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10.3390/ijms21155475

http://scihub22266oqcxt.onion/10.3390/ijms21155475
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32751841!7432482!32751841
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suck abstract from ncbi


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pmid32751841      Int+J+Mol+Sci 2020 ; 21 (15): ä
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  • SARS-CoV-2 and the Nervous System: From Clinical Features to Molecular Mechanisms #MMPMID32751841
  • Pennisi M; Lanza G; Falzone L; Fisicaro F; Ferri R; Bella R
  • Int J Mol Sci 2020[Jul]; 21 (15): ä PMID32751841show ga
  • Increasing evidence suggests that Severe Acute Respiratory Syndrome-coronavirus-2 (SARS-CoV-2) can also invade the central nervous system (CNS). However, findings available on its neurological manifestations and their pathogenic mechanisms have not yet been systematically addressed. A literature search on neurological complications reported in patients with COVID-19 until June 2020 produced a total of 23 studies. Overall, these papers report that patients may exhibit a wide range of neurological manifestations, including encephalopathy, encephalitis, seizures, cerebrovascular events, acute polyneuropathy, headache, hypogeusia, and hyposmia, as well as some non-specific symptoms. Whether these features can be an indirect and unspecific consequence of the pulmonary disease or a generalized inflammatory state on the CNS remains to be determined; also, they may rather reflect direct SARS-CoV-2-related neuronal damage. Hematogenous versus transsynaptic propagation, the role of the angiotensin II converting enzyme receptor-2, the spread across the blood-brain barrier, the impact of the hyperimmune response (the so-called "cytokine storm"), and the possibility of virus persistence within some CNS resident cells are still debated. The different levels and severity of neurotropism and neurovirulence in patients with COVID-19 might be explained by a combination of viral and host factors and by their interaction.
  • |Angiotensin-Converting Enzyme 2[MESH]
  • |Animals[MESH]
  • |Betacoronavirus/isolation & purification/*physiology[MESH]
  • |Blood-Brain Barrier/metabolism/virology[MESH]
  • |Brain Diseases/complications/pathology[MESH]
  • |COVID-19[MESH]
  • |Central Nervous System/metabolism/*virology[MESH]
  • |Coronavirus Infections/*pathology/virology[MESH]
  • |Encephalitis/complications/pathology[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |Peptidyl-Dipeptidase A/metabolism[MESH]
  • |Pneumonia, Viral/*pathology/virology[MESH]


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