COVID-19:炎症概况

IF 15.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Annual review of medicine Pub Date : 2022-01-27 Epub Date: 2021-08-26 DOI:10.1146/annurev-med-042220-012417
Yuhang Wang, Stanley Perlman
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引用次数: 31

摘要

2019冠状病毒病(COVID-19)的病因——严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)感染已导致大流行,对人类活动产生了广泛影响。重症COVID-19的临床表现包括广泛的临床疾病,最显著的是急性呼吸窘迫综合征、细胞因子释放综合征(CRS)、多器官衰竭和死亡。直接病毒损伤和不受控制的炎症被认为是COVID-19疾病严重程度的因素。COVID-19大流行强调了有效的宿主免疫反应在控制病毒感染中的关键作用,并证明了免疫失调的破坏性影响。了解对SARS-CoV-2发病机制的免疫反应的性质是开发有效治疗COVID-19的关键。在这里,我们描述了COVID-19中宿主免疫反应失调的本质,确定了参与CRS的潜在机制,并讨论了可用于管理COVID-19免疫失调的潜在策略。
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COVID-19: Inflammatory Profile.

Infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause of coronavirus disease 2019 (COVID-19), has resulted in a pandemic that has had widespread effects on human activities. The clinical presentation of severe COVID-19 includes a broad spectrum of clinical disease, most notably acute respiratory distress syndrome, cytokine release syndrome (CRS), multiorgan failure, and death. Direct viral damage and uncontrolled inflammation have been suggested as contributory factors in COVID-19 disease severity. The COVID-19 pandemic has emphasized the critical role of an effective host immune response in controlling a virus infection and demonstrated the devastating effect of immune dysregulation. Understanding the nature of the immune response to SARS-CoV-2 pathogenesis is key to developing effective treatments for COVID-19. Here, we describe the nature of the dysregulated host immune response in COVID-19, identify potential mechanisms involved in CRS, and discuss potential strategies that can be used to manage immune dysregulation in COVID-19.

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来源期刊
Annual review of medicine
Annual review of medicine 医学-医学:内科
CiteScore
24.90
自引率
0.00%
发文量
58
期刊介绍: The Annual Review of Medicine, which has been published since 1950, focuses on important advancements in diverse areas of medicine. These include AIDS/HIV, cardiology, clinical pharmacology, dermatology, endocrinology/metabolism, gastroenterology, genetics, immunology, infectious disease, neurology, oncology/hematology, pediatrics, psychiatry, pulmonology, reproductive medicine, and surgery. The journal's current volume has transitioned from a gated access model to an open access model through the Annual Reviews' Subscribe to Open program. All articles published in the journal are now available under a CC BY license.
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