I. Dolgopolov, G. Mentkevich, M. Rykov, L. Chichanovskaya
{"title":"Neurological disorders in patients with long COVID syndrome and cell therapy methods for their correction a literature review","authors":"I. Dolgopolov, G. Mentkevich, M. Rykov, L. Chichanovskaya","doi":"10.47093/2218-7332.2021.12.3.56-67","DOIUrl":null,"url":null,"abstract":"The review presents the current understanding of the incidence and nature of neurological disorders in patients with the so-called long COVID syndrome. Symptoms, putative pathophysiological mechanisms, risk factors, search for methods of treatment and rehabilitation of patients using the patient's own hematopoietic cells are discussed. A search was carried out for scientific articles, including those published in peer-reviewed journals indexed in PubMed, Web of Science, Scopus and RSCI. The inclusion of stem cells (SC) in rehabilitation programs for patients with various injuries and diseases of the central nervous system (CNS) is a promising area of research. The mechanisms of CNS damage therapy based on the use of adult-type pluripotent stem cells, including CD34+, consist of many aspects. On the background of SC transplantation, damaged nerve cells and surrounding tissues, including neurons and glial cells, can be restored, which helps to ensure the integrity of the nerve conduction pathway and, thus, restore nerve function. SC therapy can suppress genes involved in inflammation and apoptosis, as well as activate genes with neuroprotective action, thereby protecting spinal neurons from secondary damage. This line of cell therapy can be used to treat long COVID syndrome.","PeriodicalId":129151,"journal":{"name":"Sechenov Medical Journal","volume":"28 12","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2021-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"7","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sechenov Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.47093/2218-7332.2021.12.3.56-67","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 7
Abstract
The review presents the current understanding of the incidence and nature of neurological disorders in patients with the so-called long COVID syndrome. Symptoms, putative pathophysiological mechanisms, risk factors, search for methods of treatment and rehabilitation of patients using the patient's own hematopoietic cells are discussed. A search was carried out for scientific articles, including those published in peer-reviewed journals indexed in PubMed, Web of Science, Scopus and RSCI. The inclusion of stem cells (SC) in rehabilitation programs for patients with various injuries and diseases of the central nervous system (CNS) is a promising area of research. The mechanisms of CNS damage therapy based on the use of adult-type pluripotent stem cells, including CD34+, consist of many aspects. On the background of SC transplantation, damaged nerve cells and surrounding tissues, including neurons and glial cells, can be restored, which helps to ensure the integrity of the nerve conduction pathway and, thus, restore nerve function. SC therapy can suppress genes involved in inflammation and apoptosis, as well as activate genes with neuroprotective action, thereby protecting spinal neurons from secondary damage. This line of cell therapy can be used to treat long COVID syndrome.
这篇综述介绍了目前对所谓的长冠状病毒综合征患者神经系统疾病的发生率和性质的了解。讨论了症状、假定的病理生理机制、危险因素、寻找治疗方法和使用患者自身造血细胞的患者康复。对科学文章进行了搜索,包括发表在PubMed、Web of Science、Scopus和RSCI等同行评议期刊上的文章。将干细胞(SC)纳入中枢神经系统(CNS)各种损伤和疾病患者的康复计划是一个有前途的研究领域。基于成人型多能干细胞(包括CD34+)治疗中枢神经系统损伤的机制包括许多方面。在SC移植的背景下,受损的神经细胞和周围组织,包括神经元和胶质细胞,可以得到修复,这有助于保证神经传导通路的完整性,从而恢复神经功能。SC治疗可以抑制参与炎症和凋亡的基因,并激活具有神经保护作用的基因,从而保护脊髓神经元免受继发性损伤。这种细胞疗法可用于治疗长冠状病毒综合征。