干扰素-λ:在 COVID-19 肠道症状中的新作用。

Interferon-lambda: New role in intestinal symptoms of COVID-19.

机构信息

Department of General Surgery, Xinqiao Hospital, Army Medical University, Chongqing 400037, China.

Department of General Surgery, Chongqing General Hospital, Chongqing 400013, China.

出版信息

World J Gastroenterol. 2023 Apr 7;29(13):1942-1954. doi: 10.3748/wjg.v29.i13.1942.

Abstract

The tremendous public health and economic impact of coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has become a huge challenge globally. There is increasing evidence that SARS-CoV-2 induces intestinal infections. Type III interferon (IFN-λ) has an antiviral role in intestinal infection, with focused, long-lasting, and non-inflammatory characteristics. This review presents a summary of the structure of SARS-CoV-2, including its invasion and immune escape mechanisms. Emphasis was placed on the gastrointestinal impact of SARS-CoV-2, including changes to the intestinal microbiome, activation of immune cells, and inflammatory responses. We also describe the comprehensive functions of IFN-λ in anti-enteric SARS-CoV-2 infection, and discuss the potential application of IFN-λ as a therapeutic agent for COVID-19 with intestinal symptoms.

摘要

由严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引起的 2019 年冠状病毒病(COVID-19)对公众健康和经济造成了巨大影响,这在全球范围内是一个巨大的挑战。越来越多的证据表明,SARS-CoV-2 会引起肠道感染。III 型干扰素(IFN-λ)在肠道感染中具有抗病毒作用,其特点是靶向性强、持续时间长且无炎症。本综述总结了 SARS-CoV-2 的结构,包括其入侵和免疫逃逸机制。重点介绍了 SARS-CoV-2 对胃肠道的影响,包括肠道微生物组的变化、免疫细胞的激活和炎症反应。我们还描述了 IFN-λ 在抗肠道 SARS-CoV-2 感染中的综合作用,并讨论了 IFN-λ 作为 COVID-19 伴有肠道症状的治疗药物的潜在应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a38/10122791/d471e72a91c8/WJG-29-1942-g001.jpg

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