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Pathological effects of SARS-CoV-2 on hematological and immunological cells: Alterations in count, morphology, and
Ehsan Ahmadi1, Zahra Bagherpour2, Elmira Zarei2
1Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:
The novel Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), the causative agent of COVID-19 outbreak, spread rapidly and infected more than 140 million people with more than three million victims worldwide. The SARS-CoV-2 causes destructive changes in the immunological and hematological system of the host. These alterations appear to play a critical role in disease pathology and the emerging of clinical manifestations. In this review, we aimed to discuss the effect of COVID-19 on the count, function and morphology of immune and blood cells and the role of these changes in the pathophysiology of the disease. Knowledge of these changes may help with better management and treatment of COVID-19 patients.
Insights
COVID-19, caused by SARS-CoV-2, significantly alters immune and blood cells. Understanding these hematological and immunological changes is crucial for effective COVID-19 patient management and treatment strategies.
Area of Science:
- Immunology
- Hematology
- Virology
Background:
- Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) caused a global pandemic, leading to millions of infections and deaths.
- The virus profoundly impacts the host's immunological and hematological systems, contributing to disease pathology and clinical symptoms.
Purpose of the Study:
- To review the effects of COVID-19 on the count, function, and morphology of immune and blood cells.
- To elucidate the role of these cellular alterations in the pathophysiology of COVID-19.
Main Methods:
- This review synthesizes existing research on COVID-19's impact on hematological and immunological parameters.
- Literature search was conducted using relevant keywords related to COVID-19, immune cells, blood cells, and pathophysiology.
Main Results:
- COVID-19 infection is associated with significant changes in white blood cell counts, including lymphopenia and neutrophilia.
- Alterations in red blood cell morphology and function, as well as platelet count and activation, have been observed.
- Immune cell functions, such as T-cell and B-cell responses, are impaired during SARS-CoV-2 infection.
Conclusions:
- The hematological and immunological alterations observed in COVID-19 patients are critical to understanding disease progression.
- Further research into these cellular changes can guide the development of targeted therapies and improve patient outcomes.
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