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神经免疫学能就长期新冠的症状告诉我们什么?

What can neuroimmunology teach us about the symptoms of long-COVID?

作者信息

Mondelli Valeria, Pariante Carmine M

机构信息

Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

National Institute for Health Research Mental Health Biomedical Research Centre, South London and Maudsley NHS Foundation Trust and King's College London, London, UK.

出版信息

Oxf Open Immunol. 2021 Feb 10;2(1):iqab004. doi: 10.1093/oxfimm/iqab004. eCollection 2021.

Abstract

Long-Coronavirus Disease (Long-COVID) is becoming increasingly recognized due to the persistence of symptoms such as profound fatigue, neurocognitive difficulties, muscle pains and weaknesses and depression, which would last beyond 3-12 weeks following infection with SARS-CoV-2. These particular symptoms have been extensively observed and studied in the context of previous psychoneuroimmunology research. In this short commentary, we discuss how previous neuroimmunology studies could help us to better understand pathways behind the development of these prolonged symptoms. Various mechanisms, including viral neuroinvasion, glial cells activation, neurogenesis, oxidative stress have been shown to explain these symptoms in the context of other disorders. Previous neuroimmunology findings could represent helpful pointers for future research on long-COVID symptoms and suggest potential management strategies for patients suffering with long-COVID.

摘要

长期新冠病毒病(Long-COVID)正越来越受到关注,因为诸如极度疲劳、神经认知障碍、肌肉疼痛与无力以及抑郁等症状会持续存在,这些症状在感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)后的3至12周后仍会持续。在以往的心理神经免疫学研究背景下,这些特定症状已得到广泛观察和研究。在这篇简短的评论中,我们讨论以往的神经免疫学研究如何能帮助我们更好地理解这些长期症状发展背后的途径。包括病毒神经侵袭、胶质细胞激活、神经发生、氧化应激在内的各种机制已被证明可在其他疾病背景下解释这些症状。以往的神经免疫学研究结果可为未来关于Long-COVID症状的研究提供有用的线索,并为患有Long-COVID的患者提出潜在的管理策略。

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