与SARS-CoV-2相关的无氧化症的机制
Tatsuya Tsukahara1, David H Brann1, Sandeep Robert Datta1
1Department of Neurobiology, Harvard Medical School, Boston, Massachusetts, United States.
Physiological reviews
|June 21, 2023
概括
COVID-19 常常会导致厌氧 (嗅觉丧失),而不是通过直接感染大脑,而是通过损害鼻腔细胞并引发炎症,从而损害嗅觉.
科学领域:
- 神经学 神经学
- 病毒学 病毒学
- 免疫学 免疫学 免疫学
背景情况:
- 无呼吸是COVID-19的一个关键的神经症状.
- SARS-CoV-2 感染主要影响鼻腔嗅觉上皮.
- 通过SARS-CoV-2的神经感染在嗅觉系统和大脑中很罕见.
研究的目的:
- 为了解释COVID-19相关的厌氧背后的机制.
- 审查SARS-CoV-2感染对嗅觉系统中非神经元细胞的影响.
- 提出导致气味丧失的间接机制.
主要方法:
- 对嗅觉上皮层中SARS-CoV-2感染现有研究的综述.
- 对非神经元细胞感染及其下游影响的分析.
- 确定影响嗅觉功能的间接途径.
主要成果:
- 嗅觉上皮质中非神经元细胞的SARS-CoV-2感染与此有关.
- 间接机制,包括组织损伤和炎症,有助于阿诺斯米亚.
- 免疫细胞透和细胞因子循环起着作用.
- 在感觉神经元中观察到气味受体基因的下调.
结论:
- 与COVID-19相关的厌氧可能是由间接机制引起的,而不是直接的神经元感染.
- 组织损伤,炎症和改变的基因表达会损害嗅觉功能.
- 需要进一步的研究才能充分理解这些复杂的相互作用.
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