ACE receptors are affected in severe
acute respiratory distress syndrome related coronaviruses. ACE genes are directly related to the morbidity and mortality of those with
cystic fibrosis. The thick, sticky
mucus in the respiratory, and digestive systems, is seen in the
inherited disease cystic fibrosis. Viral induced sticky
mucus in the respiratory and digestive systems can also be appreciated as a response to viral pathogens where the cycle of
mucus production
in vivo induces the recruitment of more mucus production to the extent that cellular damage occurs within the lower respiratory track requiring
intubation as a
life saving measure. In the most severe cases mechanical
intubation fails due to the fact that no control over the recruitment of mucus production was achieved at the onset. SARS
pathology shows inflammatory exudation in the alveoli and
interstitial tissue, with
hyperplasia of
fibrous tissue and
fibrosis. Inherited
cystic fibrosis pathology shows atelectasis, mucoid impaction, acute and chronic
inflammation,
bronchiectasis,
cyst formation, and
fibrosis widespread. A virally induced disorder in relations to ACE2 receptors can be treated successfully at the
early onset with inherited cystic
fibrosis disease mimicking techniques with the efforts of minimizing the activity and utilization of the ACE2
receptor.
Cystic fibrosis lung infections, and opportunistic pathogens contribute to chronic
airway inflammation that is characterized by neutrophil /
macrophage infiltration,
cytokine release and
ceramide accumulation. In terms of virally induced forms off ACE2
receptor pathologies, as it related to
coronavirus such as Covid 19, presumably
ceramide precursors which aid in
intracellular transport of the
virus into the
cell via
inflammation and remodeling is present in alveolar tissues of the
lung in patients with cystic fibrosis while the same
pathology occurs in patients with virally induced forms of ACE2 pathology which to often progresses to SARS or
ARDS.