Sinha Shweta, Sehgal Alka, Sehgal Rakesh
Department of Medical Parasitology, PGIMER, Chandigarh, India.
Department of Obstetrics & Gynecology, Government Medical College & Hospital Sector 32, Chandigarh, India.
Drug Discov Ther. 2020;14(4):161-170. doi: 10.5582/ddt.2020.03064.
Coronavirus disease 2019 (COVID-19) is found to be associated with various comorbidities which include cardiovascular diseases, hypertension, and diabetes. The impaired regulation of renin-angiotensin-aldosterone system (RAAS) has been seen in COVID-19 patients, but whether RAAS inhibitors, such as angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II type 1 receptor blockers (ARBs), are responsible for worsening of clinical conditions remains unknown. Herein, we review the role of angiotensin-converting enzyme 2 (ACE2) expression in disease progression, its association with comorbidities and COVID-19, and summarize the clinical evidence for several potential directions for future research work on ACEIs/ARBs in COVID-19 patients.
2019年冠状病毒病(COVID-19)被发现与多种合并症相关,这些合并症包括心血管疾病、高血压和糖尿病。在COVID-19患者中已观察到肾素-血管紧张素-醛固酮系统(RAAS)调节受损,但血管紧张素转换酶抑制剂(ACEIs)和血管紧张素II 1型受体阻滞剂(ARBs)等RAAS抑制剂是否会导致临床病情恶化仍不清楚。在此,我们综述血管紧张素转换酶2(ACE2)表达在疾病进展中的作用、其与合并症及COVID-19的关联,并总结关于COVID-19患者使用ACEIs/ARBs的几个潜在未来研究方向的临床证据。
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