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SARS-CoV-2 involvement in central nervous system tissue damage

Neural Regeneration Research 2022年第6期17卷 1228-1239页

作者： Muhammad Ali Haidar Zaynab Shakkour Mohammad Amine Reslan Nadine Al-Haj Perla Chamoun Karl Habashy Hasan Kaafarani Shima Shahjouei Sarah HFarran abdullah shaito Esber SSaba Bassam Badran Mirna Sabra Firas Kobeissy Maya Bizri Department of Biochemistry and Molecular Genetics Faculty of MedicineAmerican University of BeirutBeirutLebanon Faculty of Health Sciences University of BalamandBeirutLebanon Faculty of Medicine University of BalamandKouraLebanon Faculty of Science Lebanese UniversityBaabdaLebanon Program for Neurotrauma Neuroproteomics&Biomarkers ResearchDepartments of Emergency MedicineUniversity of FloridaGainesvilleFLUSA Department of Pathology and Laboratory Medicine American University of Beirut Medical CenterBeirutLebanon Biomedical Research Center Qatar UniversityDohaQatar Department of Experimental Pathology Immunology and MicrobiologyFaculty of MedicineAmerican University of BeirutBeirutLebanon Laboratory of Cancer Biology and Molecular Immunology Faculty of Sciences ILebanese UniversityHadathBeirutLebanon Faculty of Medicine Lebanese UniversityNeuroscience Research Center(NRC)BeirutLebanon Neuroscience Institute Neurology DepartmentGeisinger Health SystemPAUSA Department of Psychiatry American University of BeirutBeirutLebanon

As the severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)continues to spread globally,it became evident that the SARS-CoV-2 virus infects multiple organs including the *** clinical studies revealed that patients with COVID-19 infection experience an array of neurological signs ranging in severity from headaches to life-threatening *** the exact mechanism by which the SARS-CoV-2 virus directly impacts the brain is not fully understood,several theories have been suggested including direct and indirect pathways induced by the *** possible theory is the invasion of SARS-CoV-2 to the brain occurs either through the bloodstream or via the nerve endings which is considered to be the direct *** findings are based on studies reporting the presence of viral material in the cerebrospinal fluid and brain ***,the indirect mechanisms,including blood-clotting abnormalities and prolonged activation of the immune system,can result in further tissue and organ damages seen during the course of the *** overview attempts to give a thorough insight into SARS-CoV-2 coronavirus neurological infection and highlights the possible mechanisms leading to the neurological manifestations observed in infected patients.

关键词： autoantibodies CNS infection coagulopathy COVID-19 encephalitis neuroinflammation renin-angiotensin system viral encephalopathy

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