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Monitoring Changes in Human Umbilical Vein Endothelial Cells upon Viral Infection Using Impedance-Based Real-Time Cell Analysis
Published on: May 5, 2023
Endothelial Dysfunction in COVID-19: Lessons Learned from Coronaviruses
Eleni Gavriilaki1, Panagiota Anyfanti1, Maria Gavriilaki2
13rd Department of Internal Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Insights
Severe COVID-19 infection shares pathways with endothelial dysfunction, a condition seen in prior coronavirus infections. Understanding this link is key to managing the pandemic.
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Pathophysiology
Background:
- Endothelial dysfunction is implicated in various viral infections, including prior coronavirus outbreaks.
- Severe COVID-19 symptoms mirror the clinical presentation of endothelial dysfunction.
- Mutual pathophysiological pathways are suggested between COVID-19 and endothelial dysfunction.
Purpose of the Study:
- To review literature on endothelial dysfunction in previous coronavirus infections.
- To present data on the role of endothelial dysfunction in COVID-19 pathophysiology and clinical phenotype.
Main Methods:
- Literature review of current scientific evidence.
- Analysis of preclinical and clinical studies on SARS-CoV-2.
- Synthesis of findings related to endothelial cell function.
Main Results:
- Evidence links severe COVID-19 to endothelial dysfunction.
- Endothelial dysfunction appears to be a common factor in severe COVID-19 manifestations.
- Pathophysiological similarities exist between COVID-19 and endothelial dysfunction.
Conclusions:
- Endothelial dysfunction is a significant factor in severe COVID-19.
- Understanding this pathophysiology can improve patient management strategies.
- Further research is ongoing to validate these findings.
Purpose Of Review:
To review current literature on endothelial dysfunction with previous coronaviruses, and present available data on the role of endothelial dysfunction in coronavirus disease-2019 (COVID-19) infection in terms of pathophysiology and clinical phenotype RECENT FINDINGS: Recent evidence suggests that signs and symptoms of severe COVID-19 infection resemble the clinical phenotype of endothelial dysfunction, implicating mutual pathophysiological pathways. Dysfunction of endothelial cells is believed to mediate a variety of viral infections, including those caused by previous coronaviruses. Experience from previous coronaviruses has triggered hypotheses on the role of endothelial dysfunction in the pathophysiology of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), which are currently being tested in preclinical and clinical studies. Endothelial dysfunction is the common denominator of multiple clinical aspects of severe COVID-19 infection that have been problematic for treating physicians. Given the global impact of this pandemic, better understanding of the pathophysiology could significantly affect management of patients.
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