The Main Receptors Involved with COVID-19: a Systematic Review and Meta-analysis
Objective: This review aims to study the receptor's family and functions most related to COVID-19 infection, also suggesting the tissue and cell location that the majority of COVID-19 receptors are mainly expressed. Methods: This systematic review (PROSPERO: CRD42020210643) is according to PRISMA guidelines. PubMed, Cochrane, SciELO, Lilacs, Web of Science, and DOAJ databases were used. Clinical trials and research articles studying receptors related to COVID-19 were included in this review. R programming language was used to elaborate charts and receptors network and SPSS(26v) software was used to perform statistical analyses. Results: The majority of studies regarding the involvement of receptors in COVID-19 included plasma receptors and G protein-coupled receptor families (p<0.05). These receptors are highly expressed in the brain (24%) and 80% of them can interact with each other in a protein network, exerting some regulatory effects in various tissues. The main influential receptor on the network of receptors involved in COVID-19 was the EGFR and the majority of receptors were associated with pathological processes in the disease (p<0.05), including the amplification of inflammatory responses in COVID-19, which may be related to neurological disorders in some cases. Humans from the United States, Spain, and Brazil were the most used model in studies adressing receptors involved in COVID-19 (p<0.05). Conclusions: Plasma receptors and G protein-coupled receptors, especially the EGFR, and involved with pathological effects on the COVID-19 inflammatory process in the brain have shown significant importance in this review.