Shetty Padmashri A, Ayari Lena, Madry Jessica, Betts Colton, Robinson Diana M, Kirmani Batool F
Institute for Regenerative Medicine, Department of Cell Biology and Genetics, Texas A&M University School of Medicine, College Station, TX, USA.
School of Medicine, Texas A&M Health Science Center, Bryan, TX, USA.
Neurosci Insights. 2023 Aug 21;18:26331055231191513. doi: 10.1177/26331055231191513. eCollection 2023.
Initially, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), the virus responsible for coronavirus disease-2019 (COVID-19), was predominantly considered to primarily affect the respiratory system. However, later studies revealed that it also affects brain function through its ability to bind to the angiotensin-converting enzyme type 2 (ACE2) receptors expressed on neural cells. Our study involved a comprehensive review of literature aiming to investigate the relationship between COVID-19 and the development of depression. Our analysis shows a connection between these 2 conditions, as a consequence of the inflammatory response in the nervous system to the COVID-19 virus and the psychophysiological effects of the pandemic. In COVID-19 patients, depression can arise either due to the direct viral infection of the brain or as a result of an indirect immune response triggering neuroinflammation after a cytokine storm. The resulting depression can be treated with non-pharmacological therapies such as psychotherapy, antidepressant medications, or a combination of these treatments depending on the severity of the symptoms.
最初,导致2019冠状病毒病(COVID-19)的严重急性呼吸综合征冠状病毒2(SARS-CoV-2)主要被认为主要影响呼吸系统。然而,后来的研究表明,它还通过与神经细胞上表达的血管紧张素转换酶2(ACE2)受体结合的能力来影响脑功能。我们的研究对文献进行了全面综述,旨在调查COVID-19与抑郁症发展之间的关系。我们的分析表明这两种情况之间存在联系,这是神经系统对COVID-19病毒的炎症反应以及大流行的心理生理影响的结果。在COVID-19患者中,抑郁症可能是由于大脑直接受到病毒感染,或者是细胞因子风暴后间接免疫反应引发神经炎症的结果。根据症状的严重程度,由此产生的抑郁症可以用心理治疗、抗抑郁药物等非药物疗法或这些治疗方法的组合来治疗。
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