内皮在长期COVID的心血管后果中的作用
Luca Santoro1, Vincenzo Zaccone2, Lorenzo Falsetti3
1Department of Cardiovascular and Thoracic Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.
Biomedicines
|August 26, 2023
概括
COVID-19 (冠状病毒疾病2019) 感染会损害血管,导致内皮功能障碍. 长期COVID可能涉及持续的病毒机制或自身免疫反应,导致心血管并发症.
科学领域:
- 心血管医学 心血管医学
- 传染性疾病 传染性疾病
- 病理学 病理学 病理学
背景情况:
- 冠状病毒疾病2019 (COVID-19) 感染,由SARS-CoV-2引起,超出肺部影响,涉及广泛的血管损伤.
- 内皮功能障碍是COVID-19的一个关键特征,其特征是对内皮细胞的直接或间接病毒损伤,导致内皮炎和多器官损伤.
研究的目的:
- 审查SARS-CoV-2感染后持续内皮激活的分子机制.
- 总结一下长期COVID中观察到的心血管并发症.
主要方法:
- 文献综述侧重于COVID-19和长期COVID中的内皮功能障碍.
- 对有助于心血管后果的分子通路的分析.
主要成果:
- SARS-CoV-2 感染通过包括细胞损伤,热,超炎症,氧化应激和高凝固性在内的机制诱导内皮功能障碍.
- 长期COVID与一系列心血管疾病有关,可能是由持续的病毒储存或自身免疫过程驱动的.
结论:
- 内皮细胞激活和功能障碍对急性COVID-19和长期COVID中心血管并发症的发展都至关重要.
- 需要进一步的研究来阐明长期COVID心血管后续的精确病理生理学.
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