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  • Assessing ACE2 expression p...
    Li, Guoping; He, Xiang; Zhang, Lei; Ran, Qin; Wang, Junyi; Xiong, Anying; Wu, Dehong; Chen, Feng; Sun, Jinlyu; Chang, Christopher

    Journal of autoimmunity, 08/2020, Letnik: 112
    Journal Article

    It has been reported that SARS-CoV-2 may use ACE2 as a receptor to gain entry into human cells, in a way similar to that of SARS-CoV. Analyzing the distribution and expression level of ACE2 may therefore help reveal underlying mechanisms of viral susceptibility and post-infection modulation. In this study, we utilized previously uploaded information on ACE2 expression in various conditions including SARS-CoA to evaluate the role of ACE2 in SARS-CoV and extrapolate that to COVID-19. We found that the expression of ACE2 in healthy populations and patients with underlying diseases was not significantly different. However, based on the elevated expression of ACE2 in cigarette smokers, we speculate that long-term smoking may be a risk factor for COVID-19. Analysis of ACE2 in SARS-CoV infected cells suggests that ACE2 is not only a receptor but is also involved in post-infection regulation, including immune response, cytokine secretion, and viral genome replication. Moreover, we constructed Protein-protein interaction (PPI) networks and identified hub genes in viral activity and cytokine secretion. Our findings may help clinicians and researchers gain more insight into the pathogenesis of SARS-CoV-2 and design therapeutic strategies for COVID-19. •SARS-CoV-2 may use ACE2 as a receptor to gain entry into human cells, in a way similar to that of SARS-CoV.•PPI networks identified RPS3, RPS8 and RPS9 as hub genes in viral activity and SRC and CASP1 in cytokine secretion.•RPS3 plays a key role in viral replication.•SRC non-receptor protein kinase has a role in macrophage mediated innate immunity and cytokine release.•Blocking the ACE2 receptor may be protective or lead to worse lung injury due to the unmitigated action of angiotensin 2.