Renin-angiotensin system and SARS-CoV-2 interaction: underlying mechanisms and potential clinical implications.
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Hrenak J
Department of Cardiovascular Surgery, Inselspital - University Hospital of Bern, Bern, Switzerland.
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Zorad S
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Simko F
Published in:
- General physiology and biophysics. - 2020
English
Renin-angiotensin system (RAS) inhibition supposedly increases the expression of angiotensin converting enzyme 2, serving as a binding site for SARS-CoV-2. Concerns arose regarding therapy with RAS inhibition during the COVID-19 pandemic. However, the pharmacological restraining the classical RAS axis might be beneficial due to the reduction of deleterious effects of angiotensin II and enhancement of the anti-inflammatory angiotensin 1-7 pathway. Unless large controlled studies are performed, RAS inhibition remains the cornerstone therapy in populations with cardiovascular disorders.
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Language
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Open access status
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bronze
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Identifiers
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Persistent URL
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https://sonar.ch/global/documents/279101
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