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阿尔茨海默病早发和晚发基因与 COVID-19 的关系。

The relationship of early- and late-onset Alzheimer's disease genes with COVID-19.

机构信息

Faculty of Science, Department of Biology, Gazi University, Ankara, Turkey.

出版信息

J Neural Transm (Vienna). 2022 Jul;129(7):847-859. doi: 10.1007/s00702-022-02499-0. Epub 2022 Apr 16.

Abstract

Individuals with Alzheimer's disease and other neurodegenerative diseases have been exposed to excess risk by the COVID-19 pandemic. COVID-19's main manifestations include high body temperature, dry cough, and exhaustion. Nevertheless, some affected individuals may have an atypical presentation at diagnosis but suffer neurological signs and symptoms as the first disease manifestation. These findings collectively show the neurotropic nature of SARS-CoV-2 virus and its ability to involve the central nervous system. In addition, Alzheimer's disease and COVID-19 has a number of common risk factors and comorbid conditions including age, sex, hypertension, diabetes, and the expression of APOE ε4. Until now, a plethora of studies have examined the COVID-19 disease but only a few studies has yet examined the relationship of COVID-19 and Alzheimer's disease as risk factors of each other. This review emphasizes the recently published evidence on the role of the genes of early- or late-onset Alzheimer's disease in the susceptibility of individuals currently suffering or recovered from COVID-19 to Alzheimer's disease or in the susceptibility of individuals at risk of or with Alzheimer's disease to COVID-19 or increased COVID-19 severity and mortality. Furthermore, the present review also draws attention to other uninvestigated early- and late-onset Alzheimer's disease genes to elucidate the relationship between this multifactorial disease and COVID-19.

摘要

患有阿尔茨海默病和其他神经退行性疾病的个体因 COVID-19 大流行而面临过度风险。COVID-19 的主要表现包括高热、干咳和乏力。然而,一些受影响的个体在诊断时可能表现不典型,但会出现神经系统症状和体征作为首发疾病表现。这些发现共同表明了 SARS-CoV-2 病毒的神经嗜性及其能够累及中枢神经系统的能力。此外,阿尔茨海默病和 COVID-19 有许多共同的危险因素和合并症,包括年龄、性别、高血压、糖尿病和 APOE ε4 的表达。到目前为止,大量研究已经检查了 COVID-19 疾病,但只有少数研究检查了 COVID-19 和阿尔茨海默病之间的关系,作为彼此的危险因素。本综述强调了最近发表的关于早发性或晚发性阿尔茨海默病基因在当前患有或已从 COVID-19 中康复的个体对阿尔茨海默病的易感性,或在有风险或患有阿尔茨海默病的个体对 COVID-19 或 COVID-19 严重程度和死亡率增加的易感性中的作用的证据。此外,本综述还提请注意其他未被研究的早发性和晚发性阿尔茨海默病基因,以阐明这种多因素疾病与 COVID-19 之间的关系。

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