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Published on: November 5, 2021
SARS-CoV-2 induced HDL dysfunction may affect the host's response to and recovery from COVID-19
Hayder M Al-Kuraishy1, Nawar R Hussien2, Marwa S Al-Niemi2
1Department of Pharmacology, Toxicology, Medicine College of Medicine Al-Mustansiriyah University, Baghdad, Iraq.
Insights
COVID-19 significantly impacts lipid profiles, particularly high-density lipoprotein (HDL) and low-density lipoprotein (LDL). Reduced HDL levels correlate with severe COVID-19 outcomes, suggesting HDL
Area of Science:
- Cardiology
- Metabolic Disorders
- Virology
Background:
- COVID-19 is associated with cardio-metabolic disorders, including dyslipidemia.
- SARS-CoV-2 infection causes significant alterations in lipid profiles.
- Lipid profile changes may serve as biomarkers for COVID-19 diagnosis and management.
Purpose of the Study:
- To review the impact of COVID-19 on high-risk patients.
- To explore the relationship between dysfunctional high-density lipoprotein (HDL) and COVID-19 severity.
- To understand how SARS-CoV-2 infection affects lipid metabolism.
Main Methods:
- Literature review methodology.
- Narrative and comprehensive review of existing studies.
- Analysis of information on COVID-19's effects on high-risk groups.
Main Results:
- Reduced HDL levels in COVID-19 patients correlate with disease severity and poor outcomes.
- SARS-CoV-2 binds to HDL, potentially facilitating viral entry.
- COVID-19 infection can induce dysfunctional HDL through inflammation and oxidative stress, exacerbating disease severity.
Conclusions:
- COVID-19 is linked to cardio-metabolic disorders like dyslipidemia and dysregulated HDL/LDL.
- Dysfunctional HDL plays a causal role in COVID-19.
- Understanding the HDL-COVID-19 relationship is crucial for patient management.
Introduction:
Covid-19 is linked with the development of cardio-metabolic disorders, including dyslipidemia, dysregulation of high-density lipoprotein (HDL), and low-density lipoprotein (LDL). Furthermore, SARS-Co-2 infection is associated with noteworthy changes in lipid profile, which is suggested as a possible biomarker to support the diagnosis and management of Covid-19.
Methods:
This paper adopts the literature review method to obtain information about how Covid-19 affects high-risk group patients and may cause severe and critical effects due to the development of acute lung injury and acute respiratory distress syndrome. A narrative and comprehensive review is presented.
Results:
Reducing HDL in Covid-19 is connected to the disease severity and poor clinical outcomes, suggesting that high HDL serum levels could benefit Covid-19. SARS-CoV-2 binds HDL, and this complex is attached to the co-localized receptors, facilitating viral entry. Therefore, SARS-CoV-2 infection may induce the development of dysfunctional HDL through different mechanisms, including induction of inflammatory and oxidative stress with activation of inflammatory signaling pathways. In turn, the induction of dysfunctional HDL induces the activation of inflammatory signaling pathways and oxidative stress, increasing Covid-19 severity.
Conclusions:
Covid-19 is linked with the development of cardio-metabolic disorders, including dyslipidemia in general and dysregulation of high-density lipoprotein and low-density lipoprotein. Therefore, the present study aimed to overview the causal relationship between dysfunctional high-density lipoprotein and Covid-19.
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