“…ACE is primarily synthesized by vascular endothelial cell and is localized in the lung and kidney vasculature, brain, small intestine, and alveolar macrophages [27]. Alterations of serum ACE occur in certain diseases such as sarcoidosis, leprosy, silicosis and asbestosis, tuberculosis, asthma, and malignant disease [1,7,8,15,16,21,28,39]. ACE in peripheral blood is thought to be identical with the lung enzyme and is proportional to blood oxygen concentration, suggesting that serum ACE activity is in good correlation with the enzyme level of the pulmonary tissue [4].…”