Experimental Models of SARS-COV-2 Infection in the Central Nervous System.

IF 2.6 Q2 CLINICAL NEUROLOGY
Journal of Central Nervous System Disease Pub Date : 2022-06-28 eCollection Date: 2022-01-01 DOI:10.1177/11795735221102231
Anna Maria Paoletti, Maria Grazia Melilli, Immacolata Vecchio
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Abstract

Coronavirus disease 2019 (COVID-19) has raised serious concerns worldwide due to its great impact on human health and forced scientists racing to find effective therapies to control the infection and a vaccine for the virus. To this end, intense research efforts have focused on understanding the viral biology of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), responsible for COVID-19. The ever-expanding list of cases, reporting clinical neurological complications in COVID-19 patients, strongly suggests the possibility of the virus invading the nervous system. The pathophysiological processes responsible for the neurological impact of COVID-19 are not fully understood. Some neurodegenerative disorders sometimes take more than a decade to manifest, so the long-term pathophysiological outcomes of SARS-CoV-2 neurotropism should be regarded as a challenge for researchers in this field. There is no documentation on the long-term impact of SARS-CoV-2 on the human central nervous system (CNS). Most of the data relating to neurological damage during SARS-CoV-2 infection have yet to be established experimentally. The purpose of this review is to describe the knowledge gained, from experimental models, to date, on the mechanisms of neuronal invasion and the effects produced by infection. The hope is that, once the processes are understood, therapies can be implemented to limit the damage produced. Long-term monitoring and the use of appropriate and effective therapies could reduce the severity of symptoms and improve quality of life of the most severely affected patients, with a special focus on those have required hospital care and assisted respiration.

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SARS-COV-2中枢神经系统感染的实验模型
2019冠状病毒病(COVID-19)因其对人类健康的巨大影响而引起了全世界的严重关注,迫使科学家们竞相寻找有效的治疗方法来控制感染和病毒疫苗。为此,大量的研究工作集中在了解导致COVID-19的严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)的病毒生物学上。不断扩大的病例清单,报告了COVID-19患者的临床神经系统并发症,强烈表明病毒侵入神经系统的可能性。导致COVID-19神经系统影响的病理生理过程尚不完全清楚。一些神经退行性疾病有时需要十年以上的时间才能显现出来,因此SARS-CoV-2嗜神经性的长期病理生理结果应被视为该领域研究人员面临的挑战。没有关于SARS-CoV-2对人类中枢神经系统(CNS)的长期影响的文献。与SARS-CoV-2感染期间神经损伤有关的大多数数据尚未通过实验确定。这篇综述的目的是描述迄今为止从实验模型中获得的关于神经元侵袭机制和感染产生的影响的知识。希望是,一旦了解了这些过程,就可以实施治疗来限制产生的损害。长期监测和使用适当和有效的治疗方法可以减轻症状的严重程度,改善受影响最严重的患者的生活质量,特别关注那些需要住院治疗和辅助呼吸的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.90
自引率
0.00%
发文量
39
审稿时长
8 weeks
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