Evidence map›Paper›PMID 41513808›Full record

ArticleNpj viruses2026

K5 polysaccharides inhibit SARS-CoV-2 infection by preventing spike-proteolytic priming.

Maria Milanesi, Chiara Urbinati, Liv Zimmermann, Pasqua Oreste, Alberto Zani, Arnaldo Caruso, Francesca Caccuri, Vibor Laketa, Petr Chlanda, Rebecca C Wade and 2 more

Abstract read
In one paragraph

Article in Npj viruses, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Maria MilanesiMacromolecular Interaction Analysis Unit, Section of Experimental Oncology and Immunology, Department of Molecular and Translational Medicine, Brescia, Italy.
Chiara UrbinatiMacromolecular Interaction Analysis Unit, Section of Experimental Oncology and Immunology, Department of Molecular and Translational Medicine, Brescia, Italy.
Liv ZimmermannSchaller Research Group, Department of Infectious Diseases- Virology, Heidelberg University, Heidelberg, Germany.
Pasqua OresteGlycores 2000 S.r.l, Milan, Italy.
Alberto ZaniSection of Microbiology, Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
Arnaldo CarusoSection of Microbiology, Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
Francesca CaccuriSection of Microbiology, Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
Vibor LaketaDepartment of Infectious Diseases, Virology, Medical Faculty Heidelberg, Heidelberg University, Heidelberg, Germany.
Petr ChlandaSchaller Research Group, Department of Infectious Diseases- Virology, Heidelberg University, Heidelberg, Germany.
Rebecca C WadeMolecular and Cellular Modeling Group, Heidelberg Institute for Theoretical Studies (HITS), Heidelberg, Germany. rebecca.wade@h-its.org.
Marco RusnatiMacromolecular Interaction Analysis Unit, Section of Experimental Oncology and Immunology, Department of Molecular and Translational Medicine, Brescia, Italy. marco.rusnati@unibs.it.
Giulia PaiardiMolecular and Cellular Modeling Group, Heidelberg Institute for Theoretical Studies (HITS), Heidelberg, Germany. giulia.paiardi@h-its.org.

Funding

Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) 458623378Deutsches Zentrum für Infektionsforschung (DZIF) TTU 04.710European Union (NextGenerationEU), Italian NRRP project code IR0000031 - Strengthening BBMRI.it CUP B53C22001820006German Research Foundation (DFG) INST 35/1134-1 FUGGHeidelberg University Flagship Initiative in "Engineering Molecular Systems" ExU 6.1.20 (CoVLP)
6 · The paper itself

Abstract

SARS-CoV-2 spike glycoprotein is a promising drug target due to its crucial role in viral infection. Heparin, a long linear polysaccharide that inhibits SARS-CoV-2 infection by acting on spike, has limited antiviral applications due to its anticoagulant effect. E. coli K5 polysaccharides share the same structure as the heparin precursor and can be chemically modified to be devoid of anticoagulant activity. Here, biochemical assays and computer simulations reveal that K5 with high degree of sulfation at O- (K5OSH) or N- and O-positions (K5NOSH) bind spike with higher affinity than heparin, preventing its binding to ACE2 and furin cleavage. This mechanism is supported by cell syncytia assays showing that K5OSH and K5NOSH inhibit viral infection by blocking membrane fusion. Infection assays for SARS-CoV-2 Wuhan-Hu-1 and Omicron BA.1 variants corroborate their antiviral activity. These results support the therapeutic potential of K5OSH and K5NOSH against SARS-CoV-2, with K5OSH displaying more promising activity profile.

Identifiers

PMID41513808
PMCPMC12789494

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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.