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成人新冠后遗症概述。

Post-COVID Syndrome in Adults-An Overview.

机构信息

Current Address: Department of Medicine, Division of Cardiology, Angiology, Hemostasis and Internal Intensive Care Medicine, University Medical Center Mannheim, University of Heidelberg, D-68167 Mannheim, Germany.

Harvard Medical School, Program in Cellular and Molecular Medicine, Boston Children's Hospital, Karp Family Research Laboratories, Boston, MA 02115, USA.

出版信息

Viruses. 2023 Mar 4;15(3):675. doi: 10.3390/v15030675.

Abstract

This article provides an overview of various aspects related to post-COVID syndrome. Apart from its prevalence, symptoms and sequelae, risk determinants, and psychosocial implications, the pathogenesis of post-COVID condition is discussed in more detail. A focus on thrombo-inflammation in SARS-CoV-2 infection, the role of neutrophil extracellular traps, and the prevalence of venous thromboembolism is made. Moreover, COVID-19 and post-COVID syndrome in immunocompromising conditions, and the impact of vaccination on the prevention and treatment of post-COVID symptoms are reviewed. Autoimmunity is a hallmark of post-COVID syndrome, and, therefore, is another focus of this article. Thus, misdirected cellular and humoral immune responses can enhance the risk of latent autoimmunity in post-COVID syndrome. Facing the high prevalence of COVID-19 cases worldwide, it can be assumed that autoimmune disorders will increase globally over the next few years. Recent advances in identifying genetically determined variants may open the avenue for a better understanding of the susceptibility to and severity of SARS-CoV-2 infection and post-COVID syndrome.

摘要

本文概述了与新冠后综合征相关的各个方面。除了其流行率、症状和后遗症、风险决定因素以及心理社会影响外,还更详细地讨论了新冠后状况的发病机制。重点关注 SARS-CoV-2 感染中的血栓炎症、中性粒细胞细胞外陷阱的作用以及静脉血栓栓塞的流行。此外,还回顾了免疫功能低下情况下的 COVID-19 和新冠后综合征,以及疫苗接种对预防和治疗新冠后症状的影响。自身免疫是新冠后综合征的一个标志,因此也是本文的另一个重点。因此,细胞和体液免疫反应的错位可能会增加新冠后综合征中潜伏自身免疫的风险。鉴于全球范围内 COVID-19 病例的高流行率,可以假设在未来几年内,全球的自身免疫性疾病将会增加。在确定遗传决定的变异方面的最新进展可能为更好地理解 SARS-CoV-2 感染和新冠后综合征的易感性和严重程度开辟了道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/951a/10056158/69f5adfc363a/viruses-15-00675-g001.jpg

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