Hofman Paul, Copin Marie-Christine, Tauziede-Espariat Arnault, Adle-Biassette Homa, Fortarezza Francesco, Passeron Thierry, Salmon Isabelle, Calabrese Fiorella
Laboratoire de pathologie clinique et expérimentale, hôpital Pasteur, centre hospitalo-universitaire de Nice, université Côte d'Azur, B.P. 69-30, avenue de la voie romaine, 06001 Nice cedex 01, France; Biobanque hospitalière (BB-0033-00025), hôpital Pasteur, Nice, France; FHU OncoAge, hôpital Pasteur, Nice, France.
Université d'Angers, Inserm, CRCINA, Angers, France; Département de pathologie, centre hospitalo-universitaire, Angers, France.
Ann Pathol. 2021 Feb;41(1):9-22. doi: 10.1016/j.annpat.2020.12.009. Epub 2020 Dec 30.
The infection due to the SARS-CoV-2 leads lesions mainly observed at the respiratory tract level, but not exclusively. The analyses of these lesions benefited from different autopsy studies. Thus, these lesions were observed in different organs, tissues and cells. These observations allowed us to rapidly improve the knowledge of the pathophysiological mechanisms associated with this emergent infectious disease. The virus can be detected in formalin fixed paraffin embedded tissues using immunohistochemistry, in situ hybridization, molecular biology and/or electron microscopy approaches. However, many uncertainties are still present concerning the direct role of the SARS-CoV-2 on the different lesions observed in different organs, outside the lung, such as the heart, the brain, the liver, the gastrointestinal tract, the kidney and the skin. In this context, it is pivotal to keep going to increase the different tissue and cellular studies in the COVID-19 positive patients aiming to better understanding the consequences of this new infectious disease, notably considering different epidemiological and co-morbidities associated factors. This could participate to the development of new therapeutic strategies too. The purpose of this review is to describe the main histological and cellular lesions associated with the infection due to the SARS-CoV-2.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染主要导致呼吸道层面的病变,但并非仅限于此。对这些病变的分析得益于不同的尸检研究。因此,在不同的器官、组织和细胞中观察到了这些病变。这些观察结果使我们能够迅速增进对与这种新发传染病相关的病理生理机制的了解。使用免疫组织化学、原位杂交、分子生物学和/或电子显微镜方法,可以在福尔马林固定石蜡包埋组织中检测到该病毒。然而,关于SARS-CoV-2在肺外不同器官(如心脏、大脑、肝脏、胃肠道、肾脏和皮肤)中观察到的不同病变上的直接作用,仍然存在许多不确定性。在这种情况下,持续增加对COVID-19阳性患者的不同组织和细胞研究至关重要,目的是更好地了解这种新发传染病的后果,特别是考虑到不同的流行病学和合并症相关因素。这也有助于新治疗策略的开发。本综述的目的是描述与SARS-CoV-2感染相关的主要组织学和细胞病变。