Article Type : Review Article
Authors : Abdelmelek H, Hanini A, Allah Amri A, Azzouz A and Darghouth A
Keywords : SARS-CoV-2; COVID-19; ACE2; Renin-angiotensin-aldosterone system; Nanotoxicity
Abstract
Our recent theory point
to the implication of water in the modulation of emotion using emointelligence
equation in Eukaryotes (Human or Animal) and Prokaryotes (SARS-CoV-2).
Interestingly, the interpretation of emointelligence equation based on Emotion
modulation via water (E) and Intelligence (I) in Eukaryotes and Prokaryotes
show that in the case of Log (E Euk/E Prok) =0 we have Log (I Euk/I Prok) near
10 and E Euk/E Prok=1. In addition, good health could be a result of
physiological hydration and stability of E Eukaryotes/ E Prokaryotes ratio (R)
near 1. The present manuscript aim to help scientific community to better
understand the implication of the level of Human or Animal hydration in the
physio-pathogenicity of SARS-CoV-2 and the genesis of COVID-19. Our analysis
point to the presence of possible link between water, hypoxia and SARS-CoV-19
pro-pulmonary complications via angiotensin-converting enzyme 2 (ACE2) playing
a key enzymatic component of the renin-angiotensin-aldosterone system.
Coronavirus disease 2019 (COVID-19) induced by
SARS-CoV-2 can be considered as a unusual phenomenon to biomedical community
especially its unusual mechanism of pathogenicity related to possible
implication of hydration of Human or Animal in virus nanotoxicity. COVID-19 are
exceptional disease leading to important lethality [1]. SARS-CoV-2
cytotoxicities could be related to several physicochemical properties of cells
especially in lung via ACE2 receptors [2]. We propose a detail overview of
hydration mechanisms implicated in SARS-CoV-2 cytotoxicity in accordance to
recent data, showing that structure of the virus in the cytoplasm of three day
post-inoculation cells is about 70–90 nm in intracellular organelles,
especially in vesicles [3]. Coronaviruses are enveloped with single stranded
positive sense RNA genomes and four structural proteins (nucleocapsid,
envelope, membrane and spike). The Spike (S) protein (about 20nm) forms
club-shaped protrusions that stick out all over the virion, resembling a crown
or the sun’s corona similar to desert plants suffering from dehydration stress.
SARS-CoV-2 possess high surface (S) area compared to volume (V) (S/V ratio) and
nanoscale implicated in inflammation [4]. SARS-CoV-2 attacks human angiotensin
converting enzyme 2 (ACE-2) in numerous tissues especially ciliated bronchial,
epithelial cells and type II pneumocytes. The present receptor ACE2 was
implicated in water management in the Human and Animal body via a mechanism
known as Renin-angiotensin-Aldosterone and it is important to point that good hydration is important for all age groups and
especially in COVID-19. We discuss in the
present manuscript a new model based on body hydration level in order to
understand why children are more resistant to COVID-19 than adult.
Health could be understood as living systems coherence
or harmony especially the ratio Eukaryote/Prokaryote (SARS-CoV-2). The debate
has now shifted from the question of whether hydration is involved in possible
modulatory effects of water on emotion in Prokaryote-Eukaryote. The good health
could be associated to the stability or equilibrium between Eukaryotes and
Prokaryotes values giving a ratio (R) near one. This ratio stability could be
controlled by a probable implication of positive or negative values of alpha or
emotions via water in Prokaryote and Eukaryote. Thus, every disruption in water
and emotion induce different ratio values such as ratio <1 or ratio>1.
The mathematical resolution of emointelligence equation could be based on three
values (R<1, R=1, R>1) of the ratio of Emotion and water in Eukaryotes
and Emotion Water and Emotion could determine the nature of interaction between
Prokaryote and Eukaryote during stress especially hydric stress, xenobiotic
exposure, and electromagnetic field exposure such as WIFI. Nowadays, we believe
that emointelligence algorithm describe good health with a harmony between
water, E Euk and E Prok and diseases results for disharmony. The early death
cases of COVID-19 outbreak occurred primarily in elderly people, possibly due
to a dehydration and a fall of alpha values and emotions leading to a weak
immune system that permits faster progression of viral infection. Our theory
point to the existence of possible connectivness between Prokaryote and
Eukaryote to maintain ratio values near 1 via water and emotion, indicating
that Prokaryote-Eukaryote provides algorithm stability and health status.
Recent research point to the implication of Angiotensin?converting enzyme?2 (ACE2) host receptor for severe acute respiratory syndrome such as SARS?CoV?2. In Human and Animal physiology, ACE2 is a pivotal counter?regulatory enzyme to ACE by the breakdown of angiotensin II, the central player in the renin?angiotensin?aldosterone system (RAAS) involving blood pressure regulation, electrolyte homeostasis and good hydration in all age groups. Major effects of Ang II include vasoconstriction, renal sodium reabsorption and potassium excretion, aldosterone synthesis, blood pressure elevation and induction of inflammatory and pro-fibrotic pathways [5,6]. Many mechanisms or nanomechanisms have been associated with both altered ACE2 expression and COVID?19 severity and progression, including age, sex, ethnicity. Recent data confirm the established role of ACE2 expression and activity in COVID-19 pathogenesis. Additionally, ACE2 was present on vascular endothelial cells and smooth muscle cells in all organs studied. In the kidney, ACE2 was strongly expressed in the brush border of proximal tubular cells and moderately or weakly in parietal epithelial cells and podocytes, whereas ACE2 staining was weak or negative in glomerular endothelial cells and mesangial cells. Furthermore, we previously noted that endothelial ACE2 was upregulated in the glomerular and interstitial capillaries in kidney diseases.
Figure 1: Comparative morphologic
study between SARS CoV-2 and desert plant (Cactus).
Point that mitochondria has a potential to produce and
recycle its own metabolic water independently to the drinking water [7]. During
COVID-19 pandemy, we must be hydrated but we have to drink water when we are
thirsty because drinking too much can interfere with the body's ability to
recycle the low deuterium water we are producing in our mitochondria.
Researchers discuss how the oldest populations (over 100 years) lived in higher
altitudes well adapted to hypoxia and low deuterium content [8]. SARS-CoV-2 can
interfere with water in cells via ACE-2 and different nanomechanisms inducing
hypoxia and decrease energy production in cells and metabolic rate in endotherm
compared to hibernant and poikilotherm. SARS-CoV-2 also could disrupt
mitochondrial quantum vacuum leading to a fall of energy in cells via quantum
destabilization of hydrogen ions. Interestingly, hydrogen protons in water and
gas are compromised by deuterium, hence deuterium depletion is a critical
process to maintain health and resist to the nanotoxic effects of SARS-CoV-2.
In man, the water lost from the lungs is generally greater than the total
production of metabolic water. In general, the only advantage of fat over
carbohydrate under conditions where desiccation is that a smaller weight will
have a higher calorific value and will give more water of metabolism than the
same weight of carbohydrate. The SARS-CoV-2 as nanoparticles could induce
mitochondria toxicity indirectly by iron released from Heme or a different
cluster Fe-S between virus and Heme activating Fenton reaction and probably
disrupt water mitochondrial production. Interestingly, mitochondria are
considered as a major cell compartment relevant to possible SARS-CoV-2
nanoparticle toxicity.
The SARS-CoV-2 morphology with different spikes could
be compared to desert plants like Cactus. These plants have to survive in
deserts where the water is scarce. Therefore, these desert plants probably as
SARS-CoV-2 need to avoid those pores to lock the minimum levels of moisture
they have. Hence, these leaves do not have pores and the leaves become hard
with dry spines or thorns. These thorns conserve water by not letting out the
moisture content at all. The greener part of the bottom part of a leaf has a
minimum activity which helps the plant to survive. Desert plants need to use
the little water they have frugally [9].
Our analysis of COVID-19 suggest for the
first time as far as we know that SARS-COV-2 as nanoparticles inducing
mitochondria toxicity probably via endogen water production disruption.
Moreover, SARS-CoV-2 toxicity could be related to hydration in endotherm
species compared to hibernant and poikilotherm. The implication of age, gender,
overweight and ethnicity to COVID-19 must be confirmed by future studies
related to endogen mitochondrial water. Virus could use nanomechanisms to
induce hypoxia, water mitochondria depletion via generation of Heme-virus
clusters mitigating microcoagulation. The most important question is whether
Human or Animal hydratation could play a key role in SARS-CoV-2 nanotoxities.