2020
DOI: 10.1016/j.mehy.2020.110330
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Viral replication of SARS-CoV-2 could be self-limitative – The role of the renin-angiotensin system on COVID-19 pathophysiology

Abstract: Currently, the world is suffering with one of the biggest pandemics of recent history. Caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the coronavirus disease 2019 (COVID-19) is provoking devastating consequences on economic and social fields throughout all continents. Therefore, pathophysiological knowledge about COVID-19 is imperative for better planning of preventive measures, diagnosis, and therapeutics of the disease. Based on previous studies, this work proposes new hypothesis rel… Show more

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Cited by 8 publications
(5 citation statements)
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“…Original article [17] Coronavirus disease 2019 (COVID-19): multisystem review of pathophysiology Review article [18] COVID-19: current understanding of its pathophysiology, clinical presentation and treatment Review article [19] Viral replication of SARS-CoV-2 could be self-limitative -the role of the renin-angiotensin system on COVID-19 pathophysiology…”
Section: Authorsmentioning
confidence: 99%
See 1 more Smart Citation
“…Original article [17] Coronavirus disease 2019 (COVID-19): multisystem review of pathophysiology Review article [18] COVID-19: current understanding of its pathophysiology, clinical presentation and treatment Review article [19] Viral replication of SARS-CoV-2 could be self-limitative -the role of the renin-angiotensin system on COVID-19 pathophysiology…”
Section: Authorsmentioning
confidence: 99%
“…Coronavirus disease 2019 (also known as COVID- 19) is an acute respiratory infectious disease caused by the SARS-CoV-2 virus [1], [2]. COVID-19 was first identified as an outbreak in the city of Wuhan, Hubei province, China and has since become a pandemic worldwide.…”
Section: Introductionmentioning
confidence: 99%
“…[18][19][20] Once SARS-CoV-2 overwhelms the ACE2 receptors, functional inhibition of the alternative renin-angiotensin system (RAS) pathway occurs, leading to reduced expression of angiotensin (Ang) 1-7, which increases proinflammatory cytokines, resulting in systemic inflammation through the angiotensin 1 receptors. 28 This causes a concomitant increase in inflammatory cytokine levels, promoting pulmonary damage and ARDS. Furthermore, T cell depletion and exhaustion results in lymphopenia and the generation of dysfunctional lymphocytes, which is further worsened by direct damage to the lymphatic organs by the virus.…”
Section: Covid-19mentioning
confidence: 99%
“…Furthermore, T cell depletion and exhaustion results in lymphopenia and the generation of dysfunctional lymphocytes, which is further worsened by direct damage to the lymphatic organs by the virus. 28 , 29 Hyperactivation of the nuclear factor-kappa B (NF-кB) pathway is involved in local and systemic inflammation. A major pathway for NF-кB activation following coronavirus infection is the MyD88 pathway through PRRs, leading to the induction of proinflammatory cytokines.…”
Section: Immune Signatures and Pathogenesismentioning
confidence: 99%
“… 27 , 28 However, in stable cirrhosis, in the presence of highly up-regulated ACE2 receptors and higher expression of Ang 1-7, SARS-CoV-2 infection may not be uncontrollably detrimental and could be associated with better outcomes. 29 In decompensated cirrhosis, chronic activation of RAS and sympathetic nervous system activation and secretion of antidiuretic hormones occur in the presence of persistent arterial hypotension.…”
Section: Covid-19 and Chronic Liver Disease (Cld)mentioning
confidence: 99%