Endothelin-1 is increased in the plasma of patients hospitalised with Covid-19

被引:29
作者
Abraham, George R. [1 ,2 ]
Kuc, Rhoda E. [2 ]
Althage, Magnus [3 ]
Greasley, Peter J. [3 ]
Ambery, Philip [3 ]
Maguire, Janet J. [2 ]
Wilkinson, Ian B. [2 ]
Hoole, Stephen P. [1 ]
Cheriyan, Joseph [2 ,4 ,5 ]
Davenport, Anthony P. [2 ]
机构
[1] Royal Papworth Hosp NHS Fdn Trust, Papworth Rd,Cambridge Biomed Campus, Cambridge CB2 0AY, England
[2] Univ Cambridge, Addenbrookes Hosp, Div Expt Med & Immunotherapeut, Cambridge, England
[3] AstraZeneca, BioPharmaceut R&D, Renal & Metab CVRM, Late Stage Dev,Cardiovasc, Gothenburg, Sweden
[4] Cambridge Univ Hosp NHS Fdn Trust, Clin Pharmacol Dept, Cambridge, England
[5] Cambridge Univ Hosp NHS Fdn Trust, Cardiovasc Off, Cambridge Clin Trials Unit, Cambridge, England
基金
英国惠康基金;
关键词
Endothelin-1; Covid-19; Endotheliitis; Endothelin receptor antagonists;
D O I
10.1016/j.yjmcc.2022.03.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Virus induced endothelial dysregulation is a well-recognised feature of severe Covid-19 infection. Endothelin-1 (ET-1) is the most highly expressed peptide in endothelial cells and a potent vasoconstrictor, thus representing a potential therapeutic target.ET-1 plasma levels were measured in a cohort of 194 Covid-19 patients stratified according to the clinical severity of their illness. Hospitalised patients, including those who died and those developing acute myocardial or kidney injury, had significantly elevated ET-1 plasma levels during the acute phase of infection.The results support the hypothesis that endothelin receptor antagonists may provide clinical benefit for certain Covid-19 patients.
引用
收藏
页码:92 / 96
页数:5
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