微生物群和 COVID-19:健康与疾病的新型诊断方法

D. Venkatesan, Sheetal Kaur, Mahalaxmi Iyer, Mohan Gomathi, Reza Rastmanesh, B. Vellingiri
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摘要

冠状病毒病 2019(COVID-19)是一种由新型病毒 SARS-CoV-2 引起的流行病。COVID-19 感染者很有可能在人体的各个部位,如肠道、口腔和呼吸道,发生微生物群的改变。其中,胃肠道症状大多是由肠道微生物群紊乱引起的。SARS-CoV-2 感染后,肠道微生物群发生了巨大变化。人体微生物群水平的损害可导致各种神经系统疾病。在本章中,我们讨论了 SARS-CoV-2 感染改变肠道、口腔和呼吸道微生物群,从而导致由炎症细胞因子介导的神经系统疾病--帕金森病(PD)、阿尔茨海默病(AD)和抑郁症的可能机制。我们的结论是,尽管目前关于 COVID-19 相关微生物群紊乱机制的知识有许多基础,但可以推测这些机制方法可能不仅仅是巧合。我们建议开展广泛的流行病学调查,以便为未来的诊断和治疗提供选择。
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Microbiota and COVID-19: A Novel Diagnostic Approach to Health and Diseases
Coronavirus Disease 2019 (COVID-19) is a pandemic disease caused by a novel virus, SARS-CoV-2. COVID-19-infected people have high chance of altered microbiota in various regions of the human body, such as gut, oral, and respiratory pathways. In one such case, gastrointestinal symptoms are mostly caused by disturbances in gut microbiota. The gut microbiota shows magnificent changes in response to SARS-CoV-2 infection. The impairment of microbiota levels in humans can lead to various neurological diseases. Here, in the present chapter, we have discussed the probable mechanistic approaches of SARS-CoV-2 infection altering microbiota present in the gut, oral, and respiratory regions, thereby leading to neurological diseases – Parkinson’s Disease (PD), Alzheimer’s Disease (AD) and depression mediated by inflammatory cytokines. We conclude that although there are many underpinnings in the current knowledge on the mechanism of COVID-19- related microbiota disturbance, it can be speculated that these mechanistic approaches may be more than just a coincidence. We advise conducting extensive epidemiologic investigations to create diagnostic and therapeutic options in the future.
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