切换至 "中华医学电子期刊资源库"

中华实验和临床感染病杂志(电子版) ›› 2021, Vol. 15 ›› Issue (01) : 7 -10. doi: 10.3877/cma.j.issn.1674-1358.2021.01.002

所属专题: 文献

综述

血管紧张素转化酶2在冠状病毒感染所致肺损伤及其他肺部疾病中研究进展
孙芬芬1, 贺斌峰1, 何勇1,()   
  1. 1. 400042 重庆,陆军军医大学大坪医院呼吸与危重症医学科
  • 收稿日期:2020-03-03 出版日期:2021-02-15
  • 通信作者: 何勇
  • 基金资助:
    国家自然科学基金青年基金(No. 81800086)

Advances on the effects of angiotensin converting enzyme 2 in coronavirus induced lung injury and other lung diseases

Fenfen Sun1, Binfeng He1, Yong He1,()   

  1. 1. Department of Respiratory Disease and Critical Care Medicine, Daping Hospital, Army Medical University, Chongqing 400042, China
  • Received:2020-03-03 Published:2021-02-15
  • Corresponding author: Yong He
引用本文:

孙芬芬, 贺斌峰, 何勇. 血管紧张素转化酶2在冠状病毒感染所致肺损伤及其他肺部疾病中研究进展[J/OL]. 中华实验和临床感染病杂志(电子版), 2021, 15(01): 7-10.

Fenfen Sun, Binfeng He, Yong He. Advances on the effects of angiotensin converting enzyme 2 in coronavirus induced lung injury and other lung diseases[J/OL]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2021, 15(01): 7-10.

血管紧张素转化酶2(ACE2)为拮抗血管紧张素转化酶-血管紧张素(ACE-Ang Ⅱ)的关键调控分子。本文总结ACE2通过与新型冠状病毒(SARS-CoV-2)以及非典型性肺炎(SARS)病毒所携带的S蛋白结合,介导上述病毒进入宿主细胞进行复制并发挥细胞毒性作用,并探讨使用二甲双胍以及血管紧张素转化酶抑制剂/血管紧张素受体拮抗剂(ACEI/ARB)缓解SARS-CoV-2感染所致肺组织损伤的可能性。此外,就ACE2以及介导的Ang Ⅱ水解产物Ang(1~7)在急性肺损伤(ALI)、肺纤维化和肺动脉高压中的研究进展进行综述。ACE2在新型冠状病毒肺炎(COIVD-19)的发病机制中发挥着重要作用,可成为设计、研发(COIVD-19)相关治疗药物的重要靶点。

Angiotensin converting enzyme 2 (ACE2) is considered as an critical regulator of angiotensin converting enzyme-angiotensin Ⅱ (ACE-Ang Ⅱ). The process that ACE2 bound the spike protein (S protein) on the surface of severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) or severe acute respiratory syndrome (SARS) virus, which mediated these virus entrance to target cell for replication and cytotoxic effect were summarized. Furthermore, the possibility of metformin and angiotension converting enzyme inhibitors/angiotensin receptor blockers (ACEI/ARB) to the improvement of the lung tissue damage induced by SARS-CoV-2 were investigated. Additionally, the research progress of ACE2 and Ang Ⅱ hydrolysates-- Ang (1-7) on acute lung injury (ALI), pulmonary fibrosis and pulmonary artery hypertension (PAH) were reviewed. ACE2 played an important role in the pathogenesis of new coronavirus pneumonia and could be an important target for the design and development of drugs for coronavirus disease 2019.

[1]
Patel S, Rauf A, Khan H, et al. Renin-angiotensin-aldosterone (RAAS): The ubiquitous system for homeostasis and pathologies[J]. Biochem Pharmacol,2017,94:317-325.
[2]
Gheblawi M, Wang K, Viveiros A, et al. Angiotensin-converting enzyme 2: SARS-CoV-2 receptor and regulator of the renin-angiotensin system[J]. Circ Res,2020,126(10):1457-1475.
[3]
Li Y, Zhou W, Yang L, et al. Physiological and pathological regulation of ACE2, the SARS-CoV-2 receptor[J]. Pharmacol Res,2020,157:104833.
[4]
Zhou P, Yang XL, Wang XG, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin[J]. Nature,2020,579(7798):270-273.
[5]
Wan Y, Shang J, Graham R, et al. Receptor recognition by novel coronavirus from Wuhan: An analysis based on decade-long structural studies of SARS[J]. J Virol,2020,94(7):e00127-20.
[6]
Michael L, Andrea M, Vincent M. Functional assessment of cell entry and receptor usage ofr SARS-CoV-2 and other lineage B betacoronaviruses[J]. Nat Microbiol,2020,5(4):562-569.
[7]
He X, Zhang L, Ran Q, et al. Integrative bioinformatics analysis provides insight into the molecular mechanisms of 2019-nCoV[J]. Med Rxiv,2020. [Online ahead of print].
[8]
Wrapp D, Wang N, Corbett KS, et al. Cryo-EM structure of the 2019-nCoV spike in the prefusion conformation[J]. Science, 2020,367(6483):1260-1263.
[9]
Somineni HK, Boivin GP, Elased KM. Daily exercise training protects against albuminuria and angiotensin converting enzyme 2 shedding in db/db diabetic mice[J]. J Endocrinol,2014,221(2):235-251.
[10]
Markus H, Hannah KW, Simon S, et al. SARS-CoV-2 cell entry depends on ACE2 and TMPRSS2 and is blokced by clinically-proven protease inhibitor[J]. Cell,2020,181(2):271-280.
[11]
Yumiko Imai, Keiji Kuba, Shuan Rao, et al. Angiotensin-converting enzyme 2 protects from severe acute lung failure[J]. Nature,2005, 436(7047):112-116.
[12]
Li W, Moore MJ, Vasilieva N, et al. Angiotensin-converting enzyme 2 is a functional receptor for the SARS coronavirus[J]. Nature,2003,426(6965):450-454.
[13]
Kuba K, Imai Y, Rao S, et al. A crucial role of angiotensin converting enzyme 2 (ACE2) in SARS coronavirus-induced lung injury[J]. Nat Med,2005,11(8):875-879.
[14]
Wang D, Chai XQ, Magnussen CG, et al. Renin-angiotensin-system, a potential pharmacological candidate, in acute respiratory distress syndrome during mechanical ventilation[J]. Pulm Pharmacol Ther,2019,58:101833.
[15]
Ding Y, Wang H, Shen H, et al. The clinical pathology of severe acute respiratory syndrome (SARS): a report from China[J]. J Pathol,2003,200(3):282-289.
[16]
Miura TA. Respiratory epithelial cells as master communicators during viral infections [J]. Curr Clin Microbiol Rep,2019,6(1):10-17.
[17]
Qian Z, Travanty EA, Oko L, et al. Innate immune response of human alveolar type Ⅱ cells infected with severe acute respiratory syndrome-coronavirus[J]. Am J Respir Cell Mol Biol,2013,48(6):742-748.
[18]
Jia H. Pulmonary angiotensin-converting enzyme 2 (ACE2) and inflammatory lung disease[J]. Shock,2016,46(3):239-248
[19]
Blanco-Melo D, Nilsson-Payant BE, Liu WC, et al. Imbalanced Host Response to SARS-CoV-2 Drives Development of COVID-19[J]. Cell,2020,181(5):1036-1045.
[20]
Ye J, Zhang B, Xu J, et al. Molecular pathology in the lungs of severe acute respiratory syndrome patients[J]. Am J Pathol,2007,170(2):538-545.
[21]
Imai Y, Kuba K, Rao S, et al. Angiotensin-converting enzyme 2 protects from severe acute lung failure[J]. Nature,2005,436(7047):112-116.
[22]
Treml B, Neu N, Kleinsasser A, et al. Recombinant angiotensin-converting enzyme 2 improves pulmonary blood flow and oxygenation in lipopolysaccharide-induced lung injury in piglets[J]. Crit Care Med,2010,38(2):596-601.
[23]
Wu H, Li Y, Wang Y, et al. Tanshinone ⅡA attenuates bleomycin-induced pulmonary fibrosis via modulating angiotensin-converting enzyme 2/angiotensin-(1-7) axis in rats[J]. Int J Med Sci,2014,11(6):578-586.
[24]
孟莹,余常辉,蔡绍曦, 等. 血管紧张素1-7对博来霉素诱导大鼠肺纤维化的抑制作用[J]. 中华医学杂志,2013,93(20):1585-1589.
[25]
Uhal BD, Li X, Xue A, et al. Regulation of alveolar epithelial cell survival by the ACE-2/angiotensin 1-7/Mas axis[J]. Am J Physiol Lung Cell Mol Physiol,2011,301(3):L269-274.
[26]
Shao M, Wen ZB, Yang HH, et al. Exogenous angiotensin (1-7) directly inhibits epithelial-mesenchymal transformation induced by transforming growth factor-β1 in alveolar epithelial cells[J]. Biomed Pharmacother,2019,117:109193.
[27]
Meng Y, Yu CH, Li W, et al. Angiotensin-converting enzyme 2/angiotensin-(1-7)/Mas axis protects against lung fibrosis by inhibiting the MAPK/NF-κB pathway[J]. Am J Respir Cell Mol Biol,2014,50(4):723-736.
[28]
Morrell NW, Stenmark KR. The renin-angiotensin system in pulmonary hypertension[J]. Am J Respir Crit Care Med,2013,187(10):1138-1139.
[29]
Ishikane S, Hosoda H, Nojiri T, et al. Angiotensin Ⅱ promotes pulmonary metastasis of melanoma through the activation of adhesion molecules in vascular endothelial cells[J]. Biochem Pharmacol,2018,154:136-147.
[30]
Ferreira AJ, Shenoy V, Yamazato Y, et al. Evidence for angiotensin-converting enzyme 2 as a therapeutic target for the prevention of pulmonary hypertension[J]. Am J Respir Crit Care Med,2009,179(11):1048-1054.
[31]
Hampl V, Herget J, Bíbová J, et al. Intrapulmonary activation of the angiotensin-converting enzyme type 2/angiotensin 1-7/G-protein-coupled Mas receptor axis attenuates pulmonary hypertension in Ren-2 transgenic rats exposed to chronic hypoxia[J]. Physiol Res,2015,64(1):25-38.
[32]
Gwathmey TM, Alzayadneh EM, Pendergrass KD, et al. Novel roles of nuclear angiotensin receptors and signaling mechanisms[J]. Am J Physiol Regul Integr Comp Physiol,2012,302(5):R518-530.
[33]
Gwathmey TM, Pendergrass KD, Reid SD, et al. Angiotensin-(1-7)-angiotensin-converting enzyme 2 attenuates reactive oxygen species formation to angiotensin Ⅱ within the cell nucleus[J]. Hypertension, 2010,55(1):166-171.
[34]
Ye R, Liu Z. ACE2 exhibits protective effects against LPS-induced acute lung injury in mice by inhibiting the LPS-TLR4 pathway[J]. Exp Mol Pathol,2019,113:104350.
[1] 黄蓉, 梁自毓, 祁文瑾. NLRP3炎症小体在胎膜早破孕妇血清中的表达及其意义[J/OL]. 中华妇幼临床医学杂志(电子版), 2024, 20(05): 540-548.
[2] 王振宇, 张洪美, 荆琳, 何名江, 闫奇. 膝骨关节炎相关炎症因子与血浆代谢物间的因果关系及中介效应[J/OL]. 中华损伤与修复杂志(电子版), 2024, 19(06): 467-473.
[3] 张洁, 罗小霞, 余鸿. 系统性免疫炎症指数对急性胰腺炎患者并发器官功能损伤的预测价值[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 68-71.
[4] 唐梅, 周丽, 牛岑月, 周小童, 王倩. ICG荧光导航的腹腔镜肝切除术临床意义[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 655-658.
[5] 付成旺, 杨大刚, 王榕, 李福堂. 营养与炎症指标在可切除胰腺癌中的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 704-708.
[6] 唐亦骁, 陈峻, 连正星, 胡海涛, 鲁迪, 徐骁, 卫强. 白果内酯对小鼠肝缺血再灌注损伤保护作用研究[J/OL]. 中华移植杂志(电子版), 2024, 18(05): 278-282.
[7] 杜贵伟, 陆勇, 成博, 贺薏, 梁爽. 钬激光碎石术术后联合坦索罗辛治疗对输尿管结石患者的影响分析[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(05): 491-496.
[8] 高娟, 徐建庆, 闫芳, 丁盛华, 刘霞. Rutkow、TAPP、TEP 手术治疗单侧腹股沟疝患者的临床疗效及对血清炎症因子水平的影响[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 675-680.
[9] 邢嘉翌, 龚佳晟, 祝佳佳, 陆群. 肺癌化疗患者继发肺部感染的病原菌耐药性及炎症因子变化分析[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(05): 714-718.
[10] 孙璐, 蒋亚玲, 陈凌君. 布托啡诺对脑缺血再灌注损伤大鼠神经炎症和JAK2/STAT3信号通路的影响[J/OL]. 中华细胞与干细胞杂志(电子版), 2024, 14(06): 344-350.
[11] 陈利, 杨长青, 朱风尚. 重视炎症性肠病和代谢相关脂肪性肝病间的串话机制研究[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(05): 385-389.
[12] 杭丽, 张耀辉, 孙文恺. 参菝抗瘤液对结直肠腺瘤性息肉术后肠道功能、炎症指标及复发情况的影响[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(05): 413-416.
[13] 丛黎, 马林, 陈旭, 李文文, 张亮亮, 周华亭. 改良CT严重指数联合炎症指标在重症急性胰腺炎患者胰腺感染预测及预后评估中的研究[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(05): 432-436.
[14] 王湛, 李文坤, 杨奕, 徐芳, 周敏思, 苏珈仪, 王亚丹, 吴静. 炎症指标在早发性结直肠肿瘤中的应用[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 802-810.
[15] 欧春影, 李晓宾, 郭靖, 朱亮, 许可, 王梦, 安晓雷. 丁苯酞对血管性认知障碍大鼠炎症因子的影响及对认知障碍的改善作用[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(05): 483-487.
阅读次数
全文


摘要