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in hematopoietic development via<br />

retinoic acid-inducible gene (RIG-I)-like<br />

receptors (RLRs) family. The RLR family<br />

included three different members,<br />

namely RIG-I, MDA5 and LGP2. In their<br />

experiments, the team showed that the<br />

absence of either Rig-I or melanoma<br />

differentiation-associated protein 5<br />

(Mda5) severely reduced the numbers<br />

of HSCs in zebrafish embryos. On the<br />

contrary, the absence of the third<br />

family member, Lgp2, which negatively<br />

modulated the immune response to<br />

dsRNA, increased the numbers of<br />

HSCs. Modulating the expression of the<br />

signalling mediator, tumour necrosis<br />

factor receptor (TNFR)-associated factor<br />

6 (TRAF6) in RLR deficient embryos<br />

restored HSPC numbers. The study<br />

could open new ways to induce the<br />

development of HSCs.<br />

protein which is essential to initiate the<br />

cell entry. The virus requires protease<br />

in order to cleave parts of the spike<br />

protein which could then dock onto<br />

ACE2 receptors on the surface of the<br />

host cell. In cell culture experiments with<br />

various cell types, the protease inhibitor<br />

aprotinin inhibited virus replication<br />

by preventing SARS-CoV-2 entry into<br />

host cells. Aprotinin displayed anti-<br />

SARS-CoV-2 activity in different colon<br />

epithelial cells, human lung cancer cell<br />

line, and primary bronchial epithelial<br />

cell air-liquid interface cultures and<br />

against four virus isolates. The protease<br />

inhibitor showed to inhibit the virus<br />

replication at therapeutically achievable<br />

concentrations. The team suggested that<br />

the use of the approved aprotinin aerosol<br />

in the market may have the potential<br />

for the early local control of SARS-CoV-2<br />

replication.<br />

Source: Cells <strong>2020</strong>, 9(11), 2377; 30 October<br />

https://doi.org/10.3390/cells9112377<br />

Source: Immunity VOLUME 53, ISSUE 5, P934-<br />

951.E9, NOVEMBER 17, <strong>2020</strong> DOI: https://doi.<br />

org/10.1016/j.immuni.<strong>2020</strong>.10.007<br />

Aprotinin inhibits<br />

SARS-CoV-2<br />

replication<br />

Denisa Bojkova et al<br />

discovered that the<br />

protease inhibitor aprotinin<br />

could prevent SARS-CoV2<br />

infection by inhibiting the<br />

host cell enzyme from<br />

cleaving the virus spike<br />

Prediabetes can cause<br />

significant macular thinning<br />

JenniMaria Huru et al investigated<br />

early vascular and neurally based<br />

changes in the prediabetic and<br />

diabetic retina. The team detected<br />

significant thinning of the macula<br />

and ganglion cell complex (GCL)<br />

in the prediabetes group in a<br />

population-based cohort study. Of<br />

the 2005 participants from Finland,<br />

310 had normal glucose metabolism,<br />

1638 were prediabetic and 57 had<br />

diabetes. The assessment<br />

of the total thickness<br />

of the macula<br />

using Cirrus HD-OCT 4000 showed<br />

that diameters of retinal arteries<br />

decreased, whereas those of venules<br />

increased in parallel with impaired<br />

glucose metabolism. The study<br />

results showed significant macular<br />

thinning (−2.69 μm) especially in<br />

the pericentral area among the<br />

prediabetic group. Macular cube<br />

average thickness (−0.10 mm3) and<br />

macular cube volume also decreased<br />

significantly as glucose metabolism<br />

worsened. The researchers found<br />

that central retinal arteriolar<br />

equivalent (CRAE) decreased with an<br />

increase in diabetes measures. The<br />

study provides a new perspective<br />

since it revealed that the early<br />

and subtle changes caused by<br />

prediabetes as macular thinning<br />

had a significant average causal<br />

mediation effect (ACME) on retinal<br />

vessels, therefore supporting<br />

the neurodegenerative theory of<br />

diabetes-induced changes in the<br />

retina.<br />

Source: British Journal of Ophthalmology<br />

07 October <strong>2020</strong> https://bjo.bmj.<br />

com/content/early/<strong>2020</strong>/10/07/<br />

bjophthalmol-<strong>2020</strong>-317414.full<br />

<strong>December</strong> <strong>2020</strong> / FUTURE MEDICINE / 55

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