Cárdenas-Rodríguez Noemí, Ignacio-Mejía Iván, Mejía-Barradas César Miguel, Ortega-Cuellar Daniel, Muñoz-González Felipe, Vargas-Hernández Marco Antonio, Albores-Méndez Exsal Manuel, Ibáñez-Cervantes Gabriela, Medina-Santillán Roberto, Hernández-Ortiz Aarón, Herrera-López Elizabeth, Bandala Cindy
Laboratorio de Neurociencias, Instituto Nacional de Pediatriía, Secretariía de Salud, Mexico City 04530, Mexico.
Sección de Investigación, Escuela Militar de Graduados de Sanidad, Centro de Investigación y Desarrollo del Ejército y Fuerza Aérea Mexicanos, Universidad del Ejército y Fuerza Aérea, Mexico City 11200, Mexico.
Antioxidants (Basel). 2025 Jul 8;14(7):840. doi: 10.3390/antiox14070840.
Post-COVID condition (PCC) is a complex syndrome characterized by the persistence of diverse symptoms-including respiratory, neurological, and psychiatric manifestations-that last for weeks or months after acute Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection. Epidemiological data indicate a higher prevalence among women and older adults, with significant impacts on daily functioning. The pathophysiology of PCC is multifactorial, involving immune dysregulation, viral persistence, mitochondrial dysfunction, and oxidative stress, all of which contribute to sustained neuroinflammation. This narrative review examines the clinical features, risk factors, and current evidence on antioxidant-based interventions as potential therapeutic strategies for PCC. A wide range of compounds-including vitamins, polyphenols, and endogenous antioxidants-have shown promise in mitigating neuroinflammation and oxidative damage in both clinical and experimental settings. Antioxidants may help restore redox balance and improve neurological outcomes in affected patients. However, further clinical research is essential to determine their efficacy, safety, and optimal therapeutic protocols.
新冠后状况(PCC)是一种复杂的综合征,其特征是在急性严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染后的数周或数月内,持续出现包括呼吸、神经和精神表现在内的多种症状。流行病学数据表明,女性和老年人中的患病率更高,对日常功能有重大影响。PCC的病理生理学是多因素的,涉及免疫失调、病毒持续存在、线粒体功能障碍和氧化应激,所有这些都导致持续的神经炎症。这篇叙述性综述探讨了PCC的临床特征、危险因素以及基于抗氧化剂的干预措施作为潜在治疗策略的现有证据。包括维生素、多酚和内源性抗氧化剂在内的多种化合物在临床和实验环境中均显示出减轻神经炎症和氧化损伤的前景。抗氧化剂可能有助于恢复氧化还原平衡,并改善受影响患者的神经学预后。然而,进一步的临床研究对于确定其疗效、安全性和最佳治疗方案至关重要。