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10.1152/ajplung.00305.2021

http://scihub22266oqcxt.onion/10.1152/ajplung.00305.2021
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suck abstract from ncbi


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pmid35318858      Am+J+Physiol+Lung+Cell+Mol+Physiol 2022 ; 322 (5): L712-L721
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  • Angiotensin-converting enzyme 2 in peripheral lung club cells modulates the susceptibility to SARS-CoV-2 in chronic obstructive pulmonary disease #MMPMID35318858
  • Peng Y; Wang ZN; Chen SY; Xu AR; Fang ZF; Sun J; Zhou ZQ; Hou XT; Cen LJ; Ma JJ; Zhao JC; Guan WJ; Wang DY; Zhong NS
  • Am J Physiol Lung Cell Mol Physiol 2022[May]; 322 (5): L712-L721 PMID35318858show ga
  • Accumulating evidence has confirmed that chronic obstructive pulmonary disease (COPD) is a risk factor for development of severe pathological changes in the peripheral lungs of patients with COVID-19. However, the underlying molecular mechanisms remain unclear. Because bronchiolar club cells are crucial for maintaining small airway homeostasis, we sought to explore whether the altered susceptibility to SARS-CoV-2 infection of the club cells might have contributed to the severe COVID-19 pneumonia in COPD patients. Our investigation on the quantity and distribution patterns of angiotensin-converting enzyme 2 (ACE2) in airway epithelium via immunofluorescence staining revealed that the mean fluorescence intensity of the ACE2-positive epithelial cells was significantly higher in club cells than those in other epithelial cells (including ciliated cells, basal cells, goblet cells, neuroendocrine cells, and alveolar type 2 cells). Compared with nonsmokers, the median percentage of club cells in bronchiolar epithelium and ACE2-positive club cells was significantly higher in COPD patients. In vitro, SARS-CoV-2 infection (at a multiplicity of infection of 1.0) of primary small airway epithelial cells, cultured on air-liquid interface, confirmed a higher percentage of infected ACE2-positive club cells in COPD patients than in nonsmokers. Our findings have indicated the role of club cells in modulating the pathogenesis of SARS-CoV-2-related severe pneumonia and the poor clinical outcomes, which may help physicians to formulate a novel therapeutic strategy for COVID-19 patients with coexisting COPD.
  • |*COVID-19[MESH]
  • |*Pulmonary Disease, Chronic Obstructive[MESH]
  • |Angiotensin-Converting Enzyme 2[MESH]
  • |Epithelial Cells[MESH]
  • |Humans[MESH]
  • |Lung[MESH]
  • |Peptidyl-Dipeptidase A[MESH]


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