1. Implications of SARS-Cov-2 infection on eNOS and iNOS activity: Consequences for the respiratory and vascular systems
- Author
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Claudiana Lameu, Caio V.T. Rossini, and Lara Mendes Ferreira Guimarães
- Subjects
0301 basic medicine ,Cancer Research ,Nitric Oxide Synthase Type III ,Endothelium ,Physiology ,Respiratory System ,Clinical Biochemistry ,ANTIVIRAIS ,Nitric Oxide Synthase Type II ,Endogeny ,Inflammation ,Review ,030204 cardiovascular system & hematology ,Nitric Oxide ,antiviral effect ,Biochemistry ,Asymptomatic ,Gene Expression Regulation, Enzymologic ,coagulopathy ,Nitric oxide ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Enos ,Coagulopathy ,medicine ,Humans ,Respiratory system ,biology ,SARS-CoV-2 ,business.industry ,COVID-19 ,coronavirus disease-19 ,acute respiratory distress syndrome ,medicine.disease ,biology.organism_classification ,030104 developmental biology ,medicine.anatomical_structure ,chemistry ,Immunology ,Blood Vessels ,nitric oxide metabolism ,medicine.symptom ,business - Abstract
Symptoms of COVID-19 range from asymptomatic/mild symptoms to severe illness and death, consequence of an excessive inflammatory process triggered by SARS-CoV-2 infection. The diffuse inflammation leads to endothelium dysfunction in pulmonary blood vessels, uncoupling eNOS activity, lowering NO production, causing pulmonary physiological alterations and coagulopathy. On the other hand, iNOS activity is increased, which may be advantageous for host defense, once NO plays antiviral effects. However, overproduction of NO may be deleterious, generating a pro-inflammatory effect. In this review, we discussed the role of endogenous NO as a protective or deleterious agent of the respiratory and vascular systems, the most affected in COVID-19 patients, focusing on eNOS and iNOS roles. We also reviewed the currently available NO therapies and pointed out possible alternative treatments targeting NO metabolism, which could help mitigate health crises in the present and future CoV’s spillovers., Graphical abstract Image 1
- Published
- 2021
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