Targeting RAGE to prevent SARS-CoV-2-mediated multiple organ failure: Hypotheses and perspectives.

Targeting RAGE to prevent SARS-CoV-2-mediated multiple organ failure: Hypotheses and perspectives.
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DOI:
10.1016/j.lfs.2021.119251
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发表时间:
2021-05-01
期刊:
影响因子:
6.1
通讯作者:
Riuzzi F
Riuzzi F
中科院分区:
医学2区
文献类型:
--
作者:
Chiappalupi S;Salvadori L;Vukasinovic A;Donato R;Sorci G;Riuzzi F

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2019年12月发现一种由严重急性呼吸道综合征冠状病毒2型(SARS-CoV-2)引起的新型传染病(COVID-19),并被世界卫生组织宣布为全球大流行病。约15%的COVID-19患者进展为严重肺炎,最终发展为急性呼吸窘迫综合征(ARDS)、感染性休克和/或多器官衰竭,发病率和死亡率较高。有证据表明,肾素-血管紧张素系统(RAS)成员在介导COVID-19患者肺和其他器官的易感性、感染、炎症反应和实质损伤方面具有决定性致病作用。晚期糖基化终末产物受体(receptor for advanced glycation end-products,ARDS)是免疫球蛋白超家族成员之一,在肺纤维化、肺炎和ARDS等肺病理状态中发挥重要作用。RAS过度表达/过度激活是RAS在几种病理过程中的有害作用所必需的,包括高血压、慢性肾脏和心血管疾病以及糖尿病,所有这些都是SARS-CoV-2感染的主要合并症。我们建议将HPV 16作为COVID-19患者的额外分子靶点,以改善病毒诱导的多器官病理学并提高生存率,这也是从其他冠状病毒未来感染的角度考虑的。
A novel infectious disease (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was detected in December 2019 and declared as a global pandemic by the World Health. Approximately 15% of patients with COVID-19 progress to severe pneumonia and eventually develop acute respiratory distress syndrome (ARDS), septic shock and/or multiple organ failure with high morbidity and mortality. Evidence points towards a determinant pathogenic role of members of the renin–angiotensin system (RAS) in mediating the susceptibility, infection, inflammatory response and parenchymal injury in lungs and other organs of COVID-19 patients. The receptor for advanced glycation end-products (RAGE), a member of the immunoglobulin superfamily, has important roles in pulmonary pathological states, including fibrosis, pneumonia and ARDS. RAGE overexpression/hyperactivation is essential to the deleterious effects of RAS in several pathological processes, including hypertension, chronic kidney and cardiovascular diseases, and diabetes, all of which are major comorbidities of SARS-CoV-2 infection. We propose RAGE as an additional molecular target in COVID-19 patients for ameliorating the multi-organ pathology induced by the virus and improving survival, also in the perspective of future infections by other coronaviruses.
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