A Comprehensive Review of Rosmarinic Acid: From Phytochemistry to Pharmacology and Its New Insight

Polyphenolic acids are the widely occurring natural products in almost each herbal plant, among which rosmarinic acid (RA, C₁₈H₁₆O₈) is well-known, and is present in over 160 species belonging to many families, especially the Lamiaceae. Aside from this herbal ingredient, dozens of its natural derivatives have also been isolated and characterized from many natural plants. In recent years, with the increasing focus on the natural products as alternative treatments, a large number of pharmacological studies have been carried out to demonstrate the various biological activities of RA such as anti-inflammation, anti-oxidation, anti-diabetes, anti-virus, anti-tumor, neuroprotection, hepatoprotection, etc. In addition, investigations concerning its biosynthesis, extraction, analysis, clinical applications, and pharmacokinetics have also been performed. Although many achievements have been made in various research aspects, there still exist some problems or issues to be answered, especially its toxicity and bioavailability. Thus, we hope that in the case of natural products, the present review can not only provide a comprehensive understanding on RA covering its miscellaneous research fields, but also highlight some of the present issues and future perspectives worth investigating later, in order to help us utilize this polyphenolic acid more efficiently, widely, and safely.     

A molecular mechanics approach for analyzing tensile nonlinear deformation behavior of single-walled carbon nanotubes

In this paper, by capturing the atomic information and reflecting the behaviour governed by the nonlinear potential function, an analytical molecular mechanics approach is proposed. A constitutive relation for single-walled carbon nanotubes (SWCNT’s) is established to describe the nonlinear stress-strain curve of SWCNT’s and to predict both the elastic properties and breaking strain of SWCNT’s during tensile deformation. An analysis based on the virtual internal bond (VIB) model proposed by P. Zhang et al. is also presented for comparison. The results indicate that the proposed molecular mechanics approach is indeed an acceptable analytical method for analyzing the mechanical behavior of SWCNT’s. The project supported by the National Natural Science Foundation of China (10121202, 90305015 and 10328203), the Key Grant Project of Chinese Ministry of Education (0306) and the Research Grants Council of the Hong Kong Special Administrative Region, China (HKU 7195/04E).     

Phosphorylation of ERK-Dependent NF-κB Triggers NLRP3 Inflammasome Mediated by Vimentin in EV71-Infected Glioblastoma Cells

Enterovirus 71 (EV71) is a dominant pathogenic agent that may cause severe central nervous system (CNS) diseases among infants and young children in the Asia-pacific. The inflammasome is closely implicated in EV71-induced CNS injuries through a series of signaling pathways. However, the activation pathway of NLRP3 inflammasome involved in EV71-mediated CNS injuries remains poorly defined. In the studies, EV71 infection, ERK1/2 phosphorylation, and activation of NLRP3 are abolished in glioblastoma cells with low vimentin expression by CRISPR/Cas9-mediated knockdown. PD098059, an inhibitor of p-ERK, remarkably blocks the vimentin-mediated ERK1/2 phosphorylation in EV71-infected cells. Nuclear translocation of NF-κB p65 is dependent on p-ERK in a time-dependent manner. Moreover, NLRP3 activation and caspase-1 production are limited in EV71-infected cells upon the caffeic acid phenethyl ester (CAPE) administration, an inhibitor of NF-κB, which contributes to the inflammasome regulation. In conclusion, these results suggest that EV71-mediated NLRP3 inflammasome could be activated via the VIM-ERK-NF-κB pathway, and the treatment of the dephosphorylation of ERK and NF-κB inhibitors is beneficial to host defense in EV71-infected CNS.     

Chemical Constituents from the Flowers of Carthamus tinctorius L. and Their Lung Protective Activity

A new flavonoid, saffloflavanside (1), a new sesquiterpene, safflomegastigside (2), and a new amide, saffloamide (3), together with twenty-two known compounds (4–25), were isolated from the flowers of Carthamus tinctorius L. Their structures were determined based on interpretation of their spectroscopic data and comparison with those reported in the literature. The protective effects against lipopolysaccharide (LPS)-stimulated damage on human normal lung epithelial (BEAS-2B) cells of the compounds were evaluated using MTT assay and cellular immunofluorescence assay. The results showed that compounds 2–3, 8–11, and 15–19 exhibited protective effects against LPS-induced damage to BEAS-2B cells. Moreover, compounds 2–3, 8–11, and 15–19 can significantly downregulate the level of nuclear translocation of NF-κB p-p65. In summary, this study revealed chemical constituents with lung protective activity from C. tinctorius, which may be developed as a drug for the treatment of lung injury.     

Phenolic Constituents,Antioxidant and Cytoprotective Activities,Enzyme Inhibition Abilities of Five Fractions from Vaccinium dunalianum Wight

The bud of Vaccinium dunalianum Wight has been traditionally consumed as health herbal tea by “Yi” people in Yunnan Province, China, which was locally named “Que Zui tea”. This paper studied the chemical constituents of five fractions from Vaccinium dunalianum, and their enzyme inhibitory effects of α-glucosidase and pancreatic lipase, antioxidant activity, and cytoprotective effects on H₂O₂-induced oxidative damage in HepG2 cells. The methanol extract of V. dunalianum was successively partitioned with petroleum ether (PF), chloroform (CF), ethyl acetate (EF), n-butanol (BF), and aqueous (WF) to obtain five fractions. The chemical profiling of the five fractions was analyzed by ultra-high-performance liquid chromatography coupled with a tandem mass spectrometry (UHPLC-MS/MS), and 18 compounds were tentatively identified. Compared to PF, CF, BF and WF, the EF revealed the highest total phenols (TPC) and total flavonoids (TFC), and displayed the strongest enzyme inhibition ability (α-glucosidase and pancreatic lipase) and antioxidant capacity (DPPH, ABTS and FRAP). Furthermore, these five fractions, especially EF, could effectively inhibit reactive oxygen species (ROS) production and cell apoptosis on H₂O₂-induced oxidative damage protection in HepG2 cells. This inhibitory effect might be caused by the up-regulation of intracellular antioxidant enzyme activity (CAT, SOD, and GSH). The flavonoids and phenolic acids of V. dunalianum might be the bioactive substances responsible for enzyme inhibitory, antioxidant, and cytoprotective activities.     

An unexpected all-metal aromatic tetranuclear silver cluster in human copper chaperone Atox1

Metal clusters, such as iron–sulfur clusters, play key roles in sustaining life and are intimately involved in the functions of metalloproteins. Herein we report the formation and crystal structure of a planar square tetranuclear silver cluster when silver ions were mixed with human copper chaperone Atox1. Quantum chemical studies reveal that two Ag 5s¹ electrons in the tetranuclear silver cluster fully occupy the one bonding molecular orbital, with the assumption that this Ag₄ cluster is Ag₄²⁺, leading to extensive electron delocalization over the planar square and significant stabilization. This bonding pattern of the tetranuclear silver cluster represents an aromatic all-metal structure that follows a 4n + 2 electron counting rule (n = 0). This is the first time an all-metal aromatic silver cluster was observed in a protein.

Metal clusters, such as iron–sulfur clusters, play key roles in sustaining life and are intimately involved in the functions of metalloproteins.     

Separation of pyrrolidine from tetrahydrofuran by using pillar[6]arene-based nonporous adaptive crystals

Pyrrolidine, an important feedstock in the chemical industry, is commonly produced via vapor-phase catalytic ammoniation of tetrahydrofuran (THF). Obtaining pyrrolidine with high purity and low energy cost has extremely high economic and environmental values. Here we offer a rapid and energy-saving method for adsorptive separation of pyrrolidine and THF by using nonporous adaptive crystals of per-ethyl pillar[6]arene (EtP6). EtP6 crystals show a superior preference towards pyrrolidine in 50 : 50 (v/v) pyrrolidine/THF mixture vapor, resulting in rapid separation. The purity of pyrrolidine reaches 95% in 15 min of separation, and after 2 h, the purity is found to be 99.9%. Single-crystal structures demonstrate that the selectivity is based on the stability difference of host–guest structures after uptake of THF or pyrrolidine and non-covalent interactions in the crystals. Besides, EtP6 crystals can be recycled efficiently after the separation process owing to reversible transformations between the guest-free and guest-loaded EtP6.

Here we offer a rapid and energy-saving method for adsorptive separation of pyrrolidine and tetrahydrofuran by using nonporous adaptive crystals of per-ethyl pillar[6]arene.

Pyrrolidine is an important feedstock in the chemical industry that has been widely used in the production of food, pesticides, daily chemicals, coatings, textiles, and other materials.¹ Particularly, pyrrolidine is a raw material for organic synthesis of medicines such as buflomedil, pyrrocaine, and prolintane.² Moreover, pyrrolidine is also used as a solvent in the semi-synthetic process of simvastatin, one of the best-selling cardiovascular drugs.³ In the chemical industry, there are many preparation methods for pyrrolidine. The most common way to obtain pyrrolidine is the gas-phase catalytic method using tetrahydrofuran (THF) and ammonia as raw materials;⁴ this is carried out at high temperature under catalysis by solid acids. However, separating pyrrolidine from the crude product is difficult because of similar molecular weights and structures between pyrrolidine (b.p. 360 K and saturated vapor pressure = 1.8 kPa at 298 K) and THF (b.p. 339 K and saturated vapor pressure = 19.3 kPa at 298 K), which result in complicated processes and large energy consumption.⁵ Therefore, it is worthwhile to find energy-efficient and simple methods to separate pyrrolidine from THF.Many techniques and materials, including porous zeolites, metal–organic frameworks (MOFs), and porous polymers, have facilitated energy-efficient separations of important petrochemicals and feedstocks, including THF and pyrrolidine.^6,7 However, some drawbacks of these materials cannot be ignored.⁸ For example, the relatively low thermal and moisture stabilities of MOFs limit their practical applications. Therefore, the development of new materials with satisfactory chemical and thermal stabilities for pyrrolidine/THF separation is of high significance.In the past decade, pillararenes have been widely studied in supramolecular chemistry.⁹ Owing to their unique pillar structures and diverse host–guest recognitions, pillararenes have been used in the construction of numerous supramolecular systems.¹⁰ Recently, nonporous adaptive crystals (NACs) of macrocycles, which have shown extraordinary performance in adsorption and separation, have been developed by our group as a new type of adsorption and separation materials.¹¹ Unlike MOFs, covalent-organic frameworks (COFs), and other materials with pre-existing pores, NACs do not have “pores“ in the guest-free form, whereas they adsorb guest vapors through cavities of macrocycles and spaces between macrocycles. NACs have been applied in separations of many significant chemicals such as alkane isomers, aromatics, and halohydrocarbon isomers.¹² However, such materials have never been used to separate pyrrolidine and THF. Herein, we utilized pillararene crystals as a separation material and realized the selective separation of pyrrolidine from a mixture of pyrrolidine and THF. We found that nonporous crystals of per-ethyl pillar[6]arene (EtP6) exhibited a shape-sorting ability at the molecular level towards pyrrolidine with an excellent preference, while crystals of per-ethyl pillar[5]arene (EtP5) did not (Scheme 1). In-depth investigations revealed that the separation was driven by the host–guest complexation between pyrrolidine and EtP6, which resulted in the formation of a more stable structure upon adsorption of pyrrolidine vapor in the crystalline state. EtP6 crystals can also adsorb THF. However, when these two chemicals simultaneously exist as the vapor of a 50 : 50 (v/v) mixture, EtP6 prefers pyrrolidine as an adsorption target. Compared with previously reported NAC-based separation, this separation took place rapidly. 95% purity was achieved in 15 min, and the purity increased to 99.9% after 2 h of separation. Moreover, pyrrolidine was removed upon heating, along with the structural transformation of EtP6 back to its original state, endowing EtP6 with excellent recyclability.Open in a separate windowScheme 1Chemical structures and cartoon representations: (a) EtP5 and EtP6; (b) THF and pyrrolidine.EtP5 and EtP6 were prepared as previously described and then a pretreatment process was carried out to obtain guest-free EtP5 and EtP6 (Fig. S1–S4†).¹³ According to powder X-ray diffraction (PXRD) patterns, activated EtP5 and EtP6 (denoted as EtP5α and EtP6β, respectively) were crystalline, and the patterns matched previous reports (Fig. S5 and S6^†).¹⁴ Studies from our group indicated that EtP5α and EtP6β crystals were nonporous, presumably due to their dense packing modes.We first investigated the adsorption capabilities of EtP5α and EtP6β towards pyrrolidine and THF vapors. Based on time-dependent solid–vapor adsorption procedures, both EtP5α and EtP6β showed good ability to adsorb pyrrolidine and THF vapors. As shown in Fig. 1a, the adsorption amount of THF in EtP5α was higher than that of pyrrolidine. It took 6 hours for EtP5α to reach saturation points for adsorption of both pyrrolidine and THF vapors. The final storage of THF in EtP5α was 2 : 1 (molar ratio to the host), whereas the storage of pyrrolidine was 1 : 1. It seemed that the THF vapor was favored to occupy EtP5α, which was ascribed to the relatively lower boiling point of THF. A similar phenomenon was found for EtP6β. Time-dependent solid–vapor adsorption experiments for pyrrolidine demonstrated that it took just 1 hour to reach the saturation point, while it took 4 hours for the THF vapor (Fig. 1b). The adsorption amount of THF vapor was twice that of pyrrolidine. ¹H NMR spectra and thermogravimetric analyses (TGA) further confirmed the adsorption and storage of THF and pyrrolidine in both hosts (Fig. S7–S16†). Meanwhile, in the desorption process, adsorbed pyrrolidine and THF in EtP6β were easily released under reduced pressure and heating. Based on these data, it was clear that pyrrolidine could be adsorbed rapidly by both EtP5α and EtP6β in molar ratios = 1 : 1, while THF could be captured in a relatively slow process. Structural changes after adsorption of these two vapors were analyzed via PXRD experiments, in which varying degrees of changes before and after adsorption were observed, evidencing the appearance of new crystal structures (Fig. 1c and d). Nevertheless, only slight differences were observed in the PXRD patterns after the adsorption of THF or pyrrolidine, which might be ascribed to the structural similarity of the two molecules.Open in a separate windowFig. 1Time-dependent solid–vapor adsorption plots of (a) EtP5α and (b) EtP6β for single-component pyrrolidine and THF vapors. PXRD patterns of (c) EtP5α and (d) EtP6β: (I) original activated crystals; (II) after adsorption of THF vapor; (III) after adsorption of pyrrolidine vapor.To study the mechanism of adsorption, guest-loaded single crystals were obtained by slowly evaporating either THF or pyrrolidine solutions of pillararenes (Tables S2 and S3^†). In the crystal structure of THF-loaded EtP5 (2THF@EtP5, Fig. 2a and S17^†),^11a two THF molecules are in the cavity of one EtP5 molecule driven by multiple C–H⋯O hydrogen bonds and C–H⋯π bonds. EtP5 assembles into honeycomb-like infinite edge-to-edge 1D channels. In the crystal structure of pyrrolidine-loaded EtP5 (pyrrolidine@EtP5, Fig. 2b and S19^†), one pyrrolidine molecule, stabilized by C–H⋯π interactions and C–H⋯O hydrogen bonds between hydrogen atoms on pyrrolidine and oxygen atoms on EtP5, is found in the cavity of EtP5. It''s worth mentioning that a hydrogen atom which is linked with the N atom of pyrrolidine also forms a strong hydrogen bond with an oxygen atom on the ethoxy group of EtP5. EtP5 forms imperfect 1D channels because of partial distortion of orientation. The PXRD patterns simulated from these crystal structures matched well with the experimental results (Fig. S18 and S20^†), which verified that the uptake of vapors transformed EtP5α into pyrrolidine-loaded EtP5.Open in a separate windowFig. 2Single crystal structures: (a) 2THF@EtP5; (b) pyrrolidine@EtP5.In the crystal structure of THF-loaded EtP6 (2THF@EtP6, Fig. 3a and S21^†), one EtP6 molecule encapsulated two THF molecules in its cavity with C–H⋯O interactions, forming a 1 : 2 host–guest complex. Although 1D channels are observed, EtP6 adopts a slightly different conformation, caused by the presence of THF. Moreover, the PXRD pattern of EtP6β after adsorption of THF vapor matches well with that simulated from 2THF@EtP6, which is evidence for the structural transformation upon adsorption. In the crystal structure of pyrrolidine-loaded EtP6 (pyrrolidine@EtP6, Fig. 3b and S23^†), a 1 : 1 host–guest complex with pyrrolidine is found. Driven by C–H⋯π interactions and C–H⋯O hydrogen bonds formed by hydrogen atoms on pyrrolidine and oxygen atoms on EtP6, one pyrrolidine molecule is in the cavity of EtP6 with the nitrogen atom inside the cavity. The window-to-window packing mode of hexagonal EtP6 molecules in pyrrolidine@EtP6 contributes to the formation of honeycomb-like infinite edge-to-edge 1D channels, favorable for guest adsorption. Likewise, the PXRD result of EtP6β after adsorption of pyrrolidine is in line with the simulated pattern of pyrrolidine@EtP6, indicating that EtP6β transformed into pyrrolidine@EtP6 in the presence of pyrrolidine (Fig. S22 and S24^†).Open in a separate windowFig. 3Single crystal structures: (a) 2THF@EtP6; (b) pyrrolidine@EtP6.According to the adsorption ability and different crystal structures after adsorption of guest vapors, we wondered whether EtP5α or EtP6β could separate mixtures of THF and pyrrolidine. We first evaluated separation by EtP5α. GC analysis indicated that the adsorption ratios of THF and pyrrolidine were 65.7% and 34.3%, respectively, when EtP5α was exposed to 50 : 50 (v/v) pyrrolidine/THF mixture vapor (Fig. 4a and S25^†). Such adsorption was also illustrated by ¹H NMR (Fig. S26^†). Although EtP5α showed a preference for THF, the selectivity is not satisfactory and cannot be applied to industrial separation. The less satisfactory selectivity may be ascribed to the similar crystal structures of EtP5 after adsorption of THF or pyrrolidine and insufficient strong stabilizing interactions. The PXRD pattern of EtP5α after adsorption of the 50 : 50 (v/v) pyrrolidine/THF mixture vapor exhibited minor differences compared with that simulated from either 2THF@EtP5 or pyrrolidine@EtP5, due to poor selectivity (Fig. 4b).Open in a separate windowFig. 4(a)Time-dependent solid–vapor adsorption plot for EtP5α in the presence of 50 : 50 (v/v) pyrrolidine/THF mixture vapor. (b) PXRD patterns of EtP5α: (I) original EtP5α; (II) after adsorption of THF vapor; (III) after adsorption of pyrrolidine vapor; (IV) after adsorption of pyrrolidine/THF mixture vapor; (V) simulated from the single crystal structure of pyrrolidine@EtP5α; (VI) simulated from the single crystal structure of 2THF@EtP5α. (c) Time-dependent solid–vapor adsorption plot for EtP6β in the presence of 50 : 50 (v/v) pyrrolidine/THF mixture vapor. (d) PXRD patterns of EtP6β: (I) original EtP6β; (II) after adsorption of THF vapor; (III) after adsorption of pyrrolidine vapor; (IV) after adsorption of pyrrolidine/THF mixture vapor; (V) simulated from the single crystal structure of pyrrolidine@EtP6β; (VI) simulated from the single crystal structure of 2THF@EtP6β.Nevertheless, selective separation of THF and pyrrolidine was achieved with EtP6β. As shown in Fig. 4c, time-dependent solid–vapor adsorption experiments for a 50 : 50 (v/v) pyrrolidine/THF mixture were conducted. Unlike the phenomenon in single-component adsorption experiments, uptake of pyrrolidine by EtP6β increased and reached the saturation point rapidly (less than 2 hours), while capture of THF was negligible. According to the NMR and GC results (Fig. S27 and S28^†), the purity of pyrrolidine was determined to be 99.9% after 2 hours of adsorption, which indicates the remarkable selectivity of EtP6β for pyrrolidine. The PXRD pattern of EtP6β after adsorption of the mixture was consistent with that from single-component adsorption, indicating the structural transformation in the crystalline state upon selective capture of pyrrolidine from the mixture. Although THF and pyrrolidine have similar molecular structures, their non-covalent interactions with EtP6 are different. We assume that the hydrogen bond between N–H and the oxygen atom on EtP6 stabilizes pyrrolidine and leads to such selectivity. More importantly, compared with previous adsorption processes using NACs reported by our group, the selective separation of pyrrolidine was completed rapidly. According to the GC results, the purity of pyrrolidine reached around 95% in the initial 15 min, while it usually takes hours for selective separations of other substrates using NACs. Increasing the adsorption time to 2 h improves the purity to over 99%. The rapid separation of pyrrolidine with high purity using EtP6β shows great potential in industrial applications.Apart from selectivity, recyclability is also an important parameter for an adsorbent. Consequently, recycling experiments were carried out by heating pyrrolidine@EtP6 under vacuum at 100 °C to remove adsorbed pyrrolidine. According to TGA and PXRD analysis, the recycled EtP6 solid maintained crystallinity and structural integrity that were the same as those of activated EtP6 crystals (Fig. S29 and S30^†). Besides, it is worth mentioning that the recycled EtP6 solids were still capable of separating mixtures of pyrrolidine and THF without loss of performance after being recycled five times (Fig. S31^†).In conclusion, we explored the separation of pyrrolidine/THF mixtures using NACs of EtP5 and EtP6. Pyrrolidine was purified using EtP6 from a 50 : 50 (v/v) pyrrolidine/THF mixture with a purity of 99.9%, but EtP5 exhibited selectivity towards THF. Moreover, the separation of pyrrolidine by EtP6 was extremely fast so that over 95% purity was determined within 15 min of adsorption. The rapid separation is unique among NAC-based separations. Single-crystal structures revealed that the selectivity depended on the stability of the new structures after adsorption of the guests and the non-covalent interactions in the host–guest complexes. PXRD patterns indicated that the structures of the host crystals changed into the host–guest complexes after adsorption. Additionally, the NACs of EtP6 exhibited excellent recyclability over at least five runs; this endows EtP6 with great potential as an alternative adsorbent for rapid purification of pyrrolidine that can be applied in practical industry. The fast separation with such simple NACs in this work also reveals that minor structural differences can cause significant changes in properties, which should provide perspectives on designs of adsorbents or substrates with specifically tailored binding sites.     

Na2S-Mediated One-Pot Selective Deoxygenation of α-Hydroxyl Carbonyl Compounds including Natural Products

A practical method for the deoxygenation of α-hydroxyl carbonyl compounds under mild reaction conditions is reported here. The use of cheap and easy-to-handle Na₂S·9H₂O as the reductant in the presence of PPh₃ and N-chlorosuccinimide (NCS) enables the selective dehydroxylation of α-hydroxyl carbonyl compounds, including ketones, esters, amides, imides and nitrile groups. The synthetic utility is demonstrated by the late-stage deoxygenation of bioactive molecule and complex natural products.     

Palladium-catalyzed hydrosilylation of ynones to access silicon-stereogenic silylenones by stereospecific aromatic interaction-assisted Si–H activation

Hydrosilylation is one of the most important reactions in synthetic chemistry and ranks as a fundamental method to access organosilicon compounds in industrial and academic processes. However, the enantioselective construction of chiral-at-silicon compounds via catalytic asymmetric hydrosilylation remained limited and difficult. Here we report a highly enantioselective hydrosilylation of ynones, a type of carbonyl-activated alkynes, using a palladium catalyst with a chiral binaphthyl phosphoramidite ligand. The stereospecific hydrosilylation of ynones affords a series of silicon-stereogenic silylenones with up to 94% yield, 20:1 regioselectivity and 98:2 enantioselectivity. The density functional theory(DFT) calculations were conducted to elucidate the reaction mechanism and origin of high degree of stereoselectivity, in which the powerful potential of aromatic interaction in this reaction is highlighted by the multiple C–H-π interaction and aromatic cavity-oriented enantioselectivitydetermining step during desymmetric functionalization of Si–H bond.     

The Pathophysiology of Long COVID throughout the Renin-Angiotensin System

COVID-19 has expanded across the world since its discovery in Wuhan (China) and has had a significant impact on people’s lives and health. Long COVID is a term coined by the World Health Organization (WHO) to describe a variety of persistent symptoms after acute SARS-CoV-2 infection. Long COVID has been demonstrated to affect various SARS-CoV-2-infected persons, independently of the acute disease severity. The symptoms of long COVID, like acute COVID-19, consist in the set of damage to various organs and systems such as the respiratory, cardiovascular, neurological, endocrine, urinary, and immune systems. Fatigue, dyspnea, cardiac abnormalities, cognitive and attention impairments, sleep disturbances, post-traumatic stress disorder, muscle pain, concentration problems, and headache were all reported as symptoms of long COVID. At the molecular level, the renin-angiotensin system (RAS) is heavily involved in the pathogenesis of this illness, much as it is in the acute phase of the viral infection. In this review, we summarize the impact of long COVID on several organs and tissues, with a special focus on the significance of the RAS in the disease pathogenesis. Long COVID risk factors and potential therapy approaches are also explored.