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A Murine Model of Dengue Virus-induced Acute Viral Encephalitis-like Disease
Published on: April 28, 2019
Experimental Models of SARS-COV-2 Infection in the Central Nervous System
Anna Maria Paoletti1, Maria Grazia Melilli2, Immacolata Vecchio1
1Institute for Biomedical Research and Innovation (IRIB), National Council of Research (CNR), Catanzaro, Italy.
Abstract:
Coronavirus disease 2019 (COVID-19) has raised serious concerns worldwide due to its great impact on human health and forced scientists racing to find effective therapies to control the infection and a vaccine for the virus. To this end, intense research efforts have focused on understanding the viral biology of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), responsible for COVID-19. The ever-expanding list of cases, reporting clinical neurological complications in COVID-19 patients, strongly suggests the possibility of the virus invading the nervous system. The pathophysiological processes responsible for the neurological impact of COVID-19 are not fully understood. Some neurodegenerative disorders sometimes take more than a decade to manifest, so the long-term pathophysiological outcomes of SARS-CoV-2 neurotropism should be regarded as a challenge for researchers in this field. There is no documentation on the long-term impact of SARS-CoV-2 on the human central nervous system (CNS). Most of the data relating to neurological damage during SARS-CoV-2 infection have yet to be established experimentally. The purpose of this review is to describe the knowledge gained, from experimental models, to date, on the mechanisms of neuronal invasion and the effects produced by infection. The hope is that, once the processes are understood, therapies can be implemented to limit the damage produced. Long-term monitoring and the use of appropriate and effective therapies could reduce the severity of symptoms and improve quality of life of the most severely affected patients, with a special focus on those have required hospital care and assisted respiration.
Insights
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may invade the nervous system, causing neurological complications in COVID-19 patients. Further research is needed to understand long-term effects and develop effective therapies for neurotropism.
Area of Science:
- Neurology
- Virology
- Infectious Diseases
Background:
- Coronavirus disease 2019 (COVID-19) presents significant global health challenges.
- Neurological complications in COVID-19 patients suggest potential invasion of the nervous system by SARS-CoV-2.
- The long-term effects of SARS-CoV-2 neurotropism on the central nervous system (CNS) remain largely unknown.
Purpose of the Study:
- To review current knowledge on the mechanisms of neuronal invasion by SARS-CoV-2.
- To describe the effects of SARS-CoV-2 infection on the nervous system based on experimental models.
- To inform the development of therapies for mitigating neurological damage.
Main Methods:
- Review of experimental models investigating SARS-CoV-2 neurotropism.
- Analysis of existing data on neurological manifestations of COVID-19.
- Synthesis of information on viral mechanisms of neuronal invasion.
Main Results:
- Evidence suggests SARS-CoV-2 can invade the nervous system.
- Pathophysiological processes underlying neurological impact are not fully understood.
- Experimental data on long-term CNS effects are limited.
Conclusions:
- Understanding SARS-CoV-2 neurotropism is crucial for developing targeted therapies.
- Long-term monitoring and effective treatments can reduce symptom severity and improve patient quality of life.
- Further research is essential to elucidate the full impact of SARS-CoV-2 on the human nervous system.

