Level of the SARS-CoV-2 receptor ACE2 activity is highly elevated in old-aged patients with aortic stenosis: implications for ACE2 as a biomarker for the severity of COVID-19

Autor: Miklós, Fagyas, Attila, Kertész, Ivetta Mányiné, Siket, Viktor, Bánhegyi, Bertalan, Kracskó, Andrea, Szegedi, Miklós, Szokol, Gusztáv, Vajda, Ildikó, Rácz, Hajnalka, Gulyás, Noémi, Szkibák, Vivienn, Rácz, Zoltán, Csanádi, Zoltán, Papp, Attila, Tóth, Sándor, Sipka
Rok vydání: 2020
Předmět:
Zdroj: GeroScience
ISSN: 2509-2723
Popis: Coronavirus disease 2019 (COVID-19) has a high mortality in elderly patients with pre-existing cardiovascular diseases. The cellular receptor of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the angiotensin-converting enzyme 2 (ACE2), thereby implicating a link between cardiovascular diseases and SARS-CoV-2 susceptibility. Aortic stenosis (AS) represents a chronic inflammatory state with severe cardiovascular complications in the elderly, a prime condition for COVID-19 mortality. The circulating ACE2 levels were measured in 111 patients with severe AS and compared to patients with hypertension and healthy individuals. About 4 times higher circulating ACE2 activity was found in patients with severe AS than in hypertensives or healthy individuals (88.3 ± 61.6., n = 111, 20.6 ± 13.4, n = 540, and 16.1 ± 7.4 mU/L, n = 46, respectively). Patients with severe AS were older than patients with hypertension (80 ± 6 years vs. 60 ± 15 years, P
Databáze: OpenAIRE