The COVID-Kidney Controversy: Can SARS-CoV-2 Cause Direct Rena Infection?

被引:11
作者
Lau, Wei Ling [1 ]
Zuckerman, Jonathan E. [2 ]
Gupta, Ajay [1 ]
Kalantar-Zadeh, Kamyar [1 ]
机构
[1] Univ Calif Irvine, Sch Med, Div Nephrol Hypertens & Kidney Transplantat, Orange, CA 92868 USA
[2] Univ Calif Los Angeles, David Geffen Sch Med, Dept Pathol & Lab Med, Los Angeles, CA 90095 USA
关键词
COVID-19; SARS-CoV-2; Kidney pathology; Immunohistochemistry; Ribonucleic acid;
D O I
10.1159/000513789
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Context: Determining whether SARS-CoV-2 causes direct infection of the kidneys is challenging due to limitations in imaging and molecular tools. Subject of Review: A growing number of conflicting kidney biopsy and autopsy reports highlight this controversial issue. Second Opinion: Based on the collective evidence, therapies that improve hemodynamic stability and oxygenation, or dampen complement activation, are likely to ameliorate acute kidney injury in COVID-19. At this time, whether inhibition of viral infection and replication directly modulates kidney damage is inconclusive. (C) 2021 S. Karger AG, Basel
引用
收藏
页码:275 / 279
页数:5
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