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10.1093/brain/awac272

http://scihub22266oqcxt.onion/10.1093/brain/awac272
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35867861!9384509!35867861
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suck abstract from ncbi


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pmid35867861      Brain 2023 ; 146 (2): 727-738
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  • SARS-CoV-2 triggers pericyte-mediated cerebral capillary constriction #MMPMID35867861
  • Hirunpattarasilp C; James G; Kwanthongdee J; Freitas F; Huo J; Sethi H; Kittler JT; Owens RJ; McCoy LE; Attwell D
  • Brain 2023[Feb]; 146 (2): 727-738 PMID35867861show ga
  • The SARS-CoV-2 receptor, ACE2, is found on pericytes, contractile cells enwrapping capillaries that regulate brain, heart and kidney blood flow. ACE2 converts vasoconstricting angiotensin II into vasodilating angiotensin-(1-7). In brain slices from hamster, which has an ACE2 sequence similar to human ACE2, angiotensin II evoked a small pericyte-mediated capillary constriction via AT1 receptors, but evoked a large constriction when the SARS-CoV-2 receptor binding domain (RBD, original Wuhan variant) was present. A mutated non-binding RBD did not potentiate constriction. A similar RBD-potentiated capillary constriction occurred in human cortical slices, and was evoked in hamster brain slices by pseudotyped virions expressing SARS-CoV-2 spike protein. This constriction reflects an RBD-induced decrease in the conversion of angiotensin II to angiotensin-(1-7) mediated by removal of ACE2 from the cell surface membrane and was mimicked by blocking ACE2. The clinically used drug losartan inhibited the RBD-potentiated constriction. Thus, AT1 receptor blockers could be protective in COVID-19 by preventing pericyte-mediated blood flow reductions in the brain, and perhaps the heart and kidney.
  • |*COVID-19/metabolism[MESH]
  • |*SARS-CoV-2/metabolism[MESH]
  • |Angiotensin II/pharmacology/metabolism[MESH]
  • |Angiotensin-Converting Enzyme 2/chemistry/metabolism[MESH]
  • |Capillaries[MESH]
  • |Constriction[MESH]
  • |Humans[MESH]
  • |Peptidyl-Dipeptidase A/genetics/metabolism[MESH]
  • |Pericytes/metabolism[MESH]
  • |Protein Binding[MESH]


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