Potential influence of COVID-19/ACE2 on the female reproductive system

Abstract The 2019 novel coronavirus (2019-nCoV) appeared in December 2019 and then spread throughout the world rapidly. The virus invades the target cell by binding to angiotensin-converting enzyme (ACE) 2 and modulates the expression of ACE2 in host cells. ACE2, a pivotal component of the renin-ang...

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Veröffentlicht in:Molecular human reproduction 2020-06, Vol.26 (6), p.367-373
Hauptverfasser: Jing, Yan, Run-Qian, Li, Hao-Ran, Wang, Hao-Ran, Chen, Ya-Bin, Liu, Yang, Gao, Fei, Chen
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container_end_page 373
container_issue 6
container_start_page 367
container_title Molecular human reproduction
container_volume 26
creator Jing, Yan
Run-Qian, Li
Hao-Ran, Wang
Hao-Ran, Chen
Ya-Bin, Liu
Yang, Gao
Fei, Chen
description Abstract The 2019 novel coronavirus (2019-nCoV) appeared in December 2019 and then spread throughout the world rapidly. The virus invades the target cell by binding to angiotensin-converting enzyme (ACE) 2 and modulates the expression of ACE2 in host cells. ACE2, a pivotal component of the renin-angiotensin system, exerts its physiological functions by modulating the levels of angiotensin II (Ang II) and Ang-(1-7). We reviewed the literature that reported the distribution and function of ACE2 in the female reproductive system, hoping to clarify the potential harm of 2019-nCoV to female fertility. The available evidence suggests that ACE2 is widely expressed in the ovary, uterus, vagina and placenta. Therefore, we believe that apart from droplets and contact transmission, the possibility of mother-to-child and sexual transmission also exists. Ang II, ACE2 and Ang-(1-7) regulate follicle development and ovulation, modulate luteal angiogenesis and degeneration, and also influence the regular changes in endometrial tissue and embryo development. Taking these functions into account, 2019-nCoV may disturb the female reproductive functions through regulating ACE2.
doi_str_mv 10.1093/molehr/gaaa030
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The virus invades the target cell by binding to angiotensin-converting enzyme (ACE) 2 and modulates the expression of ACE2 in host cells. ACE2, a pivotal component of the renin-angiotensin system, exerts its physiological functions by modulating the levels of angiotensin II (Ang II) and Ang-(1-7). We reviewed the literature that reported the distribution and function of ACE2 in the female reproductive system, hoping to clarify the potential harm of 2019-nCoV to female fertility. The available evidence suggests that ACE2 is widely expressed in the ovary, uterus, vagina and placenta. Therefore, we believe that apart from droplets and contact transmission, the possibility of mother-to-child and sexual transmission also exists. Ang II, ACE2 and Ang-(1-7) regulate follicle development and ovulation, modulate luteal angiogenesis and degeneration, and also influence the regular changes in endometrial tissue and embryo development. 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Published by Oxford University Press on behalf of European Society of Human Reproduction and Embryology. All rights reserved. For permissions, please email: journals.permissions@oup.com 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of European Society of Human Reproduction and Embryology. All rights reserved. For permissions, please email: journals.permissions@oup.com.</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adult
Angiotensin I - genetics
Angiotensin I - metabolism
Angiotensin II - genetics
Angiotensin II - metabolism
Angiotensin-Converting Enzyme 2
Betacoronavirus - pathogenicity
Coronavirus Infections - diagnosis
Coronavirus Infections - epidemiology
Coronavirus Infections - pathology
Coronavirus Infections - transmission
COVID-19
Female
Gene Expression Regulation
Genitalia, Female - pathology
Genitalia, Female - virology
Host-Pathogen Interactions - genetics
Humans
Pandemics
Peptide Fragments - genetics
Peptide Fragments - metabolism
Peptidyl-Dipeptidase A - genetics
Peptidyl-Dipeptidase A - metabolism
Pneumonia, Viral - diagnosis
Pneumonia, Viral - epidemiology
Pneumonia, Viral - pathology
Pneumonia, Viral - transmission
Pregnancy
Protein Binding
Receptors, Virus - genetics
Receptors, Virus - metabolism
Renin-Angiotensin System - genetics
Review
SARS-CoV-2
Spike Glycoprotein, Coronavirus - genetics
Spike Glycoprotein, Coronavirus - metabolism
title Potential influence of COVID-19/ACE2 on the female reproductive system
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