The role of SARS‐CoV‐2 target ACE2 in cardiovascular diseases

SARS‐CoV‐2, the virus responsible for the global coronavirus disease (COVID‐19) pandemic, attacks multiple organs of the human body by binding to angiotensin‐converting enzyme 2 (ACE2) to enter cells. More than 20 million people have already been infected by the virus. ACE2 is not only a functional...

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Published inJournal of Cellular and Molecular Medicine Vol. 25; no. 3; pp. 1342 - 1349
Main Authors Zhu, Hanzhao, Zhang, Liyun, Ma, Yubo, Zhai, Mengen, Xia, Lin, Liu, Jincheng, Yu, Shiqiang, Duan, Weixun
Format Journal Article Web Resource
LanguageEnglish
Published England John Wiley & Sons, Inc 01.02.2021
John Wiley and Sons Inc
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Abstract SARS‐CoV‐2, the virus responsible for the global coronavirus disease (COVID‐19) pandemic, attacks multiple organs of the human body by binding to angiotensin‐converting enzyme 2 (ACE2) to enter cells. More than 20 million people have already been infected by the virus. ACE2 is not only a functional receptor of COVID‐19 but also an important endogenous antagonist of the renin‐angiotensin system (RAS). A large number of studies have shown that ACE2 can reverse myocardial injury in various cardiovascular diseases (CVDs) as well as is exert anti‐inflammatory, antioxidant, anti‐apoptotic and anticardiomyocyte fibrosis effects by regulating transforming growth factor beta, mitogen‐activated protein kinases, calcium ions in cells and other major pathways. The ACE2/angiotensin‐(1‐7)/Mas receptor axis plays a decisive role in the cardiovascular system to combat the negative effects of the ACE/angiotensin II/angiotensin II type 1 receptor axis. However, the underlying mechanism of ACE2 in cardiac protection remains unclear. Some approaches for enhancing ACE2 expression in CVDs have been suggested, which may provide targets for the development of novel clinical therapies. In this review, we aimed to identify and summarize the role of ACE2 in CVDs.
AbstractList SARS‐CoV‐2, the virus responsible for the global coronavirus disease (COVID‐19) pandemic, attacks multiple organs of the human body by binding to angiotensin‐converting enzyme 2 (ACE2) to enter cells. More than 20 million people have already been infected by the virus. ACE2 is not only a functional receptor of COVID‐19 but also an important endogenous antagonist of the renin‐angiotensin system (RAS). A large number of studies have shown that ACE2 can reverse myocardial injury in various cardiovascular diseases (CVDs) as well as is exert anti‐inflammatory, antioxidant, anti‐apoptotic and anticardiomyocyte fibrosis effects by regulating transforming growth factor beta, mitogen‐activated protein kinases, calcium ions in cells and other major pathways. The ACE2/angiotensin‐(1‐7)/Mas receptor axis plays a decisive role in the cardiovascular system to combat the negative effects of the ACE/angiotensin II/angiotensin II type 1 receptor axis. However, the underlying mechanism of ACE2 in cardiac protection remains unclear. Some approaches for enhancing ACE2 expression in CVDs have been suggested, which may provide targets for the development of novel clinical therapies. In this review, we aimed to identify and summarize the role of ACE2 in CVDs.
Abstract SARS‐CoV‐2, the virus responsible for the global coronavirus disease (COVID‐19) pandemic, attacks multiple organs of the human body by binding to angiotensin‐converting enzyme 2 (ACE2) to enter cells. More than 20 million people have already been infected by the virus. ACE2 is not only a functional receptor of COVID‐19 but also an important endogenous antagonist of the renin‐angiotensin system (RAS). A large number of studies have shown that ACE2 can reverse myocardial injury in various cardiovascular diseases (CVDs) as well as is exert anti‐inflammatory, antioxidant, anti‐apoptotic and anticardiomyocyte fibrosis effects by regulating transforming growth factor beta, mitogen‐activated protein kinases, calcium ions in cells and other major pathways. The ACE2/angiotensin‐(1‐7)/Mas receptor axis plays a decisive role in the cardiovascular system to combat the negative effects of the ACE/angiotensin II/angiotensin II type 1 receptor axis. However, the underlying mechanism of ACE2 in cardiac protection remains unclear. Some approaches for enhancing ACE2 expression in CVDs have been suggested, which may provide targets for the development of novel clinical therapies. In this review, we aimed to identify and summarize the role of ACE2 in CVDs.
Author Zhai, Mengen
Zhu, Hanzhao
Liu, Jincheng
Ma, Yubo
Zhang, Liyun
Xia, Lin
Duan, Weixun
Yu, Shiqiang
AuthorAffiliation 2 Department of Dermatology and Venereology Peking University First Hospita Beijing China
1 Department of Cardiovascular Surgery The First Affiliated Hospital The Air Force Medical University Xi’an China
AuthorAffiliation_xml – name: 1 Department of Cardiovascular Surgery The First Affiliated Hospital The Air Force Medical University Xi’an China
– name: 2 Department of Dermatology and Venereology Peking University First Hospita Beijing China
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  surname: Duan
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/33443816$$D View this record in MEDLINE/PubMed
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Issue 3
Keywords ACE2
SARS-CoV-2
cardiovascular diseases
RAS
Language English
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This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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Hanzhao Zhu, Liyun Zhang and Yubo Ma contributed equally to this study
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Snippet SARS‐CoV‐2, the virus responsible for the global coronavirus disease (COVID‐19) pandemic, attacks multiple organs of the human body by binding to...
SARS-CoV-2, the virus responsible for the global coronavirus disease (COVID-19) pandemic, attacks multiple organs of the human body by binding to...
Abstract SARS‐CoV‐2, the virus responsible for the global coronavirus disease (COVID‐19) pandemic, attacks multiple organs of the human body by binding to...
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SubjectTerms ACE2
Angiotensin
Angiotensin II
Angiotensin-converting enzyme 2
Angiotensin-Converting Enzyme 2 - metabolism
Angiotensin-Converting Enzyme 2 - pharmacology
Animals
Antioxidants
Apoptosis
Arrhythmias, Cardiac - metabolism
Arrhythmias, Cardiac - physiopathology
Blood pressure
Calcium
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - complications
Cardiovascular Diseases - metabolism
Cardiovascular Diseases - physiopathology
Cardiovascular system
Coronaviruses
COVID-19
COVID-19 - complications
COVID-19 - metabolism
COVID-19 Drug Treatment
Diminazene - pharmacology
Drugs
Enzymes
Fibrosis
Heart
Heart Failure - etiology
Humans
Hypertension
Hypertension - metabolism
Hypertension - physiopathology
Inflammation
Kinases
Myocardial Infarction - drug therapy
Myocardial Infarction - metabolism
Myocardial Infarction - physiopathology
Pandemics
Peptides
Proteins
RAS
Recombinant Proteins - pharmacology
Renin
Review
Reviews
SARS‐CoV‐2
Severe acute respiratory syndrome coronavirus 2
Transforming growth factor-b
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Title The role of SARS‐CoV‐2 target ACE2 in cardiovascular diseases
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