Goyal Anmol, Prasad Rajendra, Goel Parul, Pal Amit, Prasad Suvarna, Rani Isha
Department of Community Medicine, Gian Sagar Medical College and Hospital, Ram Nagar, Rajpura, Patiala, Punjab India.
Department of Biochemistry, Maharishi Markandeshwar Institute of Medical Sciences and Research (MMIMSR), Maharishi Markandeshwar University (MMU), Mullana, Ambala, Haryana, India.
Indian J Clin Biochem. 2021 Oct;36(4):387-403. doi: 10.1007/s12291-021-00972-3. Epub 2021 Apr 15.
Coronavirus disease 2019 (Covid-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a pandemic disease which has affected more than 6.2 million people globally, with numbers mounting considerably daily. However, till date, no specific treatment modalities are available for Covid-19 and also not much information is known about this disease. Recent studies have revealed that SARS-CoV-2 infection is associated with the generation of thrombosis and coagulopathy. Fundamentally, it has been believed that a diverse array of signalling pathways might be responsible for the activation of coagulation cascade during SARS-CoV-2 infection. Henceforth, a detailed understanding of these probable underlying molecular mechanistic pathways causing thrombosis in Covid-19 disease deserves an urgent exploration. Therefore, in this review, the hypothetical crosstalk between distinct signalling pathways including apoptosis, inflammation, hypoxia and angiogenesis attributable for the commencement of thrombotic events during SARS-CoV-2 infection has been addressed which might further unravel promising therapeutic targets in Covid-19 disease.
由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的2019冠状病毒病(Covid-19)是一种大流行病,全球感染人数已超过620万,且每天都在大幅增加。然而,迄今为止,尚无针对Covid-19的特异性治疗方法,人们对这种疾病的了解也不多。最近的研究表明,SARS-CoV-2感染与血栓形成和凝血病有关。从根本上说,人们认为多种信号通路可能在SARS-CoV-2感染期间导致凝血级联反应的激活。因此,迫切需要详细了解这些可能导致Covid-19疾病血栓形成的潜在分子机制途径。因此,在本综述中,探讨了包括凋亡、炎症、缺氧和血管生成在内的不同信号通路之间的假设性相互作用,这些信号通路导致SARS-CoV-2感染期间血栓形成事件的开始,这可能进一步揭示Covid-19疾病中有前景的治疗靶点。