[HTML][HTML] ACE2-like carboxypeptidase B38-CAP protects from SARS-CoV-2-induced lung injury

T Yamaguchi, M Hoshizaki, T Minato… - Nature …, 2021 - nature.com
T Yamaguchi, M Hoshizaki, T Minato, S Nirasawa, MN Asaka, M Niiyama, M Imai, A Uda…
Nature communications, 2021nature.com
Abstract Angiotensin-converting enzyme 2 (ACE2) is a receptor for cell entry of SARS-CoV-
2, and recombinant soluble ACE2 protein inhibits SARS-CoV-2 infection as a decoy. ACE2
is a carboxypeptidase that degrades angiotensin II, thereby improving the pathologies of
cardiovascular disease or acute lung injury. Here we show that B38-CAP, an ACE2-like
enzyme, is protective against SARS-CoV-2-induced lung injury. Endogenous ACE2
expression is downregulated in the lungs of SARS-CoV-2-infected hamsters, leading to …
Abstract
Angiotensin-converting enzyme 2 (ACE2) is a receptor for cell entry of SARS-CoV-2, and recombinant soluble ACE2 protein inhibits SARS-CoV-2 infection as a decoy. ACE2 is a carboxypeptidase that degrades angiotensin II, thereby improving the pathologies of cardiovascular disease or acute lung injury. Here we show that B38-CAP, an ACE2-like enzyme, is protective against SARS-CoV-2-induced lung injury. Endogenous ACE2 expression is downregulated in the lungs of SARS-CoV-2-infected hamsters, leading to elevation of angiotensin II levels. Recombinant Spike also downregulates ACE2 expression and worsens the symptoms of acid-induced lung injury. B38-CAP does not neutralize cell entry of SARS-CoV-2. However, B38-CAP treatment improves the pathologies of Spike-augmented acid-induced lung injury. In SARS-CoV-2-infected hamsters or human ACE2 transgenic mice, B38-CAP significantly improves lung edema and pathologies of lung injury. These results provide the first in vivo evidence that increasing ACE2-like enzymatic activity is a potential therapeutic strategy to alleviate lung pathologies in COVID-19 patients.
nature.com