Article ; Online: Potential role of endothelial cell surface ectopic redox complexes in COVID-19 disease pathogenesis.
Clinical medicine (London, England)
2020 Volume 20, Issue 5, Page(s) e146–e147
Abstract: ... recently proposed that COVID-19 is an endothelial disease. Indeed, the COVID-19 virus binds to angiotensin ... to disseminated intravascular coagulopathy (DIC). This implies a pivotal role played by oxygen in the pathogenetic mechanism of COVID-19 ... The novel coronavirus infectious disease (COVID-19) has rapidly spread and poses a great challenge ...
| Abstract | The novel coronavirus infectious disease (COVID-19) has rapidly spread and poses a great challenge to researchers, both in elucidating its pathogenic mechanism and developing effective treatments. It has been recently proposed that COVID-19 is an endothelial disease. Indeed, the COVID-19 virus binds to angiotensin-converting enzyme type 2 (ACE2), which is expressed in endothelial cells. ACE2 could be implicated in the production of reactive oxygen species (ROS) caused by endothelial dysfunction due to viral damage. Consequently, oxidative stress could prime these cells to acquire a pro-thrombotic and pro-inflammatory phenotype, predisposing patients to thromboembolic and vasculitic events and to disseminated intravascular coagulopathy (DIC). This implies a pivotal role played by oxygen in the pathogenetic mechanism of COVID-19 disease, in that its availability would tune the oxidant state and consequent damage. |
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| MeSH term(s) | COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/physiopathology ; Disease Progression ; Endothelial Cells/cytology ; Endothelium, Vascular/metabolism ; Humans ; Needs Assessment ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/physiopathology ; Risk Assessment ; Severe Acute Respiratory Syndrome/epidemiology ; Severe Acute Respiratory Syndrome/physiopathology ; Survival Analysis |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-06-29 |
| Publishing country | England |
| Document type | Journal Article ; Review |
| ZDB-ID | 2048646-7 |
| ISSN | 1473-4893 ; 1470-2118 |
| ISSN (online) | 1473-4893 |
| ISSN | 1470-2118 |
| DOI | 10.7861/clinmed.2020-0252 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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