Interactions amongst inflammation, renin-angiotensin-aldosterone and kallikrein-kinin systems: suggestive approaches

Lilian Caroline Gonçalves Oliveira1, Nayara Azinheira Nobrega Cruz1, Bruna Ricelli1

  • 1Nephrology Division, Department of Medicine, Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, SP, Brazil.

Insights

This review explores the renin-angiotensin-aldosterone (RAAS) and kallikrein-kinin (KKS) systems

Area of Science:

  • Physiology
  • Virology
  • Pharmacology

Background:

  • Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, can disrupt the renin-angiotensin-aldosterone (RAAS) and kallikrein-kinin (KKS) systems.
  • This imbalance contributes to severe outcomes in infected patients.

Purpose of the Study:

  • To review the discovery and interactions of the RAAS and KKS.
  • To discuss SARS-CoV-2 interactions, inflammation, and system imbalance.
  • To correlate RAAS blocker use with COVID-19 severity and explore potential therapies.

Main Methods:

  • Scoping review of published research on RAAS and KKS.
  • Analysis of viral-cell interactions and inflammatory responses.
  • Correlation of RAAS blocker therapy with COVID-19 pathophysiology.

Main Results:

  • The RAAS and KKS play critical roles in physiological processes and disease.
  • SARS-CoV-2 infection triggers significant imbalance in these systems.
  • RAAS blockers' effects on COVID-19 virulence and treatment are explored.

Conclusions:

  • Understanding RAAS and KKS interactions is crucial for COVID-19 management.
  • Targeting these systems offers potential therapeutic strategies for COVID-19.
  • Further research into RAAS and KKS modulation is warranted for coronavirus disease treatment.

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