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. 2021 Oct 29;15:770387. doi: 10.3389/fncel.2021.770387

FIGURE 2.

FIGURE 2

Under normal circumstances, tPA facilitates conversion of plasminogen to plasmin. PAI-1 is a tPA inhibitor that downregulates plasmin, a protein necessary for BDNF maturation. The SARS-CoV-2 interaction with ACE-2, increases ANG II inducing EC senescence. Senescent ECs upregulate PAI-1, lowering tPA and plasmin levels. SARS-CoV-2 antigen S2 usurps furin and plasmin (not shown), disrupting the conversion of pro-BDNF into BDNF, that in return impairs synaptic plasticity, predisposing to PTSD. Upregulated pro-BDNF increases PTSD vulnerability further.