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10.3390/cells9071652

http://scihub22266oqcxt.onion/10.3390/cells9071652
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32660065!7407648!32660065
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suck abstract from ncbi


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pmid32660065      Cells 2020 ; 9 (7): ä
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  • COVID-19, Renin-Angiotensin System and Endothelial Dysfunction #MMPMID32660065
  • Amraei R; Rahimi N
  • Cells 2020[Jul]; 9 (7): ä PMID32660065show ga
  • The newly emergent novel coronavirus disease 2019 (COVID-19) outbreak, which is caused by SARS-CoV-2 virus, has posed a serious threat to global public health and caused worldwide social and economic breakdown. Angiotensin-converting enzyme 2 (ACE2) is expressed in human vascular endothelium, respiratory epithelium, and other cell types, and is thought to be a primary mechanism of SARS-CoV-2 entry and infection. In physiological condition, ACE2 via its carboxypeptidase activity generates angiotensin fragments (Ang 1-9 and Ang 1-7), and plays an essential role in the renin-angiotensin system (RAS), which is a critical regulator of cardiovascular homeostasis. SARS-CoV-2 via its surface spike glycoprotein interacts with ACE2 and invades the host cells. Once inside the host cells, SARS-CoV-2 induces acute respiratory distress syndrome (ARDS), stimulates immune response (i.e., cytokine storm) and vascular damage. SARS-CoV-2 induced endothelial cell injury could exacerbate endothelial dysfunction, which is a hallmark of aging, hypertension, and obesity, leading to further complications. The pathophysiology of endothelial dysfunction and injury offers insights into COVID-19 associated mortality. Here we reviewed the molecular basis of SARS-CoV-2 infection, the roles of ACE2, RAS signaling, and a possible link between the pre-existing endothelial dysfunction and SARS-CoV-2 induced endothelial injury in COVID-19 associated mortality. We also surveyed the roles of cell adhesion molecules (CAMs), including CD209L/L-SIGN and CD209/DC-SIGN in SARS-CoV-2 infection and other related viruses. Understanding the molecular mechanisms of infection, the vascular damage caused by SARS-CoV-2 and pathways involved in the regulation of endothelial dysfunction could lead to new therapeutic strategies against COVID-19.
  • |*Renin-Angiotensin System[MESH]
  • |Angiotensin I/metabolism[MESH]
  • |Angiotensin-Converting Enzyme 2[MESH]
  • |Betacoronavirus/isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Cell Adhesion Molecules/metabolism[MESH]
  • |Coronavirus Infections/metabolism/*pathology/virology[MESH]
  • |Endothelium, Vascular/*metabolism[MESH]
  • |Host Microbial Interactions[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |Peptidyl-Dipeptidase A/metabolism[MESH]
  • |Pneumonia, Viral/metabolism/*pathology/virology[MESH]
  • |SARS-CoV-2[MESH]


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