文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

免疫系统、肾素-血管紧张素-醛固酮系统(RAAS)与 RAAS 抑制剂之间的相互作用可能会调节 COVID-19 的转归:系统评价。

The Interplay Between the Immune System, the Renin-Angiotensin-Aldosterone System (RAAS), and RAAS Inhibitors May Modulate the Outcome of COVID-19: A Systematic Review.

机构信息

Weill Cornell Medicine Qatar, Qatar Foundation, Education City, Doha, Qatar.

出版信息

J Clin Pharmacol. 2021 Aug;61(8):987-1000. doi: 10.1002/jcph.1852. Epub 2021 Apr 7.


DOI:10.1002/jcph.1852
PMID:33635546
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8014479/
Abstract

Since the discovery of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), numerous research has been undertaken to delineate the various effects of the virus which manifests in many ways all over the body. The association between the SARS-CoV-2 invasion mechanism and the renin-angiotensin-aldosterone system (RAAS) receptors, created many debates about the possible consequences of using RAAS-modulating drugs including angiotensin-converting enzyme inhibitors (ACEi) and angiotensin II receptor blockers (ARBs) during the pandemic. Many clinical studies were conducted to assess the outcomes of coronavirus disease 2019 (COVID-19) in patients who use ACEi/ARBs following the arguments claiming to discontinue these drugs as a precautionary measure. Although several studies mainly analyzed the outcomes of the disease, this review aimed to compare specific blood markers in both groups of COVID-19 patients to gain better insight into the interaction of ACEi/ARBs with different body functions during the infection. Several databases were searched using a combination of keywords followed by screening and data extraction. Only 28 studies met our inclusion criteria, the majority of which showed no significant difference between the inflammation markers of COVID-19 patients who used or did not use ACEi/ARBs. Interestingly, 6 studies reported lower inflammatory markers in COVID-19 patients who used ACEi/ARBs, and 6 studies reported better outcomes among the same group. We therefore concluded that the use of ACEi/ARBs may not lead to worse prognosis of COVID-19 and may even play a protective role against the hyperinflammatory response associated with COVID-19.

摘要

自严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)被发现以来,已经进行了大量研究来阐明病毒在全身以多种方式表现出的各种影响。SARS-CoV-2 入侵机制与肾素-血管紧张素-醛固酮系统(RAAS)受体之间的关联,引发了许多关于在大流行期间使用 RAAS 调节药物(包括血管紧张素转换酶抑制剂(ACEi)和血管紧张素 II 受体阻滞剂(ARB))可能产生的后果的争论。进行了许多临床研究来评估在感染期间使用 ACEi/ARB 的 COVID-19 患者的结局,这些研究是基于声称要作为预防措施而停止使用这些药物的论点进行的。尽管几项研究主要分析了疾病的结局,但本综述旨在比较 COVID-19 患者两组之间的特定血液标志物,以更深入地了解 ACEi/ARB 在感染期间与不同身体功能的相互作用。使用关键词组合搜索了多个数据库,然后进行筛选和数据提取。只有 28 项研究符合我们的纳入标准,其中大多数研究表明使用或不使用 ACEi/ARB 的 COVID-19 患者的炎症标志物之间没有显著差异。有趣的是,有 6 项研究报告称使用 ACEi/ARB 的 COVID-19 患者的炎症标志物较低,而有 6 项研究报告称同一组患者的结局更好。因此,我们得出结论,使用 ACEi/ARB 可能不会导致 COVID-19 的预后更差,甚至可能在对抗与 COVID-19 相关的过度炎症反应方面发挥保护作用。

相似文献

[1]
The Interplay Between the Immune System, the Renin-Angiotensin-Aldosterone System (RAAS), and RAAS Inhibitors May Modulate the Outcome of COVID-19: A Systematic Review.

J Clin Pharmacol. 2021-8

[2]
RAAS Blockade and COVID-19: Mechanistic Modeling of Mas and AT1 Receptor Occupancy as Indicators of Pro-Inflammatory and Anti-Inflammatory Balance.

Clin Pharmacol Ther. 2021-4

[3]
SARS-CoV-2 and the Angiotensin-Converting Enzyme 2 Receptor: Angiotensin-Converting Enzyme Inhibitor/Angiotensin 2 Receptor Blocker Utilization and a Shift Towards the Renin-Angiotensin-Aldosterone System Classical Pathway.

Cureus. 2024-3-5

[4]
The use of renin-angiotensin-aldosterone system (RAAS) inhibitors is associated with a lower risk of mortality in hypertensive COVID-19 patients: A systematic review and meta-analysis.

J Med Virol. 2021-3

[5]
Effect of Renin-Angiotensin-Aldosterone System Inhibitors in Patients with COVID-19: a Systematic Review and Meta-analysis of 28,872 Patients.

Curr Atheroscler Rep. 2020-8-24

[6]
Estimation of Renin-Angiotensin-Aldosterone-System (RAAS)-Inhibitor effect on COVID-19 outcome: A Meta-analysis.

J Infect. 2020-5-28

[7]
Renin-Angiotensin-Aldosterone Inhibitors and COVID-19 Infection.

Curr Hypertens Rep. 2022-10

[8]
Renin-Angiotensin-Aldosterone System Inhibitors and Risk of Death in Patients Hospitalised with COVID-19: A Retrospective Italian Cohort Study of 43,000 Patients.

Drug Saf. 2020-12

[9]
Comparison of infection risks and clinical outcomes in patients with and without SARS-CoV-2 lung infection under renin-angiotensin-aldosterone system blockade: Systematic review and meta-analysis.

Br J Clin Pharmacol. 2021-6

[10]
Angiotensin converting enzyme 2 at the interface between renin-angiotensin system inhibition and coronavirus disease 2019.

J Physiol. 2020-8-13

引用本文的文献

[1]
ACE I/D polymorphism is a risk factor for the clinical severity of COVID-19 in Brazilian male patients.

Mol Biol Rep. 2024-1-22

[2]
Coagulopathy and thromboembolic events a pathogenic mechanism of COVID-19 associated with mortality: An updated review.

J Clin Lab Anal. 2023-6

[3]
Multi-organ system involvement in coronavirus disease 2019 (COVID-19): A mega review.

J Family Med Prim Care. 2022-9

[4]
Efficacy of Losartan in Hospitalized Patients With COVID-19-Induced Lung Injury: A Randomized Clinical Trial.

JAMA Netw Open. 2022-3-1

[5]
Cardiovascular and haematological events post COVID-19 vaccination: A systematic review.

J Cell Mol Med. 2022-2

[6]
Biological and Psychological Factors Determining Neuropsychiatric Outcomes in COVID-19.

Curr Psychiatry Rep. 2021-10-1

[7]
Pharmacotherapeutic agents for the management of COVID-19 patients with preexisting cardiovascular disease.

Expert Opin Pharmacother. 2021-12

[8]
Systemic Inflammation May Induce Cardiac Injury in COVID-19 Patients Including Children and Adolescents Without Underlying Cardiovascular Diseases: A Systematic Review.

Cardiovasc Revasc Med. 2022-2

本文引用的文献

[1]
Effect of Discontinuing vs Continuing Angiotensin-Converting Enzyme Inhibitors and Angiotensin II Receptor Blockers on Days Alive and Out of the Hospital in Patients Admitted With COVID-19: A Randomized Clinical Trial.

JAMA. 2021-1-19

[2]
Outcomes Associated with the Use of Renin-Angiotensin-Aldosterone System Blockade in Hospitalized Patients with SARS-CoV-2 Infection.

Kidney360. 2020-8

[3]
Renin-angiotensin system inhibitors and mortality in patients with COVID-19.

Infection. 2021-4

[4]
Adverse impact of renin-angiotensin system blockade on the clinical course in hospitalized patients with severe COVID-19: a retrospective cohort study.

Sci Rep. 2020-11-20

[5]
COVID-19 In-Hospital Mortality and Use of Renin-Angiotensin System Blockers in Geriatrics Patients.

J Am Med Dir Assoc. 2020-9-9

[6]
Lactate dehydrogenase isoenzymes in patients with acute exacerbation of chronic obstructive pulmonary disease: An exploratory cross-sectional study.

Respir Physiol Neurobiol. 2021-1

[7]
Clinical Factors Associated with Progression and Prolonged Viral Shedding in COVID-19 Patients: A Multicenter Study.

Aging Dis. 2020-10-1

[8]
COVID-19 and multiorgan failure: A narrative review on potential mechanisms.

J Mol Histol. 2020-10-4

[9]
IL-6 serum levels predict severity and response to tocilizumab in COVID-19: An observational study.

J Allergy Clin Immunol. 2021-1

[10]
Angiotensin converting enzyme inhibitors and angiotensin receptor blockers improved the outcome of patients with severe COVID-19 and hypertension.

Sci China Life Sci. 2021-5

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索