Статья

Severe acute respiratory syndrome coronavirus 2 infection reaches the human nervous system: How?

V. Uversky, F. Elrashdy, A. Aljadawi, S. Ali, R. Khan, E. Redwan,
2021

Without protective and/or therapeutic agents the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection known as coronavirus disease 2019 is quickly spreading worldwide. It has surprising transmissibility potential, since it could infect all ages, gender, and human sectors. It attacks respiratory, gastrointestinal, urinary, hepatic, and endovascular systems and can reach the peripheral nervous system (PNS) and central nervous system (CNS) through known and unknown mechanisms. The reports on the neurological manifestations and complications of the SARS-CoV-2 infection are increasing exponentially. Herein, we enumerate seven candidate routes, which the mature or immature SARS-CoV-2 components could use to reach the CNS and PNS, utilizing the within-body cross talk between organs. The majority of SARS-CoV-2–infected patients suffer from some neurological manifestations (e.g., confusion, anosmia, and ageusia). It seems that although the mature virus did not reach the CNS or PNS of the majority of patients, its unassembled components and/or the accompanying immune-mediated responses may be responsible for the observed neurological symptoms. The viral particles and/or its components have been specifically documented in endothelial cells of lung, kidney, skin, and CNS. This means that the blood–endothelial barrier may be considered as the main route for SARS-CoV-2 entry into the nervous system, with the barrier disruption being more logical than barrier permeability, as evidenced by postmortem analyses. © 2020 Wiley Periodicals LLC

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Версии

  • 1. Version of Record от 2021-04-27

Метаданные

Об авторах
  • V. Uversky
    Biological Science Department, Faculty of Science, King Abdulaziz University, Jeddah, Saudi Arabia
  • F. Elrashdy
    Department of Molecular Medicine and USF Health Byrd Alzheimer's Research Institute, Morsani College of Medicine, University of South Florida, Tampa, FL, United States
  • A. Aljadawi
    Institute for Biological Instrumentation of the Russian Academy of Sciences, Federal Research Center “Pushchino Scientific Center for Biological Research of the Russian Academy of Sciences”, Pushchino, Russian Federation
  • S. Ali
    Department of Endemic Medicine and Hepatogastroenterology, Kasr Alainy School of Medicine, Cairo University, Cairo, Egypt
  • R. Khan
    Interdisciplinary Biotechnology Unit, Aligarh Muslim University, Aligarh, India
  • E. Redwan
Название журнала
  • Journal of Neuroscience Research
Том
  • 99
Выпуск
  • 3
Страницы
  • 750-777
Ключевые слова
  • cigarette smoke; nicotinic receptor; ageusia; anosmia; blood brain barrier; blood cerebrospinal fluid barrier; blood nerve barrier; central nervous system; cigarette smoking; confusion; coronavirus disease 2019; digestive system; human; immune response; kidney nerve; lung; lymph vessel; lymphatic system; macrophage; membrane vesicle; Middle East respiratory syndrome coronavirus; monocyte; neurologic disease; neurological complication; neurotropism; olfactory system; pathophysiology; peripheral nervous system; priority journal; Review; SARS coronavirus; Severe acute respiratory syndrome coronavirus 2; virus entry; virus particle; virus transmission
Издатель
  • John Wiley and Sons Inc
Тип документа
  • Review
Источник
  • scopus