2020
DOI: 10.1038/s41440-020-0515-0
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Hypertension and related diseases in the era of COVID-19: a report from the Japanese Society of Hypertension Task Force on COVID-19

Abstract: Coronavirus disease-2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has affected more than seven million people worldwide, contributing to 0.4 million deaths as of June 2020. The fact that the virus uses angiotensin-converting enzyme (ACE)-2 as the cell entry receptor and that hypertension as well as cardiovascular disorders frequently coexist with COVID-19 have generated considerable discussion on the management of patients with hypertension. In addition, the COVID-19 … Show more

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Cited by 156 publications
(147 citation statements)
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“…Given the potential benefit of ACE2 in regulating organ function, including that of skeletal muscles, attention has also been paid to the modulation of ACE2 expression or activity via pharmacological and non-pharmacological interventions. Regarding pharmacological modulation, while inhibitors of RAS, AT1 blockers (ARB), and ACE inhibitors have been shown to increase the expression or activity of several organs including the heart, kidney and arteries [2,140], no previous report supports the increase in ACE2 by these drugs in skeletal muscle. A study reported that pioglitazone, a PPARγ agonist, increased the protein expression of ACE2 in the liver, adipose tissue, and skeletal muscle in rats fed with a high-fat diet [141].…”
Section: Pharmacological or Non-pharmacological Modulation Of Ace2 Inmentioning
confidence: 99%
“…Given the potential benefit of ACE2 in regulating organ function, including that of skeletal muscles, attention has also been paid to the modulation of ACE2 expression or activity via pharmacological and non-pharmacological interventions. Regarding pharmacological modulation, while inhibitors of RAS, AT1 blockers (ARB), and ACE inhibitors have been shown to increase the expression or activity of several organs including the heart, kidney and arteries [2,140], no previous report supports the increase in ACE2 by these drugs in skeletal muscle. A study reported that pioglitazone, a PPARγ agonist, increased the protein expression of ACE2 in the liver, adipose tissue, and skeletal muscle in rats fed with a high-fat diet [141].…”
Section: Pharmacological or Non-pharmacological Modulation Of Ace2 Inmentioning
confidence: 99%
“…Comorbid diseases such as diabetes and cardiovascular disease are known to increase the severity of COVID-19 1 4) . Hypertension has also been reported to be associated with severe or critical disease in several studies 5 6 7) . It is presumed that the relationship between hypertension and severity of COVID-19 is related to angiotensin-converting enzyme 2 (ACE2) 7) .…”
Section: Introductionmentioning
confidence: 96%
“…Hypertension has also been reported to be associated with severe or critical disease in several studies 5 6 7) . It is presumed that the relationship between hypertension and severity of COVID-19 is related to angiotensin-converting enzyme 2 (ACE2) 7) . The spike protein of SARS-CoV-2 binds to ACE2 and causes depletion and downregulation of ACE2 8) .…”
Section: Introductionmentioning
confidence: 96%
“…Since ACEIs and ARBs can significantly increase ACE2 expression, several researchers speculate that they are correlated with an increased risk of COVID-19. Moreover, renin-angiotensin inhibitors are commonly used to treat patients with cardiovascular diseases who have an increased mortality risk during COVID-19 epidemics ( 31 ). Diabetes is the third most common potential comorbidity among patients with COVID-19.…”
Section: Epidemiology Of Sars-cov-2mentioning
confidence: 99%