COVID‐19: immunopathology, pathophysiological mechanisms, and treatment options DOI Creative Commons
Larissa E. van Eijk, Mathijs Binkhorst, Arno R. Bourgonje

и другие.

The Journal of Pathology, Год журнала: 2021, Номер 254(4), С. 307 - 331

Опубликована: Фев. 17, 2021

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), continues to spread globally despite the worldwide implementation of preventive measures combat disease. Although most COVID-19 cases are characterised a mild, self-limiting course, considerable subset patients develop more condition, varying from pneumonia and distress (ARDS) multi-organ failure (MOF). Progression is thought occur as result complex interplay between multiple pathophysiological mechanisms, all which may orchestrate SARS-CoV-2 infection contribute organ-specific tissue damage. In this respect, dissecting currently available knowledge immunopathogenesis crucially important, not only improve our understanding its pathophysiology but also fuel rationale both novel repurposed treatment modalities. Various immune-mediated pathways during relevant in context, relate innate immunity, adaptive autoimmunity. Pathological findings specimens with provide valuable information regard well development evidence-based regimens. This review provides an updated overview main pathological changes observed within commonly affected organ systems, special emphasis on immunopathology. Current management strategies for include supportive care use or symptomatic drugs, such dexamethasone, remdesivir, anticoagulants. Ultimately, prevention key COVID-19, requires appropriate attenuate and, above all, effective vaccines. © 2021 The Authors. Journal Pathology published John Wiley & Sons, Ltd. behalf Society Great Britain Ireland.

Язык: Английский

Aging in COVID-19: Vulnerability, immunity and intervention DOI Creative Commons
Yiyin Chen, Sabra L. Klein, Brian T. Garibaldi

и другие.

Ageing Research Reviews, Год журнала: 2020, Номер 65, С. 101205 - 101205

Опубликована: Окт. 31, 2020

Язык: Английский

Процитировано

910

SARS-CoV-2 infection and persistence in the human body and brain at autopsy DOI Open Access
Sydney Stein, Sabrina Ramelli, Alison Grazioli

и другие.

Nature, Год журнала: 2022, Номер 612(7941), С. 758 - 763

Опубликована: Дек. 14, 2022

Язык: Английский

Процитировано

660

Long-Term Respiratory and Neurological Sequelae of COVID-19 DOI
Fuzhou Wang, Richard M. Kream, George B. Stefano

и другие.

Medical Science Monitor, Год журнала: 2020, Номер 26

Опубликована: Ноя. 1, 2020

Since the initial reports of coronavirus disease 2019 (COVID-19) in China late 2019, infections from severe acute respiratory syndrome 2 (SARS-CoV-2) have spread rapidly, resulting a global pandemic that has caused millions deaths. Initially, large number infected people required direction healthcare resources to provide supportive care for acutely ill population an attempt reduce mortality. While clinical trials safe and effective antiviral agents are ongoing, vaccine development programs being accelerated, long-term sequelae SARS-CoV-2 infection become increasingly recognized concerning. Although upper lower tracts main sites entry into body, COVID-19 pneumonia as most common presentation, lung damage may be followed by pulmonary fibrosis chronic impairment function, with impaired quality life. Also, increasing shown involves central nervous system (CNS) peripheral (PNS) directly or indirectly damages neurons, leading neurological sequelae. This review aims update on mechanisms involved 3 areas injury, neuronal neurodegenerative diseases, including Alzheimer disease, Parkinson multiple sclerosis, highlights need patient monitoring following stage rationale prevention, diagnosis, management these potential

Язык: Английский

Процитировано

416

Human recombinant soluble ACE2 in severe COVID-19 DOI Creative Commons
Alexander Zoufaly, Marko Poglitsch, Judith H. Aberle

и другие.

The Lancet Respiratory Medicine, Год журнала: 2020, Номер 8(11), С. 1154 - 1158

Опубликована: Сен. 25, 2020

Язык: Английский

Процитировано

397

ACE2: Evidence of role as entry receptor for SARS-CoV-2 and implications in comorbidities DOI Creative Commons
Natalia Zamorano Cuervo, Nathalie Grandvaux

eLife, Год журнала: 2020, Номер 9

Опубликована: Ноя. 9, 2020

Pandemic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes 19 disease (COVID-19) which presents a large spectrum of manifestations with fatal outcomes in vulnerable people over 70-years-old and hypertension, diabetes, obesity, cardiovascular disease, COPD, smoking status. Knowledge the entry receptor is key to understand SARS-CoV-2 tropism, transmission pathogenesis. Early evidence pointed angiotensin-converting enzyme (ACE2) as receptor. Here, we provide critical summary current knowledge highlighting limitations remaining gaps that need be addressed fully characterize ACE2 function infection associated We also discuss expression potential role context comorbidities poor COVID-19 outcomes. Finally, co-receptors/attachment factors such neuropilins, heparan sulfate sialic acids putative alternative receptors, CD147 GRP78.

Язык: Английский

Процитировано

319

DNA vaccines against COVID-19: Perspectives and challenges DOI Open Access
Marcelle Moura Silveira, Gustavo Marçal Schmidt Garcia Moreira, Marcelo Mendonça

и другие.

Life Sciences, Год журнала: 2020, Номер 267, С. 118919 - 118919

Опубликована: Дек. 19, 2020

Язык: Английский

Процитировано

264

Nutritional status of patients with COVID-19 DOI Creative Commons
Jae Hyoung Im,

Young Soo Je,

Ji Hyeon Baek

и другие.

International Journal of Infectious Diseases, Год журнала: 2020, Номер 100, С. 390 - 393

Опубликована: Авг. 11, 2020

The relationship between immunity and nutrition is well known its role in coronavirus disease 2019 (COVID-19) also being paid great attention. However, the nutritional status of COVID-19 patients unknown. Vitamin B1, B6, B12, vitamin D (25-hydroxyvitamin D), folate, selenium, zinc levels were measured 50 hospitalized with COVID-19. Overall, 76% deficient 42% selenium deficient. No significant increase incidence deficiency was found for vitamins group showed significantly lower values than healthy control (150 people, matched by age/sex). Severe (based on a cut-off ≤10 ng/dl) 24.0% 7.3% group. Among 12 respiratory distress, 11 (91.7%) at least one nutrient. without distress 30/38 cases (78.9%; p = 0.425). These results suggest that or may decrease immune defenses against cause progression to severe disease. more precise large-scale studies are needed.

Язык: Английский

Процитировано

257

Body Localization of ACE-2: On the Trail of the Keyhole of SARS-CoV-2 DOI Creative Commons
Francesca Salamanna, Melania Maglio, Maria Paola Landini

и другие.

Frontiers in Medicine, Год журнала: 2020, Номер 7

Опубликована: Дек. 3, 2020

The explosion of the new coronavirus (SARS-CoV-2) pandemic has brought role angiotensin converting enzyme 2 (ACE2) back into scientific limelight. Since SARS-CoV-2 must bind ACE2 for entering host cells in humans, its expression and body localization are critical to track potential target organ this infection outline disease progression clinical outcomes. Here, we mapped physiological distribution, expression, activities discussed correlations mutal interactions with disparate symptoms present patients at level different organs. We highlighted that despite during ACE2-expressing organs may become direct targets, leading severe pathological manifestations, subsequent multiple failures, exact mechanism through which acts these is still heavily debated. Further efforts, also considering a personalized approach aimed consider specific patient differences mutual ACE2-SARS-CoV-2 long-term health effects associated COVID-19 currently mandatory.

Язык: Английский

Процитировано

255

Cytokine Storm in COVID-19: Immunopathogenesis and Therapy DOI Creative Commons
Christian Zanza,

Tatsiana Romenskaya,

A Manetti

и другие.

Medicina, Год журнала: 2022, Номер 58(2), С. 144 - 144

Опубликована: Янв. 18, 2022

A cytokine storm is a hyperinflammatory state secondary to the excessive production of cytokines by deregulated immune system. It manifests clinically as an influenza-like syndrome, which can be complicated multi-organ failure and coagulopathy, leading, in most severe cases, even death. The term was first used 1993 describe graft-versus-host disease following allogeneic hematopoietic stem cell transplantation. then reused define adverse syndromes administration immunostimulating agents, such anti-CD28 antibodies or bioengineered cells, i.e., CAR T-cell therapy. Currently, concept has been better elucidated extended pathogenesis many other conditions, sepsis, autoinflammatory disease, primary hemophagocytic lymphohistiocytosis, multicentric Castleman disease. Moreover, recently emerged key aspect novel Coronavirus 2019, affected patients show high levels several pro-inflammatory cytokines, IL-1, IL-2, IL-6, TNF-α, IFN-γ, IP-10, GM-CSF, MCP-1, IL-10, some also correlate with severity. Therefore, since onset pandemic, numerous agents have tested effort mitigate COVID-19 patients, are effective reducing mortality, especially critically ill now becoming standards care, glucocorticoids inhibitors. However, challenge still far from being met, therapeutic strategies hope that we eventually overcome

Язык: Английский

Процитировано

249

Pathogenesis and treatment of cytokine storm in COVID-19 DOI Open Access
Mehmet Soy, Gökhan Keser, Pamir Atagündüz

и другие.

TURKISH JOURNAL OF BIOLOGY, Год журнала: 2021, Номер 45(SI-1), С. 372 - 389

Опубликована: Июнь 7, 2021

COVID-19 is a viral infection caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that killed large number of patients around world. A hyperinflammatory state resulting in cytokine storm and adult distress seems to be major cause death. Many mechanisms have been suggested pathogenesis associated (COVID-CS). Insufficient clearance persistence strong response despite inadequate antiviral immunity seem main underlying pathogenesis. The diagnosis based on relatively constant clinical symptoms, findings, laboratory tests, imaging techniques, while COVID-CS rather dynamic process, evolving or newly emerging findings during course. Management consists using agents inhibit SARS-CoV-2 replication treating potential complications including together with general supportive measures. may treated appropriate immunosuppressive immunomodulatory drugs reduce level inappropriate systemic inflammation, which has organ damage. Currently corticosteroids, IL-6 blockers, IL-1 blockers are most widely used for COVID-CS.

Язык: Английский

Процитировано

229