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[垂体与新型冠状病毒肺炎:综述]

[Pituitary and COVID-19: review].

作者信息

Buyvalenko U V, Perepelova M A, Zolotareva R A, Belaya Zh E, Melnichenko G A

机构信息

Endocrinology Research Center.

出版信息

Probl Endokrinol (Mosk). 2022 Jul 20;68(5):14-23. doi: 10.14341/probl13108.

Abstract

A severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has rapidly spread around the world since was first scientifically described in December 2019. At present approximately 400 million people have suffered from the disease, almost 6 million people have died.SARS-CoV-2 uses the angiotensin-converting enzyme 2 (ACE2) and the serine protease TMPRSS2 for S protein priming. ACE2 and TMPRSS2 are expressed in several endocrine glands, including the pituitary, pancreas, thyroid, ovaries, and testes. Thus, the endocrine glands may be a direct target for SARS-CoV-2. The main risk factors for severity of the COVID-19 are obesity, arterial hypertension, diabetes mellitus (DM), vertebral fractures, which potentially predisposes patients to a severe course of COVID-19.In this review, we present current data on the course of COVID-19 in patients with hypothalamic-pituitary diseases, and also discuss treatment for endocrinopathies during to COVID-19.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)自2019年12月首次被科学描述以来已在全球迅速传播。目前约有4亿人感染了该疾病,近600万人死亡。SARS-CoV-2利用血管紧张素转换酶2(ACE2)和丝氨酸蛋白酶TMPRSS2对S蛋白进行启动。ACE2和TMPRSS2在包括垂体、胰腺、甲状腺、卵巢和睾丸在内的多个内分泌腺中表达。因此,内分泌腺可能是SARS-CoV-2的直接靶标。2019冠状病毒病严重程度的主要危险因素是肥胖、动脉高血压、糖尿病(DM)、椎体骨折,这些因素可能使患者易患重症2019冠状病毒病。在本综述中,我们展示了下丘脑-垂体疾病患者2019冠状病毒病病程的当前数据,并讨论了2019冠状病毒病期间内分泌病的治疗方法。

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