后急性COVID-19神经认知症状的肠脑病变
Allison M Plummer1, Yvette L Matos2, Henry C Lin3,4
1School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, United States.
Frontiers in neuroscience
|October 16, 2023
概括
后急性COVID-19综合征 (PACS) 导致慢性认知问题,如脑雾. 这可能源于肠道失调和神经炎症,在SARS-CoV-2感染后影响脑肠轴.
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 微生物学 微生物学
背景情况:
- 三分之一的非住院COVID-19患者经历了慢性症状,包括被称为"脑雾"的认知缺陷.
- 在后急性COVID-19综合征 (PACS) 中,这些持续的认知问题背后的机制尚不清楚.
研究的目的:
- 审查PACS的拟议病原体,重点关注肠-大脑轴.
- 确定用于实验测量拟议的PACS模型的组件的方法.
主要方法:
- 关于SARS-CoV-2,神经炎症,肠道失调和肠-大脑轴的现有文献的综述.
- 确定实验技术来评估神经血管完整性,肠道屏障功能和微生物代谢物.
主要成果:
- SARS-CoV-2 感染可以通过 ACE2 结合和细胞因子产生损害大脑血管和肠道屏障.
- 在COVID-19之后的肠道功能失调可能导致神经毒性物质的扩散,可能会损害神经血管单元.
结论:
- 一个拟议的模型表明,肠道衍生的神经毒性和神经炎症物质可能通过一个弱化的神经血管单元进入大脑,导致PACS的认知缺陷.
- 需要使用特定方法的进一步研究来验证PACS.的这种肠-大脑轴模型.
相关概念视频
Disorders of the Nervous Tissue
1.4K
Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
1.4K
Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
700
Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
700
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
20
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
20
Irritable Bowel Syndrome I: Introduction
285
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
285
Alzheimer's Disease: Overview
503
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
503
Physiology of Enteric Nervous System and Gut Health
281
The gastrointestinal tract, responsible for the digestion and absorption of nutrients, is safeguarded by the intestinal barrier, which consists of secretory, physical, and immune components. At the forefront is the secretory barrier, composed of essential elements such as mucus, gut microbiota, and defense proteins. They collaborate to break down food particles, facilitate nutrient absorption, and maintain optimal gut health. These secretory components ensure the smooth functioning of the...
281


