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10.1016/j.etap.2021.103657

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suck abstract from ncbi


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pmid33838330      Environ+Toxicol+Pharmacol 2021 ; 86 (ä): 103657
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  • The effect of environmental diesel exhaust pollution on SARS-CoV-2 infection: The mechanism of pulmonary ground glass opacity #MMPMID33838330
  • Poyraz BM; Engin ED; Engin AB; Engin A
  • Environ Toxicol Pharmacol 2021[Aug]; 86 (ä): 103657 PMID33838330show ga
  • Diesel exhaust particles (DEP) are the major components of atmospheric particulate matter (PM) and chronic exposure is recognized to enhance respiratory system complications. Although the spread of SARS-CoV-2 was found to be associated with the PMs, the mechanism by which exposure to DEP increases the risk of SARS-CoV-2 infection is still under discussion. However, diesel fine PM (dPM) elevate the probability of SARS-CoV-2 infection, as it coincides with the increase in the number of ACE2 receptors. Expression of ACE2 and its colocalized activator, transmembrane protease serine 2 (TMPRSS2) facilitate the entry of SARS-CoV-2 into the alveolar epithelial cells exposed to dPM. Thus, the coexistence of PM and SARS-CoV-2 in the environment augments inflammation and exacerbates lung damage. Increased TGF-beta1 expression due to DEP accompanies the proliferation of the extracellular matrix. In this case, "multifocal ground-glass opacity" (GGO) in a CT scan is an indication of a cytokine storm and severe pneumonia in COVID-19.
  • |Air Pollution/*adverse effects[MESH]
  • |Angiotensin-Converting Enzyme 2/biosynthesis/genetics[MESH]
  • |COVID-19/*diagnostic imaging/*epidemiology[MESH]
  • |Humans[MESH]
  • |Lung/*diagnostic imaging[MESH]
  • |Particulate Matter[MESH]
  • |Tomography, X-Ray Computed[MESH]


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