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嗅觉功能障碍:新冠病毒感染所致神经精神症状的一个可能源头。

Olfactory dysfunction: A plausible source of COVID-19-induced neuropsychiatric symptoms.

作者信息

Tai Alan Pui-Lun, Leung Mei-Kei, Lau Benson Wui-Man, Ngai Shirley Pui-Ching, Lau Way Kwok-Wai

机构信息

Department of Special Education and Counselling, The Education University of Hong Kong, Hong Kong, Hong Kong SAR, China.

Integrated Centre for Wellbeing, The Education University of Hong Kong, Hong Kong, Hong Kong SAR, China.

出版信息

Front Neurosci. 2023 Mar 20;17:1156914. doi: 10.3389/fnins.2023.1156914. eCollection 2023.

Abstract

Olfactory dysfunction and neuropsychiatric symptoms are commonly reported by patients of coronavirus disease 2019 (COVID-19), a respiratory infection caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Evidence from recent research suggests linkages between altered or loss of smell and neuropsychiatric symptoms after infection with the coronavirus. Systemic inflammation and ischemic injury are believed to be the major cause of COVID-19-related CNS manifestation. Yet, some evidence suggest a neurotropic property of SARS-CoV-2. This mini-review article summarizes the neural correlates of olfaction and discusses the potential of -neuronal transmission of SARS-CoV-2 or its particles within the olfactory connections in the brain. The impact of the dysfunction in the olfactory network on the neuropsychiatric symptoms associated with COVID-19 will also be discussed.

摘要

2019冠状病毒病(COVID-19)是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的呼吸道感染,嗅觉功能障碍和神经精神症状在COVID-19患者中很常见。近期研究证据表明,感染冠状病毒后嗅觉改变或丧失与神经精神症状之间存在联系。全身炎症和缺血性损伤被认为是COVID-19相关中枢神经系统表现的主要原因。然而,一些证据表明SARS-CoV-2具有嗜神经性。这篇综述文章总结了嗅觉的神经关联,并讨论了SARS-CoV-2或其颗粒在大脑嗅觉连接内神经元传播的可能性。还将讨论嗅觉网络功能障碍对与COVID-19相关的神经精神症状的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b4/10067586/e021204373bd/fnins-17-1156914-g001.jpg

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