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SARS-CoV-2 感染的神经调节作用:可能的治疗靶点。

Neuromodulatory effects of SARS-CoV2 infection: Possible therapeutic targets.

机构信息

Dr. B.R. Ambedkar Centre for Biomedical Research (ACBR), University of Delhi, New Delhi, India.

Department of Neurosurgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India.

出版信息

Expert Opin Ther Targets. 2021 Jun;25(6):509-519. doi: 10.1080/14728222.2021.1953475. Epub 2021 Jul 20.

Abstract

INTRODUCTION

Although SARS-CoV-2 primarily manifests in the form of respiratory symptoms, emerging evidence suggests that the disease is associated with numerous neurological complications, such as stroke and Guillain-Barre syndrome. Hence, further research is necessary to seek possible therapeutic targets in the CNS for effective management of these complications.

AREAS COVERED

This review examines the neurological complications associated with SARS-CoV-2 infections and the possible routes of infection. It progresses to illuminate the possible therapeutic targets for effective management of these neuromodulatory effects and the repurposing of drugs that could serve this purpose. To this end, literature from the year 1998-2021 was derived from PubMed.

EXPERT OPINION

The neurological manifestations associated with COVID-19 may be related to poor prognosis and higher comorbidity. Identification of the key molecular targets in the brain that are potential indicators of the observed neuropathology, such as inflammatory mediators and chromatin modifiers, is key. The repurposing of existing drugs to target potential candidates could reduce the mortality attributed to these associated neurological complications.

摘要

简介

尽管 SARS-CoV-2 主要表现为呼吸道症状,但新出现的证据表明,该疾病与许多神经系统并发症相关,如中风和格林-巴利综合征。因此,有必要进行进一步的研究,以寻找中枢神经系统中可能的治疗靶点,从而有效管理这些并发症。

涵盖领域

本文综述了与 SARS-CoV-2 感染相关的神经系统并发症以及可能的感染途径。接着,本文阐明了有效管理这些神经调节作用的可能治疗靶点,以及可能用于此目的的药物再利用。为此,本文从 PubMed 中提取了 1998 年至 2021 年的文献。

专家意见

与 COVID-19 相关的神经系统表现可能与预后不良和更高的合并症有关。确定大脑中潜在的分子靶点是关键,这些靶点可能是观察到的神经病理学的潜在指标,如炎症介质和染色质修饰物。将现有药物重新用于靶向潜在候选药物可能会降低与这些相关神经系统并发症相关的死亡率。

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