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ACE2 扩增及其治疗潜力的最新进展。

An update on ACE2 amplification and its therapeutic potential.

机构信息

Feinberg Medical School, Northwestern University, Chicago, IL, USA.

Department of Medicine Division of Nephrology and Hypertension, Chicago, IL, USA.

出版信息

Acta Physiol (Oxf). 2021 Jan;231(1):e13513. doi: 10.1111/apha.13513. Epub 2020 Jun 17.

Abstract

The renin angiotensin system (RAS) plays an important role in the pathogenesis of variety of diseases. Targeting the formation and action of angiotensin II (Ang II), the main RAS peptide, has been the key therapeutic target for last three decades. ACE-related carboxypeptidase (ACE2), a monocarboxypeptidase that had been discovered 20 years ago, is one of the catalytically most potent enzymes known to degrade Ang II to Ang-(1-7), a peptide that is increasingly accepted to have organ-protective properties that oppose and counterbalance those of Ang II. In addition to its role as a RAS enzyme ACE2 is the main receptor for SARS-CoV-2. In this review, we discuss various strategies that have been used to achieve amplification of ACE2 activity including the potential therapeutic potential of soluble recombinant ACE2 protein and novel shorter ACE2 variants.

摘要

肾素血管紧张素系统(RAS)在多种疾病的发病机制中起着重要作用。针对血管紧张素 II(Ang II)的形成和作用,即 RAS 中的主要肽,一直是过去三十年的关键治疗靶点。20 年前发现的单羧肽酶 ACE 相关羧肽酶(ACE2)是已知具有最强催化活性的酶之一,可将 Ang II 降解为 Ang-(1-7),这种肽越来越被认为具有器官保护特性,可对抗和平衡 Ang II 的作用。除了作为 RAS 酶的作用外,ACE2 还是 SARS-CoV-2 的主要受体。在这篇综述中,我们讨论了各种增强 ACE2 活性的策略,包括可溶性重组 ACE2 蛋白和新型更短 ACE2 变体的潜在治疗潜力。

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