Covid-19大流行及其与Mthfr突变、同型半胱氨酸血症和代谢紊乱的可能联系:简要综述

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摘要

冠状病毒-19 (COVID-19)是由SARS-CoV-2病毒引起的一种副学位感染,造成全球大流行,主要特征是呼吸道症状,有时伴有细胞因子风暴。它引起中性粒细胞、巨噬细胞和炎性细胞因子的迁移,导致肺泡-毛细血管壁的破坏。COVID-19患者的凝血功能障碍可能是一种常见的并发症,会危及临床病程,并与较差的预后和可能的死亡有关。亚甲基四氢叶酸酶(MTHFR)由人类染色体1号位置p36.3上的MTHFR基因编码,存在与该基因相关的脱氧核糖核酸序列变异(遗传多态性)。然而,最常见的两种是C677T和A1298C。这种加速剂生产中的缺陷与心肌梗死、中风、血栓形成和其他几种疾病的风险增加有关。同型半胱氨酸(Hcy)是血液中的一种化学物质,当氨基酸蛋氨酸(蛋白质的组成部分)被自然代谢并随尿液排出时形成;在这种分解方法中,我们的身体会循环利用同型半胱氨酸,重新利用它们来制造不同的蛋白质。为了这种利用,我们需要维生素B12, B6和叶酸。此外,为了使利用最经济,需要加速器MTHFR。在产生MTHFR加速器的因子中,可传播的突变将导致副学士加速器不是最佳活性,并应导致同型半胱氨酸水平升高。一些疾病,如血管疾病、肥胖、糖尿病、周围神经病变和他人体内的血栓形成,都与高Hcy水平和MTHFR突变有关。很少有报告将COVID-19的高风险和不良预后与MTHFR突变和代谢紊乱(如肥胖和糖尿病)联系起来。在这篇综述中,我们提出了预防COVID、MTHFR突变、糖尿病和肥胖患者并发症的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Covid-19 Pandemic and Possible Links with Mthfr Mutations, Homocysteinemia, and Metabolic Disturbances: Short Review
Coronovirus-19 (COVID-19) is an associate degree infection caused by the SARS-CoV-2 virus inflicting a worldwide pandemic and chiefly characterized by respiratory symptoms, many times accompanied by a cytokine storm. It causes migration of the neutrophils, macrophages and inflammatory cytokines resulting in the destruction of the alveolar-capillary walls. Coagulopathy in patients with COVID-19 may be a common complication that jeopardizes the clinical course and is related to poorer outcomes and probable death. The methylenetetrahydrofolate enzyme (MTHFR) is coded by the gene with the image MTHFR on chromosome one location p36.3 in humans, and there are desoxyribonucleic acid sequence variants (genetic polymorphisms) related to this gene. However, the 2 commonest ones are C677T and A1298C. Deficiencies within the production of this accelerator are related to raise risk of cardiac muscle infarctions, stroke, thrombosis, and several conditions. Homocysteine (Hcy) is a chemical in the blood formed when the amino acid methionine, a building block of the proteins, is naturally metabolized to be excreted in the urine; throughout this breakdown method, our body will recycle homocysteine to be reused to make different proteins. For this utilization, we need vitamins B12, B6, and folate. Also, for utilization to be the foremost economical, the accelerator MTHFR is needed. Transmissible mutations within the factor that create the MTHFR accelerator will result in an associate degree accelerator that’s not optimally active and should result in elevated homocysteine levels. Several medical conditions, like vascular disorders, obesity, diabetic disorder, peripheral neuropathy, and thrombophilia’s inside others, are associated with high Hcy levels and MTHFR mutations. Few reports link the high risk and poor prognosis with COVID-19 with MTHFR mutation and metabolic disorders like obesity and Diabetes mellitus. In this this review, we provide recommendations to prevent complications in patients with COVID, MTHFR mutations, Diabetes, and Obesity.
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