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10.23736/S2724-6507.20.03402-1

http://scihub22266oqcxt.onion/10.23736/S2724-6507.20.03402-1
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33435650!ä!33435650

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suck abstract from ncbi


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pmid33435650      Minerva+Endocrinol+(Torino) 2021 ; 46 (2): 193-201
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  • Obesity and COVID-19: the ominous duet affecting the renin-angiotensin system #MMPMID33435650
  • Luzi L; Bucciarelli L; Ferrulli A; Terruzzi I; Massarini S
  • Minerva Endocrinol (Torino) 2021[Jun]; 46 (2): 193-201 PMID33435650show ga
  • The world population is facing a health challenge never seen since the Spanish influenza of one hundred years ago. During the last months, the scientific community has been debating on the potential harmful effect of angiotensin-converting-enzyme inhibitors (ACEi) or angiotensin II receptor type 1 receptor blockers (AT1-receptor blockers, ARBs) during the COVID-19 pandemic. That is because the S spike protein of SARS-CoV viruses utilizes the angiotensin-converting enzyme 2 (ACE2) as a receptor to enter alveolar epithelial cells. Obesity, often associated to type 2 Diabetes, was shown to worsen the prognosis of SARS-CoV-2 infection. Herein we discuss the complex interaction between the renin-angiotensin-aldosterone system (RAAS), its receptors, and the interaction with the Kallikrein-Kinin-system (KKS) and the potential activation of the coagulation cascade. Alteration of the equilibrium between the RAAS system and the KKS cascade may explain the frequent thromboembolic complications of COVID-19 mainly seen in obese and diabetic-obese patients. In contrast, angiotensin (1-7) contributes to maintaining a correct balance between RAAS and KKS system. Our conclusion is that the higher mortality rate in patients with obesity is linked to the alteration of RAS and RAS-KKS interaction consequent to SARS-CoV-2-cell entrance. At present, no data support the necessity of modifying ACEi or ARBs treatment in hypertensive patients.
  • |*Renin-Angiotensin System[MESH]
  • |COVID-19/*complications/mortality/physiopathology[MESH]
  • |Humans[MESH]
  • |Kallikrein-Kinin System[MESH]
  • |Obesity/*complications/mortality/physiopathology[MESH]


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