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Clinical Implications of SARS-CoV-2 Interaction With Renin Angiotensin System: JACC Review Topic of the Week.

Identifieur interne : 000276 ( Main/Exploration ); précédent : 000275; suivant : 000277

Clinical Implications of SARS-CoV-2 Interaction With Renin Angiotensin System: JACC Review Topic of the Week.

Auteurs : Agnieszka Brojakowska [États-Unis] ; Jagat Narula [États-Unis] ; Rony Shimony [États-Unis] ; Jeffrey Bander [États-Unis]

Source :

RBID : pubmed:32305401

Descripteurs français

English descriptors

Abstract

Severe acute respiratory-syndrome coronavirus-2 (SARS-CoV-2) host cell infection is mediated by binding to angiotensin-converting enzyme 2 (ACE2). Systemic dysregulation observed in SARS-CoV was previously postulated to be due to ACE2/angiotensin 1-7 (Ang1-7)/Mas axis downregulation; increased ACE2 activity was shown to mediate disease protection. Because angiotensin II receptor blockers, ACE inhibitors, and mineralocorticoid receptor antagonists increase ACE2 receptor expression, it has been tacitly believed that the use of these agents may facilitate viral disease; thus, they should not be used in high-risk patients with cardiovascular disease. Based on the anti-inflammatory benefits of the upregulation of the ACE2/Ang1-7/Mas axis and previously demonstrated benefits of lung function improvement in SARS-CoV infections, it has been hypothesized that the benefits of treatment with renin-angiotensin system inhibitors in SARS-CoV-2 may outweigh the risks and at the very least should not be withheld.

DOI: 10.1016/j.jacc.2020.04.028
PubMed: 32305401
PubMed Central: PMC7161517


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<div type="abstract" xml:lang="en">Severe acute respiratory-syndrome coronavirus-2 (SARS-CoV-2) host cell infection is mediated by binding to angiotensin-converting enzyme 2 (ACE2). Systemic dysregulation observed in SARS-CoV was previously postulated to be due to ACE2/angiotensin 1-7 (Ang1-7)/Mas axis downregulation; increased ACE2 activity was shown to mediate disease protection. Because angiotensin II receptor blockers, ACE inhibitors, and mineralocorticoid receptor antagonists increase ACE2 receptor expression, it has been tacitly believed that the use of these agents may facilitate viral disease; thus, they should not be used in high-risk patients with cardiovascular disease. Based on the anti-inflammatory benefits of the upregulation of the ACE2/Ang1-7/Mas axis and previously demonstrated benefits of lung function improvement in SARS-CoV infections, it has been hypothesized that the benefits of treatment with renin-angiotensin system inhibitors in SARS-CoV-2 may outweigh the risks and at the very least should not be withheld.</div>
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<li>État de New York</li>
</region>
</list>
<tree>
<country name="États-Unis">
<region name="État de New York">
<name sortKey="Brojakowska, Agnieszka" sort="Brojakowska, Agnieszka" uniqKey="Brojakowska A" first="Agnieszka" last="Brojakowska">Agnieszka Brojakowska</name>
</region>
<name sortKey="Bander, Jeffrey" sort="Bander, Jeffrey" uniqKey="Bander J" first="Jeffrey" last="Bander">Jeffrey Bander</name>
<name sortKey="Narula, Jagat" sort="Narula, Jagat" uniqKey="Narula J" first="Jagat" last="Narula">Jagat Narula</name>
<name sortKey="Shimony, Rony" sort="Shimony, Rony" uniqKey="Shimony R" first="Rony" last="Shimony">Rony Shimony</name>
</country>
</tree>
</affiliations>
</record>

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{{Explor lien
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   |texte=   Clinical Implications of SARS-CoV-2 Interaction With Renin Angiotensin System: JACC Review Topic of the Week.
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Data generation: Tue Aug 4 15:08:30 2020. Site generation: Wed Jan 27 11:23:02 2021