Cited by 283Influenza Virus Research StudiesRenin-Angiotensin System StudiesRespiratory Support and Mechanisms

Angiotensin-converting enzyme 2 (ACE2) mediates influenza H7N9 virus-induced acute lung injury

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Yang, Penghui, Gu, Hongjing, Zhao, Zhongpeng, Wang, Wei, Cao, Bin, Lai, Chengcai, Yang, Xiaolan, Zhang, LiangYan +8 more·2014·Scientific Reports

Abstract

Since March 2013, the emergence of an avian-origin influenza A (H7N9) virus has raised concern in China. Although most infections resulted in respiratory illness, some severe cases resulted in acute respiratory distress syndrome (ARDS), which is a severe form of acute lung injury (ALI) that further contributes to morbidity. To date, no effective drugs that improve the clinical outcome of influenza A (H7N9) virus-infected patients have been identified. Angiotensin-converting enzyme (ACE) and ACE2 are involved in several pathologies such as cardiovascular functions, renal disease, and acute lung injury. In the current study, we report that ACE2 could mediate the severe acute lung injury induced by influenza A (H7N9) virus infection in an experimental mouse model. Moreover, ACE2 deficiency worsened the disease pathogenesis markedly, mainly by targeting the angiotensin II type 1 receptor (AT1). The current findings demonstrate that ACE2 plays a critical role in influenza A (H7N9) virus-induced acute lung injury, and suggest that might be a useful potential therapeutic target for future influenza A (H7N9) outbreaks.

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References 26 · Cited by 283

Authors
Yang, P., Gu, H., Zhao, Z., Wang, W., Cao, B., Lai, C., Yang, X., Zhang, L., Duan, Y., Zhang, S., Chen, W., Zhen, W., Cai, M., Penninger, J. M., Jiang, C., & Wang, X.
Affiliations
  • Beijing Institute of Microbiology and Epidemiology (CN)
  • Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
  • Capital Medical University (CN)
  • 302 Military Hospital of China (CN)
  • Qingzhou City People's Hospital (CN)
  • Institute of Molecular Biotechnology (AT)
Venue
Scientific Reports
Published
2014-11-13
Volume
4
Issue
1
Pages
7027-7027
ISSN
2045-2322 (ISSN-L)
OpenAlex
W2042477769
Cited by
283
References
26
Citations by year
2026: 4 · 2025: 5 · 2024: 10 · 2023: 14 · 2022: 33 · 2021: 71 · 2020: 127 · 2019: 2 · 2018: 5 · 2017: 3 · 2016: 5 · 2015: 4
FWCI
3.02
Type
journal article
Language
en
Open access
Locations
  • Scientific Reports (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
Beijing Nova Program (Z141107001814054, No. Z141107001814054)
Topics
  • Health Sciences › Medicine › Epidemiology › Influenza Virus Research Studies
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Renin-Angiotensin System Studies
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
Keywords
angiotensin-converting enzyme 2, H7N9 avian influenza, acute lung injury, acute respiratory distress syndrome, angiotensin II type 1 receptor, avian influenza, therapeutic target, mouse model
MeSH terms
Angiotensin-Converting Enzyme 2, Animals, Antiviral Agents, Humans, Imidazoles, Peptidyl-Dipeptidase A, Lung, Mice, Inbred C57BL, Orthomyxoviridae Infections, Pyridines, Signal Transduction, Gene Expression, Survival Analysis, Viral Load, Losartan, Receptor, Angiotensin, Type 2, Receptor, Angiotensin, Type 1, Angiotensin II Type 1 Receptor Blockers, Mice, Acute Lung Injury, Angiotensin II Type 2 Receptor Blockers, Influenza A Virus, H7N9 Subtype

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