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血管紧张素转换酶2(ACE2)受体及血管紧张素转换酶抑制剂(ACEIs)/血管紧张素Ⅱ受体阻滞剂(ARBs)与新型冠状病毒肺炎(COVID-19)疾病严重程度的关联

Association of ACE2 receptor and ACEIs/ARBs with disease severity in COVID-19.

作者信息

Sinha Shweta, Sehgal Alka, Sehgal Rakesh

机构信息

Department of Medical Parasitology, PGIMER, Chandigarh, India.

Department of Obstetrics & Gynecology, Government Medical College & Hospital Sector 32, Chandigarh, India.

出版信息

Drug Discov Ther. 2020;14(4):161-170. doi: 10.5582/ddt.2020.03064.


DOI:10.5582/ddt.2020.03064
PMID:32908071
Abstract

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.

摘要

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。

相似文献

[1]
Association of ACE2 receptor and ACEIs/ARBs with disease severity in COVID-19.

Drug Discov Ther. 2020

[2]
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Eur Heart J Cardiovasc Pharmacother. 2020-9-1

[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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J Drug Target. 2020-8-12

[10]
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引用本文的文献

[1]
ACE2 and TMPRSS2 expression in patients before, during, and after SARS-CoV-2 infection.

Front Cell Infect Microbiol. 2024

[2]
COVID-19 Biogenesis and Intracellular Transport.

Int J Mol Sci. 2023-2-24

[3]
The Renin-Angiotensin-Aldosterone System, Nitric Oxide, and Hydrogen Sulfide at the Crossroads of Hypertension and COVID-19: Racial Disparities and Outcomes.

Int J Mol Sci. 2022-11-11

[4]
Hypertensive urgencies during the first wave of the COVID-19 pandemic in a tertiary hospital setting: a U-shaped alarming curve.

Arch Med Sci. 2021-9-23

[5]
Temporal variation, socioeconomic status, and out-of-hospital deaths as factors that influence mortality rates among hospitalized COVID-19 patients receiving ACEIs/ARBs.

J Clin Hypertens (Greenwich). 2022-4

[6]
The Impact of () Expression Levels in Patients with Comorbidities on COVID-19 Severity: A Comprehensive Review.

Microorganisms. 2021-8-9

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