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10.7554/eLife.57278

http://scihub22266oqcxt.onion/10.7554/eLife.57278
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32250244!7198232!32250244
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suck abstract from ncbi


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pmid32250244      Elife 2020 ; 9 (ä): ä
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  • Potential harmful effects of discontinuing ACE-inhibitors and ARBs in COVID-19 patients #MMPMID32250244
  • Rossi GP; Sanga V; Barton M
  • Elife 2020[Apr]; 9 (ä): ä PMID32250244show ga
  • The discovery of angiotensin converting enzyme-2 (ACE-2) as the receptor for SARS- CoV-2 (Severe Acute Respiratory Syndrome Coronavirus-2) has implicated the renin-angiotensin-aldosterone system in acute respiratory distress syndrome (ARDS) and respiratory failure in patients with coronavirus disease-19 (COVID-19). The angiotensin converting enzyme-1-angiotensin II-angiotensin AT(1) receptor pathway contributes to the pathophysiology of ARDS, whereas activation of the ACE-2-angiotensin(1-7)-angiotensin AT(2) receptor and the ACE-2-angiotensin(1-7)-Mas receptor pathways have been shown to be protective. Here we propose and discuss therapeutic considerations how to increase soluble ACE-2 in plasma in order for ACE-2 to capture and thereby inactivate SARS-CoV-2. This could be achieved by administering recombinant soluble ACE-2. We also discuss why and how ACEIs and ARBs provide cardiovascular, renal and also pulmonary protection in SARS-CoV-2- associated ARDS. Discontinuing these medications in COVID-19 patients may therefore potentially be harmful.
  • |Angiotensin Receptor Antagonists/pharmacology/*therapeutic use[MESH]
  • |Angiotensin-Converting Enzyme 2[MESH]
  • |Angiotensin-Converting Enzyme Inhibitors/pharmacology/*therapeutic use[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*drug therapy/epidemiology[MESH]
  • |Lung/metabolism/virology[MESH]
  • |Pandemics[MESH]
  • |Peptidyl-Dipeptidase A/*metabolism[MESH]
  • |Pneumonia, Viral/*drug therapy/epidemiology[MESH]
  • |Protective Agents/therapeutic use[MESH]
  • |Renin-Angiotensin System/drug effects[MESH]


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