SARS‐CoV‐2, periodontal pathogens, and host factors: The trinity of oral post‐acute sequelae of COVID‐19 DOI Creative Commons
Joel Schwartz, Kristelle J. Capistrano,

Joseph L. Gluck

et al.

Reviews in Medical Virology, Journal Year: 2024, Volume and Issue: 34(3)

Published: May 1, 2024

Abstract COVID‐19 as a pan‐epidemic is waning but there it imperative to understand virus interaction with oral tissues and inflammatory diseases. We review periodontal disease (PD), common disease, driver of post‐acute‐sequelae conditions (PASC). Oral PASC identifies PD, loss teeth, dysgeusia, xerostomia, sialolitis‐sialolith, mucositis. contend that PD‐associated microbial dysbiosis involving higher burden periodontopathic bacteria provide an optimal microenvironment for severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection. These pathogens interact epithelial cells activate molecular or biochemical pathways promote viral adherence, entry, persistence in the cavity. A repertoire diverse molecules this relationship including lipids, carbohydrates enzymes. The S protein SARS‐CoV‐2 binds ACE2 receptor activated by protease activity host furin TRMPSS2 cleave subunits entry. However, PD additional enzymatic assistance mimicking augment adherence inducing entry receptors ACE2/TRMPSS, which are poorly expressed on cells. discuss mechanisms periodontopathogens factors facilitate infection immune resistance resulting incomplete clearance risk ‘long‐haul’ health issues characterising PASC. Finally, we suggest potential diagnostic markers treatment avenues mitigate

Language: Английский

The knowns and unknowns of long COVID-19: from mechanisms to therapeutical approaches DOI Creative Commons
Roxana Gheorghiţă, Iuliana Șoldănescu, Andrei Lobiuc

et al.

Frontiers in Immunology, Journal Year: 2024, Volume and Issue: 15

Published: March 4, 2024

The coronavirus disease 2019 (COVID-19) pandemic caused by SARS-CoV-2 has been defined as the greatest global health and socioeconomic crisis of modern times. While most people recover after being infected with virus, a significant proportion them continue to experience issues weeks, months even years acute infection SARS-CoV-2. This persistence clinical symptoms in individuals for at least three onset or emergence new lasting more than two months, without any other explanation alternative diagnosis have named long COVID, long-haul post-COVID-19 conditions, chronic post-acute sequelae (PASC). Long COVID characterized constellation disorders that vary widely their manifestations. Further, mechanisms underlying are not fully understood, which hamper efficient treatment options. review describes predictors common related COVID's effects on central peripheral nervous system organs tissues. Furthermore, transcriptional markers, molecular signaling pathways risk factors such sex, age, pre-existing condition, hospitalization during phase COVID-19, vaccination, lifestyle presented. Finally, recommendations patient rehabilitation management, well therapeutical approaches discussed. Understanding complexity this disease, its across multiple organ systems overlapping pathologies possible paramount developing diagnostic tools treatments.

Language: Английский

Citations

23

Comprehensive Review of COVID-19: Epidemiology, Pathogenesis, Advancement in Diagnostic and Detection Techniques, and Post-Pandemic Treatment Strategies DOI Open Access

Y.-C. Chung,

Ching-Yin Lam,

Pak-Hei Tan

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(15), P. 8155 - 8155

Published: July 26, 2024

At present, COVID-19 remains a public health concern due to the ongoing evolution of SARS-CoV-2 and its prevalence in particular countries. This paper provides an updated overview epidemiology pathogenesis COVID-19, with focus on emergence variants phenomenon known as ‘long COVID’. Meanwhile, diagnostic detection advances will be mentioned. Though many inventions have been made combat pandemic, some outstanding ones include multiplex RT-PCR, which can used for accurate diagnosis infection. ELISA-based antigen tests also appear potential tools available future. discusses current treatments, vaccination strategies, well emerging cell-based therapies The underscores necessity us continuously update scientific understanding treatments it.

Language: Английский

Citations

10

Initial immune response after exposure to Mycobacterium tuberculosis or to SARS-COV-2: similarities and differences DOI Creative Commons
Alessandra Aiello, Saeid Najafi Fard, Delia Goletti

et al.

Frontiers in Immunology, Journal Year: 2023, Volume and Issue: 14

Published: Aug. 17, 2023

Tuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb) and Coronavirus disease-2019 (COVID-19), whose etiologic agent is severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), are currently the two deadliest infectious diseases in humans, which together have about more than 11 million deaths worldwide past 3 years. TB COVID-19 share several aspects including droplet- aerosol-borne transmissibility, lungs as primary target, some symptoms, diagnostic tools. However, these differ other their incubation period, immune cells involved, persistence immunopathological response. In this review, we highlight similarities differences between focusing on innate adaptive response induced after exposure to Mtb SARS-CoV-2 pathological pathways linking infections. Moreover, provide a brief overview of case TB-COVID-19 co-infection highlighting each individual infection. A comprehensive understanding involved utmost importance for design effective therapeutic strategies vaccines both diseases.

Language: Английский

Citations

21

Immunomodulatory approaches in managing lung inflammation in COVID‐19: A double‐edge sword DOI Creative Commons
Geetika Verma, Manish Dhawan, AbdulRahman A. Saied

et al.

Immunity Inflammation and Disease, Journal Year: 2023, Volume and Issue: 11(9)

Published: Sept. 1, 2023

Abstract Introduction The novel coronavirus infectious disease 2019 (COVID‐19) which is caused by severe acute respiratory syndrome 2 (SARS‐CoV‐2) has emerged as a gigantic problem. lung the major target organ of SARS‐CoV‐2 and some its variants like Delta Omicron variant adapted in such way that these can significantly damage this vital body. These raised few eyebrows outbreaks have been seen vaccinated population. Patients develop illnesses eventually prove fatal unless treated early. Main Body Studies shown causes release pro‐inflammatory cytokines interleukin (IL)‐6, IL‐1β tumor necrosis factor (TNF)‐α are mediators inflammation, damage, fever, fibrosis. Additionally, various chemokines found to play an important role progression. A plethora “cytokine storm” observed cases infection leading distress (ARDS) pneumonia may fatal. To counteract cytokine storm‐inducing several promising immunomodulatory approaches being investigated numerous clinical trials. However, benefits using strategies should outweigh risks involved use certain immunosuppressive might lead host susceptible secondary bacterial infections. Conclusion present review discusses manage inflammation COVID‐19 serve potential therapeutic options future lifesaving.

Language: Английский

Citations

18

Pro Inflammatory Cytokines Profiles of Patients With Long COVID Differ Between Variant Epochs DOI Creative Commons
Ravindra Ganesh,

Siddhant Yadav,

Ryan T. Hurt

et al.

Journal of Primary Care & Community Health, Journal Year: 2024, Volume and Issue: 15

Published: Jan. 1, 2024

Background: Over 30% of patients with COVID-19 have persistent symptoms that last beyond 30 days and referred to as Long COVID. COVID has been associated a elevation in peripheral cytokines including interleukin-6, interleukin-1β, tumor necrosis factor-α. This study reports cytokine profiles our clinic across SARS-COV-2 variant epochs. Methods: The clinical panel was analyzed during periods were stratified according epoch. 4 epochs defined as: (1) wild-type through alpha, (2) alpha/beta/gamma, (3) delta, (4) omicron variants. Results: A total 390 had the performed; median age 48 years (IQR 38-59) 62% female. Distribution by 50% (n = 196); 7.9% 31); 18% 72); omicron, 23% 91). Time testing significantly longer for earlier Tumor factor-α ( P < .001) interleukin 1β more elevated (median 558 Alpha epoch vs 263 epoch, .001)). Nucleocapsid antibodies consistently detected Discussion: When early persistently pro-inflammatory levels when compared later Patients similar clusters epochs, suggesting underlying pathology is independent signature.

Language: Английский

Citations

7

Exploring the Pathophysiology of Long COVID: The Central Role of Low-Grade Inflammation and Multisystem Involvement DOI Open Access
Evgeni Gusev, Alexey Sarapultsev

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(12), P. 6389 - 6389

Published: June 9, 2024

Long COVID (LC), also referred to as Post COVID-19 Condition, Post-Acute Sequelae of SARS-CoV-2 Infection (PASC), and other terms, represents a complex multisystem disease persisting after the acute phase COVID-19. Characterized by myriad symptoms across different organ systems, LC presents significant diagnostic management challenges. Central disorder is role low-grade inflammation, non-classical inflammatory response that contributes chronicity diversity observed. This review explores pathophysiological underpinnings LC, emphasizing importance inflammation core component. By delineating pathogenetic relationships clinical manifestations this article highlights necessity for an integrated approach employs both personalized medicine standardized protocols aimed at mitigating long-term consequences. The insights gained not only enhance our understanding but inform development therapeutic strategies could be applicable chronic conditions with similar features.

Language: Английский

Citations

7

Immune exhaustion in ME/CFS and long COVID DOI Creative Commons
Natalie Eaton-Fitch, Penny A. Rudd,

Teagan Er

et al.

JCI Insight, Journal Year: 2024, Volume and Issue: 9(20)

Published: Oct. 22, 2024

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and long COVID are debilitating multisystemic conditions sharing similarities in immune dysregulation cellular signaling pathways contributing to the pathophysiology. In this study, exhaustion gene expression was investigated participants with ME/CFS or concurrently. RNA extracted from peripheral blood mononuclear cells isolated (n = 14), 15), healthy controls 18). Participants were included according Canadian Consensus Criteria. eligible case definition for "Post COVID-19 Condition" published by World Health Organization. analyzed using NanoString nCounter Immune Exhaustion panel. Differential analysis revealed downregulated IFN immunoglobulin genes, suggested a state of suppression. Pathway implicated dysregulated macrophage activation, cytokine production, immunodeficiency signaling. Long samples exhibited genes regarding antigen presentation, signaling, activation. Differentially expressed associated B cell development, This investigation elucidates intricate role both adaptive innate underlying COVID, emphasizing potential importance disease progression.

Language: Английский

Citations

7

Cytokine Storm in COVID-19: Exploring IL-6 Signaling and Cytokine-Microbiome Interactions as Emerging Therapeutic Approaches DOI Open Access
Tudorița Gabriela Părângă, Ivona Mitu, Mariana Pavel

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(21), P. 11411 - 11411

Published: Oct. 24, 2024

IL-6 remains a key molecule of the cytokine storms characterizing COVID-19, exerting both proinflammatory and anti-inflammatory effects. Emerging research underscores significance trans-signaling over classical signaling pathways, which has shifted focus therapeutic strategies. Additionally, synergistic action TNF-α IFN-γ been found to induce inflammatory cell death through PANoptosis, further amplifying severity storms. Long COVID-19 patients, as well those with triggered by other conditions, exhibit distinct laboratory profiles, indicating need for targeted approaches diagnosis management. Growing evidence also highlights gut microbiota's crucial role in modulating immune response during affecting production, adding complexity disease's immunological landscape. Targeted intervention strategies should on specific cutoffs, though accurate quantification clinical challenge. Current treatment are increasingly focused inhibiting trans-signaling, offers promise more precise manage hyperinflammatory responses COVID-19. In light recent discoveries, this review summarizes findings storms, particularly their conditions. It explores emerging targeting cytokines like IL-6, TNF-α, IFN-γ, while addressing open questions, such better biomarkers detect ongoing challenges developing treatments that mitigate hyperinflammation without compromising function, emphasizing importance continued field.

Language: Английский

Citations

6

Chemokine receptors in COVID-19 infection DOI

Claudia Gutierrez-Chavez,

Shalom Aperrigue-Lira, Brando Ortiz-Saavedra

et al.

International review of cell and molecular biology, Journal Year: 2024, Volume and Issue: unknown, P. 53 - 94

Published: Jan. 1, 2024

Language: Английский

Citations

4

Revolutionizing Diabetes Management: A Comparative Analysis of Novel Vaccine Therapies with Conventional Treatments DOI Open Access

Sayali Aher,

Harshali Jadhav,

Snehal Ukhade

et al.

Journal of Advanced Chemical Sciences, Journal Year: 2025, Volume and Issue: 11(1), P. 822 - 826

Published: Jan. 19, 2025

This comprehensive review compares novel vaccine therapies to conventional treatments for diabetes management, examining efficacy, safety, cost-effectiveness, and patient compliance. Conventional (insulin, oral medications, lifestyle modifications) have limitations, such as hypoglycemic decreased adherence. Vaccine (T-cell targeted, peptide-based, DNA vaccines) demonstrate potential benefits, including improved glycemic control, reduced hypoglycemia, enhanced Comparative analysis reveals exhibit comparable or superior efficacy treatments, with adverse effects quality of life. Cost-effectiveness suggests long-term economic benefits. Patient compliance satisfaction are higher therapies. Future directions include personalized medicine, combination therapies, prevention reversal diabetes. Emerging trends focus on antigens, adjuvants, delivery systems.

Language: Английский

Citations

0