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SARS-CoV-2 Infection: What Is Currently Known about Homocysteine Involvement?
Nina Filip1, Elena Cojocaru2, Oana Viola Badulescu3
1Department of Morpho-Functional Sciences (II), Discipline of Biochemistry, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Insights
This review examines homocysteine
Area of Science:
- Biochemistry
- Infectious Diseases
- Cardiovascular Medicine
Background:
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused global health and economic disruption since December 2019.
- Comorbidities significantly impact SARS-CoV-2 infection severity and patient prognosis.
- Thrombosis is a critical complication in COVID-19 patients.
Purpose of the Study:
- To analyze current data on homocysteine's role in COVID-19.
- To investigate the correlation between homocysteine levels and COVID-19 disease severity.
- To explore potential mechanisms of homocysteine's involvement in COVID-19.
Main Methods:
- Literature review of studies investigating homocysteine and COVID-19.
- Analysis of data correlating homocysteine levels with clinical outcomes.
- Synthesis of proposed pathophysiological mechanisms.
Main Results:
- Elevated homocysteine levels are associated with increased COVID-19 severity.
- Homocysteine may contribute to thrombosis in COVID-19 patients.
- Potential mechanisms include endothelial dysfunction and inflammation.
Conclusions:
- Homocysteine is implicated in the pathophysiology of severe COVID-19.
- Homocysteine may serve as a biomarker for thrombotic risk in COVID-19.
- Further research is needed to elucidate homocysteine's precise role and therapeutic implications.
Abstract:
Since December 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly throughout the world causing health, social and economic instability. The severity and prognosis of patients with SARS-CoV-2 infection are associated with the presence of comorbidities such as cardiovascular disease, hypertension, chronic lung disease, cerebrovascular disease, diabetes, chronic kidney disease, and malignancy. Thrombosis is one of the most serious complications that can occur in patients with COVID-19. Homocysteine is a non-proteinogenic α-amino acid considered a potential marker of thrombotic diseases. Our review aims to provide an updated analysis of the data on the involvement of homocysteine in COVID-19 to highlight the correlation of this amino acid with disease severity and the possible mechanisms by which it intervenes.
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