DeBusk College of Osteopathic Medicine, Lincoln Memorial University, 9737 Cogdill Rd, Knoxville, TN 37932, USA.
Department of Medicine, School of Medicine/John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS 39216, USA.
J Renin Angiotensin Aldosterone Syst. 2022 Mar 18;2022:4640788. doi: 10.1155/2022/4640788. eCollection 2022.
Coronavirus disease 2019 (COVID-19) is an illness caused by a novel coronavirus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Mutations in the genetic coding and the variations in the spike proteins are critical for the virus's mechanism of facilitating fusion with the human host, making the disease more severe. Recent research indicates that comorbidities including diabetes, hypertension, renal disease, heart failure, and atherosclerosis play a significant role in the severity and high mortality rates of (COVID-19), suggesting that perhaps the metabolic syndrome and its components are associated with COVID-19 morbidity. Primarily, angiotensin-converting enzyme 2 (ACE2) receptor is identified as the entrance receptor of SARS-CoV-2. Increased ACE2 expression, endothelial dysfunction plays a vital role in the progression and severity of complications developed due to COVID-19. In this review, we will discuss the association and management of cardiorenal disease and COVID-19.
新型冠状病毒病(COVID-19)是由一种新型冠状病毒引起的疾病,称为严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)。基因编码中的突变和刺突蛋白的变异对于病毒促进与人类宿主融合的机制至关重要,使疾病更加严重。最近的研究表明,包括糖尿病、高血压、肾脏疾病、心力衰竭和动脉粥样硬化在内的合并症在 COVID-19 的严重程度和高死亡率中起着重要作用,这表明代谢综合征及其成分可能与 COVID-19 的发病率有关。主要是,血管紧张素转换酶 2(ACE2)受体被确定为 SARS-CoV-2 的进入受体。ACE2 表达增加,内皮功能障碍在 COVID-19 引起的并发症的进展和严重程度中起着至关重要的作用。在这篇综述中,我们将讨论心脏和肾脏疾病与 COVID-19 的关联和管理。