Unidad de Evaluación Preclínica, Unidad de Biotecnología Médica y Farmaceútica, CONACYT Centro de Investigación y Asistencia en Tecnología y Diseño del Estado de Jalisco (CIATEJ), Guadalajara, Mexico.
Centro Universitario de Ciencias Biológicas y Agropecuarias (CUCBA), Universidad de Guadalajara, Zapopan, Mexico.
Front Immunol. 2021 Jan 29;11:621735. doi: 10.3389/fimmu.2020.621735. eCollection 2020.
In late December 2019, multiple atypical pneumonia cases resulted in severe acute respiratory syndrome caused by a pathogen identified as a novel coronavirus SARS-CoV-2. The most common coronavirus disease 2019 (COVID-19) symptoms are pneumonia, fever, dry cough, and fatigue. However, some neurological complications following SARS-CoV-2 infection include confusion, cerebrovascular diseases, ataxia, hypogeusia, hyposmia, neuralgia, and seizures. Indeed, a growing literature demonstrates that neurotropism is a common feature of coronaviruses; therefore, the infection mechanisms already described in other coronaviruses may also be applicable for SARS-CoV-2. Understanding the underlying pathogenetic mechanisms in the nervous system infection and the neurological involvement is essential to assess possible long-term neurological alteration of COVID-19. Here, we provide an overview of associated literature regarding possible routes of COVID-19 neuroinvasion, such as the trans-synapse-connected route in the olfactory pathway and peripheral nerve terminals and its neurological implications in the central nervous system.
2019 年 12 月下旬,多种非典型肺炎病例导致由一种新型冠状病毒 SARS-CoV-2 引起的严重急性呼吸综合征。最常见的冠状病毒病 2019(COVID-19)症状是肺炎、发热、干咳和疲劳。然而,SARS-CoV-2 感染后的一些神经系统并发症包括意识混乱、脑血管疾病、共济失调、味觉减退、嗅觉减退、神经痛和癫痫。事实上,越来越多的文献表明,神经嗜性是冠状病毒的共同特征;因此,已在其他冠状病毒中描述的感染机制也可能适用于 SARS-CoV-2。了解神经系统感染和神经受累的潜在发病机制对于评估 COVID-19 可能的长期神经系统改变至关重要。在这里,我们提供了一篇关于 COVID-19 神经入侵可能途径的相关文献综述,例如嗅觉途径中的突触间连接途径和周围神经末梢及其在中枢神经系统中的神经学意义。
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