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新冠病毒感染会侵入大脑导致突然嗅觉丧失,随后引发严重的神经紊乱吗?

Can the coronavirus infection penetrates the brain resulting in sudden anosmia followed by severe neurological disorders?

作者信息

Anwar Mai M, Badawi Ayman M, Eltablawy Nadia A

机构信息

Department of Biochemistry, National Organization for Drug Control and Research (NODCAR)/Egyptian Drug Authority, Cairo, Egypt.

出版信息

eNeurologicalSci. 2020 Dec;21:100290. doi: 10.1016/j.ensci.2020.100290. Epub 2020 Nov 11.

Abstract

Serious of unpredictable drawbacks of Coronavirus 2019 (COVID-19) infectious disease caused by SARS-COV-2 on the nervous system, have been widely noticed among the huge number of infected people. It was found that this type of newly revolving pandemic infection mainly infects the human respiratory tract causing mild to moderate symptoms, however, the hidden door side of COVID-19 is via penetrating the brain, revealing a huge threat especially to elderly people who are more susceptible to its severe side effects and even death to more extent. Almost 80% of COVID-19 patients suffer from severe neurological manifestations including dizziness, headache, unconscious, irritability, dysfunction in smell, and taste accompanied by muscle fatigue. Herein, we are trying to address the direct neuroinvasive pathway of COVID-19 into human brain cells which is mainly through the olfactory route leading to long-term neurological complications. In addition to highlighting the ability of COVID-19 infection to intensify a pre-existing AD to a more prominent severe stage. The other thing to emphasize is whether AD patients with a highly prominent activation of local immune responses are more or less exposed to getting infected with COVID-19. Along with underlying the hypothesis that the susceptibility to COVID-19 infection may lead to a future risk for neurodegenerative diseases including Alzheimer's disease (AD).

摘要

严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)引起的2019冠状病毒病(COVID-19)对神经系统造成的一系列不可预测的不利影响,在大量感染者中已广为人知。研究发现,这种新出现的大流行感染主要感染人类呼吸道,导致轻至中度症状,然而,COVID-19的隐藏面是通过侵入大脑,这对老年人构成了巨大威胁,他们更容易受到其严重副作用的影响,甚至在更大程度上面临死亡风险。几乎80%的COVID-19患者患有严重的神经症状,包括头晕、头痛、意识不清、易怒、嗅觉和味觉功能障碍以及肌肉疲劳。在此,我们试图探讨COVID-19进入人类脑细胞的直接神经侵袭途径,该途径主要通过嗅觉途径,导致长期神经并发症。此外,还强调了COVID-19感染将先前存在的阿尔茨海默病(AD)加重到更严重阶段的能力。另一个需要强调的问题是,局部免疫反应高度激活的AD患者感染COVID-19的风险是更高还是更低。同时还提出了一个假设,即对COVID-19感染的易感性可能会导致包括阿尔茨海默病(AD)在内的神经退行性疾病的未来风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0913/7689397/442adb7520a4/gr1.jpg

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