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Pregnancy and breastfeeding during COVID-19pandemic

机译:Covid-19平方期间怀孕和母乳喂养

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In late 2019 in the Chinese city of Wuhan, a new coronavirus was identified as thecause of a cluster of pneumonia cases designated as COVID-19. The COVID-19outbreak subsequently spread exponentially to become a global pandemic.~(1) The coronavirus that causes COVID-19, referred to as severe acuterespiratory syndrome coronavirus 2 (SARS-CoV-2), binds the host lung epithelialcellular angiotensin-converting enzyme (ACE) 2 receptors to infect the cell, andthis is most likely the mechanisms by which human-to-human transmissions ofSARS-CoV occur.~(2) Binding of the SARS-CoV-2 spike protein to ACE2 results in downregulationof cellular expression of ACE2.~(3)Evidence suggests that ACE2 may play an important role in the response to injury asloss of ACE2 has been associated with increased susceptibility to injury invarious organs including heart, lung, and kidney~(4) as well as promoting fasting hyperglycemia~(5) and inflammation.~(6) The mechanisms of ACE2-induced-improved protection against injury includenot only the hydrolysis of Ang II, and thus limiting its pathologicalimplications, but also the conversion of Ang II into Ang-(1-7).~(4) Evidence suggests that Ang-(1-7) may have several beneficial effectsincluding vasodilation, anti-fibrotic, anti-inflammatory, anti-ischemic,anti-hypertrophic, and anti-proliferative effects.
机译:2019年延迟在中国城市武汉,鉴定了一种新的冠状病毒,因为患有作为Covid-19指定为Covid-19的肺炎案例。 Covid-19 Outbreak随后呈指数级地传播以成为全球性大流行。〜(1)导致Covid-19的冠状病毒,称为严重的视态血管综合征冠状病毒2(SARS-COV-2),结合宿主肺上皮细胞血管紧张素转换酶(ACE)2受体感染细胞,最有可能是SARS-COV的人对人透射的机制。〜(2)SARS-COV-2穗蛋白与ACE2的结合导致细胞表达下调的下调ACE2。〜(3)证据表明,ACE2可能在对ACE2损伤的反应中发挥重要作用,ace2已经与伤害损伤的易感性增加有关,包括心脏,肺和肾〜(4)以及促进禁食。高血糖〜(5)和炎症。〜(6)ACE2诱导的损伤保护的机制仅包括Ang II的水解,从而限制其病理实例,还限制了Ang II进入Ang-(1- 7)。 〜(4)证据表明,Ang-(1-7)可能具有几种有益的血管抑制,抗纤维化,抗炎,抗缺血性,抗肥厚和抗增殖作用。

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