Evidence map›Paper›PMID 33774649›Full record

ArticleSignal transduction and targeted therapy2021

Cathepsin L plays a key role in SARS-CoV-2 infection in humans and humanized mice and is a promising target for new drug development.

Miao-Miao Zhao, Wei-Li Yang, Fang-Yuan Yang, Li Zhang, Wei-Jin Huang, Wei Hou, Chang-Fa Fan, Rong-Hua Jin, Ying-Mei Feng, You-Chun Wang and 1 more

Open access · goldAbstract read
In one paragraph

Article in Signal transduction and targeted therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 343 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
343citing papers in PubMed, 1 pooled it
28.3field-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.

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

343 citing papers in PubMed, 1 synthesis or guideline pooled it, 507 citations in OpenAlex.

  1. Mucosal immune response in biology, disease prevention and treatment.Signal transduction and targeted therapy · 2025
    Pooled it
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  8. Review
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  10. Review
  11. Differential COVID-19 Outcomes Across Lysosomal Disorders.medRxiv : the preprint server for health sciences · 2026
    Article
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  16. Article
  17. Article
  18. Review
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  20. Article

283 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

11 authors at 3 institutions in 1 country.

Miao-Miao Zhao *Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Wei-Li Yang *Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.ORCID 0000-0003-3646-7772
Fang-Yuan Yang *Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Li Zhang *Division of HIV/AIDS and Sex-Transmitted Virus Vaccines, Institute for Biological Product Control, National Institutes for Food and Drug Control (NIFDC), Beijing, China.
Wei-Jin HuangDivision of HIV/AIDS and Sex-Transmitted Virus Vaccines, Institute for Biological Product Control, National Institutes for Food and Drug Control (NIFDC), Beijing, China.
Wei HouDepartment of Science and Technology, Beijing Youan Hospital, Capital Medical University, Beijing, China.
Chang-Fa FanDivision of Animal Model Research, Institute for Laboratory Animal Resources, National Institutes for Food and Drug Control, Beijing, China.
Rong-Hua JinDepartment of Science and Technology, Beijing Youan Hospital, Capital Medical University, Beijing, China.
Ying-Mei FengDepartment of Science and Technology, Beijing Youan Hospital, Capital Medical University, Beijing, China. yingmeif13@sina.com.
You-Chun WangDivision of HIV/AIDS and Sex-Transmitted Virus Vaccines, Institute for Biological Product Control, National Institutes for Food and Drug Control (NIFDC), Beijing, China. wangyc@nifdc.org.cn.ORCID 0000-0001-9769-5141
Jin-Kui YangDepartment of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. jkyang@ccmu.edu.cn.ORCID 0000-0002-5430-2149
Beijing Tongren Hospital · CNNational Institutes for Food and Drug Control · CNCapital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To discover new drugs to combat COVID-19, an understanding of the molecular basis of SARS-CoV-2 infection is urgently needed. Here, for the first time, we report the crucial role of cathepsin L (CTSL) in patients with COVID-19. The circulating level of CTSL was elevated after SARS-CoV-2 infection and was positively correlated with disease course and severity. Correspondingly, SARS-CoV-2 pseudovirus infection increased CTSL expression in human cells in vitro and human ACE2 transgenic mice in vivo, while CTSL overexpression, in turn, enhanced pseudovirus infection in human cells. CTSL functionally cleaved the SARS-CoV-2 spike protein and enhanced virus entry, as evidenced by CTSL overexpression and knockdown in vitro and application of CTSL inhibitor drugs in vivo. Furthermore, amantadine, a licensed anti-influenza drug, significantly inhibited CTSL activity after SARS-CoV-2 pseudovirus infection and prevented infection both in vitro and in vivo. Therefore, CTSL is a promising target for new anti-COVID-19 drug development.

Indexed as

Cathepsin LDrug DevelopmentAdolescentAdultAgedAnimalsAntiviral AgentsCOVID-19COVID-19 Drug TreatmentCysteine Proteinase InhibitorsFemaleHumansMaleMiceMice, TransgenicMiddle AgedAntiviral AgentsCathepsin LCTSL protein, humanCysteine Proteinase InhibitorsSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2

Identifiers

PMID33774649
PMCPMC7997800
OpenAlexW3151076337

What OpenQuestion holds

Textmetadata
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.