The Role of Angiotensin Converting Enzyme 2 in Modulating Gut Microbiota, Intestinal Inflammation, and Coronavirus Infection

Gastroenterology. 2021 Jan;160(1):39-46. doi: 10.1053/j.gastro.2020.07.067. Epub 2020 Oct 30.

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.

Publication types

  • Review

MeSH terms

  • Angiotensin-Converting Enzyme 2 / metabolism*
  • Angiotensin-Converting Enzyme 2 / therapeutic use
  • Animals
  • Anti-Inflammatory Agents / therapeutic use
  • Antiviral Agents / therapeutic use
  • COVID-19 / enzymology*
  • COVID-19 / microbiology
  • COVID-19 / virology
  • COVID-19 Drug Treatment
  • Feces / microbiology
  • Feces / virology
  • Gastroenteritis / drug therapy
  • Gastroenteritis / enzymology*
  • Gastroenteritis / microbiology
  • Gastroenteritis / virology
  • Gastrointestinal Microbiome* / drug effects
  • Host-Pathogen Interactions
  • Humans
  • Intestinal Mucosa / drug effects
  • Intestinal Mucosa / enzymology*
  • Intestinal Mucosa / microbiology
  • Intestinal Mucosa / virology
  • Receptors, Virus / metabolism*
  • Renin-Angiotensin System
  • SARS-CoV-2 / drug effects
  • SARS-CoV-2 / pathogenicity*
  • Virus Internalization

Substances

  • Anti-Inflammatory Agents
  • Antiviral Agents
  • Receptors, Virus
  • ACE2 protein, human
  • Angiotensin-Converting Enzyme 2