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. 2021 May 1;203(9):1191-1196.
doi: 10.1164/rccm.202101-0142LE.

ACE2 Elevation in Severe COVID-19

Affiliations

ACE2 Elevation in Severe COVID-19

Roman Reindl-Schwaighofer et al. Am J Respir Crit Care Med. .
No abstract available

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Figures

Figure 1.
Figure 1.
Systemic ACE2 (angiotensin-converting enzyme 2) concentration in coronavirus disease (COVID-19) over time stratified by severity of disease. ACE2 increased in patients with severe COVID-19, peaking during the Day 9–Day 11 time interval after hospitalization. On Day 10 of follow-up, 29 of all 32 patients with severe COVID-19 were still alive, and the respective renin–angiotensin system (RAS) data were included in RAS profile analysis, reducing a potential bias introduced by the overall high mortality rate in severe COVID-19 that could impact ACE2 and RAS metabolite trajectories. Continuous lines represent local regression curves with 95% local confidence intervals, whereas dashed lines represent individual patient-level data, with blue and red lines for nonsevere and severe COVID-19, respectively. Numbers at the bottom indicate number of patients available for analysis at each time point. ACE2 concentration is reported in ng/ml.

References

    1. Vaduganathan M, Vardeny O, Michel T, McMurray JJV, Pfeffer MA, Solomon SD. Renin-angiotensin-aldosterone system inhibitors in patients with Covid-19. N Engl J Med. 2020;382:1653–1659. - PMC - PubMed
    1. Kuba K, Imai Y, Rao S, Gao H, Guo F, Guan B, et al. A crucial role of angiotensin converting enzyme 2 (ACE2) in SARS coronavirus-induced lung injury. Nat Med. 2005;11:875–879. - PMC - PubMed
    1. Zou Z, Yan Y, Shu Y, Gao R, Sun Y, Li X, et al. Angiotensin-converting enzyme 2 protects from lethal avian influenza A H5N1 infections. Nat Commun. 2014;5:3594. - PMC - PubMed
    1. Garvin MR, Alvarez C, Miller JI, Prates ET, Walker AM, Amos BK, et al. A mechanistic model and therapeutic interventions for COVID-19 involving a RAS-mediated bradykinin storm. Elife. 2020;9:e59177. - PMC - PubMed
    1. Ackermann M, Verleden SE, Kuehnel M, Haverich A, Welte T, Laenger F, et al. Pulmonary vascular endothelialitis, thrombosis, and angiogenesis in Covid-19. N Engl J Med. 2020;383:120–128. - PMC - PubMed

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