Increased complications of COVID-19 in people with cardiovascular disease: Role of the renin–angiotensin-aldosterone system (RAAS) dysregulation

<p dir="ltr">The rapid spread of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) that causes coronavirus disease 2019 (COVID‐19), has had a dramatic negative impact on public health and economies worldwide. Recent studies on COVID-19 complications and mortality rates sug...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Robin Augustine (3976964) (author)
مؤلفون آخرون: Abhilash S (17151130) (author), Ajisha Nayeem (17151133) (author), Shaheen Abdul Salam (17151136) (author), Priya Augustine (17151139) (author), Pan Dan (5938505) (author), Pablo Maureira (3599633) (author), Fatima Mraiche (715733) (author), Carmine Gentile (4668727) (author), Philip M. Hansbro (7501037) (author), Lana McClements (282400) (author), Anwarul Hasan (1332066) (author)
منشور في: 2022
الموضوعات:
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author Robin Augustine (3976964)
author2 Abhilash S (17151130)
Ajisha Nayeem (17151133)
Shaheen Abdul Salam (17151136)
Priya Augustine (17151139)
Pan Dan (5938505)
Pablo Maureira (3599633)
Fatima Mraiche (715733)
Carmine Gentile (4668727)
Philip M. Hansbro (7501037)
Lana McClements (282400)
Anwarul Hasan (1332066)
author2_role author
author
author
author
author
author
author
author
author
author
author
author_facet Robin Augustine (3976964)
Abhilash S (17151130)
Ajisha Nayeem (17151133)
Shaheen Abdul Salam (17151136)
Priya Augustine (17151139)
Pan Dan (5938505)
Pablo Maureira (3599633)
Fatima Mraiche (715733)
Carmine Gentile (4668727)
Philip M. Hansbro (7501037)
Lana McClements (282400)
Anwarul Hasan (1332066)
author_role author
dc.creator.none.fl_str_mv Robin Augustine (3976964)
Abhilash S (17151130)
Ajisha Nayeem (17151133)
Shaheen Abdul Salam (17151136)
Priya Augustine (17151139)
Pan Dan (5938505)
Pablo Maureira (3599633)
Fatima Mraiche (715733)
Carmine Gentile (4668727)
Philip M. Hansbro (7501037)
Lana McClements (282400)
Anwarul Hasan (1332066)
dc.date.none.fl_str_mv 2022-01-05T00:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.cbi.2021.109738
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Increased_complications_of_COVID-19_in_people_with_cardiovascular_disease_Role_of_the_renin_angiotensin-aldosterone_system_RAAS_dysregulation/24314341
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Pharmacology and pharmaceutical sciences
Cardiovascular diseases
COVID-19
Coronavirus
SARS-CoV-2
RAAS
ACE2
dc.title.none.fl_str_mv Increased complications of COVID-19 in people with cardiovascular disease: Role of the renin–angiotensin-aldosterone system (RAAS) dysregulation
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">The rapid spread of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) that causes coronavirus disease 2019 (COVID‐19), has had a dramatic negative impact on public health and economies worldwide. Recent studies on COVID-19 complications and mortality rates suggest that there is a higher prevalence in cardiovascular diseases (CVD) patients. Past investigations on the associations between pre-existing CVDs and susceptibility to coronavirus infections including SARS‐CoV and the Middle East Respiratory Syndrome coronavirus (MERS-CoV), have demonstrated similar results. However, the underlying mechanisms are poorly understood. This has impeded adequate risk stratification and treatment strategies for CVD patients with SARS-CoV-2 infections. Generally, dysregulation of the expression of angiotensin‐converting enzyme (ACE) and the counter regulator, angiotensin‐converting enzyme 2 (ACE2) is a hallmark of cardiovascular risk and CVD. ACE2 is the main host receptor for SARS-CoV-2. Although further studies are required, dysfunction of ACE2 after virus binding and dysregulation of the renin-angiotensin-aldosterone system (RAAS) signaling may worsen the outcomes of people affected by COVID-19 and with preexisting CVD. Here, we review the current knowledge and outline the gaps related to the relationship between CVD and COVID-19 with a focus on the RAAS. Improved understanding of the mechanisms regulating viral entry and the role of RAAS may direct future research with the potential to improve the prevention and management of COVID-19.</p><h2>Other Information</h2><p dir="ltr">Published in: Chemico-Biological Interactions<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.cbi.2021.109738" target="_blank">https://dx.doi.org/10.1016/j.cbi.2021.109738</a></p>
eu_rights_str_mv openAccess
id Manara2_8c8a58686ddfd6a8bdcc1aa2a3fc7da9
identifier_str_mv 10.1016/j.cbi.2021.109738
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/24314341
publishDate 2022
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rights_invalid_str_mv CC BY 4.0
spelling Increased complications of COVID-19 in people with cardiovascular disease: Role of the renin–angiotensin-aldosterone system (RAAS) dysregulationRobin Augustine (3976964)Abhilash S (17151130)Ajisha Nayeem (17151133)Shaheen Abdul Salam (17151136)Priya Augustine (17151139)Pan Dan (5938505)Pablo Maureira (3599633)Fatima Mraiche (715733)Carmine Gentile (4668727)Philip M. Hansbro (7501037)Lana McClements (282400)Anwarul Hasan (1332066)Biomedical and clinical sciencesCardiovascular medicine and haematologyPharmacology and pharmaceutical sciencesCardiovascular diseasesCOVID-19CoronavirusSARS-CoV-2RAASACE2<p dir="ltr">The rapid spread of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) that causes coronavirus disease 2019 (COVID‐19), has had a dramatic negative impact on public health and economies worldwide. Recent studies on COVID-19 complications and mortality rates suggest that there is a higher prevalence in cardiovascular diseases (CVD) patients. Past investigations on the associations between pre-existing CVDs and susceptibility to coronavirus infections including SARS‐CoV and the Middle East Respiratory Syndrome coronavirus (MERS-CoV), have demonstrated similar results. However, the underlying mechanisms are poorly understood. This has impeded adequate risk stratification and treatment strategies for CVD patients with SARS-CoV-2 infections. Generally, dysregulation of the expression of angiotensin‐converting enzyme (ACE) and the counter regulator, angiotensin‐converting enzyme 2 (ACE2) is a hallmark of cardiovascular risk and CVD. ACE2 is the main host receptor for SARS-CoV-2. Although further studies are required, dysfunction of ACE2 after virus binding and dysregulation of the renin-angiotensin-aldosterone system (RAAS) signaling may worsen the outcomes of people affected by COVID-19 and with preexisting CVD. Here, we review the current knowledge and outline the gaps related to the relationship between CVD and COVID-19 with a focus on the RAAS. Improved understanding of the mechanisms regulating viral entry and the role of RAAS may direct future research with the potential to improve the prevention and management of COVID-19.</p><h2>Other Information</h2><p dir="ltr">Published in: Chemico-Biological Interactions<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.cbi.2021.109738" target="_blank">https://dx.doi.org/10.1016/j.cbi.2021.109738</a></p>2022-01-05T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.cbi.2021.109738https://figshare.com/articles/journal_contribution/Increased_complications_of_COVID-19_in_people_with_cardiovascular_disease_Role_of_the_renin_angiotensin-aldosterone_system_RAAS_dysregulation/24314341CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/243143412022-01-05T00:00:00Z
spellingShingle Increased complications of COVID-19 in people with cardiovascular disease: Role of the renin–angiotensin-aldosterone system (RAAS) dysregulation
Robin Augustine (3976964)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Pharmacology and pharmaceutical sciences
Cardiovascular diseases
COVID-19
Coronavirus
SARS-CoV-2
RAAS
ACE2
status_str publishedVersion
title Increased complications of COVID-19 in people with cardiovascular disease: Role of the renin–angiotensin-aldosterone system (RAAS) dysregulation
title_full Increased complications of COVID-19 in people with cardiovascular disease: Role of the renin–angiotensin-aldosterone system (RAAS) dysregulation
title_fullStr Increased complications of COVID-19 in people with cardiovascular disease: Role of the renin–angiotensin-aldosterone system (RAAS) dysregulation
title_full_unstemmed Increased complications of COVID-19 in people with cardiovascular disease: Role of the renin–angiotensin-aldosterone system (RAAS) dysregulation
title_short Increased complications of COVID-19 in people with cardiovascular disease: Role of the renin–angiotensin-aldosterone system (RAAS) dysregulation
title_sort Increased complications of COVID-19 in people with cardiovascular disease: Role of the renin–angiotensin-aldosterone system (RAAS) dysregulation
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Pharmacology and pharmaceutical sciences
Cardiovascular diseases
COVID-19
Coronavirus
SARS-CoV-2
RAAS
ACE2