Navolokin Nikita, Adushkina Viktoria, Zlatogorskaya Daria, Telnova Valeria, Evsiukova Arina, Vodovozova Elena, Eroshova Anna, Dosadina Elina, Diduk Sergey, Semyachkina-Glushkovskaya Oxana
Department of Pathological Anatomy, Saratov Medical State University, Bolshaya Kazachaya Str. 112, 410012 Saratov, Russia.
Department of Biology, Saratov State University, Astrakhanskaya 82, 410012 Saratov, Russia.
Pharmaceuticals (Basel). 2024 Jun 16;17(6):788. doi: 10.3390/ph17060788.
The COVID-19 pandemic, caused by infection with the SARS-CoV-2 virus, is associated with cognitive impairment and Alzheimer's disease (AD) progression. Once it enters the brain, the SARS-CoV-2 virus stimulates accumulation of amyloids in the brain that are highly toxic to neural cells. These amyloids may trigger neurological symptoms in COVID-19. The meningeal lymphatic vessels (MLVs) play an important role in removal of toxins and mediate viral drainage from the brain. MLVs are considered a promising target to prevent COVID-19-exacerbated dementia. However, there are limited methods for augmentation of MLV function. This review highlights new discoveries in the field of COVID-19-mediated amyloid accumulation in the brain associated with the neurological symptoms and the development of promising strategies to stimulate clearance of amyloids from the brain through lymphatic and other pathways. These strategies are based on innovative methods of treating brain dysfunction induced by COVID-19 infection, including the use of photobiomodulation, plasmalogens, and medicinal herbs, which offer hope for addressing the challenges posed by the SARS-CoV-2 virus.
由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染引起的2019冠状病毒病(COVID-19)大流行与认知障碍和阿尔茨海默病(AD)进展相关。SARS-CoV-2病毒一旦进入大脑,就会刺激大脑中对神经细胞具有高毒性的淀粉样蛋白积累。这些淀粉样蛋白可能引发COVID-19的神经症状。脑膜淋巴管(MLV)在清除毒素和介导病毒从大脑排出方面发挥着重要作用。MLV被认为是预防COVID-19加重型痴呆的一个有前景的靶点。然而,增强MLV功能的方法有限。本综述重点介绍了COVID-19介导的大脑淀粉样蛋白积累领域的新发现,这些发现与神经症状相关,以及开发有前景的策略以通过淋巴和其他途径刺激大脑中淀粉样蛋白的清除。这些策略基于治疗COVID-19感染引起的脑功能障碍的创新方法,包括使用光生物调节、缩醛磷脂和草药,它们为应对SARS-CoV-2病毒带来的挑战带来了希望。