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新冠病毒病作为阿尔茨海默病的一个风险因素。

COVID-19 as a Risk Factor for Alzheimer's Disease.

作者信息

Golzari-Sorkheh Mahdieh, Weaver Donald F, Reed Mark A

机构信息

Department of Immunology, University of Toronto, Toronto, ON, Canada.

Krembil Research Institute, University Health Network, Toronto, ON, Canada.

出版信息

J Alzheimers Dis. 2023;91(1):1-23. doi: 10.3233/JAD-220800.

Abstract

Severe acute respiratory disease coronavirus 2 (SARS-CoV-2) is responsible for the coronavirus disease 2019 (COVID-19) pandemic. Although a primarily respiratory disease, recent reports indicate that it also affects the central nervous system (CNS). Over 25% of COVID-19 patients report neurological symptoms such as memory loss, anosmia, hyposmia, confusion, and headaches. The neurological outcomes may be a result of viral entry into the CNS and/or resulting neuroinflammation, both of which underlie an elevated risk for Alzheimer's disease (AD). Herein, we ask: Is COVID-19 a risk factor for AD? To answer, we identify the literature and review mechanisms by which COVID-19-mediated neuroinflammation can contribute to the development of AD, evaluate the effects of acute versus chronic phases of infection, and lastly, discuss potential therapeutics to address the rising rates of COVID-19 neurological sequelae.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发了2019年冠状病毒病(COVID-19)大流行。尽管这主要是一种呼吸道疾病,但最近的报告表明它也会影响中枢神经系统(CNS)。超过25%的COVID-19患者报告有神经症状,如记忆力减退、嗅觉丧失、嗅觉减退、意识模糊和头痛。神经学后果可能是病毒进入中枢神经系统和/或由此导致的神经炎症的结果,这两者都是阿尔茨海默病(AD)风险升高的基础。在此,我们提出问题:COVID-19是AD的一个风险因素吗?为了回答这个问题,我们查找文献并综述COVID-19介导的神经炎症促进AD发展的机制,评估感染急性期与慢性期的影响,最后讨论应对COVID-19神经后遗症发病率上升的潜在治疗方法。

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