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  • Briquez, PS, et al. (author)
  • Severe COVID-19 induces autoantibodies against angiotensin II that correlate with blood pressure dysregulation and disease severity
  • 2022
  • In: Science advances. - : American Association for the Advancement of Science (AAAS). - 2375-2548. ; 8:40, s. eabn3777-
  • Journal article (peer-reviewed)abstract
    • Patients infected with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can experience life-threatening respiratory distress, blood pressure dysregulation, and thrombosis. This is thought to be associated with an impaired activity of angiotensin-converting enzyme 2 (ACE2), which is the main entry receptor of SARS-CoV-2 and which also tightly regulates blood pressure by converting the vasoconstrictive peptide angiotensin II (AngII) to a vasopressor peptide. Here, we show that a significant proportion of hospitalized patients with COVID-19 developed autoantibodies against AngII, whose presence correlates with lower blood oxygenation, blood pressure dysregulation, and overall higher disease severity. Anti-AngII antibodies can develop upon specific immune reaction to the SARS-CoV-2 proteins Spike or receptor-binding domain (RBD), to which they can cross-bind, suggesting some epitope mimicry between AngII and Spike/RBD. These results provide important insights on how an immune reaction against SARS-CoV-2 can impair blood pressure regulation.
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Type of publication
journal article (1)
Type of content
peer-reviewed (1)
Author/Editor
Yu, J. (1)
Gajewski, TF (1)
Trujillo, J (1)
Briquez, PS (1)
Rouhani, SJ (1)
Pyzer, AR (1)
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Dugan, HL (1)
Stamper, CT (1)
Changrob, S (1)
Sperling, AI (1)
Wilson, PC (1)
Hubbell, JA (1)
Swartz, MA (1)
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University
Karolinska Institutet (1)
Language
English (1)
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