ACE2 and energy metabolism : the connection between COVID-19 and chronic metabolic disorders

© 2021 The Author(s). Published by Portland Press Limited on behalf of the Biochemical Society..

The renin-angiotensin system (RAS) has currently attracted increasing attention due to its potential function in regulating energy homeostasis, other than the actions on cellular growth, blood pressure, fluid, and electrolyte balance. The existence of RAS is well established in metabolic organs, including pancreas, liver, skeletal muscle, and adipose tissue, where activation of angiotensin-converting enzyme (ACE) - angiotensin II pathway contributes to the impairment of insulin secretion, glucose transport, fat distribution, and adipokines production. However, the activation of angiotensin-converting enzyme 2 (ACE2) - angiotensin (1-7) pathway, a novel branch of the RAS, plays an opposite role in the ACE pathway, which could reverse these consequences by improving local microcirculation, inflammation, stress state, structure remolding, and insulin signaling pathway. In addition, new studies indicate the protective RAS arm possesses extraordinary ability to enhance brown adipose tissue (BAT) activity and induces browning of white adipose tissue, and consequently, it leads to increased energy expenditure in the form of heat instead of ATP synthesis. Interestingly, ACE2 is the receptor of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is threating public health worldwide. The main complications of SARS-CoV-2 infected death patients include many energy metabolism-related chronic diseases, such as diabetes. The specific mechanism leading to this phenomenon is largely unknown. Here, we summarize the latest pharmacological and genetic tools on regulating ACE/ACE2 balance and highlight the beneficial effects of the ACE2 pathway axis hyperactivity on glycolipid metabolism, as well as the thermogenic modulation.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:135

Enthalten in:

Clinical science (London, England : 1979) - 135(2021), 3 vom: 12. Feb., Seite 535-554

Sprache:

Englisch

Beteiligte Personen:

Cao, Xi [VerfasserIn]
Song, Li-Ni [VerfasserIn]
Yang, Jin-Kui [VerfasserIn]

Links:

Volltext

Themen:

ACE2
Angiotensin-Converting Enzyme 2
COVID-19
Diabetes
EC 3.4.15.1
EC 3.4.17.23
Energy homeostasis
Journal Article
Peptidyl-Dipeptidase A
Renin-angiotensin system
Review
SARS-CoV-2

Anmerkungen:

Date Completed 11.02.2021

Date Revised 11.02.2021

published: Print

Citation Status MEDLINE

doi:

10.1042/CS20200752

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM320942449