Related Experiment Video
Updated: Oct 9, 2025

A Modified Two Kidney One Clip Mouse Model of Renin Regulation in Renal Artery Stenosis
Published on: October 26, 2020
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.
Abstract:
Coronavirus disease 2019 (COVID-19) is a rapid-spread infectious disease caused by the SARS-CoV-2 virus, which can culminate in the renin-angiotensin-aldosterone (RAAS) and kallikrein-kinin (KKS) systems imbalance, and in serious consequences for infected patients. This scoping review of published research exploring the RAAS and KKS was undertaken in order to trace the history of the discovery of both systems and their multiple interactions, discuss some aspects of the viral-cell interaction, including inflammation and the system imbalance triggered by SARS-CoV-2 infection, and their consequent disorders. Furthermore, we correlate the effects of continued use of the RAAS blockers in chronic diseases therapies with the virulence and physiopathology of COVID-19. We also approach the RAAS and KKS-related proposed potential therapies for treatment of COVID-19. In this way, we reinforce the importance of exploring both systems and the application of their components or their blockers in the treatment of coronavirus disease.
Related Concept Videos
Antihypertensive Drugs: Direct Renin Inhibitors
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors
Hormonal Regulation
Hypertension II: Pathophysiology
Antihypertensive Drugs: Angiotensin II Receptor Blockers

