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Role of age, comorbidity and renin- angiotensin-aldosterone system in COVID-19. Effects of ACE inhibitors and angiotensin receptor blockers

https://doi.org/10.18087/cardio.2020.4.n1122

Abstract

The review addressed the relationship of coronavirus disease 2019 (COVID-19) with functioning of the renin-angiotensin-aldosterone axis and the causes for unfavorable prognosis depending on patients’ age and comorbidities. The authors discussed in detail potential effects of angiotensin-converting enzyme inhibitors and angiotensin II type 1 receptor antagonists on the risk of infection and the course of COVID-2019 as well as the effect of SARS-COV2 virus on the cardiovascular system.

About the Authors

Yu. V. Mareev
National Medical Research Center for Therapy and Preventive Medicine, Petroverigsky Per. 10, Bldg. 3, Moscow 101990
Russian Federation


V. Yu. Mareev
Medical Scientific-Educational Canter of MSU n. a. M. V. Lomonosov, Moscow
Russian Federation
ScD, professor


References

1. Lakatta EG, Levy D. Arterial and Cardiac Aging: Major Shareholders in Cardiovascular Disease Enterprises: Part II: The Aging Heart in Health: Links to Heart Disease. Circulation. 2003;107(2):346–54. DOI: 10.1161/01.CIR.0000048893.62841.F7

2. Kuba K, Imai Y, Rao S, Gao H, Guo F, Guan B et al. A crucial role of angiotensin converting enzyme 2 (ACE2) in SARS coronavirus–induced lung injury. Nature Medicine. 2005;11(8):875–9. DOI: 10.1038/nm1267

3. Hoffmann M, Kleine-Weber H, Schroeder S, Krüger N, Herrler T, Erichsen S et al. SARS-CoV-2 Cell Entry Depends on ACE2 and TMPRSS2 and Is Blocked by a Clinically Proven Protease Inhibitor. Cell. 2020;181(2):271-280.e8. DOI: 10.1016/j.cell.2020.02.052

4. Lakatta EG. The reality of getting old. Nature Reviews Cardiology. 2018;15(9):499–500. DOI: 10.1038/s41569-018-0068-y

5. Belenkov Yu.N., Mareev V.Yu. Principles of rational treatment of chronic heart failure. -M.: Media Medika;2000. – 266 p. [Russian: Беленков Ю.Н., Мареев В.Ю. Принципы рационального лечения хронической сердечной недостаточности. -М.: Медиа Медика; 2000. – 266с]

6. Skvortsov А.А., Nasonova S.N., Sychev A.V., Arbolishvili G.N., Baklanova N.A., Mareev V.Yu. et al. Combined therapy with quinapril, an ace inhibitor, and valsartan, a type 1 angiotensin II receptors blocker, for moderate chronic cardiac failure may raise the degree of neurohormonal block and improve 24-h heart rate variability compared to the effect of monotherapy (data from the trial SADKO-CHF). Therapeutic Archive. 2005;77(8):34–43. [Russian: Скворцов А.А., Насонова С.Н., Сычев А.В., Арболишвили Г.Н., Бакланова Н.А., Мареев В.Ю. и др. Комбинированное применение ингибитора ангиотензинпревращающего фермента квинаприла и блокатора рецепторов 1-го типа к ангиотензину II валсартана у больных с умеренной хронической сердечной недостаточностью: возможно ли повышение степени нейрогормональной блокады и улучшение параметров суточной вариабельности ритма сердца по сравнению с действием монотерапии (по результатам исследования САДКО-ХСН). Терапевтический архив. 2005;77(8):34-43]

7. AlGhatrif M, Cingolani O, Lakatta EG. The Dilemma of Coronavirus Disease 2019, Aging, and Cardiovascular Disease: Insights from Cardiovascular Aging Science. JAMA Cardiology. 2020; [Epub ahead of print]. DOI: 10.1001/jamacardio.2020.1329

8. Arnold AC, Gallagher PE, Diz DI. Brain renin–angiotensin system in the nexus of hypertension and aging. Hypertension Research. 2013;36(1):5–13. DOI: 10.1038/hr.2012.161

9. Xudong X, Junzhu C, Xingxiang W, Furong Z, Yanrong L. Age- and gender-related difference of ACE2 expression in rat lung. Life Sciences. 2006;78(19):2166–71. DOI: 10.1016/j.lfs.2005.09.038

10. Schouten LR, van Kaam AH, Kohse F, Veltkamp F, Bos LD, de Beer FM et al. Age-dependent differences in pulmonary host responses in ARDS: a prospective observational cohort study. Annals of Intensive Care. 2019;9(1):55. DOI: 10.1186/s13613-019-0529-4

11. Liu Y, Yang Y, Zhang C, Huang F, Wang F, Yuan J et al. Clinical and biochemical indexes from 2019-nCoV infected patients linked to viral loads and lung injury. Science China Life Sciences. 2020;63(3):364–74. DOI: 10.1007/s11427-020-1643-8

12. Liang W, Zhu Z, Guo J, Liu Z, He X, Zhou W et al. Severe Acute Respiratory Syndrome, Beijing, 2003. Emerging Infectious Diseases. 2004;10(1):25–31. DOI: 10.3201/eid1001.030553

13. Backhaus A. Coronavirus: Why it’s so deadly in Italy. Medium. 2020; [Internet. Av. at: https://medium.com/@andreasbackhausab/coronavirus-why-its-so-deadly-in-italy-c4200a15a7bf]

14. Grasselli G, Zangrillo A, Zanella A, Antonelli M, Cabrini L, Castelli A et al. Baseline Characteristics and Outcomes of 1591 Patients Infected with SARS-CoV-2 Admitted to ICUs of the Lombardy Region, Italy. JAMA. 2020; [Epub ahead of print]. DOI: 10.1001/jama.2020.5394

15. Official website of the Mayor of Moscow. Coronavirus: official information. Av. at: https://www.mos.ru/city/projects/covid-19/. 2020. [Russian: Официальный сайт Мэра Москвы. Коронавирус: официальная информация. Доступно на: https://www.mos.ru/city/projects/covid-19/. 2020.]

16. China: age distribution of novel coronavirus patients 2020. [Internet] Available at: https://www.statista.com/statistics/1095024/china-age-distribution-of-wuhan-coronavirus-covid-19-patients/

17. Wu Z, McGoogan JM. Characteristics of and Important Lessons from the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020;323(13):1239. DOI: 10.1001/jama.2020.2648

18. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. The Lancet. 2020;395(10229):1054–62. DOI: 10.1016/S0140-6736(20)30566-3

19. Watkins J. Re: Preventing a covid-19 pandemic: ACE inhibitors as a potential risk factor for fatal Covid-19. BMJ. 2020;m810. [Av. at: https://www.bmj.com/content/368/bmj.m810/rr-2]. DOI: 10.1136/bmj.m810

20. Phadke MA. Use of angiotensin receptor blockers such as Telmisartan, Losartsan in nCoV Wuhan Corona Virus infections – Novel mode of treatment. BMJ. 2020; [Av. at: https://www.bmj.com/content/368/bmj.m406/rr-2]

21. Vaduganathan M, Vardeny O, Michel T, McMurray JJV, Pfeffer MA, Solomon SD. Renin–Angiotensin–Aldosterone System Inhibitors in Patients with Covid-19. New England Journal of Medicine. 2020;NEJMsr2005760. [Epub ahead of print]. DOI: 10.1056/NEJMsr2005760

22. Roca-Ho H, Riera M, Palau V, Pascual J, Soler M. Characterization of ACE and ACE2 Expression within Different Organs of the NOD Mouse. International Journal of Molecular Sciences. 2017;18(3):563. DOI: 10.3390/ijms18030563

23. Ferrario CM, Jessup J, Chappell MC, Averill DB, Brosnihan KB, Tallant EA et al. Effect of Angiotensin-Converting Enzyme Inhibition and Angiotensin II Receptor Blockers on Cardiac Angiotensin-Converting Enzyme 2. Circulation. 2005;111(20):2605–10. DOI: 10.1161/CIRCULATIONAHA.104.510461

24. Ocaranza MP, Godoy I, Jalil JE, Varas M, Collantes P, Pinto M et al. Enalapril Attenuates Downregulation of Angiotensin-Converting Enzyme 2 in the Late Phase of Ventricular Dysfunction in Myocardial Infarcted Rat. Hypertension. 2006;48(4):572–8. DOI: 10.1161/01.HYP.0000237862.94083.45

25. Ishiyama Y, Gallagher PE, Averill DB, Tallant EA, Brosnihan KB, Ferrario CM. Upregulation of Angiotensin-Converting Enzyme 2 After Myocardial Infarction by Blockade of Angiotensin II Receptors. Hypertension. 2004;43(5):970–6. DOI: 10.1161/01.HYP.0000124667.34652.1a

26. Hamming I, Van Goor H, Turner AJ, Rushworth CA, Michaud AA, Corvol P et al. Differential regulation of renal angiotensin-converting enzyme (ACE) and ACE2 during ACE inhibition and dietary sodium restriction in healthy rats: Renal ACE and ACE2 during ACE inhibition and low salt. Experimental Physiology. 2008;93(5):631–8. DOI: 10.1113/expphysiol.2007.041855

27. Burchill LJ, Velkoska E, Dean RG, Griggs K, Patel SK, Burrell LM. Combination renin–angiotensin system blockade and angiotensin-converting enzyme 2 in experimental myocardial infarction: implications for future therapeutic directions. Clinical Science. 2012;123(11):649–58. DOI: 10.1042/CS20120162

28. Furuhashi M, Moniwa N, Mita T, Fuseya T, Ishimura S, Ohno K et al. Urinary Angiotensin-Converting Enzyme 2 in Hypertensive Patients May Be Increased by Olmesartan, an Angiotensin II Receptor Blocker. American Journal of Hypertension. 2015;28(1):15–21. DOI: 10.1093/ajh/hpu086

29. Xu H, Zhong L, Deng J, Peng J, Dan H, Zeng X et al. High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa. International Journal of Oral Science. 2020;12(1):8. DOI: 10.1038/s41368-020-0074-x

30. Perico L, Benigni A, Remuzzi G. Should COVID-19 Concern Nephrologists? Why and to What Extent? The Emerging Impasse of Angiotensin Blockade. Nephron. 2020;1–9. [Epub ahead of print]. DOI: 10.1159/000507305

31. Recombinant Human Angiotensin-converting Enzyme 2 (rhACE2) as a Treatment for Patients with COVID-19. ClinicalTrials.gov Identifier: NCT04287686. 2020. [Av. at: https://clinicaltrials.gov/ct2/show/NCT04287686]

32. Guo J, Huang Z, Lin L, Lv J. Coronavirus Disease 2019 (COVID‐19) and Cardiovascular Disease: A Viewpoint on the Potential Influence of Angiotensin‐Converting Enzyme Inhibitors/Angiotensin Receptor Blockers on Onset and Severity of Severe Acute Respiratory Syndrome Coronavirus 2 Infection. Journal of the American Heart Association. 2020;9(7):e016219. DOI: 10.1161/JAHA.120.016219

33. Zhang P, Zhu L, Cai J, Lei F, Qin J-J, Xie J et al. Association of Inpatient Use of Angiotensin Converting Enzyme Inhibitors and Angiotensin II Receptor Blockers with Mortality Among Patients with Hypertension Hospitalized with COVID-19. Circulation Research. 2020; [Epub ahead of print]. DOI: 10.1161/CIRCRESAHA.120.317134

34. Bean D, Kraljevic Z, Searle T, Bendayan R, Pickles A, Folarin A et al. Treatment with ACE-inhibitors is associated with less severe disease with SARS-Covid-19 infection in a multi-site UK acute Hospital Trust. DOI: 10.1101/2020.04.07.20056788 [Av. at: http://medrxiv.org/lookup/doi/10.1101/2020.04.07.20056788]. 2020.

35. Liu Y, Huang F, Xu J, Yang P, Qin Y, Cao M et al. Anti-hypertensive Angiotensin II receptor blockers associated to mitigation of disease severity in elderly COVID-19 patients. DOI: 10.1101/2020.03.20.20039586 [Av. at: http://medrxiv.org/lookup/doi/10.1101/2020.03.20.20039586]. 2020.

36. Yang G, Tan Z, Zhou L, Yang M, Peng L, Liu J et al. Angiotensin II Receptor Blockers and Angiotensin-Converting Enzyme Inhibitors Usage is Associated with Improved Inflammatory Status and Clinical Outcomes in COVID-19 Patients with Hypertension. DOI: 10.1101/2020.03.31.20038935 [Av. at: http://medrxiv.org/lookup/doi/10.1101/2020.03.31.20038935]. 2020.

37. Losartan for Patients with COVID-19 Requiring Hospitalization. 2020. ClinicalTrials.gov Identifier: NCT04312009. [Internet] Available at: https://clinicaltrials.gov/ct2/show/NCT04312009

38. Losartan for Patients with COVID-19 Not Requiring Hospitalization. 2020. ClinicalTrials.gov Identifier: NCT04311177. [Internet] Available at: https://clinicaltrials.gov/ct2/show/NCT04311177

39. Caldeira D, Alarcao J, Vaz-Carneiro A, Costa J. Risk of pneumonia associated with use of angiotensin converting enzyme inhibitors and angiotensin receptor blockers: systematic review and meta-analysis. BMJ. 2012;345:e4260–e4260. DOI: 10.1136/bmj.e4260

40. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J et al. Clinical Characteristics of 138 Hospitalized Patients with 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China. JAMA. 2020;323(11):1061–9. DOI: 10.1001/jama.2020.1585

41. Chen L, Li X, Chen M, Feng Y, Xiong C. The ACE2 expression in human heart indicates new potential mechanism of heart injury among patients infected with SARS-CoV-2. Cardiovascular Research. 2020;cvaa078. [Epub ahead of print]. DOI: 10.1093/cvr/cvaa078

42. Madjid M, Safavi-Naeini P, Solomon SD, Vardeny O. Potential Effects of Coronaviruses on the Cardiovascular System: A Review. JAMA Cardiology. 2020; [Epub ahead of print]. DOI: 10.1001/jamacardio.2020.1286

43. Hu H, Ma F, Wei X, Fang Y. Coronavirus fulminant myocarditis treated with glucocorticoid and human immunoglobulin. European Heart Journal. 2020;ehaa190. [Epub ahead of print]. DOI: 10.1093/eurheartj/ehaa190

44. Guidelines for the diagnosis and treatment of diseases of the circulatory system (CCS) in the context of the COVID-19 pandemic. Av. at: https://scardio.ru/news/novosti_obschestva/rukovodstvo_po_diagnostike_i_lecheniyu_bolezney_sistemy_krovoobrascheniya_bsk_v_kontekste_pandemii_covid19/. 2020. [Russian: Руководство по диагностике и лечению болезней системы кровообращения (БСК) в контексте пандемии COVID-19. Доступно на: https://scardio.ru/news/novosti_obschestva/rukovodstvo_po_diagnostike_i_lecheniyu_bolezney_sistemy_krovoobrascheniya_bsk_v_kontekste_pandemii_covid19/. 2020]

45. Oudit GY, Kassiri Z, Jiang C, Liu PP, Poutanen SM, Penninger JM et al. SARS-coronavirus modulation of myocardial ACE2 expression and inflammation in patients with SARS. European Journal of Clinical Investigation. 2009;39(7):618–25. DOI: 10.1111/j.1365-2362.2009.02153.x

46. De Simone G. Position Statement of the ESC Council on Hypertension on ACE-Inhibitors and Angiotensin Receptor Blockers. Av. at: https://www.escardio.org/Councils/Council-on-Hypertension-(CHT)/News/position-statement-of-the-esc-council-on-hypertension-on-ace-inhibitors-and-ang. 2020.

47. American College of Cardiology. HFSA/ACC/AHA Statement Addresses Concerns Re: Using RAAS Antagonists in COVID-19. Av. at: https://www.acc.org/latest-in-cardiology/articles/2020/03/17/08/59/hfsa-acc-aha-statement-addresses-concerns-re-using-raas-antagonists-in-covid-19. 2020.


Review

For citations:


Mareev Yu.V., Mareev V.Yu. Role of age, comorbidity and renin- angiotensin-aldosterone system in COVID-19. Effects of ACE inhibitors and angiotensin receptor blockers. Kardiologiia. 2020;60(4):4-9. https://doi.org/10.18087/cardio.2020.4.n1122

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