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10.1002/kjm2.12237

http://scihub22266oqcxt.onion/10.1002/kjm2.12237
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32492292!7300771!32492292
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suck abstract from ncbi


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pmid32492292      Kaohsiung+J+Med+Sci 2020 ; 36 (6): 389-392
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  • Two hits to the renin-angiotensin system may play a key role in severe COVID-19 #MMPMID32492292
  • Tseng YH; Yang RC; Lu TS
  • Kaohsiung J Med Sci 2020[Jun]; 36 (6): 389-392 PMID32492292show ga
  • The spike glycoprotein on the virion surface docking onto the angiotensin-converting enzyme (ACE) 2 dimer is an essential step in the process of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in human cells-involves downregulation of ACE2 expression with systemic renin-angiotensin system (RAS) imbalance and promotion of multi-organ damage. In general, the RAS induces vasoconstriction, hypertension, inflammation, fibrosis, and proliferation via the ACE/Ang II/Ang II type 1 receptor (AT1R) axis and induces the opposite effects via the ACE2/Ang (1-7)/Mas axis. The RAS may be activated by chronic inflammation in hypertension, diabetes, obesity, and cancer. SARS-CoV-2 induces the ACE2 internalization and shedding, leading to the inactivation of the ACE2/Ang (1-7)/Mas axis. Therefore, we hypothesize that two hits to the RAS drives COVID-19 progression. In brief, the first hit originates from chronic inflammation activating the ACE/Ang II/AT1R axis, and the second originates from the COVID-19 infection inactivating the ACE2/Ang (1-7)/Mas axis. Moreover, the two hits to the RAS may be the primary reason for increased mortality in patients with COVID-19 who have comorbidities and may serve as a therapeutic target for COVID-19 treatment.
  • |*Betacoronavirus/pathogenicity/physiology[MESH]
  • |Angiotensin II/physiology[MESH]
  • |Angiotensin Receptor Antagonists/therapeutic use[MESH]
  • |Angiotensin-Converting Enzyme 2[MESH]
  • |Angiotensin-Converting Enzyme Inhibitors/therapeutic use[MESH]
  • |COVID-19[MESH]
  • |Comorbidity[MESH]
  • |Coronavirus Infections/drug therapy/epidemiology/*physiopathology[MESH]
  • |Humans[MESH]
  • |Models, Biological[MESH]
  • |Pandemics[MESH]
  • |Peptidyl-Dipeptidase A/physiology[MESH]
  • |Pneumonia, Viral/drug therapy/epidemiology/*physiopathology[MESH]
  • |Receptor, Angiotensin, Type 1/physiology[MESH]
  • |Renin-Angiotensin System/drug effects/*physiology[MESH]
  • |SARS-CoV-2[MESH]


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