Impact of SARS-CoV-2 variants on viral infectivity and the role of the renin-angiotensin-aldosterone system
- PMID: 39871005
- DOI: 10.1038/s41440-025-02115-0
Impact of SARS-CoV-2 variants on viral infectivity and the role of the renin-angiotensin-aldosterone system
Abstract
Balance between Protective vs. Exacerbating Effects of ACEIs and ARBs in Omicron Variant Infections. The spike protein on the surface of the Omicron variant has a high affinity for ACE2, making it more prone to enter cells and induce ACE2 downregulation. Therefore, the effects of ACEIs and ARBs on Omicron variant infections may differ from those of the previous variants. The current study demonstrates that ACEIs and ARBs do not aggravate or prolong COVID-19 due to Omicron variant infections.
Keywords: COVID-19; Omicron; RAAS inhibitor.
© 2025. The Author(s), under exclusive licence to The Japanese Society of Hypertension.
Conflict of interest statement
Compliance with ethical standards. Conflict of interest: The authors declare no competing interests.
Comment on
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Effect of the renin-angiotensin-aldosterone system inhibitors on time to nucleic acid negative conversion in hypertensive patients with SARS-CoV-2 omicron infection: a propensity score matching study.Hypertens Res. 2025 Jan;48(1):273-283. doi: 10.1038/s41440-024-01953-8. Epub 2024 Nov 6. Hypertens Res. 2025. PMID: 39506050
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