ACE2 as a Potential Target for Management of Novel Coronavirus (nCoV- 2019)

Elham Foroozanfar1, Mohamad Forouzanfar2, Tahereh Farkhondeh3

  • 1Naft hospital, Tehran, Iran.

Insights

A novel coronavirus (nCoV-2019) causes severe respiratory illness worldwide. Understanding the renin-angiotensin system

Area of Science:

  • Virology
  • Pathobiology
  • Cardiovascular Physiology

Background:

  • A novel coronavirus (nCoV-2019) emerged in Wuhan, China, in December 2019, causing a global epidemic of acute respiratory syndrome.
  • The disease has resulted in numerous fatalities worldwide, with no specific treatments currently available.
  • The renin-angiotensin system (RAS) plays crucial physiological roles and is implicated in various disease pathologies.

Purpose of the Study:

  • To explore the potential role of the angiotensin-converting enzyme 2 (ACE2) receptor in the pathogenesis of nCoV-2019-induced acute respiratory syndrome.
  • To provide insights into ACE2 as a therapeutic target for nCoV-2019 infection.

Main Methods:

  • This is a review article.
  • It synthesizes current understanding of the renin-angiotensin system and its interaction with nCoV-2019.
  • Focuses on the ACE2 receptor's function and implications in viral entry and disease progression.

Main Results:

  • The nCoV-2019 virus utilizes the ACE2 receptor for cellular entry, highlighting its critical role in infection.
  • Dysregulation of the renin-angiotensin system, particularly involving ACE2, may contribute to the severity of acute respiratory syndrome.
  • ACE2's involvement suggests potential therapeutic strategies targeting this pathway.

Conclusions:

  • The angiotensin-converting enzyme 2 (ACE2) receptor is a key factor in the pathogenesis of nCoV-2019.
  • Targeting the ACE2 receptor presents a promising avenue for developing treatments against nCoV-2019-induced acute respiratory syndrome.
  • Further research into the ACE2 pathway is crucial for combating the ongoing epidemic.

Related Concept Videos

Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
979
Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
144
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists01:18

Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists

Endothelins (ETs) are potent vasoactive peptides critical in the human body's various physiological and pathological processes. One of the most promising therapeutic strategies for treating pulmonary arterial hypertension (PAH) involves counteracting the effects of these endothelins using a class of drugs known as endothelin receptor antagonists.
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
288
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
477
Chronic Obstructive Pulmonary Disease-V: Management01:29

Chronic Obstructive Pulmonary Disease-V: Management

Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
2.9K
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
96