Evidence map›Paper›PMID 33179852›Full record

ArticleEMBO molecular medicine2021

Human soluble ACE2 improves the effect of remdesivir in SARS-CoV-2 infection.

Vanessa Monteil, Matheus Dyczynski, Volker M Lauschke, Hyesoo Kwon, Gerald Wirnsberger, Sonia Youhanna, Haibo Zhang, Arthur S Slutsky, Carmen Hurtado Del Pozo, Moritz Horn and 3 more

Open access · goldAbstract read
In one paragraph

Article in EMBO molecular medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 1 synthesis or guideline pooled it, 105 citations in OpenAlex.

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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 4 countries.

Vanessa MonteilDepartment of Laboratory Medicine, Unit of Clinical Microbiology, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0002-2652-5695
Matheus DyczynskiAcus Laboratories GmbH, Cologne, Germany.ORCID 0000-0002-7650-3574
Volker M LauschkeDepartment of Physiology and Pharmacology, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0002-1140-6204
Hyesoo KwonNational Veterinary Institute, Uppsala, Sweden.
Gerald WirnsbergerAPEIRON Biologics AG, Vienna, Austria.
Sonia YouhannaDepartment of Physiology and Pharmacology, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0002-9376-8478
Haibo ZhangKeenan Research Centre for Biomedical Science at Li Ka Shing Knowledge Institute of St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-1714-3038
Arthur S SlutskyKeenan Research Centre for Biomedical Science at Li Ka Shing Knowledge Institute of St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-6063-3876
Carmen Hurtado Del PozoPluripotency for Organ Regeneration, Institute for Bioengineering of Catalonia (IBEC), The Barcelona Institute of Technology (BIST), Barcelona, Spain.
Moritz HornAcus Laboratories GmbH, Cologne, Germany.ORCID 0000-0002-5324-7256
Nuria MontserratPluripotency for Organ Regeneration, Institute for Bioengineering of Catalonia (IBEC), The Barcelona Institute of Technology (BIST), Barcelona, Spain.ORCID 0000-0002-1603-1755
Josef M PenningerInstitute of Molecular Biotechnology of the Austrian Academy of Sciences, Vienna, Austria.ORCID 0000-0002-8194-3777
Ali MirazimiDepartment of Laboratory Medicine, Unit of Clinical Microbiology, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0003-2371-6055
Karolinska Institutet · SEInstitució Catalana de Recerca i Estudis Avançats · ESSt. Michael's Hospital · CASwedish Veterinary Agency · SEApeiron Biologics (Austria) · ATInstitute of Molecular Biotechnology · AT

Funding

Boehringer Ingelheim (BI)Centres de Recerca de Catalunya (CERCA)Centres de Recerca de Catalunya (CERCA) 2017 SGR 1306EC | H2020 | H2020 Priority Excellent Science | H2020 European Research Council (ERC)EC | H2020 | H2020 Priority Excellent Science | H2020 Marie Skłodowska-Curie Actions (MSCA)Fundación Científica Asociación Española Contra el Cáncer (AECC)Fundación Científica Asociación Española Contra el Cáncer (AECC) LABAE16006Gouvernement du Canada | Canadian Institutes of Health Research (CIHR) 440347Gouvernement du Canada | Canadian Institutes of Health Research (CIHR) FDN143285Gouvernement du Canada | Canadian Institutes of Health Research (CIHR) OV3-170344Innovative Medicines Initiative (IMI) 101005026Vetenskapsrådet (VR) 2018-05766Vienna Science and Technology Fund (WWTF)
6 · The paper itself

Abstract

There is a critical need for safe and effective drugs for COVID-19. Only remdesivir has received authorization for COVID-19 and has been shown to improve outcomes but not decrease mortality. However, the dose of remdesivir is limited by hepatic and kidney toxicity. ACE2 is the critical cell surface receptor for SARS-CoV-2. Here, we investigated additive effect of combination therapy using remdesivir with recombinant soluble ACE2 (high/low dose) on Vero E6 and kidney organoids, targeting two different modalities of SARS-CoV-2 life cycle: cell entry via its receptor ACE2 and intracellular viral RNA replication. This combination treatment markedly improved their therapeutic windows against SARS-CoV-2 in both models. By using single amino-acid resolution screening in haploid ES cells, we report a singular critical pathway required for remdesivir toxicity, namely, Adenylate Kinase 2. The data provided here demonstrate that combining two therapeutic modalities with different targets, common strategy in HIV treatment, exhibit strong additive effects at sub-toxic concentrations. Our data lay the groundwork for the study of combinatorial regimens in future COVID-19 clinical trials.

Indexed as

COVID-19 Drug TreatmentAdenosine MonophosphateAlanineAngiotensin-Converting Enzyme 2AnimalsAntiviral AgentsCells, CulturedChlorocebus aethiopsDrug SynergismHumansModels, MolecularRecombinant ProteinsSARS-CoV-2Vero CellsVirus InternalizationVirus ReplicationACE2 protein, humanAdenosine MonophosphateAlanineAngiotensin-Converting Enzyme 2Antiviral AgentsRecombinant Proteinsremdesivirclinical trialcombination therapyCOVID-19treatment

Identifiers

PMID33179852
PMCPMC7799356
OpenAlexW3102688328

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.