Hypothesis: AA amyloidosis is a factor causing systemic complications after coronavirus disease.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Alexey P Galkin
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引用次数: 14

Abstract

The severe course of COVID-19 causes systemic chronic inflammation and thrombosis in a wide variety of organs and tissues. The nature of these inflammations remains a mystery, although they are known to occur against the background of a high level of cytokine production. The high level of cytokines provokes overproduction of the Serum amyloid A (SAA) protein. Moreover, the number of studies has shown that the severe COVID-19 causes SAA overproduction. The authors of these works regard a high level of SAA exclusively as a biomarker of COVID-19. However, it should be borne in mind that overproduction of SAA can cause systemic AA amyloidosis. SAA forms cytotoxic amyloid deposits in various organs and induces inflammation and thrombosis. The consequences of COVID-19 infection are surprisingly similar to the clinical picture that is observed in AA amyloidosis. Here I present the hypothesis that AA amyloidosis is a factor causing systemic complications after coronavirus disease.

假设:AA淀粉样变是冠状病毒感染后引起全身并发症的一个因素。
COVID-19的严重病程可导致多种器官和组织的全身性慢性炎症和血栓形成。这些炎症的性质仍然是一个谜,尽管已知它们是在高水平细胞因子产生的背景下发生的。高水平的细胞因子引起血清淀粉样蛋白A (SAA)蛋白的过量产生。此外,大量研究表明,严重的COVID-19导致SAA过量生产。这些作品的作者将高水平的SAA完全视为COVID-19的生物标志物。然而,应记住SAA的过量产生可引起系统性AA淀粉样变性。SAA在各种器官中形成细胞毒性淀粉样蛋白沉积,诱发炎症和血栓形成。COVID-19感染的后果与AA淀粉样变的临床表现惊人地相似。在这里,我提出了一个假设,即AA淀粉样变是冠状病毒病后引起全身并发症的一个因素。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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