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The Latest Cellular and Molecular Mechanisms of COVID-19 on Non-Lung Organs
Hamid Askari1, Fatemeh Rabiei1, Fatemeh Lohrasbi1
1Student Research Committee, Babol University of Medical Sciences, Babol 47176-47745, Iran.
Abstract:
Understanding the transmission pathways of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) will aid in developing effective therapies directed at the virus's life cycle or its side effects. While severe respiratory distress is the most common symptom of a coronavirus 2019 (COVID-19) infection, the virus is also known to cause damage to almost every major organ and system in the body. However, it is not obvious whether pathological changes in extra-respiratory organs are caused by direct infection, indirect, or combination of these effects. In this narrative review, we first elaborate on the characteristics of SARS-CoV-2, followed by the mechanisms of this virus on various organs such as brain, eye, and olfactory nerve and different systems such as the endocrine and gastrointestinal systems.
Insights
This review explores how SARS-CoV-2 (the virus causing COVID-19) affects multiple organs beyond the lungs. It examines direct infection versus indirect effects to understand the full impact of this novel coronavirus.
Area of Science:
- Virology
- Pathology
- Immunology
Background:
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes COVID-19, primarily known for respiratory distress.
- The virus impacts multiple organ systems, but the mechanisms of extra-respiratory organ damage are unclear.
- Distinguishing direct viral infection from indirect effects is crucial for therapeutic development.
Purpose of the Study:
- To review the characteristics of SARS-CoV-2.
- To elucidate the mechanisms by which SARS-CoV-2 affects various organs and systems.
- To understand the pathological changes in extra-respiratory organs.
Main Methods:
- Narrative review of existing literature.
- Analysis of SARS-CoV-2 characteristics and viral mechanisms.
- Examination of organ-specific and system-wide effects.
Main Results:
- Detailed characteristics of SARS-CoV-2 are presented.
- Mechanisms of viral impact on the brain, eyes, olfactory nerve, endocrine, and gastrointestinal systems are discussed.
- Potential pathways for extra-respiratory organ damage are explored.
Conclusions:
- SARS-CoV-2 has a multi-organ impact extending beyond the respiratory system.
- Understanding these pathways is key to developing targeted therapies for COVID-19.
- Further research is needed to differentiate direct viral effects from indirect consequences.
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