新冠病毒病(COVID-19)对免疫衰老加速和脑衰老的影响。
The impact of COVID-19 on accelerating of immunosenescence and brain aging.
作者信息
Müller Ludmila, Di Benedetto Svetlana
机构信息
Max Planck Institute for Human Development Center for Lifespan Psychology, Berlin, Germany.
出版信息
Front Cell Neurosci. 2024 Dec 10;18:1471192. doi: 10.3389/fncel.2024.1471192. eCollection 2024.
The COVID-19 pandemic, caused by the novel coronavirus SARS-CoV-2, has profoundly impacted global health, affecting not only the immediate morbidity and mortality rates but also long-term health outcomes across various populations. Although the acute effects of COVID-19 on the respiratory system have initially been the primary focus, it is increasingly evident that the virus can have significant impacts on multiple physiological systems, including the nervous and immune systems. The pandemic has highlighted the complex interplay between viral infection, immune aging, and brain health, that can potentially accelerate neuroimmune aging and contribute to the persistence of long COVID conditions. By inducing chronic inflammation, immunosenescence, and neuroinflammation, COVID-19 may exacerbate the processes of neuroimmune aging, leading to increased risks of cognitive decline, neurodegenerative diseases, and impaired immune function. Key factors include chronic immune dysregulation, oxidative stress, neuroinflammation, and the disruption of cellular processes. These overlapping mechanisms between aging and COVID-19 illustrate how the virus can induce and accelerate aging-related processes, leading to an increased risk of neurodegenerative diseases and other age-related conditions. This mini-review examines key features and possible mechanisms of COVID-19-induced neuroimmune aging that may contribute to the persistence and severity of long COVID. Understanding these interactions is crucial for developing effective interventions. Anti-inflammatory therapies, neuroprotective agents, immunomodulatory treatments, and lifestyle interventions all hold potential for mitigating the long-term effects of the virus. By addressing these challenges, we can improve health outcomes and quality of life for millions affected by the pandemic.
由新型冠状病毒SARS-CoV-2引起的COVID-19大流行对全球健康产生了深远影响,不仅影响了即时发病率和死亡率,还影响了不同人群的长期健康结果。尽管COVID-19对呼吸系统的急性影响最初是主要关注点,但越来越明显的是,该病毒可对包括神经和免疫系统在内的多个生理系统产生重大影响。这场大流行凸显了病毒感染、免疫衰老和大脑健康之间的复杂相互作用,这可能会加速神经免疫衰老,并导致长期COVID症状的持续存在。通过引发慢性炎症、免疫衰老和神经炎症,COVID-19可能会加剧神经免疫衰老过程,导致认知能力下降、神经退行性疾病和免疫功能受损的风险增加。关键因素包括慢性免疫失调、氧化应激、神经炎症和细胞过程的破坏。衰老与COVID-19之间的这些重叠机制说明了该病毒如何诱导和加速与衰老相关的过程,导致神经退行性疾病和其他与年龄相关疾病的风险增加。这篇小型综述探讨了COVID-19诱导的神经免疫衰老的关键特征和可能机制,这些特征和机制可能导致长期COVID的持续存在和严重程度。了解这些相互作用对于开发有效的干预措施至关重要。抗炎疗法、神经保护剂、免疫调节治疗和生活方式干预都有可能减轻病毒的长期影响。通过应对这些挑战,我们可以改善数百万受大流行影响者的健康结果和生活质量。