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10.1016/j.isci.2020.101425

http://scihub22266oqcxt.onion/10.1016/j.isci.2020.101425
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32818905!7452173!32818905
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suck abstract from ncbi

pmid32818905      iScience 2020 ; 23 (9): 101425
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  • ACE2, Metformin, and COVID-19 #MMPMID32818905
  • Malhotra A; Hepokoski M; McCowen KC; Y-J Shyy J
  • iScience 2020[Jul]; 23 (9): 101425 PMID32818905show ga
  • COVID-19 is becoming a leading cause of mortality throughout the world, and few effective therapies are currently available. Angiotensin converting enzyme 2 (ACE2) is essential to COVID-19 pathogenesis, as the binding of SARS-CoV-2 spike protein (S protein) is required for viral entry and development of COVID-19. ACE2 regulates the protective arm of the renin-angiotensin-aldosterone system (RAAS) that endows anti-hypertensive and anti-inflammatory effects in the cardiovascular and pulmonary systems. Preclinical data suggest ACE2 might be downregulated after SARS-CoV-2 binding, and treatments that increase ACE2 may prevent cardiopulmonary injury. Development, testing, and mass production of novel ACE2 therapies may take years, whereas more effective treatments for COVID-19 are needed urgently. Metformin is a widely available anti-diabetic agent that has an excellent safety profile, and clinical and preclinical data suggest metformin may offer cardiopulmonary protection in COVID-19 via enhanced ACE2 expression.
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