Medical Parasitology, Tropical and Vector Borne Diseases, Sechenov University, Moscow, Russia.
Christian DrostenCharité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institute of Virology, Berlin, Germany; German Centre for Infection Research, associated partner Charité, Berlin, Germany.
Stefan PöhlmannInfection Biology Unit, German Primate Center - Leibniz Institute for Primate Research, Göttingen, Germany; Faculty of Biology and Psychology, University Göttingen, Göttingen, Germany. Electronic address: spoehlmann@dpz.eu.
University of Veterinary Medicine Hannover, Foundation · DEBerufsgenossenschaftliche Unfallklinik Murnau · DECharité - Universitätsmedizin Berlin · DEGerman Primate Center · DELudwig-Maximilians-Universität München · DERobert Koch Institute · DESechenov University · RUUniversity of Göttingen · DE

Funding

German Research Foundation
6 · The paper itself

Abstract

The recent emergence of the novel, pathogenic SARS-coronavirus 2 (SARS-CoV-2) in China and its rapid national and international spread pose a global health emergency. Cell entry of coronaviruses depends on binding of the viral spike (S) proteins to cellular receptors and on S protein priming by host cell proteases. Unravelling which cellular factors are used by SARS-CoV-2 for entry might provide insights into viral transmission and reveal therapeutic targets. Here, we demonstrate that SARS-CoV-2 uses the SARS-CoV receptor ACE2 for entry and the serine protease TMPRSS2 for S protein priming. A TMPRSS2 inhibitor approved for clinical use blocked entry and might constitute a treatment option. Finally, we show that the sera from convalescent SARS patients cross-neutralized SARS-2-S-driven entry. Our results reveal important commonalities between SARS-CoV-2 and SARS-CoV infection and identify a potential target for antiviral intervention.

Indexed as

Ammonium ChlorideAngiotensin-Converting Enzyme 2AnimalsAntibodies, NeutralizingAntibodies, ViralBetacoronavirusCell LineCoronavirusCoronavirus InfectionsCOVID-19COVID-19 SerotherapyDrug DevelopmentEstersGabexateGuanidinesHumans(3-ethoxycarbonyloxirane-2-carbonyl)leucine (3-methylbutyl) amideACE2 protein, humanAmmonium ChlorideAngiotensin-Converting Enzyme 2Antibodies, NeutralizingAntibodies, ViralcamostatEstersGabexateGuanidinesLeucinePeptidyl-Dipeptidase AProtease InhibitorsReceptors, VirusSerine EndopeptidasesSpike Glycoprotein, Coronavirusspike glycoprotein, SARS-CoVTMPRSS2 protein, humanACE2coronavirusCOVID-19entryneutralizationprimingSARS-CoV-2spikeTMPRSS2

Identifiers

PMID32142651
PMCPMC7102627
OpenAlexW3009912996

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 14 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.