PMID- 35590466 OWN - NLM STAT- MEDLINE DCOM- 20220523 LR - 20220716 IS - 2058-7384 (Electronic) IS - 0394-6320 (Print) IS - 0394-6320 (Linking) VI - 36 DP - 2022 Jan-Dec TI - COVID-19 and erythrocrine function: The roller coaster and danger. PG - 3946320221103151 LID - 10.1177/03946320221103151 [doi] LID - 03946320221103151 AB - Erythrocrine function refers to erythrocytes' ability to synthesize and release active signaling molecules such as ATP and nitric oxide (NO). Erythrocyte NO regulates its deformability and increases its perfusion and circulation that prevent tissue hypoxia. Recently, there is a connotation between SARS-CoV-2 infection and erythrocrine function due to alteration in the release of NO and ATP from erythrocytes. SARS-CoV-2 binds erythrocyte band3 protein, which has a similar characteristic of ACE2, leading to alteration of erythrocyte physiology like oxygen transport with development of hypoxia. Similarly, SARS-CoV-2 infection activates erythrocyte protein kinase C alpha (PKC-alpha), causing significant changes in the erythrocyte functions. The erythrocytes can bind SARS-CoV-2 and its active particles with subsequent virus delivery to the liver and spleen macrophages. Thus, the erythrocytes act as elimination for SARS-CoV-2 in COVID-19. Moreover, the erythrocyte stored, release sphingosine-1 phosphate (S1P) improves endothelial and regulates lymphocyte functions. SARS-CoV-2 ORF8 protein binds the porphyrin part of hemoglobin heme at the beta1 chain, causing hemolysis and dysfunctional hemoglobin to reduce oxygen-carrying capacity. In conclusion, SARS-CoV-2 infection and associated pro-inflammatory disorders lead to abnormal erythrocrine function with subsequent inflammatory complications and endothelial dysfunction due to deficiency of protective released molecules (NO, G1P, and ATP) from functional erythrocytes. In vitro, preclinical, and clinical studies are mandatory in this regard. FAU - Al-Kuraishy, Hayder M AU - Al-Kuraishy HM AD - Department of Clinical Pharmacology and Medicine, College of Medicine, AL-mustansiriyiah University, AL-mustansiriyiah, Iraq. FAU - Al-Gareeb, Ali I AU - Al-Gareeb AI AD - Department of Clinical Pharmacology and Medicine, College of Medicine, AL-mustansiriyiah University, AL-mustansiriyiah, Iraq. FAU - Onohuean, Hope AU - Onohuean H AUID- ORCID: 0000-0002-1890-6324 AD - Biopharmaceutics Unit, Department of Pharmacology and Toxicology, School of Pharmacy, 365672Kampala International University Uganda, Western Campus, Ishaka-Bushenyi, Uganda. FAU - El-Saber Batiha, Gaber AU - El-Saber Batiha G AD - Department of Pharmacology and Therapeutics, Faculty of Veterinary Medicine, Damanhour University, Damanhour, AlBeheira, Egypt. LA - eng PT - Journal Article PL - England TA - Int J Immunopathol Pharmacol JT - International journal of immunopathology and pharmacology JID - 8911335 RN - 0 (Hemoglobins) RN - 8L70Q75FXE (Adenosine Triphosphate) RN - S88TT14065 (Oxygen) SB - IM MH - Adenosine Triphosphate MH - *COVID-19 MH - Hemoglobins MH - Humans MH - Hypoxia MH - Oxygen MH - SARS-CoV-2 PMC - PMC9124636 OTO - NOTNLM OT - COVID-19 OT - Erythrocrine function OT - SARS-CoV-2 EDAT- 2022/05/21 06:00 MHDA- 2022/05/24 06:00 PMCR- 2022/05/19 CRDT- 2022/05/20 00:32 PHST- 2022/05/20 00:32 [entrez] PHST- 2022/05/21 06:00 [pubmed] PHST- 2022/05/24 06:00 [medline] PHST- 2022/05/19 00:00 [pmc-release] AID - 10.1177_03946320221103151 [pii] AID - 10.1177/03946320221103151 [doi] PST - ppublish SO - Int J Immunopathol Pharmacol. 2022 Jan-Dec;36:3946320221103151. doi: 10.1177/03946320221103151.