解放军医学杂志2024,Vol.49Issue(1) :115-120.DOI:10.11855/j.issn.0577-7402.0493.2023.0915

CypA/CD147在SARS-CoV-2感染性心血管疾病诊疗中的作用研究进展

Progress on effect of CypA/CD147 in diagnosis and treatment of cardiovascular system disease infected by SARS-CoV-2

马明仁 王菲 蔡晓庆 刘燕 马凌
解放军医学杂志2024,Vol.49Issue(1) :115-120.DOI:10.11855/j.issn.0577-7402.0493.2023.0915

CypA/CD147在SARS-CoV-2感染性心血管疾病诊疗中的作用研究进展

Progress on effect of CypA/CD147 in diagnosis and treatment of cardiovascular system disease infected by SARS-CoV-2

马明仁 1王菲 1蔡晓庆 1刘燕 1马凌1
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作者信息

  • 1. 解放军联勤保障部队第940医院心血管内科,甘肃兰州 730050
  • 折叠

摘要

新型冠状病毒感染(COVID-19)疫情当前已得到有效控制,然而其相关并发症仍不容忽视,尤其是心血管循环系统更是新型冠状病毒(SARS-CoV-2)活跃的场所.血管紧张素转换酶2(ACE2)是一种高表达于心脏、肾脏和睾丸的Ⅰ型跨膜糖蛋白,新型冠状病毒刺突蛋白通过结合细胞表面受体ACE2入侵宿主细胞,但以此为靶点研发的疫苗、药物在临床应用中仍存在诸多不足.亲环素A(CypA)作为分子伴侣可促进蛋白质折叠及T细胞活化,CD147是研究最为广泛的CypA受体之一,CypA/CD147相互作用在新型冠状病毒进入宿主细胞时发挥重要作用,但新型冠状病毒通过CypA/CD147信号通路入侵心血管系统的研究鲜有报道.基于此,本文在总结前期研究证据并结合课题组研究的基础上,通过对CypA/CD147结构功能、CypA/CD147在心血管疾病中的作用及新型冠状病毒靶向CypA/CD147信号通路引发的心血管疾病进行综述,以期为COVID-19感染并发心血管系统疾病的诊疗提供参考.

Abstract

Corona virus disease 2019(COVID-19)epidemic has been effectively controlled,but its related complications still cannot be ignored,especially the cardiovascular circulatory system is the active site of the severe acute respiratory syndrome coronavirus 2(SARS-CoV-2).Angiotensin-converting enzyme 2(ACE2)is a type Ⅰ transmembrane glycoprotein that is highly expressed in heart,kidney and testis.Spike protein of SARS-CoV-2 invades host cells by binding to the cell surface receptor ACE2.However,there are still many deficiencies in the clinical application of vaccines and drugs developed based on this target.As a molecular chaperone,cyclophilin A(CypA)promotes protein folding and T cell activation.CD147 is one of the most widely studied CypA receptors,and the interaction of CypA/CD147 plays an important role in the entry of SARS-CoV-2 into host cells.However,there are few reports on the invasion of SARS-CoV-2 into the cardiovascular system through the CypA/CD147 signaling pathway.Based on this,this article summarizes the previous research evidence and the research basis of the research group,and reviews the structure and function of CypA/CD147,the role of CypA/CD147 in cardiovascular disease,and the cardiovascular disease caused by SARS-CoV-2 targeting CypA/CD147 signal pathway,in order to provide reference for the diagnosis and treatment of the COVID-19 complicated with cardiovascular system diseases.

关键词

亲环素A/细胞外金属蛋白酶诱导剂/新型冠状病毒/心血管系统/心血管疾病

Key words

cyclophilin A/extracellular matrix metalloproteinase inducer/severe acute respiratory syndrome coronavirus 2/cardiovascular system/cardiovascular diseases

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基金项目

甘肃省自然科学基金(21JR1RA181)

甘肃省自然科学基金(GSWSKY2020-01)

解放军联勤保障部队第940医院院内项目(2021yxky080)

解放军联勤保障部队第940医院院内项目(2021yxky072)

解放军联勤保障部队第940医院院内项目(2021yxky031)

出版年

2024
解放军医学杂志
人民军医出版社

解放军医学杂志

CSTPCD北大核心
影响因子:1.644
ISSN:0577-7402
参考文献量9
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