Cytokine Storm: The Primary Determinant for the Pathophysiological Evolution of COVID-19 Deterioration.

Cytokine Storm: The Primary Determinant for the Pathophysiological Evolution of COVID-19 Deterioration.
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DOI:
10.3389/fimmu.2021.589095
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发表时间:
2021
影响因子:
7.3
通讯作者:
Zhang P
Zhang P
中科院分区:
医学2区
文献类型:
--
作者:
Chen R;Lan Z;Ye J;Pang L;Liu Y;Wu W;Qin X;Guo Y;Zhang P

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由新型严重急性呼吸道综合征冠状病毒2型(SARS-CoV-2)引起的2019冠状病毒病(COVID-19)大流行是对全球健康的持续重大威胁,并对COVID-19重症患者的治疗提出了重大挑战。多项研究报告称,细胞因子风暴是COVID-19患者疾病恶化和死亡的重要原因。因此,了解细胞因子风暴如何促进COVID-19恶化的特定病理生理过程非常重要。在这里,我们概述了细胞因子风暴导致SARS-CoV-2感染恶化的病理生理过程,并描述了SARS-CoV-2和免疫系统之间的相互作用,以及导致急性呼吸窘迫综合征(ARDS),多器官功能障碍综合征(MODS)和凝血功能障碍的免疫反应功能障碍的病理生理学。还描述了基于抑制细胞因子风暴诱导的恶化和发生的治疗。
The coronavirus disease 2019 (COVID-19) pandemic caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is an ongoing major threat to global health and has posed significant challenges for the treatment of severely ill COVID-19 patients. Several studies have reported that cytokine storms are an important cause of disease deterioration and death in COVID-19 patients. Consequently, it is important to understand the specific pathophysiological processes underlying how cytokine storms promote the deterioration of COVID-19. Here, we outline the pathophysiological processes through which cytokine storms contribute to the deterioration of SARS-CoV-2 infection and describe the interaction between SARS-CoV-2 and the immune system, as well as the pathophysiology of immune response dysfunction that leads to acute respiratory distress syndrome (ARDS), multi-organ dysfunction syndrome (MODS), and coagulation impairment. Treatments based on inhibiting cytokine storm-induced deterioration and occurrence are also described.
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发表时间: 2021-05
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