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Cited by 535

The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.

Smoking Upregulates Angiotensin-Converting Enzyme-2 Receptor: A Potential Adhesion Site for Novel Coronavirus SARS-CoV-2 (Covid-19)

Open access
Brake, Samuel James, Barnsley, Kathryn, Lu, Wenying, McAlinden, Kielan Darcy, Eapen, Mathew Suji, Sohal, Sukhwinder Singh·2020·Journal of Clinical Medicine

Abstract

The epicenter of the original outbreak in China has high male smoking rates of around 50%, and early reported death rates have an emphasis on older males, therefore the likelihood of smokers being overrepresented in fatalities is high. In Iran, China, Italy, and South Korea, female smoking rates are much lower than males. Fewer females have contracted the virus. If this analysis is correct, then Indonesia would be expected to begin experiencing high rates of Covid-19 because its male smoking rate is over 60% (Tobacco Atlas). Smokers are vulnerable to respiratory viruses. Smoking can upregulate angiotensin-converting enzyme-2 (ACE2) receptor, the known receptor for both the severe acute respiratory syndrome (SARS)-coronavirus (SARS-CoV) and the human respiratory coronavirus NL638. This could also be true for new electronic smoking devices such as electronic cigarettes and “heat-not-burn” IQOS devices. ACE2 could be a novel adhesion molecule for SARS-CoV-2 causing Covid-19 and a potential therapeutic target for the prevention of fatal microbial infections, and therefore it should be fast tracked and prioritized for research and investigation. Data on smoking status should be collected on all identified cases of Covid-19.

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Crossref · 10.3390/jcm9030841

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Metadata

Authors
Brake, S. J., Barnsley, K., Lu, W., McAlinden, K. D., Eapen, M. S., & Sohal, S. S.
Venue
Journal of Clinical Medicine
Publisher
MDPI AG
Published
2020-03-20
Volume
9
Issue
3
Pages
841
ISSN
2077-0383 (ISSN-L)
OpenAlex
W3011260630
Cited by
535
References
7
FWCI
15.06
Type
journal article
Language
en
Open access
gold

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