新冠肺炎疾病与遗传性血管性水肿

IF 0.3 Q4 ALLERGY Astim Allerji Immunoloji Pub Date : 2020-09-23 DOI:10.21911/AAI.562
Aycan Aşık, N. Mete Gökmen
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引用次数: 3

摘要

自2019年12月以来,导致新冠肺炎疾病的新型冠状病毒(SARS-CoV-2)感染的爆发影响了全世界人类2型肺细胞上的血管紧张素转换酶2(ACE2)受体被确定为SARS-CoV-2受体结合的入口,随后ACE2的内吞减少了细胞膜表达缓激肽代谢来源于低分子量激肽原的Lys-BK酶切产生的Lys-des-Arg9-BK在组织中被ACE2灭活,它是一种具有自身受体的血管舒张剂,称为缓激肽B1。未代谢的Lys-des-Arg9-BK可能是新冠肺炎患者组织血管舒张和血管通透性增加的原因。缓激肽水平增加在遗传性血管性水肿伴C1-INH缺乏症(C1-INH-HAE)的患者中,不会导致严重急性呼吸系统综合征冠状病毒2型感染增加或更严重的疾病
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COVID-19 Disease and Hereditary Angioedema
Since December 2019, an outbreak of a novel coronavirus (SARS-CoV-2) infection causing COVID-19 disease has influenced the whole world Angiotensin converting enzyme 2 (ACE2) receptors on type 2 pneumocytes in humans were determined as the entry for SARS-CoV-2 Receptor binding and subsequently endocytosis of ACE2 diminish the cell membrane expression and also the function of ACE2 ACE2 is an enzyme involved in bradykinin metabolism Lys-des-Arg9-BK occured with enzymatic cleaving of Lys-BK derived from low molecular weight kininogen is inactivated by ACE2 in tissues and it is a vasodilator agent having its own receptor named bradykinin B1 Non-metabolized Lys-des-Arg9-BK can be the reason for tissue vasodilation and increased vascular permeability in the patients with COVID-19 Increased bradykinin levels in patients with hereditary angioedema with C1-INH deficiency (C1-INH-HAE) do not cause increased SARS-CoV-2 infection or more severe disease Although SARS-CoV-2 infection does not result in increased bradykinin levels, it can increase Lys-des-Arg9-BK levels
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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
10
期刊介绍: Asthma Allergy Immunology has been published three times a year in April, August and December as the official and periodical journal of the Turkish National Society of Allergy and Clinical Immunology since 2003. All articles published in the journal have been available online since 2003. A peer reviewed system is used in evaluation of the manuscripts submitted to Asthma Allergy Immunology. The official language of the journal is English. The aim of the journal is to present advances in the field of allergic diseases and clinical immunology to the readers. In accordance with this goal, manuscripts in the format of original research, review, case report, articles about clinical and practical applications and editorials, short report and letters to the editor about allergic diseases and clinical immunology are published in the journal. The target reader population of the Asthma Allergy Immunology includes specialists and residents of allergy and clinical immunology, pulmonology, internal medicine, pediatrics, dermatology and otolaryngology as well as physicians working in other fields of medicine interested in allergy and immunological diseases.
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