Borja Suberviola, Servicio de Medicina Intensiva. Hospital Universitario Marqués de Valdecilla-IDIVAL. Santander, Spain.
Rev Esp Quimioter. 2022 Oct;35 Suppl 3(Suppl 3):6-9. doi: 10.37201/req/s03.02.2022. Epub 2022 Oct 24.
In response to SARS-CoV-2 infection, the immune system physiologically upregulates to try to clear the virus from the body; failure to compensate for this inflammatory response with an anti-inflammatory response leads to dysregulation of the immune system that ultimately leads to a situation of uncontrolled hyperinflammation called cytokine storm. This cytokine storm can cause ARDS or multi-organ failure leading to patient death. This review exposes the different mechanisms of the inflammatory response in COVID-19 infection and the therapeutic options to treat this process.
针对 SARS-CoV-2 感染,免疫系统会生理性地上调以试图清除体内的病毒;如果不能通过抗炎反应来补偿这种炎症反应,就会导致免疫系统失调,最终导致一种称为细胞因子风暴的失控性过度炎症状态。这种细胞因子风暴会导致 ARDS 或多器官衰竭,导致患者死亡。本综述揭示了 COVID-19 感染中炎症反应的不同机制以及治疗这种过程的治疗选择。