Might renin-angiotensin system blockers play a role in the COVID-19 pandemic?

Eur Heart J Cardiovasc Pharmacother. 2020 Jul 1;6(4):248-251. doi: 10.1093/ehjcvp/pvaa030.

Abstract

Since December 2019, a new coronavirus, named SARS-CoV-2, has spread globally, affecting >200 000 people worldwide with the so-called COVID-19 disease. The scientific community is actively and constantly working to identify the mechanisms involved in the diffusion of this virus and the pathogenesis of the infection, with its most frequent and severe complication, namely interstitial pneumonia. To date, SARS-CoV-2 is known to enter the host cells via the angiotensin-converting enzyme 2 protein. For this reason, the hypothesis that drugs capable of increasing the expression of this protein may have a role in the spread of the virus and in the symptomatology of affected patients has taken hold. The purpose of this Editorial is to briefly show the evidence currently available in this regard and to provide ideas for future research.

Keywords: Hypertension; RAS system; SARS-CoV-2.

Publication types

  • Editorial

MeSH terms

  • Acute Lung Injury / etiology
  • Acute Lung Injury / metabolism*
  • Angiotensin II / metabolism
  • Angiotensin II Type 1 Receptor Blockers / therapeutic use*
  • Angiotensin-Converting Enzyme 2
  • Angiotensin-Converting Enzyme Inhibitors / therapeutic use*
  • Betacoronavirus / metabolism*
  • COVID-19
  • Coronavirus Infections / complications
  • Coronavirus Infections / metabolism*
  • Humans
  • Hypertension / complications
  • Hypertension / drug therapy*
  • Pandemics
  • Peptidyl-Dipeptidase A / metabolism*
  • Pneumonia, Viral / complications
  • Pneumonia, Viral / metabolism*
  • Receptor, Angiotensin, Type 1 / metabolism
  • Renin-Angiotensin System*
  • SARS-CoV-2
  • Spike Glycoprotein, Coronavirus / metabolism
  • Up-Regulation

Substances

  • Angiotensin II Type 1 Receptor Blockers
  • Angiotensin-Converting Enzyme Inhibitors
  • Receptor, Angiotensin, Type 1
  • Spike Glycoprotein, Coronavirus
  • spike protein, SARS-CoV-2
  • Angiotensin II
  • Peptidyl-Dipeptidase A
  • ACE2 protein, human
  • Angiotensin-Converting Enzyme 2