Cardiovascular Tropism and Sequelae of SARS-CoV-2 Infection.

Cardiovascular Tropism and Sequelae of SARS-CoV-2 Infection.
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SARS-CoV-2感染的心血管向性和后遗症。

DOI:
10.3390/v14061137
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发表时间:
2022-05-25
期刊:
Viruses
影响因子:
--
通讯作者:
--
中科院分区:
其他
文献类型:
--
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由严重急性呼吸道综合征冠状病毒2型(SARS-CoV-2)引起的冠状病毒病19(COVID-19)的肺外表现在持续的大流行早期变得明显。现在认识到,心血管系统的细胞是SARS-CoV-2感染和相关疾病发病机制的靶点。虽然一些细节正在浮出水面,但关于SARS-CoV-2导致COVID-19急性和慢性表现的机制基础,仍有许多问题有待了解。这些知识有可能改善对受COVID-19影响的不断增长的患者群体的临床管理。在这里,我们回顾了COVID-19心血管后遗症的流行病学和病理生理学,并概述了提出的疾病机制,包括主要心血管细胞类型的直接SARS-CoV-2感染以及非感染性病毒颗粒和引发的炎症介质的致病作用。最后,我们确定了心血管COVID-19研究中的主要未决问题。
The extrapulmonary manifestation of coronavirus disease-19 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), became apparent early in the ongoing pandemic. It is now recognized that cells of the cardiovascular system are targets of SARS-CoV-2 infection and associated disease pathogenesis. While some details are emerging, much remains to be understood pertaining to the mechanistic basis by which SARS-CoV-2 contributes to acute and chronic manifestations of COVID-19. This knowledge has the potential to improve clinical management for the growing populations of patients impacted by COVID-19. Here, we review the epidemiology and pathophysiology of cardiovascular sequelae of COVID-19 and outline proposed disease mechanisms, including direct SARS-CoV-2 infection of major cardiovascular cell types and pathogenic effects of non-infectious viral particles and elicited inflammatory mediators. Finally, we identify the major outstanding questions in cardiovascular COVID-19 research.
DOI: 10.1038/s41379-021-00790-1
发表时间: 2021-07
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