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COVID-19:治疗大获成功。

COVID-19: Acing the Treatment.

机构信息

Department of Anaesthetics and Intensive Care Medicine, Royal Cornwall Hospital, Treliske, Truro, UK.

Royal Cornwall Hospital, Treliske, Truro, UK.

出版信息

Med Princ Pract. 2023;32(1):86-89. doi: 10.1159/000525550. Epub 2022 Aug 15.

Abstract

Angiotensin converting enzyme 2 is the functional receptor that the SARS-Cov-2 virus requires to enter cells and cause dysregulated inflammatory conditions that contribute towards acute lung injuries. The renin-angiotensin-aldosterone system with its physiological surveillance and regulation system can be implicated in both harm and therapeutic benefit. The initial observational studies suggesting the discontinuation of angiotensin converting enzyme inhibitors and angiotensin receptor blockers have been firmly rebutted by international societies. On the contrary, these therapeutics may confer a survival benefit in COVID-19 infections. Understanding the biological plausibility of this pathway alongside the emerging therapeutic evidence may yield new modes of treatment. Such developments appear fundamentally important in the battle against the inevitable emergence of new variants and their potential to drive future waves of COVID-19 pandemics.

摘要

血管紧张素转化酶 2 是 SARS-CoV-2 病毒进入细胞并导致失调性炎症状态从而导致急性肺损伤所必需的功能性受体。肾素-血管紧张素-醛固酮系统及其生理监测和调节系统可能既有害又有益。最初的观察性研究表明,停用血管紧张素转化酶抑制剂和血管紧张素受体阻滞剂,但已被国际社会坚决驳斥。相反,这些疗法可能会为 COVID-19 感染带来生存获益。理解该途径的生物学合理性以及新兴的治疗证据可能会产生新的治疗模式。在对抗新变体的不可避免出现及其对未来 COVID-19 大流行浪潮的潜在影响的斗争中,这些进展显得至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6d2/10267482/0b60954d1dc5/mpp-0032-0086-g01.jpg

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