Effects of Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers on Angiotensin-Converting Enzyme 2 Levels: A Comprehensive Analysis Based on Animal Studies
Severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), the pathogen of coronavirus disease 2019 (COVID‐19), caused the outbreak escalated to pandemic. Reports suggested that near 1–3% of COVID‐19 cases have a fatal outcome. Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin rece...
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2021-03-01
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doaj-12447dc623ea4fac95f3d2f11c4b7f482021-03-08T04:27:54ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122021-03-011210.3389/fphar.2021.619524619524Effects of Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers on Angiotensin-Converting Enzyme 2 Levels: A Comprehensive Analysis Based on Animal StudiesGábor Kriszta0Gábor Kriszta1Zsófia Kriszta2Zsófia Kriszta3Szilárd Váncsa4Szilárd Váncsa5Péter Jenő Hegyi6Levente Frim7Bálint Erőss8Péter Hegyi9Péter Hegyi10Gábor Pethő11Gábor Pethő12Erika Pintér13Department of Pharmacology and Pharmacotherapy, Medical School, University of Pécs, Pécs, HungarySzentágothai Research Centre, Molecular Pharmacology Research Group, University of Pécs, Pécs, HungaryDepartment of Pharmacology and Pharmacotherapy, Medical School, University of Pécs, Pécs, HungaryDepartment of Anaesthesiology and Intensive Therapy, Medical School, University of Pécs, Pécs, HungaryInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, HungarySzentágothai Research Centre, University of Pécs, Pécs, HungaryInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, HungaryInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, HungaryInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, HungaryInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, HungarySzentágothai Research Centre, University of Pécs, Pécs, HungaryDepartment of Pharmacology and Pharmacotherapy, Medical School, University of Pécs, Pécs, HungaryDepartment of Pharmacology, Faculty of Pharmacy, University of Pécs, Pécs, HungaryDepartment of Pharmacology and Pharmacotherapy, Medical School, University of Pécs, Pécs, HungarySevere acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), the pathogen of coronavirus disease 2019 (COVID‐19), caused the outbreak escalated to pandemic. Reports suggested that near 1–3% of COVID‐19 cases have a fatal outcome. Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) are widely used in hypertension, heart failure and chronic kidney disease. These drugs have been reported to upregulate angiotensin converting enzyme 2 (ACE2) which produces Ang (1–7), the main counter-regulatory mediator of angiotensin II. This enzyme is also known as the receptor of SARS‐CoV‐2 promoting the cellular uptake of the virus in the airways, however, ACE2 itself proved to be protective in several experimental models of lung injury. The present study aimed to systematically review the relationship between ACEI/ARB administration and ACE2 expression in experimental models. After a comprehensive search and selection, 27 animal studies investigating ACE2 expression in the context of ACEI and ARB were identified. The majority of these papers reported increased ACE2 levels in response to ACEI/ARB treatment. This result should be interpreted in the light of the dual role of ACE2 being a promoter of viral entry to cells and a protective factor against oxidative damage in the lungs.https://www.frontiersin.org/articles/10.3389/fphar.2021.619524/fullSARS-CoV-2angiotensin converrting enzymeangiotensin receptor blockerACE2animal study |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gábor Kriszta Gábor Kriszta Zsófia Kriszta Zsófia Kriszta Szilárd Váncsa Szilárd Váncsa Péter Jenő Hegyi Levente Frim Bálint Erőss Péter Hegyi Péter Hegyi Gábor Pethő Gábor Pethő Erika Pintér |
spellingShingle |
Gábor Kriszta Gábor Kriszta Zsófia Kriszta Zsófia Kriszta Szilárd Váncsa Szilárd Váncsa Péter Jenő Hegyi Levente Frim Bálint Erőss Péter Hegyi Péter Hegyi Gábor Pethő Gábor Pethő Erika Pintér Effects of Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers on Angiotensin-Converting Enzyme 2 Levels: A Comprehensive Analysis Based on Animal Studies Frontiers in Pharmacology SARS-CoV-2 angiotensin converrting enzyme angiotensin receptor blocker ACE2 animal study |
author_facet |
Gábor Kriszta Gábor Kriszta Zsófia Kriszta Zsófia Kriszta Szilárd Váncsa Szilárd Váncsa Péter Jenő Hegyi Levente Frim Bálint Erőss Péter Hegyi Péter Hegyi Gábor Pethő Gábor Pethő Erika Pintér |
author_sort |
Gábor Kriszta |
title |
Effects of Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers on Angiotensin-Converting Enzyme 2 Levels: A Comprehensive Analysis Based on Animal Studies |
title_short |
Effects of Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers on Angiotensin-Converting Enzyme 2 Levels: A Comprehensive Analysis Based on Animal Studies |
title_full |
Effects of Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers on Angiotensin-Converting Enzyme 2 Levels: A Comprehensive Analysis Based on Animal Studies |
title_fullStr |
Effects of Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers on Angiotensin-Converting Enzyme 2 Levels: A Comprehensive Analysis Based on Animal Studies |
title_full_unstemmed |
Effects of Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers on Angiotensin-Converting Enzyme 2 Levels: A Comprehensive Analysis Based on Animal Studies |
title_sort |
effects of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers on angiotensin-converting enzyme 2 levels: a comprehensive analysis based on animal studies |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Pharmacology |
issn |
1663-9812 |
publishDate |
2021-03-01 |
description |
Severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), the pathogen of coronavirus disease 2019 (COVID‐19), caused the outbreak escalated to pandemic. Reports suggested that near 1–3% of COVID‐19 cases have a fatal outcome. Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) are widely used in hypertension, heart failure and chronic kidney disease. These drugs have been reported to upregulate angiotensin converting enzyme 2 (ACE2) which produces Ang (1–7), the main counter-regulatory mediator of angiotensin II. This enzyme is also known as the receptor of SARS‐CoV‐2 promoting the cellular uptake of the virus in the airways, however, ACE2 itself proved to be protective in several experimental models of lung injury. The present study aimed to systematically review the relationship between ACEI/ARB administration and ACE2 expression in experimental models. After a comprehensive search and selection, 27 animal studies investigating ACE2 expression in the context of ACEI and ARB were identified. The majority of these papers reported increased ACE2 levels in response to ACEI/ARB treatment. This result should be interpreted in the light of the dual role of ACE2 being a promoter of viral entry to cells and a protective factor against oxidative damage in the lungs. |
topic |
SARS-CoV-2 angiotensin converrting enzyme angiotensin receptor blocker ACE2 animal study |
url |
https://www.frontiersin.org/articles/10.3389/fphar.2021.619524/full |
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