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      Lithium and coronaviral infections. A scoping review.

      brief-report

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          Abstract

          The current rapid spread of the novel coronavirus (SARS-CoV-2) causing coronavirus disease 2019 (COVID-19) calls for a rapid response from the research community. Lithium is widely used to treat bipolar disorder, but has been shown to exhibit antiviral activity. This brief review took a systematic approach to identify six in vitro studies reporting on the influence of lithium on coronaviral infections. We propose mechanistic investigation of the influence of lithium – alone and with chloroquine – on the SARS-CoV-2 infection.

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          Most cited references33

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          Nervous system involvement after infection with COVID-19 and other coronaviruses

          Highlights • Coronoviruses not only affect the respiratory system, but also have deleterious effects on the central nervous system. • Most neurological diseases could be caused by coronoviruses invasion. • Coronoviruses cause nerve damage via diverse pathways.
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            Akt/GSK3 signaling in the action of psychotropic drugs.

            Psychotropic drugs acting on monoamine neurotransmission are major pharmacological treatments for neuropsychiatric conditions such as schizophrenia, depression, bipolar disorder, Tourette syndrome, ADHD, and Alzheimer disease. Independent lines of research involving biochemical and behavioral approaches in normal and/or genetically modified mice provide converging evidence for an involvement of the signaling molecules Akt and glycogen synthase kinase-3 (GSK3) in the regulation of behavior by dopamine and serotonin (5-HT). These signaling molecules have also received attention for their role in the actions of psychoactive drugs such as antidepressants, antipsychotics, lithium, and other mood stabilizers. Furthermore, investigations of the mechanism by which D2 dopamine receptors regulate Akt/GSK3 signaling strongly support the physiological relevance of a new modality of G protein-coupled receptor (GPCR) signaling involving the multifunctional scaffolding protein beta-arrestin 2. Elucidation of the contribution of multiple signaling pathways to the action of psychotropic drugs may provide a better biological understanding of psychiatric disorders and lead to more efficient therapeutics.
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              Nucleocapsid Phosphorylation and RNA Helicase DDX1 Recruitment Enables Coronavirus Transition from Discontinuous to Continuous Transcription

              Summary Coronaviruses contain a positive-sense single-stranded genomic (g) RNA, which encodes nonstructural proteins. Several subgenomic mRNAs (sgmRNAs) encoding structural proteins are generated by template switching from the body transcription regulatory sequence (TRS) to the leader TRS. The process preferentially generates shorter sgmRNA. Appropriate readthrough of body TRSs is required to produce longer sgmRNAs and full-length gRNA. We find that phosphorylation of the viral nucleocapsid (N) by host glycogen synthase kinase-3 (GSK-3) is required for template switching. GSK-3 inhibition selectively reduces the generation of gRNA and longer sgmRNAs, but not shorter sgmRNAs. N phosphorylation allows recruitment of the RNA helicase DDX1 to the phosphorylated-N-containing complex, which facilitates template readthrough and enables longer sgmRNA synthesis. DDX1 knockdown or loss of helicase activity markedly reduces the levels of longer sgmRNAs. Thus, coronaviruses employ a unique strategy for the transition from discontinuous to continuous transcription to ensure balanced sgmRNAs and full-length gRNA synthesis.
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                Author and article information

                Contributors
                Role: ConceptualizationRole: Data CurationRole: InvestigationRole: MethodologyRole: Project AdministrationRole: Writing – Original Draft Preparation
                Role: Data CurationRole: Formal AnalysisRole: InvestigationRole: MethodologyRole: SupervisionRole: Writing – Review & Editing
                Journal
                F1000Res
                F1000Res
                F1000Research
                F1000Research
                F1000 Research Limited (London, UK )
                2046-1402
                3 April 2020
                2020
                3 April 2020
                : 9
                : 93
                Affiliations
                [1 ]Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Poznan, Poland
                [1 ]Intramural Research Program, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA
                [1 ]Department of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, China
                [2 ]Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China
                [1 ]Department of Psychiatry and Behavioral Sciences, McGovern Medical School, University of Texas Science Center at Houston, Houston, TX, USA
                [1 ]Department of Pharmacology & Toxicology, University of Toronto, Toronto, ON, Canada
                [1 ]Department of Pharmacology & Toxicology, University of Toronto, Toronto, ON, Canada
                Poznan University of Medical Sciences, Poland
                [1 ]Department of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, China
                [2 ]Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China
                Poznan University of Medical Sciences, Poland
                Author notes

                Competing interests: JKN reports personal fees from Norsa Pharma and non-financial support from Nutricia outside the submitted work. JW reports personal fees and non-financial support from Biocodex, BGP Products, Chiesi, Hipp, Humana, Mead Johnson Nutrition, Merck Sharp & Dohme, Nestle, Norsa Pharma, Nutricia, Roche, Sequoia Pharmaceuticals, and Vitis Pharma, outside the submitted work, and also grants, personal fees and non-financial support from Nutricia Research Foundation Poland, also outside the submitted work.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Competing interests: No competing interests were disclosed.

                Author information
                https://orcid.org/0000-0003-0953-2188
                Article
                10.12688/f1000research.22299.2
                7255895
                32518634
                7a1484bd-4bce-4eba-9289-6c05270d8fae
                Copyright: © 2020 Nowak JK and Walkowiak J

                This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 18 March 2020
                Funding
                The author(s) declared that no grants were involved in supporting this work.
                Categories
                Brief Report
                Articles

                coronaviridae,coronavirus,wuhan,2019-ncov,lithium,lithium carbonate,lithium orotate,antiviral,apoptosis,glycogen synthase kinase 3-beta,gsk-3β

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