Is highly expressed ACE 2 in pregnant women "a curse" in times of COVID-19 pandemic?

Abstract:

:Angiotensin-converting enzyme 2 (ACE 2) is a membrane-bound enzyme that cleaves angiotensin II (Ang II) into angiotensin (1-7). It also serves as an important binding site for SARS-CoV-2, thereby, facilitating viral entry into target host cells. ACE 2 is abundantly present in the intestine, kidney, heart, lungs, and fetal tissues. Fetal ACE 2 is involved in myocardium growth, lungs and brain development. ACE 2 is highly expressed in pregnant women to compensate preeclampsia by modulating angiotensin (1-7) which binds to the Mas receptor, having vasodilator action and maintain fluid homeostasis. There are reports available on Zika, H1N1 and SARS-CoV where these viruses have shown to produce fetal defects but very little is known about SARS-CoV-2 involvement in pregnancy, but it might have the potential to interact with fetal ACE 2 and enhance COVID-19 transmission to the fetus, leading to fetal morbidity and mortality. This review sheds light on a path of SARS-CoV-2 transmission risk in pregnancy and its possible link with fetal ACE 2.

journal_name

Life Sci

journal_title

Life sciences

authors

Dhaundiyal A,Kumari P,Jawalekar SS,Chauhan G,Kalra S,Navik U

doi

10.1016/j.lfs.2020.118676

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

118676

eissn

0024-3205

issn

1879-0631

pii

S0024-3205(20)31429-6

journal_volume

264

pub_type

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