Key result
Losartan treatment resulted in a strong positive correlation between MAS1 and ACE2 expression, suggesting MAS1 expression may predict ACE2 upregulation.
Why the study?
The mechanism through which losartan enhances ACE2 expression remains unclear, and the response of ACE2 to losartan differs among patients.
Does Losartan 50 mg once daily alter ACE2 and RAS component gene expression in patients with peripheral artery disease?
Observational (n=9)
Does Losartan 50 mg once daily alter ACE2 and RAS component gene expression in patients with peripheral artery disease?
Losartan-induced ACE2 expression is strongly correlated with MAS1 upregulation, suggesting MAS1 levels could predict ACE2 response to ARBs in the context of COVID-19.
Answers are grounded in this paper and cite their sources.
MAS1-ACE2 correlation with losartan is hypothesis-generating; leaves open predictive utility for outcomes pending validation.
Angiotensin-converting enzyme 2 (ACE2) is an important factor in coronavirus disease (COVID-19) interactions. Losartan (LOS) belongs to the angiotensin receptor blocker (ARB) family. Additionally, the protective role of ACE2 restored by LOS has been suggested and clinically examined in the treatment of COVID-19 patients. Furthermore, clinical trials with LOS have been conducted. However, the mechanism through which LOS enhances ACE2 expression remains unclear. In addition, the response of ACE2 to LOS differs among patients. Our LOS-treated patient data revealed a correlated mechanism of ACE2 with components of the renin-angiotensinogen system. We observed a significant positive regulation of MAS1 and ACE2 expression. In the context of LOS treatment of COVID-19, ACE2 expression could depend on LOS regulated MAS1. Thus, MAS1 expression could predict the COVID-19 treatment response of LOS.
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Zaheer et al. (2021) conducted an observational in Peripheral artery disease (n=9). Losartan vs. Baseline was evaluated on Correlation between ACE2 and MAS1 expression (r = 0.92, p=<0.001). Losartan treatment resulted in a strong positive correlation between MAS1 and ACE2 expression, suggesting MAS1 expression may predict ACE2 upregulation.
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