Renin-angiotensin system in the pathogenesis of COVID-19 and possible drug targets

Autor: Sujay Halkur Shankar, Arvind Kumar, Diksha Patidar, Sai Krishna Kanukuntla, Naveet Wig
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Primary Care Specialties, Vol 2, Iss 2, Pp 33-37 (2021)
Druh dokumentu: article
ISSN: 2772-3615
2772-3623
DOI: 10.4103/jopcs.jopcs_15_20
Popis: Coronavirus disease 2019 (COVID-19) is characterized by fever, cough, shortness of breath, myalgia, and headache. The disease also takes a more severe form with life-threatening manifestations of acute respiratory distress syndrome, acute cardiac injury, acute kidney injury, disseminated intravascular coagulopathy, and cytokine storm. It has been elucidated that like its predecessor, the SARS CoV, the SARS CoV-2 utilizes the angiotensin-converting enzyme 2 receptor to enter cells. This knowledge brought into speculation the effects of a dysregulated renin-angiotensin system (RAS) in the pathogenesis of COVID-19. It has been proposed that the effects of a dysregulated RAS would lead to an inflammatory cascade and contribute to the cytokine storm that is central to the disease. This paper looks at the RAS pathway and hypothesizes the possibility of a positive RAS feedback loop in the pathogenesis of COVID-19.
Databáze: Directory of Open Access Journals