Issue 65, 2020

ACE2 as a potential therapeutic target for pandemic COVID-19

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

Article information

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

RSC Adv., 2020,10, 39808-39813

ACE2 as a potential therapeutic target for pandemic COVID-19

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

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