Target intelligence / Profile preview

Angiotensin-converting enzyme 2 receptor (ACE2 receptor (or ACE2))

Target
ACE2 receptor (or ACE2)
Molecular classification
Enzyme (zinc metallopeptidase, carboxypeptidase), Receptor (viral entry receptor for coronaviruses), Membrane protein (ectoenzyme)
01

Overview

Angiotensin-converting enzyme 2 receptor is a membrane-bound zinc metallocarboxypeptidase that functions fundamentally as a regulator within the renin–angiotensin–aldosterone system, converting angiotensin II into the vasodilatory peptide angiotensin (1-7) and thereby exerting protective roles in the cardiovascular, renal, and pulmonary systems[1][4][5][6]. The protein is expressed in multiple organs, notably the lungs, heart, kidneys, and intestines. In addition to its enzymatic function, ACE2 serves as the cellular entry receptor for several coronaviruses, most importantly SARS-CoV and SARS-CoV-2, establishing it as both a physiological regulator and a pathophysiological viral receptor[1][3][4][7]. Therapeutically, modulation of ACE2 activity is under investigation for treating cardiovascular, renal, and pulmonary diseases, as well as viral infections[2][6]. Safety concerns include potential enhancement of viral entry and the need to maintain physiological balance of angiotensin peptides[1][2][4][5][6].

Other names
ACE2angiotensin-converting enzyme 2ACE2 receptorhACE2 (human ACE2)
02

Mechanism of action

Enzyme inhibition or activation to modify angiotensin II/angiotensin (1-7) balance; Blocking viral entry by interfering with spike protein-ACE2 interaction; Supplementation or activation of protective angiotensin pathways

03

Biological functions

Regulation of the renin–angiotensin–aldosterone system (RAAS)Hydrolysis of angiotensin II to angiotensin (1-7)Cell signaling (via Mas receptor)Viral entry (for SARS-CoV, SARS-CoV-2, HCoV-NL63)Regulation of neutral amino acid transportProtective effects: anti-inflammatory, anti-fibrotic, anti-hypertrophic
04

Disease associations

Cardiovascular disease (hypertension, heart failure)Lung injury and fibrotic disordersInfection (SARS-CoV, SARS-CoV-2/COVID-19, HCoV-NL63)DiabetesKidney disease (chronic kidney disease)Muscular dystrophy
05

Safety considerations

Potential increased susceptibility to viral infection (e.g., COVID-19) due to upregulationBalancing inhibition to avoid adverse effects on blood pressure and organ protectionAutoantibody formation may impair ACE2 function or therapeutic strategies
06

Interacting drugs

Angiotensin-converting enzyme inhibitors (ACE inhibitors)

4 more in the full profile.

07

Biomarkers

ACE2 expression levels in tissues may serve as a biomarker for disease susceptibility (e.g., COVID-19 severity, cardiovascular risks)Circulating soluble ACE2 concentrationsPresence of auto-antibodies against ACE2

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