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Updated: Dec 5, 2025

Bronchoalveolar Lavage Exosomes in Lipopolysaccharide-induced Septic Lung Injury
Published on: May 21, 2018
Mechanisms of COVID-19-induced cardiovascular disease: Is sepsis or exosome the missing link?
Mallikarjun Patil1, Sarojini Singh1, John Henderson1
1Department of Biomedical Engineering, Schools of Medicine and Engineering, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Insights
This review explores severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its link to cardiac injury. It discusses potential therapeutic strategies, including targeting exosomes for COVID-19 symptoms.
Area of Science:
- Virology
- Cardiology
- Immunology
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, is a global pandemic with significant mortality.
- The virus's high infectivity and limited understanding of its immunogenicity and molecular targets pose challenges.
- Cardiac injury is a recognized complication of COVID-19, but its pathogenesis remains unclear.
Purpose of the Study:
- To review the SARS-CoV-2 virus and its mechanisms.
- To discuss COVID-19-induced cardiac injury pathogenesis.
- To explore potential therapeutic strategies, including exosome-based treatments and understanding virus-induced sepsis.
Main Methods:
- Literature review on SARS-CoV-2.
- Analysis of COVID-19 pathogenesis and cardiac injury mechanisms.
- Exploration of exosome therapy and sepsis in COVID-19.
Main Results:
- SARS-CoV-2 is highly infectious, contributing to its rapid global spread.
- Cardiac injury is a significant concern in COVID-19 patients.
- Virus-induced sepsis may contribute to multi-organ failure, including myocardial injury.
Conclusions:
- Further research is needed to fully understand SARS-CoV-2 pathogenesis and its cardiac implications.
- Exosomes present a potential therapeutic avenue for managing COVID-19 symptoms.
- Addressing virus-induced sepsis is crucial for mitigating multi-organ failure in COVID-19.
Abstract:
Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has reached a pandemic level, spreading across the globe by affecting over 33 million people and causing over 1,009,270 deaths. SARS-CoV-2 is highly infectious with a high basic reproduction number (R0 ) of 2.2-5.7 that has led to its exponential spread. Besides, very little is known about it in terms of immunogenicity and its molecular targets. SARS-CoV-2 causes acute respiratory distress syndrome, followed by multiple organ failure and death in a small percentage of individuals. Cardiac injury has emerged as another dreaded outcome of COVID-19 complications. However, a thorough understanding of the pathogenesis of SARS-CoV-2 is lacking. In this review, we discuss the virus, possible mechanisms of COVID-19-induced cardiac injury, and potential therapeutic strategies, and we explore if exosomes could be targeted to treat symptoms of COVID-19. Furthermore, we discussed the virus-induced sepsis, which may be the cause of multiple organ failure, including myocardial injury.
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