SARS-CoV-2 与肾素-血管紧张素系统相互作用:对老年患者中枢神经系统的影响。

SARS-CoV-2 interacts with renin-angiotensin system: impact on the central nervous system in elderly patients.

机构信息

Instituto de Investigaciones Biomédicas en Retrovirus Y Sida (INBIRS), Universidad de Buenos Aires-CONICET, Paraguay 2155-Piso 11 (1121), Buenos Aires, Argentina.

出版信息

Geroscience. 2022 Apr;44(2):547-565. doi: 10.1007/s11357-022-00528-0. Epub 2022 Feb 14.

Abstract

SARS-CoV-2 is a recently identified coronavirus that causes the current pandemic disease known as COVID-19. SARS-CoV-2 uses angiotensin-converting enzyme 2 (ACE2) as a receptor, suggesting that the initial steps of SARS-CoV-2 infection may have an impact on the renin-angiotensin system (RAS). Several processes are influenced by RAS in the brain. The neurological symptoms observed in COVID-19 patients, including reduced olfaction, meningitis, ischemic stroke, cerebral thrombosis, and delirium, could be associated with RAS imbalance. In this review, we focus on the potential role of disturbances in the RAS as a cause for central nervous system sequelae of SARS-CoV-2 infection in elderly patients.

摘要

SARS-CoV-2 是一种新发现的冠状病毒,可引起目前称为 COVID-19 的大流行疾病。SARS-CoV-2 使用血管紧张素转换酶 2(ACE2)作为受体,这表明 SARS-CoV-2 感染的初始步骤可能对肾素-血管紧张素系统(RAS)有影响。大脑中的几个过程受 RAS 影响。在 COVID-19 患者中观察到的神经系统症状,包括嗅觉减退、脑膜炎、缺血性中风、脑血栓形成和意识障碍,可能与 RAS 失衡有关。在这篇综述中,我们重点关注 RAS 紊乱作为导致老年 SARS-CoV-2 感染患者中枢神经系统后遗症的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9840/9135948/6d297308e975/11357_2022_528_Fig1_HTML.jpg

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