Post-COVID Syndrome in Adults-An Overview

被引:22
|
作者
Scharf, Ruediger E. [1 ,2 ,3 ]
Anaya, Juan-Manuel [4 ,5 ]
机构
[1] Heidelberg Univ, Univ Med Ctr Mannheim, Dept Med, Div Cardiol Angiol Hemostasis & Internal Intens Ca, D-68167 Mannheim, Germany
[2] Harvard Med Sch, Boston Childrens Hosp, Program Cellular & Mol Med, Karp Family Res Labs, Boston, MA 02115 USA
[3] Heinrich Heine Univ, Inst Transplantat Diagnost & Cell Therapy, Div Hemostasis Hemotherapy & Transfus Med, Med Ctr, D-40225 Dusseldorf, Germany
[4] Natl Acad Med Colombia, Bogota 110221, Colombia
[5] Hlth Res & Innovat Ctr Coosalud, Cartagena 130001, Colombia
来源
VIRUSES-BASEL | 2023年 / 15卷 / 03期
关键词
post-COVID syndrome; hyperinflammation; thrombo-inflammation; hypercoagulability; immunocompromised condition; autoimmunity; psychosocial implications; vaccination; VIRAL PERSISTENCE; PATHOPHYSIOLOGY; INFECTION; ACTIVATION; IMMUNITY;
D O I
10.3390/v15030675
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
This article provides an overview of various aspects related to post-COVID syndrome. Apart from its prevalence, symptoms and sequelae, risk determinants, and psychosocial implications, the pathogenesis of post-COVID condition is discussed in more detail. A focus on thrombo-inflammation in SARS-CoV-2 infection, the role of neutrophil extracellular traps, and the prevalence of venous thromboembolism is made. Moreover, COVID-19 and post-COVID syndrome in immunocompromising conditions, and the impact of vaccination on the prevention and treatment of post-COVID symptoms are reviewed. Autoimmunity is a hallmark of post-COVID syndrome, and, therefore, is another focus of this article. Thus, misdirected cellular and humoral immune responses can enhance the risk of latent autoimmunity in post-COVID syndrome. Facing the high prevalence of COVID-19 cases worldwide, it can be assumed that autoimmune disorders will increase globally over the next few years. Recent advances in identifying genetically determined variants may open the avenue for a better understanding of the susceptibility to and severity of SARS-CoV-2 infection and post-COVID syndrome.
引用
收藏
页数:17
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