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IUBMB Life . Angiotensin-converting enzyme 2: A protective factor in regulating disease virulence of SARS-COV-2

tetano

Editor, Senior Moderator
IUBMB Life


. 2020 Oct 8.
doi: 10.1002/iub.2391. Online ahead of print.
Angiotensin-converting enzyme 2: A protective factor in regulating disease virulence of SARS-COV-2


Vignesh Mariappan[SUP] 1 [/SUP], Rao S R[SUP] 2 [/SUP], Agieshkumar Balakrishna Pillai[SUP] 1 [/SUP]



Affiliations

Abstract

Novel SARS-CoV-2 named due to its close homology with severe acute respiratory syndrome coronavirus (SARS-CoV) is the etiologic agent for the ongoing pandemic outbreak causing loss of life and severe economic burden globally. The virus is believed to be evolved in a recombined form of bat and animal coronavirus with the capacity to infect human host using the ACE2 receptors as an entry point. Though the disease pathogenesis is not elucidated completely, the virus-mediated host response retains a similar pattern to that of previous SARS-CoV. Based on the available trend it is assumed that pediatric groups are less susceptible to the coronavirus. Understanding the possible mechanism that protects the children from hyper-inflammatory or disease severity could lead to better treatment modalities. In the present review, we have discussed the significance of age and sex-dependent pattern of ACE2 receptor expression and ACE2 variants in the immune protective mechanism of the disease virulence. We have also added a brief note on the importance of sex hormones in the pathogenesis of ACE2 mediated SARS-CoV2 infection.

Keywords: ACE2; ACE2 polymorphism; COVID19; SARS-CoV-2; TMPRSS2.
 
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