Evidence map›Paper›PMID 33425684›Full record

ArticleToxicology reports2021

Nicotinic cholinergic system and COVID-19:

Nikolaos Alexandris, George Lagoumintzis, Christos T Chasapis, Demetres D Leonidas, Georgios E Papadopoulos, Socrates J Tzartos, Aristidis Tsatsakis, Elias Eliopoulos, Konstantinos Poulas, Konstantinos Farsalinos

RetractedOpen access · goldAbstract read
In one paragraph

Article in Toxicology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.4field-weighted citation impact, top 4% 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

35 citing papers in PubMed, 71 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Cholinergic dysfunction in COVID-19: frantic search and hoping for the best.Naunyn-Schmiedeberg's archives of pharmacology · 2023
    Review
  14. Article
  15. Article
  16. Citicoline and COVID-19: vis-à-vis conjectured.Naunyn-Schmiedeberg's archives of pharmacology · 2022
    Review
  17. An experimental test of the nicotinic hypothesis of COVID-19.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  18. Article
  19. Inflammatory reflex disruption in COVID-19.Clinical & experimental neuroimmunology · 2022
    Review
  20. Review
4 · The record

Corrections and comments

  • Expression of concern · 2021-12-17Concerns/Issues about Data · Concerns/Issues about Results and/or Conclusions · Investigation by Journal/Publisher · · the entire special issue is subject to an expression of concern;
5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Nikolaos AlexandrisLaboratory of Molecular Biology and Immunology, Department of Pharmacy, University of Patras, 26500, Rio-Patras, Greece.
George LagoumintzisLaboratory of Molecular Biology and Immunology, Department of Pharmacy, University of Patras, 26500, Rio-Patras, Greece.
Christos T ChasapisLaboratory of Molecular Biology and Immunology, Department of Pharmacy, University of Patras, 26500, Rio-Patras, Greece.
Demetres D LeonidasDepartment of Biochemistry and Biotechnology, University of Thessaly, Biopolis, 41500 Larissa, Greece.
Georgios E PapadopoulosDepartment of Biochemistry and Biotechnology, University of Thessaly, Biopolis, 41500 Larissa, Greece.
Socrates J TzartosTzartos NeuroDiagnostics, 3, Eslin Street, Athens 115 23, Greece.
Aristidis TsatsakisDepartment Medicine, University of Crete, Greece.
Elias EliopoulosDepartment of Biotechnology, Laboratory of Genetics, Agricultural University of Athens, Iera Odos 75, 11855 Athens, Greece.
Konstantinos PoulasLaboratory of Molecular Biology and Immunology, Department of Pharmacy, University of Patras, 26500, Rio-Patras, Greece.
Konstantinos FarsalinosLaboratory of Molecular Biology and Immunology, Department of Pharmacy, University of Patras, 26500, Rio-Patras, Greece.
University of Patras · GRUniversity of Thessaly · GRAgricultural University of Athens · GRStavros Niarchos Foundation · GRUniversity of Crete · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SARS-CoV-2 infection was announced as a pandemic in March 2020. Since then, several scientists have focused on the low prevalence of smokers among hospitalized COVID-19 patients. These findings led to our hypothesis that the Nicotinic Cholinergic System (NCS) plays a crucial role in the manifestation of COVID-19 and its severe symptoms. Molecular modeling revealed that the SARS-CoV-2 Spike glycoprotein might bind to nicotinic acetylcholine receptors (nAChRs) through a cryptic epitope homologous to snake toxins, substrates well documented and known for their affinity to the nAChRs. This binding model could provide logical explanations for the acute inflammatory disorder in patients with COVID-19, which may be linked to severe dysregulation of NCS. In this study, we present a series of complexes with cholinergic agonists that can potentially prevent SARS-CoV-2 Spike glycoprotein from binding to nAChRs, avoiding dysregulation of the NCS and moderating the symptoms and clinical manifestations of COVID-19. If our hypothesis is verified by

Indexed as

ACh, AcetylcholineAChBP, Acetylcholine-binding proteinARDS, acute respiratory distress syndromeBLAST, Basic Local Alignment Search ToolCHARMM, Chemistry at Harvard Macromolecular MechanicsCholinergic agonistsCNS, Central Nervous SystemCoV, coronavirusCOVID-19DCD, single precision binary FORTRANECD, extracellular domainHADDOCK, High Ambiguity Driven protein-protein DOCKingHMGB1, High-mobility group protein 1IL, InterleukinJak2, Janus kinases 2LBD, Ligand Binding Domainlig, ligandMD, Molecular DynamicsMDS, Molecular Dynamics SimulationsMERS, Middle East Respiratory SyndromenAChRs, nicotinic acetylcholine receptorsNAMD, Nanoscale Molecular DynamicsNCBI, National Center for Biotechnology InformationNCS, Nicotinic Cholinergic SystemNF-kB, nuclear factor kappa-light-chain-enhancer of activated B cellsNicotinic acetylcholine receptorsNPT, constant number, pressure, energyNVT, constant number, volume, energyPDB, Protein Data BankPME, Particle Mesh EwaldPRODIGY, PROtein binDIng enerGY predictionPyMOL, Python MoleculeRBD, Receptor Binding DomainRMSD, Root-mean-square deviationSARS-CoV-2SARS-CoV-2 S1, SARS - 2 Spike Subunit 1 proteinSARS, Severe Acute Respiratory SyndromeSpike glycoproteinSTAT3, signal transducer and activator of transcription 3STD NMR, Saturation Transfer Difference Nuclear Magnetic ResonanceTNF, Tumor Necrosis FactorVMD, Visual Molecular Dynamics

Identifiers

PMID33425684
PMCPMC7776751
OpenAlexW3114729768

What OpenQuestion holds

Textmetadata
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.