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2019冠状病毒病与嗅觉功能障碍:一种针对神经退行性疾病的可能关联研究方法。

COVID-19 and olfactory dysfunction: A possible associative approach towards neurodegenerative diseases.

作者信息

Mahalaxmi Iyer, Kaavya Jayaramayya, Mohana Devi Subramaniam, Balachandar Vellingiri

机构信息

Department of Zoology, Avinashilingam Institute for Home Science and Higher Education, Coimbatore, Tamil Nadu, India.

Department of Genetics and Molecular Biology, Vision Research Foundation, Chennai, India.

出版信息

J Cell Physiol. 2021 Feb;236(2):763-770. doi: 10.1002/jcp.29937. Epub 2020 Jul 22.

Abstract

The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the agent of novel coronavirus 2019 (COVID-19), has kept the globe in disquiets due to its severe life-threatening conditions. The most common symptoms of COVID-19 are fever, sore throat, and shortness of breath. According to the anecdotal reports from the health care workers, it has been suggested that the virus could reach the brain and can cause anosmia, hyposmia, hypogeusia, and hypopsia. Once the SARS-CoV-2 has entered the central nervous system (CNS), it can either exit in an inactive form in the tissues or may lead to neuroinflammation. Here, we aim to discuss the chronic infection of the olfactory bulb region of the brain by SARS-CoV-2 and how this could affect the nearby residing neurons in the host. We further review the probable cellular mechanism and activation of the microglia 1 phenotype possibly leading to various neurodegenerative disorders. In conclusion, SARS-CoV-2 might probably infect the olfactory bulb neuron enervating the nasal epithelium accessing the CNS and might cause neurodegenerative diseases in the future.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2),即2019新型冠状病毒(COVID-19)的病原体,因其严重威胁生命的状况而使全球陷入不安。COVID-19最常见的症状是发热、喉咙痛和呼吸急促。根据医护人员的轶事报告,有人提出该病毒可能会到达大脑并可导致嗅觉丧失、嗅觉减退、味觉减退和视力减退。一旦SARS-CoV-2进入中枢神经系统(CNS),它可能以无活性形式存在于组织中,也可能导致神经炎症。在此,我们旨在讨论SARS-CoV-2对大脑嗅球区域的慢性感染以及这可能如何影响宿主中附近的神经元。我们进一步回顾了可能导致各种神经退行性疾病的小胶质细胞1表型的可能细胞机制和激活。总之,SARS-CoV-2可能会感染支配进入中枢神经系统的鼻上皮的嗅球神经元,并可能在未来导致神经退行性疾病。

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