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FIGURE 1 Nicotine Affects ACE2 Expression, Increases Susceptibility to COVID-19, and Causes Aggravation of the Disease The angiotensin-converting-enzyme II (ACE2) receptor is the confirmed entry point of the SARS-CoV-2 virus into host cells because the S1 domain of the SARS-CoV-2 virus membrane spike protein has a high affinity with the ACE2 receptor on lung epithelial cells ( In the process of virus replication and transcription, the combination of SARS-CoV-2 and ACE2 may progressively downregulate the expression of ACE2 protein and reduce the residual ACE2 activity ( 1 R) axis could causing vasoconstriction, pro-inflammatory and pro-oxidative effects

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