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ACS Pharmacol Transl Sci. 2020 Nov 11;3(6):1361-1370. doi: 10.1021/acsptsci.0c00163. eCollection 2020 Dec 11.
2
A prospective study of long-term outcomes among hospitalized COVID-19 patients with and without neurological complications.一项针对伴有和不伴有神经系统并发症的住院 COVID-19 患者的长期结局的前瞻性研究。
J Neurol Sci. 2021 Jul 15;426:117486. doi: 10.1016/j.jns.2021.117486. Epub 2021 May 12.
3
COVID-19 and hyperammonemia: Potential interplay between liver and brain dysfunctions.新型冠状病毒肺炎与高氨血症:肝脏和脑功能障碍之间的潜在相互作用。
Brain Behav Immun Health. 2021 Jul;14:100257. doi: 10.1016/j.bbih.2021.100257. Epub 2021 Apr 13.
4
Ubiquitin-Modified Proteome of SARS-CoV-2-Infected Host Cells Reveals Insights into Virus-Host Interaction and Pathogenesis.SARS-CoV-2 感染宿主细胞的泛素化蛋白质组揭示了病毒-宿主相互作用和发病机制的见解。
J Proteome Res. 2021 May 7;20(5):2224-2239. doi: 10.1021/acs.jproteome.0c00758. Epub 2021 Mar 5.
5
The Spatial and Cell-Type Distribution of SARS-CoV-2 Receptor ACE2 in the Human and Mouse Brains.新型冠状病毒受体ACE2在人和小鼠大脑中的空间及细胞类型分布
Front Neurol. 2021 Jan 20;11:573095. doi: 10.3389/fneur.2020.573095. eCollection 2020.
6
Neurological risks and benefits of cytokine-based treatments in coronavirus disease 2019: from preclinical to clinical evidence.基于细胞因子的治疗在 2019 年冠状病毒病中的神经风险和益处:从临床前到临床证据。
Br J Pharmacol. 2022 May;179(10):2149-2174. doi: 10.1111/bph.15397. Epub 2021 Mar 12.
7
Effect of Bamlanivimab as Monotherapy or in Combination With Etesevimab on Viral Load in Patients With Mild to Moderate COVID-19: A Randomized Clinical Trial.巴尼韦单抗单药或联合埃特司韦单抗治疗轻中度 COVID-19 患者对病毒载量的影响:一项随机临床试验。
JAMA. 2021 Feb 16;325(7):632-644. doi: 10.1001/jama.2021.0202.
8
Brain Disease Network Analysis to Elucidate the Neurological Manifestations of COVID-19.脑疾病网络分析阐明 COVID-19 的神经表现。
Mol Neurobiol. 2021 May;58(5):1875-1893. doi: 10.1007/s12035-020-02266-w. Epub 2021 Jan 6.
9
The chronic neuropsychiatric sequelae of COVID-19: The need for a prospective study of viral impact on brain functioning.新冠病毒长期神经精神后遗症:前瞻性研究病毒对大脑功能影响的必要性。
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10
MicroRNAs Bioinformatics Analyses Identifying HDAC Pathway as a Putative Target for Existing Anti-COVID-19 Therapeutics.微小RNA生物信息学分析确定HDAC通路为现有抗COVID-19疗法的潜在靶点。
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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.

DOI:10.1080/14728222.2021.1953475
PMID:34232801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8330012/
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。