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阿尔茨海默病和帕金森病预示着不同的新冠病毒病结局:一项英国生物银行研究。

Alzheimer's and Parkinson's Diseases Predict Different COVID-19 Outcomes: A UK Biobank Study.

作者信息

Yu Yizhou, Travaglio Marco, Popovic Rebeka, Leal Nuno Santos, Martins Luis Miguel

机构信息

MRC Toxicology Unit, University of Cambridge, Cambridge CB2 1QR, UK.

出版信息

Geriatrics (Basel). 2021 Jan 26;6(1):10. doi: 10.3390/geriatrics6010010.

Abstract

In December 2019, a coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began infecting humans, causing a novel disease, coronavirus disease 19 (COVID-19). This was first described in the Wuhan province of the People's Republic of China. SARS-CoV-2 has spread throughout the world, causing a global pandemic. To date, thousands of cases of COVID-19 have been reported in the United Kingdom, and over 45,000 patients have died. Some progress has been achieved in managing this disease, but the biological determinants of health, in addition to age, that affect SARS-CoV-2 infectivity and mortality are under scrutiny. Recent studies show that several medical conditions, including diabetes and hypertension, increase the risk of COVID-19 and death. The increased vulnerability of elderly individuals and those with comorbidities, together with the prevalence of neurodegenerative diseases with advanced age, led us to investigate the links between neurodegeneration and COVID-19. We analysed the primary health records of 13,338 UK individuals tested for COVID-19 between March and July 2020. We show that a pre-existing diagnosis of Alzheimer's disease predicts the highest risk of COVID-19 and mortality among elderly individuals. In contrast, Parkinson's disease patients were found to have a higher risk of SARS-CoV-2 infection but not mortality from COVID-19. We conclude that there are disease-specific differences in COVID-19 susceptibility among patients affected by neurodegenerative disorders.

摘要

2019年12月,一种冠状病毒——严重急性呼吸综合征冠状病毒2(SARS-CoV-2)开始感染人类,引发了一种新型疾病——冠状病毒病19(COVID-19)。该病最初在中国湖北省被发现。SARS-CoV-2已在全球传播,导致全球大流行。截至目前,英国已报告数千例COVID-19病例,超过4.5万名患者死亡。在应对这种疾病方面已取得一些进展,但除年龄外,影响SARS-CoV-2感染性和死亡率的健康生物学决定因素仍在研究中。最近的研究表明,包括糖尿病和高血压在内的几种疾病会增加感染COVID-19和死亡的风险。老年人及患有合并症者的易感性增加,以及老年神经退行性疾病的普遍存在,促使我们研究神经退行性变与COVID-19之间的联系。我们分析了2020年3月至7月间接受COVID-19检测的13338名英国个人的原始健康记录。我们发现,预先诊断为阿尔茨海默病的老年人感染COVID-19和死亡的风险最高。相比之下,帕金森病患者感染SARS-CoV-2的风险较高,但死于COVID-19的风险并不高。我们得出结论,神经退行性疾病患者对COVID-19的易感性存在疾病特异性差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeaf/7839041/81df036e3c21/geriatrics-06-00010-g001.jpg

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