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COVID-19 相关毛霉病:游离铁摄取和免疫抑制的可能作用。

COVID-19-associated-mucormycosis: possible role of free iron uptake and immunosuppression.

机构信息

Biotechnology Program, Department of Mathematics and Natural Sciences, School of Data and Sciences, Brac University, Dhaka, Bangladesh.

Department of Genetic Engineering and Biotechnology, School of Life Sciences, Shahjalal University of Science and Technology, Sylhet, Bangladesh.

出版信息

Mol Biol Rep. 2022 Jan;49(1):747-754. doi: 10.1007/s11033-021-06862-4. Epub 2021 Oct 28.

Abstract

COVID-19-associated-mucormycosis, commonly referred to as the "Black Fungus," is a rare secondary fungal infection in COVID-19 patients prompted by a group of mucor molds. Association of this rare fungal infection with SARS-CoV-2 infection has been declared as an endemic in India, with minor cases in several other countries around the globe. Although the fungal infection is not contagious like the viral infection, the causative fungal agent is omnipresent. Infection displays an overall mortality rate of around 50%, with many other secondary side effects posing a potential threat in exacerbating COVID-19 mortality rates. In this review, we have accessed the role of free iron availability in COVID-19 patients that might correlate to the pathogenesis of the causative fungal agent. Besides, we have analyzed the negative consequences of using immunosuppressive drugs in encouraging this opportunistic fungal infection.

摘要

COVID-19 相关毛霉病,通常被称为“黑真菌”,是 COVID-19 患者中一种罕见的继发性真菌感染,由一组毛霉菌引起。这种罕见的真菌感染与 SARS-CoV-2 感染的关联在印度被宣布为地方性疾病,在全球其他几个国家也有少数病例。虽然这种真菌感染不像病毒感染那样具有传染性,但致病真菌无处不在。该真菌感染的总死亡率约为 50%,许多其他继发性副作用可能会加剧 COVID-19 的死亡率,构成潜在威胁。在这篇综述中,我们研究了 COVID-19 患者中游离铁供应的作用,这可能与致病真菌的发病机制有关。此外,我们还分析了使用免疫抑制药物对这种机会性真菌感染的负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95ff/8552432/081f035e899f/11033_2021_6862_Fig1_HTML.jpg

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