Tiwari Shubhangini, Yadav Neelam, Singh Sarika
Department of Neurosciences and Ageing Biology and Division of Toxicology and Experimental Medicine, CSIR-Central Drug Research Institute, Lucknow, 226031, UP, India.
Department of Biochemistry, Dr. Rammanohar Lohia Avadh University, Ayodhya, 224001, India.
Neurotox Res. 2022 Oct;40(5):1586-1596. doi: 10.1007/s12640-022-00540-4. Epub 2022 Jul 13.
The outbreak of SARs-CoV-2 with emerging new variants is leading to global health crisis and has brought a major concern for patients with comorbidities. Parkinson's disease (PD) is a motor neurodegenerative disease involving various metabolic and psychological ailments along with the common occurrence of hyposmia as observed in COVID-19 patients. In addition, the observed surplus inflammatory responses in both diseases are also alarming. Alongside, angiotensin-converting enzyme 2 (ACE2) receptor, essentially required by SARS-CoV-2 to enter the cell and dopamine decarboxylase (DDC), required for dopamine synthesis is known to co-regulate in the non-neuronal cells. Taken together, these conditions suggested the probable reciprocal pathological relation between COVID-19 and PD and also suggested that during comorbidities, the disease diagnosis and therapeutics are critical and may engender severe health complications. In this review, we discuss various events and mechanisms which may have implications for the exacerbation of PD conditions and must be taken into account during the treatment of patients.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)及其新出现的变异毒株的爆发正引发全球健康危机,并给患有合并症的患者带来了重大担忧。帕金森病(PD)是一种运动性神经退行性疾病,伴有各种代谢和心理疾病,且如在新冠肺炎患者中观察到的那样,常伴有嗅觉减退。此外,在这两种疾病中观察到的过度炎症反应也令人担忧。同时,SARS-CoV-2进入细胞所必需的血管紧张素转换酶2(ACE2)受体和多巴胺合成所需的多巴胺脱羧酶(DDC)在非神经元细胞中共同调节。综上所述,这些情况表明了新冠肺炎与帕金森病之间可能存在相互的病理关系,也表明在合并症期间,疾病的诊断和治疗至关重要,可能会引发严重的健康并发症。在这篇综述中,我们讨论了各种可能对帕金森病病情加重有影响的事件和机制,在治疗患者时必须予以考虑。