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新型冠状病毒肺炎 - 这种疾病是否因病毒 ACE2 攻击引起的遗传和性别差异导致肾素血管紧张素系统(RAS)失衡而致死?

COVID-19 - Does This Disease Kill Due to Imbalance of the Renin Angiotensin System (RAS) Caused by Genetic and Gender Differences in the Response to Viral ACE 2 Attack?

机构信息

Orange Health Service, Orange, NSW, Australia.

出版信息

Heart Lung Circ. 2020 Jul;29(7):964-972. doi: 10.1016/j.hlc.2020.05.004. Epub 2020 May 25.

DOI:10.1016/j.hlc.2020.05.004
PMID:32564908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7247492/
Abstract

Debate continues in the medical literature on the role of the renin angiotensin system (RAS) in Coronavirus disease 2019 (COVID-19) pathophysiology and the implications for the use of cardiovascular drugs acting on the RAS. Could these drugs - which include angiotensin converting enzyme inhibitors (ACEIs) and angiotensin receptors blockers (ARBs) - be harmful or potential key therapeutic agents in COVID-19? And, could potentially helpful measures be available and in plain view on the pharmacy shelf?

摘要

医学文献中一直存在争议,即肾素-血管紧张素系统(RAS)在 2019 年冠状病毒病(COVID-19)病理生理学中的作用,以及这些作用对心血管药物(作用于 RAS 的药物)的使用的影响。这些药物包括血管紧张素转换酶抑制剂(ACEIs)和血管紧张素受体阻滞剂(ARBs),它们在 COVID-19 中是有害的还是潜在的关键治疗药物?并且,在药店的货架上是否可以看到潜在的有用措施?

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4d/7247492/0638560168f6/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4d/7247492/355619f2aa43/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4d/7247492/0638560168f6/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4d/7247492/355619f2aa43/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4d/7247492/0638560168f6/gr2_lrg.jpg

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Med J Aust. 2020 Aug;213(4):182-187. doi: 10.5694/mja2.50714. Epub 2020 Jul 31.
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Individual variation of the SARS-CoV-2 receptor ACE2 gene expression and regulation.SARS-CoV-2 受体 ACE2 基因表达和调控的个体差异。
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Angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers are not associated with severe COVID-19 infection in a multi-site UK acute hospital trust.
人类血管紧张素转换酶2基因位点单核苷酸多态性与新型冠状病毒肺炎临床严重程度的关联
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The Renin-Angiotensin System in COVID-19: Can Long COVID Be Predicted?新冠病毒感染中的肾素-血管紧张素系统:能否预测长期新冠症状?
Life (Basel). 2023 Jun 28;13(7):1462. doi: 10.3390/life13071462.
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Interrelationship between COVID-19 and Coagulopathy: Pathophysiological and Clinical Evidence.新型冠状病毒肺炎与凝血障碍的相互关系:病理生理学和临床证据。
Int J Mol Sci. 2023 May 18;24(10):8945. doi: 10.3390/ijms24108945.
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