在SARS-CoV-2中长期的味觉乳头功能障碍
Qin Yao1, Máire E Doyle1, Qing-Rong Liu1
1Laboratory of Clinical Investigation, National Institute on Aging, National Institutes of Health, Baltimore.
NEJM evidence
|December 25, 2023
概括
味觉组织中持续存在的SARS-CoV-2 (严重急性呼吸系统综合征冠状病毒2) 与COVID-19后持续存在的味觉障碍有关. 病毒存在与味蕾变化和免疫反应相关,影响长期的味觉感知.
科学领域:
- 病毒学 病毒学
- 免疫学 免疫学 免疫学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 持续的味觉障碍是2019年冠状病毒疾病 (COVID-19) 的常见后果.
- 味觉组织中持续存在的SARS-CoV-2与后急性味觉功能障碍之间的关联仍然不清楚.
研究的目的:
- 在患有后急性味觉障碍的患者的初级味觉组织中调查持续性严重急性呼吸道综合征冠状病毒2 (SARS-CoV-2) 的存在.
- 为了将病毒存在与味蕾形态和免疫反应相关联.
主要方法:
- 在SARS-CoV-2感染后持续超过6周的味觉障碍患者身上进行了真菌状乳头活检.
- 用免疫光和光 in situ 杂交方式分析了对 SARS-CoV-2 的活检组织.
- 组织学检查 (血素和欧染色) 评估了味蕾形态和免疫反应.
主要成果:
- 严重急性呼吸道综合征冠状病毒2 (SARS-CoV-2) 在所有持久味觉障碍患者的真菌状乳头中被检测到.
- 相关发现包括免疫反应,形状形或缺席的味蕾,以及双珠间神经元纤维的损失.
- 虽然大多数患者的病毒被消除了,但四名患者在6个月后仍然报告了不完全的味道恢复.
结论:
- 功能性味觉,味蕾形态和SARS-CoV-2及其免疫后续的存在之间存在时间关联.
- 味觉组织中持续存在的SARS-CoV-2可能会导致COVID-19后的长期味觉功能障碍.
- 需要进一步的研究,以了解病毒持久性和味道恢复的机制.
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