Effect of SARS-COV-2 on kidney tissue: a narrative review

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We describe evidence on SARS-CoV-2 effect on the kidney. We carried a narrative review of articles published in SCOPUS and PUBMED until September 2020. The results were divided into six topics: evidence of direct effect of virus on the kidney, mechanisms of cellular invasion, mechanisms of kidney in...

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Detalles Bibliográficos
Autores: Flores Gavino, Aldo, Espinoza Anchaygua, Ricardo, Herrera Añazco, Percy, Rodriguez-Morales, Alfonso J.
Formato: artículo
Fecha de Publicación:2021
Institución:Colegio Médico del Perú
Repositorio:Acta Médica Peruana
Lenguaje:español
OAI Identifier:oai:ojs.pkp.sfu.ca:article/1885
Enlace del recurso:https://amp.cmp.org.pe/index.php/AMP/article/view/1885
Nivel de acceso:acceso abierto
Materia:Histopathology
Pathophysiology
SARS-CoV-2
COVID-19
Acute Kidney Injury
Kidney
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spelling Effect of SARS-COV-2 on kidney tissue: a narrative reviewSARS-CoV-2 y su efecto a nivel de tejido renal: Una revisión narrativaFlores Gavino, AldoEspinoza Anchaygua, RicardoHerrera Añazco, PercyRodriguez-Morales, Alfonso J.HistopathologyPathophysiologySARS-CoV-2COVID-19Acute Kidney InjuryKidneyWe describe evidence on SARS-CoV-2 effect on the kidney. We carried a narrative review of articles published in SCOPUS and PUBMED until September 2020. The results were divided into six topics: evidence of direct effect of virus on the kidney, mechanisms of cellular invasion, mechanisms of kidney injury, and potential therapeutic implications.  SARS-Cov-2 gains access to proximal tubule cells and podocytes via ACE-2 receptors. Viral invasion and replication may induce kidney damage through a direct cytopathic effect and immune-mediated damage. Due to ACE-2 cellular expression, Renin–Angiotensin–Aldosterone System Inhibitors have been proposed as potential treatment for COVID-19. However, current evidence does not support its therapeutic use.Se describe la evidencia actual del efecto del SARS-CoV-2 a nivel de tejido renal. Se realizó una revisión narrativa de los artículos publicados en SCOPUS y PUBMED hasta septiembre de 2020. Los resultados se dividieron en las siguientes secciones: evidencia del efecto directo del virus en el riñón, mecanismos de invasión celular, mecanismos de injuria celular y las potenciales implicaciones terapéuticas de estos hallazgos. El SARS-CoV-2 invade las células del túbulo proximal y los podocitos, a través del receptor ECA-2. La invasión y replicación viral podrían producir daño mediante un efecto citopático directo aunado a un daño mediado por la respuesta inmune.  Debido a la expresión celular de ECA-2, se ha propuesto a los Inhibidores del Sistema Renina–Angiotensina–Aldosterona como un potencial tratamiento contra la COVID-19. Sin embargo, a la fecha, la evidencia no apoya su usoColegio Médico del Perú2021-05-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://amp.cmp.org.pe/index.php/AMP/article/view/188510.35663/amp.2021.381.1885ACTA MEDICA PERUANA; Vol 38 No 1 (2021): January - March; 53-57ACTA MEDICA PERUANA; Vol. 38 Núm. 1 (2021): Enero - Marzo; 53-571728-59171018-8800reponame:Acta Médica Peruanainstname:Colegio Médico del Perúinstacron:CMPspahttps://amp.cmp.org.pe/index.php/AMP/article/view/1885/1277Copyright (c) 2021 ACTA MEDICA PERUANAinfo:eu-repo/semantics/openAccessoai:ojs.pkp.sfu.ca:article/18852023-10-06T07:13:09Z
dc.title.none.fl_str_mv Effect of SARS-COV-2 on kidney tissue: a narrative review
SARS-CoV-2 y su efecto a nivel de tejido renal: Una revisión narrativa
title Effect of SARS-COV-2 on kidney tissue: a narrative review
spellingShingle Effect of SARS-COV-2 on kidney tissue: a narrative review
Flores Gavino, Aldo
Histopathology
Pathophysiology
SARS-CoV-2
COVID-19
Acute Kidney Injury
Kidney
title_short Effect of SARS-COV-2 on kidney tissue: a narrative review
title_full Effect of SARS-COV-2 on kidney tissue: a narrative review
title_fullStr Effect of SARS-COV-2 on kidney tissue: a narrative review
title_full_unstemmed Effect of SARS-COV-2 on kidney tissue: a narrative review
title_sort Effect of SARS-COV-2 on kidney tissue: a narrative review
dc.creator.none.fl_str_mv Flores Gavino, Aldo
Espinoza Anchaygua, Ricardo
Herrera Añazco, Percy
Rodriguez-Morales, Alfonso J.
author Flores Gavino, Aldo
author_facet Flores Gavino, Aldo
Espinoza Anchaygua, Ricardo
Herrera Añazco, Percy
Rodriguez-Morales, Alfonso J.
author_role author
author2 Espinoza Anchaygua, Ricardo
Herrera Añazco, Percy
Rodriguez-Morales, Alfonso J.
author2_role author
author
author
dc.subject.none.fl_str_mv Histopathology
Pathophysiology
SARS-CoV-2
COVID-19
Acute Kidney Injury
Kidney
topic Histopathology
Pathophysiology
SARS-CoV-2
COVID-19
Acute Kidney Injury
Kidney
description We describe evidence on SARS-CoV-2 effect on the kidney. We carried a narrative review of articles published in SCOPUS and PUBMED until September 2020. The results were divided into six topics: evidence of direct effect of virus on the kidney, mechanisms of cellular invasion, mechanisms of kidney injury, and potential therapeutic implications.  SARS-Cov-2 gains access to proximal tubule cells and podocytes via ACE-2 receptors. Viral invasion and replication may induce kidney damage through a direct cytopathic effect and immune-mediated damage. Due to ACE-2 cellular expression, Renin–Angiotensin–Aldosterone System Inhibitors have been proposed as potential treatment for COVID-19. However, current evidence does not support its therapeutic use.
publishDate 2021
dc.date.none.fl_str_mv 2021-05-23
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://amp.cmp.org.pe/index.php/AMP/article/view/1885
10.35663/amp.2021.381.1885
url https://amp.cmp.org.pe/index.php/AMP/article/view/1885
identifier_str_mv 10.35663/amp.2021.381.1885
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://amp.cmp.org.pe/index.php/AMP/article/view/1885/1277
dc.rights.none.fl_str_mv Copyright (c) 2021 ACTA MEDICA PERUANA
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 ACTA MEDICA PERUANA
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Colegio Médico del Perú
publisher.none.fl_str_mv Colegio Médico del Perú
dc.source.none.fl_str_mv ACTA MEDICA PERUANA; Vol 38 No 1 (2021): January - March; 53-57
ACTA MEDICA PERUANA; Vol. 38 Núm. 1 (2021): Enero - Marzo; 53-57
1728-5917
1018-8800
reponame:Acta Médica Peruana
instname:Colegio Médico del Perú
instacron:CMP
instname_str Colegio Médico del Perú
instacron_str CMP
institution CMP
reponame_str Acta Médica Peruana
collection Acta Médica Peruana
repository.name.fl_str_mv
repository.mail.fl_str_mv
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