College of Pharmacy and Gachon Institute of Pharmaceutical Science, Gachon University, Incheon, Republic of Korea; Lee Gil Ya Cancer and Diabetes Institute, Gachon University, Incheon, Republic of Korea.
Department of Marine Bioindustry, Hanseo University, Seosan, Republic of Korea.
Med Hypotheses. 2020 Nov;144:110186. doi: 10.1016/j.mehy.2020.110186. Epub 2020 Aug 14.
COVID-19, caused by the novel coronavirus SARS-CoV-2, is an abbreviated name for coronavirus disease 2019. COVID-19 became a global pandemic in early 2020. It predominantly affects not only the upper and lower respiratory tract, but also multiple organs, including the kidney, heart, and brain. The mortality of COVID-19 patients is high in men and in elderly patients with age-related diseases such as hypertension and diabetes. The angiotensin converting enzyme-2 (ACE-2), a component in the renin-angiotensin-aldosterone system (RAAS), plays as cell surface receptors for SARS-CoV-2. A recent study proved that coronavirus SARS-CoV-2 also uses dipeptidyl peptidase-4 (DPP4, also known as adenosine deaminase complexing protein 2, CD26) as a co-receptor when entering cells. In addition, DPP4 is also implicated in the regulation of the immune response. Thus, the combination of DPP4 inhibition and suppression of ACE-2/RAAS may be a novel therapeutic strategy for combating this pandemic.
新型冠状病毒 SARS-CoV-2 引起的 COVID-19,是 2019 年冠状病毒病的简称。COVID-19 于 2020 年初成为全球大流行疾病。它主要不仅影响上呼吸道和下呼吸道,还影响包括肾脏、心脏和大脑在内的多个器官。COVID-19 患者的死亡率在男性和患有高血压和糖尿病等与年龄相关疾病的老年患者中较高。血管紧张素转换酶 2(ACE-2)是肾素-血管紧张素-醛固酮系统(RAAS)的一个组成部分,作为 SARS-CoV-2 的细胞表面受体。最近的一项研究证明,冠状病毒 SARS-CoV-2 进入细胞时也使用二肽基肽酶 4(DPP4,也称为腺苷脱氨酶复合物蛋白 2,CD26)作为辅助受体。此外,DPP4 还参与免疫反应的调节。因此,抑制 DPP4 和抑制 ACE-2/RAAS 的联合可能是对抗这一大流行的一种新的治疗策略。
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