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COVID-19 大流行的神经学见解。

Neurological Insights of COVID-19 Pandemic.

机构信息

Organic and Medicinal Chemistry and Structural Biology and Bioinformatics Division, CSIR-Indian Institute of Chemical Biology, 4, Raja S. C. Mullick Road, Jadavpur, Kolkata, 700 032 WB India.

Academy of Scientific and Innovative Research (AcSIR), Ghaziabad 201002, India.

出版信息

ACS Chem Neurosci. 2020 May 6;11(9):1206-1209. doi: 10.1021/acschemneuro.0c00201. Epub 2020 Apr 22.

Abstract

The novel coronavirus SARS-CoV-2, which was identified after a recent outbreak in Wuhan, China, in December 2019, has kept the whole world in tenterhooks due to its severe life-threatening nature of the infection. The virus is unlike its previous counterparts, SARS-CoV and MERS-CoV, or anything the world has encountered before both in terms of virulence and severity of the infection. If scientific reports relevant to the SARS-CoV-2 virus are noted, it can be seen that the virus owes much of its killer properties to its unique structure that has a stronger binding affinity with the human angiotensin-converting enzyme 2 (hACE2) protein, which the viruses utilize as an entry point to gain accesses to its hosts. Recent reports suggest that it is not just the lung that the virus may be targeting; the human brain may soon emerge as the new abode of the virus. Already instances of patients with COVID-19 have been reported with mild (anosmia and ageusia) to severe (encephalopathy) neurological manifestations, and if that is so, then it gives us more reasons to be frightened of this killer virus. Keeping in mind that the situation does not worsen from here, immediate awareness and more thorough research regarding the neuroinvasive nature of the virus is the immediate need of the hour. Scientists globally also need to up their game to design more specific therapeutic strategies with the available information to counteract the pandemic. In this Viewpoint, we provide a brief outline of the currently known neurological manifestations of COVID-19 and discuss some probable ways to design therapeutic strategies to overcome the present global crisis.

摘要

新型冠状病毒(SARS-CoV-2)是一种在 2019 年 12 月中国武汉近期暴发的疫情中被发现的病原体,由于其感染具有严重的致命性,让全世界都感到紧张不安。该病毒与之前的 SARS-CoV 和 MERS-CoV 不同,也与世界以前遇到的任何病毒都不同,无论是在毒力还是感染的严重程度方面。如果注意到与 SARS-CoV-2 病毒相关的科学报告,就会发现该病毒的许多杀伤特性都归因于其独特的结构,这种结构与人类血管紧张素转换酶 2(hACE2)蛋白具有更强的结合亲和力,病毒利用该蛋白作为进入宿主的切入点。最近的报告表明,病毒可能不仅针对肺部,而且人类大脑可能很快成为病毒的新栖息地。已经有 COVID-19 患者出现轻度(嗅觉丧失和味觉丧失)到重度(脑病)神经表现的病例,如果是这样,那么这给了我们更多的理由害怕这种致命病毒。考虑到情况不会从这里恶化,立即提高认识并更彻底地研究病毒的神经侵袭特性是当前的当务之急。全球科学家还需要利用现有信息提高设计更具针对性的治疗策略的水平,以应对这一大流行病。在本观点中,我们简要概述了 COVID-19 的目前已知神经表现,并讨论了一些可能的设计治疗策略以克服当前全球危机的方法。

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