ACE2,远不止是 SARS-CoV-2 的受体。

ACE2, Much More Than Just a Receptor for SARS-COV-2.

机构信息

Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, School of Medicine and Detroit Medical Center, Wayne State University, Detroit, MI, United States.

Center for Molecular Medicine and Genetics, Wayne State University School of Medicine, Detroit, MI, United States.

出版信息

Front Cell Infect Microbiol. 2020 Jun 5;10:317. doi: 10.3389/fcimb.2020.00317. eCollection 2020.

Abstract

The rapidly evolving pandemic of severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection worldwide cost many lives. The angiotensin converting enzyme-2 (ACE-2) has been identified as the receptor for the SARS-CoV-2 viral entry. As such, it is now receiving renewed attention as a potential target for anti-viral therapeutics. We review the physiological functions of ACE2 in the cardiovascular system and the lungs, and how the activation of ACE2/MAS/G protein coupled receptor contributes in reducing acute injury and inhibiting fibrogenesis of the lungs and protecting the cardiovascular system. In this perspective, we predominantly focus on the impact of SARS-CoV-2 infection on ACE2 and dysregulation of the protective effect of ACE2/MAS/G protein pathway vs. the deleterious effect of Renin/Angiotensin/Aldosterone. We discuss the potential effect of invasion of SARS-CoV-2 on the function of ACE2 and the loss of the protective effect of the ACE2/MAS pathway in alveolar epithelial cells and how this may amplify systemic deleterious effect of renin-angiotensin aldosterone system (RAS) in the host. Furthermore, we speculate the potential of exploiting the modulation of ACE2/MAS pathway as a natural protection of lung injury by modulation of ACE2/MAS axis or by developing targeted drugs to inhibit proteases required for viral entry.

摘要

严重急性呼吸系统综合征冠状病毒(SARS-CoV-2)感染的全球大流行迅速演变,导致许多人丧生。血管紧张素转换酶 2(ACE-2)已被确定为 SARS-CoV-2 病毒进入的受体。因此,它现在作为抗病毒治疗的潜在靶点再次受到关注。我们回顾了 ACE2 在心血管系统和肺部中的生理功能,以及 ACE2/MAS/ G 蛋白偶联受体的激活如何有助于减轻肺部的急性损伤和抑制纤维化,并保护心血管系统。在这个角度来看,我们主要关注 SARS-CoV-2 感染对 ACE2 的影响,以及 ACE2/MAS/G 蛋白通路的保护作用失调与肾素/血管紧张素/醛固酮的有害作用之间的关系。我们讨论了 SARS-CoV-2 入侵对 ACE2 功能的潜在影响,以及 ACE2/MAS 通路保护作用的丧失在肺泡上皮细胞中如何放大肾素-血管紧张素-醛固酮系统(RAS)在宿主中的全身有害作用。此外,我们推测通过调节 ACE2/MAS 轴或开发靶向药物抑制病毒进入所需的蛋白酶,利用 ACE2/MAS 通路的调节作为肺部损伤的天然保护的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98d/7294848/1ca2d18228d3/fcimb-10-00317-g0001.jpg

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