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Elevated Plasmin(ogen) as a Common Risk Factor for COVID-19 Susceptibility.

Identifieur interne : 000694 ( 2020/Analysis ); précédent : 000693; suivant : 000695

Elevated Plasmin(ogen) as a Common Risk Factor for COVID-19 Susceptibility.

Auteurs : Hong-Long Ji [États-Unis] ; Runzhen Zhao [États-Unis] ; Sadis Matalon [États-Unis] ; Michael A. Matthay [États-Unis]

Source :

RBID : pubmed:32216698

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English descriptors

Abstract

Patients with hypertension, diabetes, coronary heart disease, cerebrovascular illness, chronic obstructive pulmonary disease, and kidney dysfunction have worse clinical outcomes when infected with SARS-CoV-2, for unknown reasons. The purpose of this review is to summarize the evidence for the existence of elevated plasmin(ogen) in COVID-19 patients with these comorbid conditions. Plasmin, and other proteases, may cleave a newly inserted furin site in the S protein of SARS-CoV-2, extracellularly, which increases its infectivity and virulence. Hyperfibrinolysis associated with plasmin leads to elevated D-dimer in severe patients. The plasmin(ogen) system may prove a promising therapeutic target for combating COVID-19.

DOI: 10.1152/physrev.00013.2020
PubMed: 32216698


Affiliations:


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pubmed:32216698

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