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COVID-19 导致人类海马神经元变性和神经发生减少。

COVID-19 causes neuronal degeneration and reduces neurogenesis in human hippocampus.

机构信息

Department of Basic Sciences, Saveh University of Medical Sciences, Saveh, Iran.

Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Apoptosis. 2022 Dec;27(11-12):852-868. doi: 10.1007/s10495-022-01754-9. Epub 2022 Jul 25.

Abstract

Recent investigations of COVID-19 have largely focused on the effects of this novel virus on the vital organs in order to efficiently assist individuals who have recovered from the disease. In the present study we used hippocampal tissue samples extracted from people who died after COVID-19. Utilizing histological techniques to analyze glial and neuronal cells we illuminated a massive degeneration of neuronal cells and changes in glial cells morphology in hippocampal samples. The results showed that in hippocampus of the studied brains there were morphological changes in pyramidal cells, an increase in apoptosis, a drop in neurogenesis, and change in spatial distribution of neurons in the pyramidal and granular layer. It was also demonstrated that COVID-19 alter the morphological characteristics and distribution of astrocyte and microglia cells. While the exact mechanism(s) by which the virus causes neuronal loss and morphology in the central nervous system (CNS) remains to be determined, it is necessary to monitor the effect of SARS-CoV-2 infection on CNS compartments like the hippocampus in future investigations. As a result of what happened in the hippocampus secondary to COVID-19, memory impairment may be a long-term neurological complication which can be a predisposing factor for neurodegenerative disorders through neuroinflammation and oxidative stress mechanisms.

摘要

最近对 COVID-19 的研究主要集中在这种新型病毒对重要器官的影响上,以便有效地帮助从疾病中康复的人。在本研究中,我们使用了从 COVID-19 后死亡的人的海马组织样本。利用组织学技术分析神经胶质细胞和神经元细胞,我们揭示了海马体样本中神经元细胞的大量退化和神经胶质细胞形态的变化。结果表明,在研究大脑的海马体中,存在着锥体细胞的形态变化、细胞凋亡增加、神经发生减少以及锥体和颗粒层神经元空间分布的改变。还证明了 COVID-19 改变了星形胶质细胞和小胶质细胞的形态特征和分布。虽然病毒引起中枢神经系统(CNS)神经元丢失和形态变化的确切机制仍有待确定,但有必要在未来的研究中监测 SARS-CoV-2 感染对海马体等 CNS 隔室的影响。由于 COVID-19 对海马体的影响,记忆障碍可能是一种长期的神经并发症,通过神经炎症和氧化应激机制可能成为神经退行性疾病的易患因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7fc/9310365/69c5e4af2bf8/10495_2022_1754_Fig1_HTML.jpg

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