Department of Medical Biotechnology and Translational Medicine, International Medical School, Università degli Studi di Milano, Milan 20054, Italy.
Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan 20133, Italy.
World J Gastroenterol. 2024 Oct 7;30(37):4104-4114. doi: 10.3748/wjg.v30.i37.4104.
Since the beginning of the coronavirus disease (COVID) 2019 pandemic, thousands of articles on the topic have been published, and although there is a growing trend of research on another associated condition, long coronavirus disease, important points still remain to be clarified in this respect. Robust evidence has suggested a relevant link between new clinical discoveries and molecular mechanisms that could be associated with the manifestations of different signs and symptoms involving cases of long COVID. However, one of the existing gaps that requires further investigation concerns a possible relationship between gut candidiasis and long COVID. While recent studies also suggest an interplay between the occurrence of these two conditions, it is not yet fully clear how this may happen, as well as the specifics regarding the possible pathophysiological mechanisms involved. In this connection and with the advent of a potential strengthening of the body of evidence supporting the hypothesis of a link between gut candidiasis and long COVID, a better understanding of the clinical presentation, pathophysiology and clinical management of such a relationship should be essential and useful for both, additional advances towards more targeted research and appropriate case management. Knowing more about the signs, symptoms, and complications associated with cases of long COVID is essential in order to more effectively mitigate the related burden and provide a higher quality of care and life for the affected population. In light of this and the need for better outcomes, here we review and discuss the content on different aspects of long COVID, including its pathophysiology and the existing evidence of a potential relationship between such a condition and gut candidiasis, as well as suggest propositions for future related research.
自 2019 年冠状病毒病(COVID-19)大流行开始以来,已经发表了数千篇关于该主题的文章,尽管关于另一种相关疾病——长新冠的研究呈增长趋势,但在这方面仍有一些重要问题需要澄清。有强有力的证据表明,新的临床发现与分子机制之间存在相关联系,这些机制可能与长新冠病例中涉及不同体征和症状的表现有关。然而,需要进一步研究的现有差距之一是肠道假丝酵母菌病和长新冠之间可能存在的关系。尽管最近的研究也表明这两种情况之间存在相互作用,但目前尚不清楚这种相互作用是如何发生的,以及涉及的可能病理生理机制的具体情况。在这方面,随着支持肠道假丝酵母菌病和长新冠之间存在联系假设的证据体的潜在加强,更好地了解这种关系的临床表现、病理生理学和临床管理应该是至关重要和有用的,这将有助于进一步推进更有针对性的研究和适当的病例管理。为了更有效地减轻与长新冠相关的负担,并为受影响人群提供更高质量的护理和生活,了解与长新冠病例相关的体征、症状和并发症是至关重要的。有鉴于此,以及对更好结果的需求,我们在此回顾和讨论了长新冠的不同方面的内容,包括其病理生理学以及这种情况与肠道假丝酵母菌病之间潜在关系的现有证据,并提出了未来相关研究的建议。
World J Gastroenterol. 2024-10-7
Front Cell Infect Microbiol. 2020
Life Sci. 2024-11-15
Biomed Pharmacother. 2021-1
Curr Opin Gastroenterol. 2022-11-1
Curr Opin Infect Dis. 2021-10-1
Gut Microbes. 2025-12
Int J Environ Res Public Health. 2024-4-12
Mech Ageing Dev. 2024-4
J Clin Med. 2023-11-28
Curr Opin Infect Dis. 2023-10-1