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Journal of Medical Virology
Article . 2020 . Peer-reviewed
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ACE2 and prognosis of COVID‐19: Insights from Bartter's and Gitelman's syndromes patients

Authors: Calò, Lorenzo A.; Davis, Paul A.; Rigato, Matteo; Sgarabotto, Luca;

ACE2 and prognosis of COVID‐19: Insights from Bartter's and Gitelman's syndromes patients

Abstract

The relationship between Renin‐Angiotensin system (RAS) and COVID‐19 pandemic and, in particular, RAS as part of the CoV‐2 infection process via Angiotensin Converting Enzyme 2 (ACE2), the entry point of SARS‐CoV‐2, has resulted in conflicting suggestions regarding how RAS and its role(s) should inform treating COVID‐19. ACE inhibitors or angiotensin II (Ang)‐type 1 receptor blockers (ARBs), in fact, have been suggested to be avoided as they potentially upregulate ACE2 1 and, conversely, there are suggestions that ARBs might be beneficial 2 as SARS‐CoV‐2 causing ACE2 downregulation slows the Ang II conversion to the vasodilatory, anti‐inflammatory, antioxidant and antiatherosclerotic Ang 1‐7 3‐5, and the use of ARBs by blocking the excessive Ang II type‐1 receptors activation, would be beneficial upregulating ACE2 activity and increasing Ang 1‐7 levels.This article is protected by copyright. All rights reserved.

Keywords

Infectious Diseases, SARS-CoV-2, Virology, COVID-19, Humans, Angiotensin-Converting Enzyme 2, Peptidyl-Dipeptidase A, Prognosis, Pandemics

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Average
Average
hybrid