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10.1186/s12944-021-01607-5

http://scihub22266oqcxt.onion/10.1186/s12944-021-01607-5
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suck abstract from ncbi


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pmid34895256      Lipids+Health+Dis 2021 ; 20 (1): 179
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  • Strong relationship between cholesterol, low-density lipoprotein receptor, Na(+)/H(+) exchanger, and SARS-COV-2: this association may be the cause of death in the patient with COVID-19 #MMPMID34895256
  • Cure E; Cumhur Cure M
  • Lipids Health Dis 2021[Dec]; 20 (1): 179 PMID34895256show ga
  • Lipids have a wide variety and vital functions. Lipids play roles in energy metabolism, intracellular and extracellular signal traffic, and transport of fat-soluble vitamins. Also, they form the structure of the cell membrane. SARS-CoV-2 interacts with lipids since its genetic material contains lipid-enveloped ribonucleic acid (RNA). Previous studies have shown that total cholesterol, high-density lipoprotein, and low-density lipoprotein (LDL) levels are lower in patients with severe novel coronavirus disease 2019 (COVID-19) compared to patients with non-severe COVID-19.Na(+)/H(+) Exchanger (NHE) is an important antiport that keeps the intracellular pH value within physiological limits. When the intracellular pH falls, NHE is activated and pumps H(+) ions outward. However, prolonged NHE activation causes cell damage and atherosclerosis. Prolonged NHE activation may increase susceptibility to SARS-CoV-2 infection and severity of COVID-19.In COVID-19, increased angiotensin II (Ang II) due to angiotensin-converting enzyme-2 (ACE2) dysfunction stimulates NHE. Lipids are in close association with the NHE pump. Prolonged NHE activity increases the influx of H(+) ions and free fatty acid (FFA) inward. Ang II also causes increased low-density lipoprotein receptor (LDLR) levels by inhibiting proprotein convertase subtilisin/kexin type 9 (PCSK9). Thus, intracellular atheroma plaque formation is accelerated.Besides, SARS-CoV-2 may replicate more rapidly as intracellular cholesterol increases. SARS-CoV-2 swiftly infects the cell whose intracellular pH decreases with NHE activation and FFA movement. Novel treatment regimens based on NHE and lipids should be explored for the treatment of COVID-19.
  • |*SARS-CoV-2/metabolism[MESH]
  • |COVID-19/metabolism/mortality/*pathology[MESH]
  • |Cause of Death[MESH]
  • |Cholesterol/*metabolism[MESH]
  • |Humans[MESH]
  • |Lipid Metabolism[MESH]
  • |Patient Acuity[MESH]
  • |Receptors, LDL/*metabolism[MESH]


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