Key result
Aging and cell differentiation were associated with depletion of the ACE2 protein in mice and cells, which was mostly accompanied by renin upregulation.
Why the study?
How do aging, cell differentiation, nicotine, and vitamin D2 affect ACE2 and renin levels in preclinical models?
How do aging, cell differentiation, nicotine, and vitamin D2 affect ACE2 and renin levels in preclinical models?
ACE2 protein levels decrease during aging and cell differentiation, often accompanied by renin upregulation, suggesting the entire renin-angiotensin system is relevant for COVID-19 pathophysiology.
ACE2 depletion with aging is hypothesis-generating in preclinical models; leaves open relevance to human cardiovascular disease and therapies.
ACE2 was observed as the cell surface receptor of the SARS-CoV-2 virus. Interestingly, we also found ACE2 positivity inside the cell nucleus. The ACE2 levels changed during cell differentiation and aging and varied in distinct cell types. We observed ACE2 depletion in the aortas of aging female mice, similarly, the aging caused ACE2 decrease in the kidneys. Compared with that in the heart, brain and kidneys, the ACE2 level was the lowest in the mouse lungs. In mice exposed to nicotine, ACE2 was not changed in olfactory bulbs but in the lungs, ACE2 was upregulated in females and downregulated in males. These observations indicate the distinct gender-dependent properties of ACE2. Differentiation into enterocytes, and cardiomyocytes, caused ACE2 depletion. The cardiomyogenesis was accompanied by renin upregulation, delayed in HDAC1-depleted cells. In contrast, vitamin D2 decreased the renin level while ACE2 was upregulated. Together, the ACE2 level is high in non-differentiated cells. This protein is more abundant in the tissues of mouse embryos and young mice in comparison with older animals. Mostly, downregulation of ACE2 is accompanied by renin upregulation. Thus, the pathophysiology of COVID-19 disease should be further studied not only by considering the ACE2 level but also the whole renin-angiotensin system.
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Bártová et al. (2020) studied Aging and cell differentiation. Aging and cell differentiation vs. Young animals and non-differentiated cells was evaluated on ACE2 protein levels. Aging and cell differentiation were associated with depletion of the ACE2 protein in mice and cells, which was mostly accompanied by renin upregulation.
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