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
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.
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.
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.
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
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.