ACE2 as a potential therapeutic target for pandemic COVID-19 (original) (raw)

Author affiliations

* Corresponding authors

a National Institute of Pharmaceutical Education and Research (NIPER), Dept. of Pharmaceuticals, Ministry of Chemicals and Fertilizers, Govt. of India, Balanagar, Hyderabad-500 037, Telangana, India
E-mail: bhaswatichatterjee@yahoo.com, bhaswati@niperhyd.ac.in

b Centre for Cellular and Molecular Biology, Uppal Road, Hyderabad-500007, India
E-mail: sst@ccmb.res.in
Tel: +91-40-27192865, +91-40-27192505

Abstract

SARS-CoV-2 virus invades the host through angiotensin-converting enzyme 2 (ACE2) receptors by decreasing the ACE2 expression of the host. This disturbs the dynamic equilibrium between the ACE/Ang II/AT1R axis and ACE2/Ang (1–7)/Mas receptor axis. Therefore, the clinically approved drugs belonging to (i) angiotensin converting enzyme (ACE) inhibitors such as captopril, and enalaprilat, (ii) angiotensin-receptor blockers (ARBs) such as losartan, candesartan, olmesartan, azilsartan, irbesartan, and telmisartan and (iii) the combination of ACE inhibitors and ARBs such as losartan with lisinopril and captopril with losartan, and (iv) recombinant ACE2, were studied for their ability to activate ACE2 in different medical conditions including hypertension, inflammation, cardiovascular, renal and lung diseases. These clinically approved drugs were found to activate ACE2 that had been downregulated in different medical conditions including hypertension, inflammation, cardiovascular, renal and lung diseases. Therefore, these drugs may be repurposed to re-activate the downregulated ACE2 of COVID-19 patients. These drugs either alone or in combination may be repurposed as prophylactics and therapeutics against SARS-CoV-2 virus.

Graphical abstract: ACE2 as a potential therapeutic target for pandemic COVID-19

This article is Open Access

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Article information

DOI

https://doi.org/10.1039/D0RA08228G

Article type

Review Article

Submitted

25 Sep 2020

Accepted

26 Oct 2020

First published

01 Nov 2020

This article is Open Access

Creative Commons BY-NC license

Download Citation

RSC Adv., 2020,10, 39808-39813

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ACE2 as a potential therapeutic target for pandemic COVID-19

B. Chatterjee and S. S. Thakur,RSC Adv., 2020, 10, 39808DOI: 10.1039/D0RA08228G

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