The potential mechanisms for the impact of PM2.5 include (1) long-term exposure to PM2.5 might lead to chronic inflammation in the respiratory pathway, which predisposes individuals to COVID-19; (2) chronic exposure to PM2.5 might impair cilia, which acts as the first line of defense; as a result, people with abnormal cilia might be more vulnerable to any viral infection [34]; and (3) finally, PM2.5 exposure induces the over-expression of angiotensin-converting enzyme 2 (ACE2), which is the receptor SARS-CoV-2 binds to; this might also lead to increasing susceptibility to be infected [35]. This evidence concerns the gene ACE2 and COVID-19.