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ACE2 1-618-DDC-ABD (also known as AGT002) is a bioengineered soluble human angiotensin-converting enzyme 2 (ACE2) variant developed by Northwestern University and licensed to Angiotensin Therapeutics (AngioTx). It consists of a shortened 618-amino-acid truncate of human ACE2 fused to a 5 kDa albumin-binding domain (ABD) to extend its in vivo half-life, and linked via a dimerization motif hinge-like 4-cysteine dodecapeptide (DDC) to enhance its binding affinity to the SARS-CoV-2 spike protein. ACE2 1-618-DDC-ABD acts as a decoy receptor to intercept SARS-CoV-2 and prevent viral entry into host cells, while also providing enzymatic activity to degrade excess angiotensin II and des-Arg9 bradykinin, thereby mitigating inflammation and tissue injury. It has been investigated in preclinical models for the prevention and treatment of COVID-19 and associated acute kidney injury (AKI).
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