The Two-Way Switch Role of ACE2 in the Treatment of Novel Coronavirus Pneumonia and Underlying Comorbidities

December 2019 saw the emergence of the coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), which has spread across the globe. The high infectivity and ongoing mortality of SARS-CoV-2 emphasize the demand of drug discovery. Angiotensin-converting enzyme II (ACE2) is the functional receptor for SARS-CoV-2 entry into host cells. ACE2 exists as a membrane-bound protein on major viral target pulmonary epithelial cells, and its peptidase domain (PD) interacts SARS-CoV-2 spike protein with higher affinity. Therefore, targeting ACE2 is an important pharmacological intervention for a SARS-CoV-2 infection. In this review, we described the two-way switch role of ACE2 in the treatment of novel coronavirus pneumonia and underlying comorbidities, and discussed the potential effect of the ACE inhibitor and angiotensin receptor blocker on a hypertension patient with the SARS-CoV-2 infection. In addition, we analyzed the S-protein-binding site on ACE2 and suggested that blocking hot spot-31 and hot spot-353 on ACE2 could be a therapeutic strategy for preventing the spread of SARS-CoV-2. Besides, the recombinant ACE2 protein could be another potential treatment option for SARS-CoV-2 induced acute severe lung failure. This review could provide beneficial information for the development of anti-SARS-CoV-2 agents via targeting ACE2 and the clinical usage of renin-angiotensin system (RAS) drugs for novel coronavirus pneumonia treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:26

Enthalten in:

Molecules (Basel, Switzerland) - 26(2020), 1 vom: 31. Dez.

Sprache:

Englisch

Beteiligte Personen:

Pang, Xiao Cong [VerfasserIn]
Zhang, Han Xu [VerfasserIn]
Zhang, Zhi [VerfasserIn]
Rinkiko, Suguro [VerfasserIn]
Cui, Yi Min [VerfasserIn]
Zhu, Yi Zhun [VerfasserIn]

Links:

Volltext

Themen:

Angiotensin-Converting Enzyme 2
Angiotensin-converting enzyme II (ACE2)
Antiviral Agents
EC 3.4.17.23
Hypertension
Journal Article
Lung injury
Renin-angiotensin system (RAS)
Review
Severe acute respiratory syndrome (SARS)

Anmerkungen:

Date Completed 13.01.2021

Date Revised 07.12.2022

published: Electronic

Citation Status MEDLINE

doi:

10.3390/molecules26010142

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM319601196