Cells,
Journal Year:
2023,
Volume and Issue:
12(12), P. 1664 - 1664
Published: June 19, 2023
Coronavirus
disease
2019
(COVID-19),
the
pandemic
caused
by
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2),
which
counts
more
than
650
million
cases
and
6.6
of
deaths
worldwide,
affects
system
with
typical
symptoms
such
as
fever,
cough,
sore
throat,
distress
(ARDS),
fatigue.
Other
nonpulmonary
manifestations
are
related
abnormal
inflammatory
response,
"cytokine
storm",
that
could
lead
to
a
multiorgan
death.
Evolution
effective
vaccines
against
SARS-CoV-2
provided
multiple
options
prevent
infection,
but
treatment
forms
remains
difficult
manage.
The
cytokine
storm
is
usually
counteracted
standard
medical
care
anti-inflammatory
drugs,
researchers
moved
forward
their
studies
on
new
strategies
based
cell
therapy
approaches.
perinatal
tissues,
placental
membranes,
amniotic
fluid,
umbilical
cord
derivatives,
enriched
in
mesenchymal
stromal
cells
(MSCs)
exert
well-known
role,
immune
response
modulation,
tissue
repair.
In
this
review,
we
focused
umbilical-cord-derived
MSCs
(UC-MSCs)
used
vitro
vivo
order
evaluate
weakening
symptoms,
recent
clinical
trials
from
different
databases,
supporting
favorable
potential
UC-MSCs
therapeutic
strategy.
Educational Process International Journal,
Journal Year:
2023,
Volume and Issue:
12(3)
Published: Jan. 1, 2023
Background/purpose
-ChatGPT,
an
AI-powered
chatbot
designed
with
generative
pre-trained
transformer
architecture,
have
intrigued
millions
of
people
from
diverse
backgrounds
since
its
first
release,
and
generated
excitement
groundbreaking
performance
in
numerous
use
cases
they
been
tested.Its
ability
to
generate
coherent
contextually
relevant
responses
across
a
wide
range
topics
also
attracted
the
attention
researchers,
several
scholars
investigated
potential
uses
this
AI-based
tool
promote
scientific
work.The
current
study
was
similar
purpose,
aimed
conduct
research
on
effects
COVID-19
pandemic
education
collaborative
analysis
humanartificial
intelligence.Materials/methods
-The
data
were
simultaneous
interviews
ChatGPT-3.5
4,
their
evaluated
comparatively
terms
accuracy,
clarity,
conciseness,
breadth
information
provided
for
(1)
definition
pandemic,
(2)
negative
impact
education,
(3)
positive
(4)
recommendations
improve
effectiveness
teaching
learning
during
pandemic.We
using
trichotomous
rating
system,
calculated
Cohen's
kappa
values
assess
inter-rater
agreements
each
category
evaluation.Results
results
indicated
that
both
versions
demonstrated
strong
accurate,
clear
concise
satisfactory
breadth.As
can
be
expected,
ChatGPT-4
more
categorized
synthesized
information,
better
at
demonstrating
critical
reasoning.Conclusion
-These
indicate
ChatGPT
is
promising
support
process
collaboration
human
intelligence,
newer
could
developed
way
these
chatbots
ethically
safely
integrated
into
different
stages
work.
Frontiers in Immunology,
Journal Year:
2022,
Volume and Issue:
13
Published: Dec. 6, 2022
GS-441524,
an
RNA‐dependent
RNA
polymerase
(RdRp)
inhibitor,
is
a
1′-CN-substituted
adenine
C-nucleoside
analog
with
broad-spectrum
antiviral
activity.
However,
the
low
oral
bioavailability
of
GS‐441524
poses
challenge
to
its
anti-SARS-CoV-2
efficacy.
Remdesivir,
intravenously
administered
version
(version
1.0)
first
FDA-approved
agent
for
SARS-CoV-2
treatment.
clinical
trials
have
presented
conflicting
evidence
on
value
remdesivir
in
COVID-19.
Therefore,
GS-441524
derivatives
(VV116,
ATV006,
and
GS-621763;
2.0,
targeting
highly
conserved
viral
RdRp)
could
be
considered
as
game-changers
treating
COVID-19
because
administration
has
potential
maximize
benefits,
including
decreased
duration
reduced
post-acute
sequelae
infection,
well
limited
side
effects
such
hepatic
accumulation.
This
review
summarizes
current
research
related
provides
important
insights
into
factors
underlying
controversial
observations
regarding
efficacy
remdesivir;
overall,
it
offers
effective
launching
pad
developing
GS-441524.
Journal of Clinical Medicine,
Journal Year:
2023,
Volume and Issue:
12(3), P. 1058 - 1058
Published: Jan. 29, 2023
Investigating
the
health-related
quality
of
life
(HRQoL)
after
intensive
care
unit
(ICU)
discharge
is
necessary
to
identify
possible
modifiable
risk
factors.
The
primary
aim
this
study
was
investigate
HRQoL
in
COVID-19
critically
ill
patients
one
year
ICU
discharge.
Brain Communications,
Journal Year:
2024,
Volume and Issue:
6(2)
Published: Jan. 1, 2024
Abstract
Components
that
comprise
our
brain
parenchymal
and
cerebrovascular
structures
provide
a
homeostatic
environment
for
proper
neuronal
function
to
ensure
normal
cognition.
Cerebral
insults
(e.g.
ischaemia,
microbleeds
infection)
alter
cellular
physiologic
processes
within
the
neurovascular
unit
contribute
cognitive
dysfunction.
COVID-19
has
posed
significant
complications
during
acute
convalescent
stages
in
multiple
organ
systems,
including
brain.
Cognitive
impairment
is
prevalent
complication
patients,
irrespective
of
severity
SARS-CoV-2
infection.
Moreover,
overwhelming
evidence
from
vitro,
preclinical
clinical
studies
reported
SARS-CoV-2-induced
pathologies
components
are
associated
with
impairment.
Neurovascular
disruption
alters
coupling
response,
critical
mechanism
regulates
cerebromicrovascular
blood
flow
meet
energetic
demands
locally
active
neurons.
Normal
processing
achieved
through
response
involves
coordinated
action
cells
(i.e.
neurons
glia)
cell
types
endothelia,
smooth
muscle
pericytes).
However,
current
work
on
COVID-19-induced
yet
investigate
as
causal
factor.
Hence,
this
review,
we
aim
describe
SARS-CoV-2's
effects
how
they
can
impact
decline
disease.
Additionally,
explore
potential
therapeutic
interventions
mitigate
Given
great
both
individuals
public
health,
necessity
effort
fundamental
scientific
research
application
becomes
imperative.
This
integrated
endeavour
crucial
mitigating
deficits
induced
by
its
subsequent
burden
especially
vulnerable
population.
Journal of Clinical Medicine,
Journal Year:
2022,
Volume and Issue:
11(22), P. 6719 - 6719
Published: Nov. 13, 2022
Critically
ill
patients
with
sepsis
and
severe
COVID-19
are
commonly
characterized
by
a
dysregulated
immune
response
an
acute
kidney
injury.
Continuous
renal
replacement
therapy
(CRRT)
is
now
proposed
as
promising
adjuvant
to
treat
these
critically
removing
cytokines,
pathogen-associated
molecular
patterns,
damage-associated
patterns
from
the
blood.
Although
multiple
hemofilters,
including
high-cutoff
membranes,
oXiris
hemofilter,
CytoSorb
hemoadsorption
device,
Toraymyxin
hemoperfusion
cartridge,
have
been
used
in
current
clinical
practice,
use
of
hemofilter
particular
interest
because
it
only
kind
that
can
provide
therapy,
remove
endotoxins,
adsorb
cytokines
simultaneously.
During
past
five
years,
growing
body
literature
has
shown
CRRT
improve
hemodynamics
organ
function
decrease
endotoxins
both
septic
patients.
Here,
we
performed
narrative
review
describe
development
history
discuss
therapeutic
effect
oXiris-CRRT
on
searching
PubMed,
Web
Science,
clinicaltrials.gov
databases
for
articles
published
inception
8
September
2022
(updated
1
November)
English
language
restriction.
We
also
summarized
knowledge
anticoagulation
techniques
safety
concerns
when
delivering
sessions.
Journal of Medical Virology,
Journal Year:
2022,
Volume and Issue:
95(1)
Published: Nov. 19, 2022
The
longitudinal
trajectories
of
cardiac
structure
and
function
following
SARS-CoV-2
infection
are
unclear.
Therefore,
this
meta-analysis
aims
to
elucidate
the
effect
on
in
coronavirus
disease
2019
(COVID-19)
survivors
after
recovery.
PubMed/MEDLINE,
CENTRAL,
EMBASE
were
systematically
searched
for
articles
published
up
1st
August
2022.
A
systematic
review
performed
calculate
pooled
effects
size
95%
confidence
interval
each
outcome.
total
21
studies
including
2394
individuals
(1436
post-COVID-19
cases
958
controls)
included
present
meta-analysis.
analyses
compared
with
control
groups
showed
a
significant
association
between
reduced
left
ventricular
ejection
fraction
(LV
EF),
LV
end-diastolic
volume
EDV),
stroke
SV),
mitral
annular
plane
systolic
excursion
(MAPSE),
global
strain,
right
EF
(RV
RV
EDV,
ESV,
SV,
tricuspid
excursion,
increased
mass.
Subgroup
analysis
based
severity
COVID-19
acute
phase
subsequent
chronic
outcomes
revealed
that
EF,
MAPSE,
ESV
only
decreased
patients
history
intensive
care
unit
admission.
Cardiac
impairment
persisted
recovered
even
1
year.
Future
warranted
determine
biological
mechanisms
underlying
long-term
cardiovascular
consequences
COVID-19.
Journal of Inflammation Research,
Journal Year:
2024,
Volume and Issue:
Volume 17, P. 5077 - 5091
Published: July 1, 2024
Abstract:
The
late
2019
emergence
of
the
Severe
Acute
Respiratory
Syndrome
Coronavirus
2
(SARS-CoV-2),
causative
agent
COVID-19,
caused
profound
and
unprecedented
disruption
to
global
socio-economic
structure,
negatively
affecting
millions
lives
worldwide.
A
typical
hallmark
severe
COVID-19
is
hyper
inflammation
due
aberrant
cytokine
release
(cytokine
storm)
by
innate
immune
cells.
Recent
studies
have
revealed
that
SARS-CoV-2,
through
its
spike
(S)
protein,
can
activate
body's
cells
via
Toll-Like
Receptors
(TLRs),
particularly
TLR4.
In
silico
demonstrated
S
protein
binds
with
high
affinity
TLR4,
triggering
downstream
signaling
processes
result
in
pro-inflammatory
release.
Compared
other
TLRs,
such
as
TLR2,
TLR4
plays
a
more
significant
role
initiating
sustaining
inflammatory
response
associated
COVID-19.
Furthermore,
interactions
between
virus
target
enhance
cellular
expression
making
susceptible
viral
subsequent
inflammation.
This
increased
upon
entry
creates
feedback
loop,
where
heightened
levels
lead
amplified
responses,
contributing
severity
disease.
Additionally,
TLR4's
potent
activation
pathways
sets
it
apart
from
underscoring
pivotal
pathogenesis
this
review,
we
thoroughly
explore
multitude
regulatory
SARS-CoV-2
employs
incite
We
specifically
focus
on
critical
impact
compared
highlighting
how
exacerbate
By
delving
into
mechanisms
TLR4-mediated
inflammation,
aim
shed
light
potential
therapeutic
targets
could
mitigate
damage
Understanding
unique
context
infection
pave
way
for
novel
treatment
strategies
inhibit
receptor's
activity,
thereby
reducing
overall
disease
burden
improving
patient
outcomes.
Keywords:
storm,
toll-like
receptor
4,
hyperinflammation,
ACE2
receptors,
immunity
MedComm,
Journal Year:
2023,
Volume and Issue:
4(3)
Published: May 14, 2023
The
coronavirus
disease
2019
(COVID-19)
pandemic
has
affected
a
large
portion
of
the
global
population,
both
physically
and
mentally.
Current
evidence
suggests
that
rapidly
evolving
subvariants
risk
rendering
vaccines
antibodies
ineffective
due
to
their
potential
evade
existing
immunity,
with
enhanced
transmission
activity
higher
reinfection
rates
could
lead
new
outbreaks
across
globe.
goal
viral
management
is
disrupt
life
cycle
as
well
relieve
severe
symptoms
such
lung
damage,
cytokine
storm,
organ
failure.
In
fight
against
viruses,
combination
genome
sequencing,
elucidation
structure
proteins,
identifying
proteins
are
highly
conserved
multiple
coronaviruses
revealed
many
molecular
targets.
addition,
time-
cost-effective
repurposing
preexisting
antiviral
drugs
or
approved/clinical
for
these
targets
offers
considerable
clinical
advantages
COVID-19
patients.
This
review
provides
comprehensive
overview
various
identified
pathogenic
pathways
corresponding
repurposed
COVID-19.
These
findings
provide
insight
into
discovery
novel
therapeutic
strategies
be
applied
control
emanating
from
SARS-CoV-2
variants.
Frontiers in Pharmacology,
Journal Year:
2022,
Volume and Issue:
13
Published: May 30, 2022
Severe
disease
from
SARS-CoV-2
infection
often
progresses
to
multi-organ
failure
and
results
in
an
increased
mortality
rate
amongst
these
patients.
However,
underlying
mechanisms
of
SARS-
CoV-2-induced
subsequent
death
are
still
largely
unknown.
Cytokine
storm,
levels
inflammatory
mediators,
endothelial
dysfunction,
coagulation
abnormalities,
infiltration
cells
into
the
organs
contribute
pathogenesis
COVID-19.
One
potential
consequence
immune/inflammatory
events
is
acute
progression
generalized
edema,
which
may
lead
death.
We,
therefore,
examined
involvement
water
channels
development
edema
multiple
their
contribution
organ
dysfunction
a
Murine
Hepatitis
Virus-1
(MHV-1)
mouse
model
Using
this
model,
we
recently
reported
pathological
abnormalities
animal
similar
that
humans
with
infection.
We
now
identified
alteration
protein
AQPs
1,
4,
5,
8
associated
oxidative
stress,
along
various
degrees
tissue
organs,
correlate
well
survival
post-MHV-1
Furthermore,
our
newly
created
drug
(a
15
amino
acid
synthetic
peptide,
known
as
SPIKENET)
was
designed
prevent
binding
spike
glycoproteins
receptor(s),
angiotensin-
converting
enzyme
2
(ACE2),
carcinoembryonic
antigen-related
cell
adhesion
molecule
1
(CEACAM1)
(SARS-CoV-2
MHV-1,
respectively),
ameliorated
reversed
altered
stress
Collectively,
findings
suggest
possible
aquaporins
likely
mediated
by
virus-induced
response,
COVID-
19
SPIKENET
therapeutic
option.
Journal of Clinical Medicine,
Journal Year:
2022,
Volume and Issue:
11(14), P. 4160 - 4160
Published: July 18, 2022
Background:
The
sequential
organ
failure
assessment
(SOFA)
score
has
poor
discriminative
ability
for
death
in
severely
or
critically
ill
patients
with
Coronavirus
disease
2019
(COVID-19)
requiring
intensive
care
unit
(ICU)
admission.
Our
aim
was
to
create
a
new
powered
predict
28-day
mortality.
Methods:
Retrospective,
observational,
bicentric
cohort
study
including
425
COVID-19
pneumonia,
acute
respiratory
and
SOFA
≥
2
ICU
admission
≥72
h.
Factors
independent
predictive
value
mortality
were
identified
after
stepwise
Cox
proportional
hazards
(PH)
regression.
Based
on
the
regression
coefficients,
an
equation
computed
representing
COVID-SOFA
score.
Discriminative
tested
using
receiver
operating
characteristic
(ROC)
analysis,
concordance
statistics
precision-recall
curves.
This
internally
validated.
Results:
Median
(Q1−Q3)
age
whole
sample
64
[55−72],
290
(68.2%)
of
being
male.
54.58%.
After
PH
regression,
age,
neutrophil-to-lymphocyte
ratio
(NLR)
remained
final
model.
following
computed:
=
10
×
[0.037
Age
+
0.347
ln(NLR)
0.16
SOFA].
Harrell’s
C-index
higher
than
alone
(0.697
[95%
CI;
0.662−0.731]
versus
0.639
CI:
0.605−0.672]).
Subsequently,
prediction
error
rate
improved
up
16.06%.
Area
under
ROC
(AUROC)
significantly
compared
mortality:
0.796
0.755−0.833]
0.699
0.653−0.742,
p
<
0.001].
Better
observed
repeated
measurement
at
48
h
Conclusions:
is
better
prediction.
Improvement
seen
measurements
suggests
that
can
be
used
repetitive
manner.
External
validation
required
support
these
results.