Diagnostics,
Год журнала:
2024,
Номер
14(24), С. 2823 - 2823
Опубликована: Дек. 15, 2024
Background/Aim:
Loss
of
smell,
also
known
as
anosmia,
is
a
prevalent
and
often
prolonged
symptom
following
infection
with
SARS-CoV-2.
While
many
patients
regain
olfactory
function
within
weeks,
significant
portion
experience
persistent
anosmia
lasting
over
year
post-infection.
The
underlying
mechanisms
responsible
for
this
sensory
deficit
remain
largely
uncharacterized.
Previous
studies,
including
genome-wide
association
studies
(GWAS),
have
identified
genetic
variants
near
the
UGT2A1
UGT2A2
genes
that
are
linked
to
in
COVID-19
patients.
However,
role
epigenetic
changes
development
persistence
smell
loss
has
not
been
well
explored.
In
study,
we
aimed
investigate
alterations
form
DNA
methylation
UGT1A1
gene,
which
locus
associated
dysfunction
Methods:
We
analysed
patterns
blood
samples
from
two
carefully
matched
cohorts
20
each,
differentiated
by
their
function—those
normal
(normosmia)
those
suffering
(anosmia).
were
age
sex
minimize
potential
confounding
factors.
Results:
Using
quantitative
analysis,
found
significantly
lower
levels
group
compared
normosmia
group,
14%
decrease
median
values
(p
<
0.0001).
These
findings
highlight
epigenomic
gene
may
contribute
pathogenesis
infection.
Our
results
suggest
status
at
could
serve
biomarker
affected
individuals.
Conclusion:
This
study
among
first
describe
COVID-19,
providing
foundation
future
research
into
targeted
interventions
therapeutic
strategies
reversing
anosmia.
Further
investigations
involving
larger
additional
loci
help
elucidate
complex
interaction
between
genetic,
epigenetic,
environmental
factors
influencing
long-term
impairment
post-COVID-19.
Signal Transduction and Targeted Therapy,
Год журнала:
2023,
Номер
8(1)
Опубликована: Ноя. 1, 2023
Abstract
There
have
been
hundreds
of
millions
cases
coronavirus
disease
2019
(COVID-19),
which
is
caused
by
severe
acute
respiratory
syndrome
2
(SARS-CoV-2).
With
the
growing
population
recovered
patients,
it
crucial
to
understand
long-term
consequences
and
management
strategies.
Although
COVID-19
was
initially
considered
an
illness,
recent
evidence
suggests
that
manifestations
including
but
not
limited
those
cardiovascular,
respiratory,
neuropsychiatric,
gastrointestinal,
reproductive,
musculoskeletal
systems
may
persist
long
after
phase.
These
persistent
manifestations,
also
referred
as
COVID,
could
impact
all
patients
with
across
full
spectrum
illness
severity.
Herein,
we
comprehensively
review
current
literature
on
highlighting
its
epidemiological
understanding,
vaccinations,
organ-specific
sequelae,
pathophysiological
mechanisms,
multidisciplinary
In
addition,
psychological
psychosomatic
factors
underscored.
Despite
these
findings
diagnostic
therapeutic
strategies
based
previous
experience
pilot
studies
remain
inadequate,
well-designed
clinical
trials
should
be
prioritized
validate
existing
hypotheses.
Thus,
propose
primary
challenges
concerning
biological
knowledge
gaps
efficient
remedies
well
discuss
corresponding
recommendations.
Why
individuals
with
Down
syndrome
(DS)
are
more
susceptible
to
SARS-CoV-2–induced
neuropathology
remains
elusive.
Choroid
plexus
(ChP)
plays
critical
roles
in
barrier
function
and
immune
response
modulation
expresses
the
ACE2
receptor
chromosome
21–encoded
TMPRSS2
protease,
suggesting
its
substantial
role
establishing
SARS-CoV-2
infection
brain.
To
explore
this,
we
established
brain
organoids
from
DS
isogenic
euploid
iPSC
that
consist
of
a
core
functional
cortical
neurons
surrounded
by
ChP-like
epithelium
(ChPCOs).
DS-ChPCOs
recapitulated
abnormal
development
revealed
defects
ciliogenesis
epithelial
cell
polarity
epithelium.
We
then
demonstrated
facilitates
replication
this
is
increased
DS.
Inhibiting
furin
activity
reduced
viral
levels.
This
model
enables
dissection
ChP
neurotropic
virus
forebrain
permits
screening
therapeutics
for
neuropathogenesis.
Chinese Medical Journal - Pulmonary and Critical Care Medicine,
Год журнала:
2023,
Номер
1(4), С. 231 - 240
Опубликована: Дек. 1, 2023
The
coronavirus
disease
2019
(COVID-19)
pandemic
has
been
ongoing
for
more
than
3
years,
with
an
enormous
impact
on
global
health
and
economies.
In
some
patients,
symptoms
signs
may
remain
after
recovery
from
severe
acute
respiratory
syndrome
2
(SARS-CoV-2)
infection,
which
cannot
be
explained
by
alternate
diagnosis;
this
condition
defined
as
long
COVID.
Long
COVID
exist
in
patients
both
mild
is
prevalent
infection
different
SARS-CoV-2
variants.
most
common
include
fatigue,
dyspnea,
other
involving
multiple
organs.
Vaccination
results
lower
rates
of
To
date,
the
mechanisms
unclear.
narrative
review,
we
summarized
clinical
presentations
current
evidence
regarding
pathogenesis
World Journal of Otorhinolaryngology - Head and Neck Surgery,
Год журнала:
2024,
Номер
10(2), С. 121 - 128
Опубликована: Март 19, 2024
Olfactory
dysfunction
is
one
of
the
most
recognized
symptoms
COVID-19,
significantly
impacting
quality
life,
particularly
in
cases
where
recovery
prolonged.
This
review
aims
to
explore
patterns
olfactory
post-COVID-19
infection,
with
particular
focus
on
delayed
recovery.
Biomedicines,
Год журнала:
2024,
Номер
12(4), С. 808 - 808
Опубликована: Апрель 5, 2024
Long
COVID
has
brought
numerous
challenges
to
healthcare,
with
olfactory
dysfunction
(OD)
being
a
particularly
distressing
outcome
for
many
patients.
The
persistent
loss
of
smell
significantly
diminishes
the
affected
individual's
quality
life.
Recent
attention
been
drawn
potential
platelet-rich
plasma
(PRP)
therapy
as
treatment
OD.
This
comprehensive
review
aims
evaluate
effectiveness
PRP
in
ameliorating
OD,
especially
when
associated
long-term
COVID-19.
Behavioural Brain Research,
Год журнала:
2023,
Номер
455, С. 114662 - 114662
Опубликована: Сен. 12, 2023
SARS-CoV-2
infection
produces
a
wide
range
of
symptoms.
Some
the
structural
changes
caused
by
virus
in
nervous
system
are
found
medial
temporal
lobe,
and
several
neuropsychological
sequelae
COVID-19
related
to
function
hippocampus.
The
main
objective
systematic
review
is
update
further
analyze
existing
evidence
hippocampal
cortices'
functional
alterations
due
infection.
Both
clinical
preclinical
studies
that
used
different
methodologies
explore
effects
this
disease
at
stages
grades
severity
were
considered,
besides
exploring
cognitive
emotional
symptomatology.
A
total
24
identified
searching
SCOPUS,
Web
Of
Science
(WOS),
PubMed,
PsycInfo
databases
up
October
3rd,
2022.
Thirteen
performed
human
samples,
9
included
animal
models,
3
post-mortem,
1
both
post-mortem
samples.
Alterations
hippocampus
detected
acute
stage
after
months
Clinical
revealed
connectivity
metabolism.
Memory
correlated
with
altered
metabolic
profiles
or
grey
matter
volumes.
Hippocampal
postmortem
observed
neurogenesis,
dendrites,
immune
response,
high
apoptosis
neuroinflammation.
Preclinical
reported
viral
load
Olfactory
dysfunction
was
associated
brain
functionality.
Several
complaints,
alterations,
depressive
anxious
Frontiers in Immunology,
Год журнала:
2023,
Номер
14
Опубликована: Июль 17, 2023
During
the
first
waves
of
coronavirus
disease
2019
(COVID-19)
pandemic
caused
by
severe
acute
respiratory
syndrome
2
(SARS-CoV-2)
infection,
olfactory
dysfunction
(OD)
was
reported
as
a
frequent
clinical
sign.
The
nasal
epithelium
is
one
front-line
protections
against
viral
infections,
and
immune
responses
mucosa
may
be
associated
with
OD.
Two
mechanisms
underlying
OD
occurrence
in
COVID-19
have
been
proposed:
infection
sustentacular
cells
inflammatory
reaction
epithelium.
former
triggers
latter
likely
prolongs
These
two
alternative
act
parallel;
more
important
for
because
are
to
entry
point
SARS-CoV-2
than
neurons
susceptible
early
injury.
Furthermore,
abundantly
express
transmembrane
protease,
serine
(TMPRSS2)
play
major
role
has
revealed
crucial
roles
cells.
This
review
aims
elucidate
how
contribute
COVID-19–related
Understanding
aid
development
improved
medical
treatments
COVID-19-related
persistent
olfactory
dysfunction
(OD)
presents
remarkable
interindividual
differences,
and
little
is
known
about
the
host
genetic
factors
that
are
involved
in
its
etiopathogenesis.
The
goal
of
this
study
was
to
explore
underpinning
OD
through
analysis
Whole
Genome
Sequencing
data
153
affected
subjects,
focusing
on
genes
antiviral
response
regulation.
An
innovative
approach
developed,
namely
assessment
association
between
a
"gene
score",
defined
as
ratio
number
homozygous
alternative
variants
within
gene
length,
participants'
function.
highlighted
how
an
increased
score
ACE2
associated
with
worse
performance,
while
IFI44
NDUFAF4
better
Considering
physiological
role
proteins
encoded
by
these
genes,
it
can
be
hypothesized
reduced
expression
may
protracted
severe
inflammatory
epithelium,
thus
worsening
patients'
smell
abilities.
Conversely,
might
decreased
response,
correlating
performance.
Overall,
identified
new
play
pivotal
determining
heterogeneity,
possibly
enabling
more
personalized
effective
clinical
management
for
individuals.
CNS Neuroscience & Therapeutics,
Год журнала:
2025,
Номер
31(3)
Опубликована: Март 1, 2025
ABSTRACT
Background
The
COVID‐19
pandemic
has
left
an
indelible
mark
on
the
world,
with
mounting
evidence
suggesting
that
it
not
only
posed
acute
challenges
to
global
healthcare
systems
but
also
unveiled
a
complex
array
of
long‐term
consequences,
particularly
cognitive
impairment
(CI).
As
persistence
post‐COVID‐19
neurological
syndrome
could
evolve
into
next
public
health
crisis,
is
imperative
gain
better
understanding
intricate
pathophysiology
CI
in
patients
and
viable
treatment
strategies.
Methods
This
comprehensive
review
explores
management
across
phases
COVID‐19,
from
infection
Long‐COVID,
by
synthesizing
findings
clinical,
preclinical,
mechanistic
studies
identify
key
contributors
CI,
as
well
current
therapeutic
approaches.
Results
Key
mechanisms
contributing
include
persistent
neuroinflammation,
cerebrovascular
complications,
direct
neuronal
injury,
activation
kynurenine
pathway,
psychological
distress.
Both
pharmacological
interventions,
such
anti‐inflammatory
therapies
agents
targeting
neuroinflammatory
pathways,
non‐pharmacological
strategies,
including
rehabilitation,
show
promise
addressing
these
challenges.
Although
much
derived
preclinical
animal
studies,
provide
foundational
insights
potential
Conclusion
By
knowledge,
this
highlights
importance
COVID‐19‐related
offers
actionable
for
mitigation
recovery
community
continues
grapple
pandemic's
impact.
Journal of Translational Medicine,
Год журнала:
2023,
Номер
21(1)
Опубликована: Ноя. 17, 2023
Abstract
Coronavirus
disease
2019
(COVID-19)
is
an
infectious
caused
by
the
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2).
Since
start
of
pandemic,
olfactory
dysfunction
(OD)
has
been
reported
as
a
common
symptom
COVID-19.
In
some
asymptomatic
carriers,
OD
often
first
and
even
only
symptom.
At
same
time,
persistent
also
long-term
sequela
seen
after
COVID-19
that
can
have
serious
impact
on
quality
life
patients.
However,
pathogenesis
post-COVID-19
still
unclear,
there
no
specific
treatment
for
its
The
aim
this
paper
was
to
review
research
SARS-CoV-2
infection
summarize
mechanism
action,
pathogenesis,
current
treatments.