The Role of Endothelium in COVID-19

The 2019 novel coronavirus, known as severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) or coronavirus disease 2019 (COVID-19), is causing a global pandemic. The virus primarily affects the upper and lower respiratory tracts and raises the risk of a variety of non-pulmonary consequences, t...

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Autores principales: Mihaela Ionescu, Anca Pantea Stoian, Manfredi Rizzo, Dragos Serban, Domenico Nuzzo, Laura Mazilu, Andra Iulia Suceveanu, Ana Maria Dascalu, Irinel Raluca Parepa
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/34c75f5d43574dc1910d18ec5aa9026d
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spelling oai:doaj.org-article:34c75f5d43574dc1910d18ec5aa9026d2021-11-11T17:20:07ZThe Role of Endothelium in COVID-1910.3390/ijms2221119201422-00671661-6596https://doaj.org/article/34c75f5d43574dc1910d18ec5aa9026d2021-11-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/21/11920https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067The 2019 novel coronavirus, known as severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) or coronavirus disease 2019 (COVID-19), is causing a global pandemic. The virus primarily affects the upper and lower respiratory tracts and raises the risk of a variety of non-pulmonary consequences, the most severe and possibly fatal of which are cardiovascular problems. Data show that almost one-third of the patients with a moderate or severe form of COVID-19 had preexisting cardiovascular comorbidities such as diabetes mellitus, obesity, hypertension, heart failure, or coronary artery disease. SARS-CoV2 causes hyper inflammation, hypoxia, apoptosis, and a renin–angiotensin system imbalance in a variety of cell types, primarily endothelial cells. Profound endothelial dysfunction associated with COVID-19 can be the cause of impaired organ perfusion that may generate acute myocardial injury, renal failure, and a procoagulant state resulting in thromboembolic events. We discuss the most recent results on the involvement of endothelial dysfunction in the pathogenesis of COVID-19 in patients with cardiometabolic diseases in this review. We also provide insights on treatments that may reduce the severity of this viral infection.Mihaela IonescuAnca Pantea StoianManfredi RizzoDragos SerbanDomenico NuzzoLaura MaziluAndra Iulia SuceveanuAna Maria DascaluIrinel Raluca ParepaMDPI AGarticleendotheliumSARS-CoV-2COVID-19pathogenesiscomplicationsBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 11920, p 11920 (2021)
institution DOAJ
collection DOAJ
language EN
topic endothelium
SARS-CoV-2
COVID-19
pathogenesis
complications
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle endothelium
SARS-CoV-2
COVID-19
pathogenesis
complications
Biology (General)
QH301-705.5
Chemistry
QD1-999
Mihaela Ionescu
Anca Pantea Stoian
Manfredi Rizzo
Dragos Serban
Domenico Nuzzo
Laura Mazilu
Andra Iulia Suceveanu
Ana Maria Dascalu
Irinel Raluca Parepa
The Role of Endothelium in COVID-19
description The 2019 novel coronavirus, known as severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) or coronavirus disease 2019 (COVID-19), is causing a global pandemic. The virus primarily affects the upper and lower respiratory tracts and raises the risk of a variety of non-pulmonary consequences, the most severe and possibly fatal of which are cardiovascular problems. Data show that almost one-third of the patients with a moderate or severe form of COVID-19 had preexisting cardiovascular comorbidities such as diabetes mellitus, obesity, hypertension, heart failure, or coronary artery disease. SARS-CoV2 causes hyper inflammation, hypoxia, apoptosis, and a renin–angiotensin system imbalance in a variety of cell types, primarily endothelial cells. Profound endothelial dysfunction associated with COVID-19 can be the cause of impaired organ perfusion that may generate acute myocardial injury, renal failure, and a procoagulant state resulting in thromboembolic events. We discuss the most recent results on the involvement of endothelial dysfunction in the pathogenesis of COVID-19 in patients with cardiometabolic diseases in this review. We also provide insights on treatments that may reduce the severity of this viral infection.
format article
author Mihaela Ionescu
Anca Pantea Stoian
Manfredi Rizzo
Dragos Serban
Domenico Nuzzo
Laura Mazilu
Andra Iulia Suceveanu
Ana Maria Dascalu
Irinel Raluca Parepa
author_facet Mihaela Ionescu
Anca Pantea Stoian
Manfredi Rizzo
Dragos Serban
Domenico Nuzzo
Laura Mazilu
Andra Iulia Suceveanu
Ana Maria Dascalu
Irinel Raluca Parepa
author_sort Mihaela Ionescu
title The Role of Endothelium in COVID-19
title_short The Role of Endothelium in COVID-19
title_full The Role of Endothelium in COVID-19
title_fullStr The Role of Endothelium in COVID-19
title_full_unstemmed The Role of Endothelium in COVID-19
title_sort role of endothelium in covid-19
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/34c75f5d43574dc1910d18ec5aa9026d
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