Apetrii Mugurel, Enache Stefana, Siriopol Dimitrie, Burlacu Alexandru, Kanbay Asiye, Kanbay Mehmet, Scripcariu Dragos, Covic Adrian
Nephrology Clinic, Dialysis and Renal Transplant Center, "C.I. PARHON" University Hospital, Iasi, Romania.
Grigore T. Popa" University of Medicine, Iasi, Romania.
Clin Kidney J. 2020 Jun 4;13(3):291-296. doi: 10.1093/ckj/sfaa082. eCollection 2020 Jun.
Coronaviruses are a major pathogen for adults, causing up to one-third of community-acquired respiratory tract infections in adults during epidemics. Although the pandemic outbreak of coronavirus disease-2019 (COVID-19) targets preferentially patient's lungs, recent data have documented that COVID-19 causes myocarditis, acute myocardial infarction, exacerbation of heart failure and acute kidney injury. Studies show that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), similar to its predecessor SARS-CoV, engages angiotensin-converting enzyme 2 (ACE2) as the entry receptor. ACE2 is also expressed in the heart, providing a link between coronaviruses and the cardiovascular system.
冠状病毒是成年人的主要病原体,在疫情流行期间,它在成年人社区获得性呼吸道感染中所占比例高达三分之一。尽管2019年冠状病毒病(COVID-19)大流行主要侵袭患者肺部,但最近的数据表明,COVID-19会导致心肌炎、急性心肌梗死、心力衰竭加重和急性肾损伤。研究表明,严重急性呼吸综合征冠状病毒2(SARS-CoV-2)与其前身SARS-CoV一样,利用血管紧张素转换酶2(ACE2)作为进入受体。ACE2在心脏中也有表达,这为冠状病毒与心血管系统之间建立了联系。