在尸体解剖时,SARS-CoV-2 感染在人体和大脑中持续存在
Sydney R Stein1,2, Sabrina C Ramelli3, Alison Grazioli4
1Emerging Pathogens Section, Critical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, MD, USA.
Nature
|December 14, 2022
概括
严重急性呼吸综合征冠状病毒2 (SARS-CoV-2) 可以感染多个器官,甚至在急性冠状病毒病2019 (COVID-19) 感染消失后,也可以在体内持续数月,包括大脑.
科学领域:
- 传染性疾病
- 病毒学
- 病理学
背景情况:
- 由SARS-CoV-2引起的2019冠状病毒病 (COVID-19) 会导致多器官功能障碍.
- 系统负担和病毒清除动力学,特别是在大脑中,仍然不太清楚.
- SARS-CoV-2 (PASC) 后急性后果表明需要调查长期存在的病毒.
研究的目的:
- 绘制和量化SARS-CoV-2的分布,复制和细胞类型特异性.
- 调查中枢神经系统和其他器官中的病毒存在.
- 为了确定病毒在体内持续的时间.
主要方法:
- 对44名死于COVID-19的患者进行了完整的解剖.
- 在11名患者中进行了广泛的中枢神经系统采样.
- 在多种组织中分析了SARS-CoV-2的分布,复制和持续性.
主要成果:
- SARS-CoV-2 广泛传播,特别是在严重的 COVID-19 病例中.
- 在感染初期检测到病毒在呼吸和非呼吸组织中复制,包括大脑.
- 在症状出现后的230天内,在包括大脑在内的多个部位发现了持久的SARS-CoV-2RNA.
结论:
- SARS-CoV-2 可以引起持续数月的全身感染.
- 在急性感染后很长一段时间内,
- 尽管检测到广泛的RNA,但在呼吸道外观察到有限的炎症或病毒细胞病理.
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