The Neuropathological Impacts of COVID-19: Challenges and Alternative Treatment Options for Alzheimer's Like Brain Changes on Severely SARS-CoV-2 Infected Patients.

Md Rashidur Rahman, Raushanara Akter, Sharmind Neelotpol, Iffat Islam Mayesha, Afrina Afrose
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Abstract

Recently, some researchers claimed neuropathological changes lead to Alzheimer's-like brains after severe infection of SARS-CoV-2. Several mechanisms have been postulated on how SARS-CoV-2 neurological damage leads to Alzheimer's disease (AD) development. Neurobiochemical changes during infection may significantly induce Alzheimer's disease in severely COVID-19 infected people. The immune system is also compromised while infected by this novel coronavirus. However, recent studies are insufficient to conclude the relationship between Alzheimer's disease and COVID-19. This review demonstrates the possible pathways of neuropathological changes induced by the SARS-CoV-2 virus in AD patients or leading to AD in COVID-19 patients. Therefore, this study delineates the challenges for COVID-19 infected AD patients and the mechanism of actions of natural compounds and alternative treatments to overcome those. Furthermore, animal studies and a large cohort of COVID-19 survivors who showed neuroinflammation and neurological changes may augment the research to discover the relationship between Alzheimer's disease and COVID-19.

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COVID-19的神经病理学影响:严重SARS-CoV-2感染患者阿尔茨海默病样大脑变化的挑战和替代治疗方案
最近,一些研究人员声称,严重感染SARS-CoV-2后,神经病理变化会导致类似阿尔茨海默病的大脑。关于SARS-CoV-2神经损伤如何导致阿尔茨海默病(AD)的发展,已经假设了几种机制。感染过程中的神经生化变化可能显著诱发COVID-19严重感染者阿尔茨海默病。感染这种新型冠状病毒后,免疫系统也会受到损害。然而,最近的研究不足以得出阿尔茨海默病与COVID-19之间的关系。本文综述了SARS-CoV-2病毒在AD患者中引起神经病理改变或导致COVID-19患者发生AD的可能途径。因此,本研究描述了COVID-19感染AD患者面临的挑战,以及天然化合物的作用机制和克服这些挑战的替代疗法。此外,动物研究和大量表现出神经炎症和神经变化的COVID-19幸存者可能会加强研究,以发现阿尔茨海默病与COVID-19之间的关系。
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