Neutrophil extracellular traps and thrombogenesis in COVID-19 patients
COVID-19 has caused significant morbidity and mortality around the world. Recent reports point toward the “cytokine storm” as core of pathogenesis in SAR-CoV-2-induced acute lung injury, acute respiratory distress syndrome (ARDS), coagulopathy, and multiorgan failure. We have presented clinical data...
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Wolters Kluwer Medknow Publications
2021
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oai:doaj.org-article:9fb8e96a4cc847dfb6241217099ee2972021-11-12T10:25:23ZNeutrophil extracellular traps and thrombogenesis in COVID-19 patients1735-19951735-713610.4103/jrms.JRMS_750_20https://doaj.org/article/9fb8e96a4cc847dfb6241217099ee2972021-01-01T00:00:00Zhttp://www.jmsjournal.net/article.asp?issn=1735-1995;year=2021;volume=26;issue=1;spage=96;epage=96;aulast=Yaqinuddinhttps://doaj.org/toc/1735-1995https://doaj.org/toc/1735-7136COVID-19 has caused significant morbidity and mortality around the world. Recent reports point toward the “cytokine storm” as core of pathogenesis in SAR-CoV-2-induced acute lung injury, acute respiratory distress syndrome (ARDS), coagulopathy, and multiorgan failure. We have presented clinical data here wherein cytokine levels in COVID-19 patients do not match typical cytokine storm seen in ARDS. Interestingly, COVID-19 patients in early disease present with hypoxemia with no significant respiratory dysfunction. In addition, it is reported that hospitalized COVID-19 patients have a high incidence of thrombotic complications, especially involving the pulmonary vasculature. We hypothesized that core to pathogenesis of COVID-19 is the dysregulation of neutrophils, which culminates in excessive release of neutrophil extracellular traps (NETs). Recently, an increasing amount of NETs have been seen in sera of severe COVID-19 patients. We have discussed here mechanisms involved which lead to thrombogenesis and vasculitis because of excessive release of NETs.Ahmed YaqinuddinWolters Kluwer Medknow Publicationsarticlecoronaviruscovid-19neutrophil extracellular trapsneutrophilssarsthrombosisvasculitisMedicineRENJournal of Research in Medical Sciences, Vol 26, Iss 1, Pp 96-96 (2021) |
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coronavirus covid-19 neutrophil extracellular traps neutrophils sars thrombosis vasculitis Medicine R |
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coronavirus covid-19 neutrophil extracellular traps neutrophils sars thrombosis vasculitis Medicine R Ahmed Yaqinuddin Neutrophil extracellular traps and thrombogenesis in COVID-19 patients |
description |
COVID-19 has caused significant morbidity and mortality around the world. Recent reports point toward the “cytokine storm” as core of pathogenesis in SAR-CoV-2-induced acute lung injury, acute respiratory distress syndrome (ARDS), coagulopathy, and multiorgan failure. We have presented clinical data here wherein cytokine levels in COVID-19 patients do not match typical cytokine storm seen in ARDS. Interestingly, COVID-19 patients in early disease present with hypoxemia with no significant respiratory dysfunction. In addition, it is reported that hospitalized COVID-19 patients have a high incidence of thrombotic complications, especially involving the pulmonary vasculature. We hypothesized that core to pathogenesis of COVID-19 is the dysregulation of neutrophils, which culminates in excessive release of neutrophil extracellular traps (NETs). Recently, an increasing amount of NETs have been seen in sera of severe COVID-19 patients. We have discussed here mechanisms involved which lead to thrombogenesis and vasculitis because of excessive release of NETs. |
format |
article |
author |
Ahmed Yaqinuddin |
author_facet |
Ahmed Yaqinuddin |
author_sort |
Ahmed Yaqinuddin |
title |
Neutrophil extracellular traps and thrombogenesis in COVID-19 patients |
title_short |
Neutrophil extracellular traps and thrombogenesis in COVID-19 patients |
title_full |
Neutrophil extracellular traps and thrombogenesis in COVID-19 patients |
title_fullStr |
Neutrophil extracellular traps and thrombogenesis in COVID-19 patients |
title_full_unstemmed |
Neutrophil extracellular traps and thrombogenesis in COVID-19 patients |
title_sort |
neutrophil extracellular traps and thrombogenesis in covid-19 patients |
publisher |
Wolters Kluwer Medknow Publications |
publishDate |
2021 |
url |
https://doaj.org/article/9fb8e96a4cc847dfb6241217099ee297 |
work_keys_str_mv |
AT ahmedyaqinuddin neutrophilextracellulartrapsandthrombogenesisincovid19patients |
_version_ |
1718431006592073728 |