Department of Clinical Immunology, University Hospital Lozenetz, Medical Faculty, Sofia University, St. Kliment Ohridski, Sofia 1407, Bulgaria.
Clinic of Internal Diseases, Naval Hospital - Varna, Military Medical Academy, Medical Faculty, Medical University, Varna 9000, Bulgaria.
World J Gastroenterol. 2021 Aug 14;27(30):5047-5059. doi: 10.3748/wjg.v27.i30.5047.
As the gastrointestinal tract may also be a crucial entry or interaction site of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the role of the gut mucosal immune system as a first-line physical and immunological defense is critical. Furthermore, gastrointestinal involvement and symptoms in coronavirus disease 2019 (COVID-19) patients have been linked to worse clinical outcomes. This review discusses recent data on the interactions between the virus and the immune cells and molecules in the mucosa during the infection. By carrying out appropriate investigations, the mucosal immune system role in SARS-CoV-2 infection in therapy and prevention can be established. In line with this, COVID-19 vaccines that stimulate mucosal immunity against the virus may have more advantages than the others.
由于胃肠道也可能是严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)的关键进入或相互作用部位,因此肠道黏膜免疫系统作为第一线物理和免疫防御的作用至关重要。此外,在 2019 冠状病毒病(COVID-19)患者中,胃肠道受累和症状与更差的临床结局相关。这篇综述讨论了病毒在感染过程中与黏膜中免疫细胞和分子相互作用的最新数据。通过进行适当的研究,可以确定黏膜免疫系统在 SARS-CoV-2 感染治疗和预防中的作用。与此一致的是,针对该病毒刺激黏膜免疫的 COVID-19 疫苗可能比其他疫苗具有更多优势。