Abstract
The role of angiotensin converting enzyme 2 has expanded from regulating the renin angiotensin system to regulating intestinal amino acid homeostasis and the gut microbiome. Recently, angiotensin converting enzyme 2 was identified as a primary receptor for severe acute respiratory syndrome coronaviruses 1 and 2 being expressed in multiple tissues including the luminal surface of the gut. In this brief perspective, we examine the role of angiotensin converting enzyme 2 as the receptor for severe acute respiratory syndrome coronavirus 2 and the impact of coronavirus disease 19 infection on the gut microbiome and on the gut epithelium.
Keywords:
ACE2; Gut Microbiota; SAR-CoV-2.
Copyright © 2021 AGA Institute. Published by Elsevier Inc. All rights reserved.
MeSH terms
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Angiotensin-Converting Enzyme 2 / metabolism*
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Angiotensin-Converting Enzyme 2 / therapeutic use
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Animals
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Anti-Inflammatory Agents / therapeutic use
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Antiviral Agents / therapeutic use
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COVID-19 / enzymology*
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COVID-19 / microbiology
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COVID-19 / virology
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COVID-19 Drug Treatment
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Feces / microbiology
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Feces / virology
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Gastroenteritis / drug therapy
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Gastroenteritis / enzymology*
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Gastroenteritis / microbiology
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Gastroenteritis / virology
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Gastrointestinal Microbiome* / drug effects
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Host-Pathogen Interactions
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Humans
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Intestinal Mucosa / drug effects
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Intestinal Mucosa / enzymology*
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Intestinal Mucosa / microbiology
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Intestinal Mucosa / virology
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Receptors, Virus / metabolism*
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Renin-Angiotensin System
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SARS-CoV-2 / drug effects
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SARS-CoV-2 / pathogenicity*
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Virus Internalization
Substances
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Anti-Inflammatory Agents
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Antiviral Agents
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Receptors, Virus
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ACE2 protein, human
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Angiotensin-Converting Enzyme 2