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10.1016/j.biopha.2021.111363

http://scihub22266oqcxt.onion/10.1016/j.biopha.2021.111363
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33582450!7862910!33582450
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suck abstract from ncbi


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pmid33582450      Biomed+Pharmacother 2021 ; 137 (ä): 111363
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  • Induced dysregulation of ACE2 by SARS-CoV-2 plays a key role in COVID-19 severity #MMPMID33582450
  • Mehrabadi ME; Hemmati R; Tashakor A; Homaei A; Yousefzadeh M; Hemati K; Hosseinkhani S
  • Biomed Pharmacother 2021[May]; 137 (ä): 111363 PMID33582450show ga
  • Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the cause of COVID-19, is reported to increase the rate of mortality worldwide. COVID-19 is associated with acute respiratory symptoms as well as blood coagulation in the vessels (thrombosis), heart attack and stroke. Given the requirement of angiotensin converting enzyme 2 (ACE2) receptor for SARS-CoV-2 entry into host cells, here we discuss how the downregulation of ACE2 in the COVID-19 patients and virus-induced shift in ACE2 catalytic equilibrium, change the concentrations of substrates such as angiotensin II, apelin-13, dynorphin-13, and products such as angiotensin (1-7), angiotensin (1-9), apelin-12, dynorphin-12 in the human body. Substrates accumulation ultimately induces inflammation, angiogenesis, thrombosis, neuronal and tissue damage while diminished products lead to the loss of the anti-inflammatory, anti-thrombotic and anti-angiogenic responses. In this review, we focus on the viral-induced imbalance between ACE2 substrates and products which exacerbates the severity of COVID-19. Considering the roadmap, we propose multiple therapeutic strategies aiming to rebalance the products of ACE2 and to ameliorate the symptoms of the disease.
  • |*COVID-19/metabolism/physiopathology/virology[MESH]
  • |*Paracrine Communication/drug effects/physiology[MESH]
  • |*SARS-CoV-2/pathogenicity/physiology[MESH]
  • |Angiotensin-Converting Enzyme 2/*metabolism[MESH]
  • |Drug Discovery[MESH]
  • |Humans[MESH]


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