Neuroinflammation and Its Impact on the Pathogenesis of COVID-19

Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The clinical manifestations of COVID-19 include dry cough, difficult breathing, fever, fatigue, and may lead to pneumonia and respiratory failure. There are significan...

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Autores principales: Mohammed M. Almutairi, Farzane Sivandzade, Thamer H. Albekairi, Faleh Alqahtani, Luca Cucullo
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/da24ef88cca54900bb343985dd74f434
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spelling oai:doaj.org-article:da24ef88cca54900bb343985dd74f4342021-11-30T18:02:40ZNeuroinflammation and Its Impact on the Pathogenesis of COVID-192296-858X10.3389/fmed.2021.745789https://doaj.org/article/da24ef88cca54900bb343985dd74f4342021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.745789/fullhttps://doaj.org/toc/2296-858XCoronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The clinical manifestations of COVID-19 include dry cough, difficult breathing, fever, fatigue, and may lead to pneumonia and respiratory failure. There are significant gaps in the current understanding of whether SARS-CoV-2 attacks the CNS directly or through activation of the peripheral immune system and immune cell infiltration. Although the modality of neurological impairments associated with COVID-19 has not been thoroughly investigated, the latest studies have observed that SARS-CoV-2 induces neuroinflammation and may have severe long-term consequences. Here we review the literature on possible cellular and molecular mechanisms of SARS-CoV-2 induced-neuroinflammation. Activation of the innate immune system is associated with increased cytokine levels, chemokines, and free radicals in the SARS-CoV-2-induced pathogenic response at the blood-brain barrier (BBB). BBB disruption allows immune/inflammatory cell infiltration into the CNS activating immune resident cells (such as microglia and astrocytes). This review highlights the molecular and cellular mechanisms involved in COVID-19-induced neuroinflammation, which may lead to neuronal death. A better understanding of these mechanisms will help gain substantial knowledge about the potential role of SARS-CoV-2 in neurological changes and plan possible therapeutic intervention strategies.Mohammed M. AlmutairiFarzane SivandzadeFarzane SivandzadeThamer H. AlbekairiFaleh AlqahtaniLuca CuculloFrontiers Media S.A.articleSARS-CoV-2COVID-19CNSblood-brain barrierneuroinflammationoxidative stressMedicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic SARS-CoV-2
COVID-19
CNS
blood-brain barrier
neuroinflammation
oxidative stress
Medicine (General)
R5-920
spellingShingle SARS-CoV-2
COVID-19
CNS
blood-brain barrier
neuroinflammation
oxidative stress
Medicine (General)
R5-920
Mohammed M. Almutairi
Farzane Sivandzade
Farzane Sivandzade
Thamer H. Albekairi
Faleh Alqahtani
Luca Cucullo
Neuroinflammation and Its Impact on the Pathogenesis of COVID-19
description Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The clinical manifestations of COVID-19 include dry cough, difficult breathing, fever, fatigue, and may lead to pneumonia and respiratory failure. There are significant gaps in the current understanding of whether SARS-CoV-2 attacks the CNS directly or through activation of the peripheral immune system and immune cell infiltration. Although the modality of neurological impairments associated with COVID-19 has not been thoroughly investigated, the latest studies have observed that SARS-CoV-2 induces neuroinflammation and may have severe long-term consequences. Here we review the literature on possible cellular and molecular mechanisms of SARS-CoV-2 induced-neuroinflammation. Activation of the innate immune system is associated with increased cytokine levels, chemokines, and free radicals in the SARS-CoV-2-induced pathogenic response at the blood-brain barrier (BBB). BBB disruption allows immune/inflammatory cell infiltration into the CNS activating immune resident cells (such as microglia and astrocytes). This review highlights the molecular and cellular mechanisms involved in COVID-19-induced neuroinflammation, which may lead to neuronal death. A better understanding of these mechanisms will help gain substantial knowledge about the potential role of SARS-CoV-2 in neurological changes and plan possible therapeutic intervention strategies.
format article
author Mohammed M. Almutairi
Farzane Sivandzade
Farzane Sivandzade
Thamer H. Albekairi
Faleh Alqahtani
Luca Cucullo
author_facet Mohammed M. Almutairi
Farzane Sivandzade
Farzane Sivandzade
Thamer H. Albekairi
Faleh Alqahtani
Luca Cucullo
author_sort Mohammed M. Almutairi
title Neuroinflammation and Its Impact on the Pathogenesis of COVID-19
title_short Neuroinflammation and Its Impact on the Pathogenesis of COVID-19
title_full Neuroinflammation and Its Impact on the Pathogenesis of COVID-19
title_fullStr Neuroinflammation and Its Impact on the Pathogenesis of COVID-19
title_full_unstemmed Neuroinflammation and Its Impact on the Pathogenesis of COVID-19
title_sort neuroinflammation and its impact on the pathogenesis of covid-19
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/da24ef88cca54900bb343985dd74f434
work_keys_str_mv AT mohammedmalmutairi neuroinflammationanditsimpactonthepathogenesisofcovid19
AT farzanesivandzade neuroinflammationanditsimpactonthepathogenesisofcovid19
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AT thamerhalbekairi neuroinflammationanditsimpactonthepathogenesisofcovid19
AT falehalqahtani neuroinflammationanditsimpactonthepathogenesisofcovid19
AT lucacucullo neuroinflammationanditsimpactonthepathogenesisofcovid19
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