Is there a role for the ACE2 receptor in SARS-CoV-2 interactions with platelets?

被引:74
作者
Campbell, Robert A. [1 ,2 ,3 ]
Boilard, Eric [4 ,5 ]
Rondina, Matthew T. [1 ,2 ,3 ,6 ,7 ]
机构
[1] Univ Utah, Program Mol Med, Salt Lake City, UT USA
[2] Univ Utah, Dept Internal Med, Salt Lake City, UT 84112 USA
[3] Univ Utah, Dept Pathol, Salt Lake City, UT USA
[4] Univ Laval, Ctr Rech, Ctr Hosp, Univ Quebec, Quebec City, PQ, Canada
[5] Univ Laval, Dept Microbiol Infectiol & Immunol, Quebec City, PQ, Canada
[6] George E Wahlen VAMC Dept Internal Med, Salt Lake City, UT USA
[7] GRECC, Salt Lake City, UT USA
基金
加拿大健康研究院;
关键词
ACE2; COVID-19; platelets; SARS-CoV-2; thrombosis; INFECTION; INVASION; CD147; CELLS; ENTRY;
D O I
10.1111/jth.15156
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
There is an urgent need to understand the underlying mechanisms contributing to thrombotic and inflammatory complications during COVID-19. Data from independent groups have identified that platelets are hyperreactive during COVID-19. Platelet hyperreactivity is accompanied by changes in platelet gene expression, and enhanced interactions between platelets and leukocytes. In some patients, SARS-CoV-2 mRNA has been detected in platelets. Together, this suggests that SARS-CoV-2 may interact with platelets. However, controversy remains on which receptors mediate SARS-CoV-2 platelet interactions. Most, but not all, transcriptomic and proteomic analyses fail to observe the putative SARS-CoV-2 receptor, angiotensin converting enzyme-2, or the cellular serine protease necessary for viral entry, TMPRSS2, on platelets and megakaryocytes. Interestingly, platelets express other known SARS-CoV-2 receptors, which induce similar patterns of activation to those observed when platelets are incubated with SARS-CoV-2. This article explores these findings and discusses ongoing areas of controversy and uncertainty with regard to SARS-CoV-2 platelet interactions.
引用
收藏
页码:46 / 50
页数:5
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