Bibliographic Details
| Title: |
COVID-19: immunopathology, pathophysiological mechanisms, and treatment options. |
| Authors: |
van Eijk, Larissa E., Binkhorst, Mathijs, Bourgonje, Arno R., Offringa, Annette K., Mulder, Douwe J., Bos, Eelk M., Kolundzic, Nikola, Abdulle, Amaal E., van der Voort, Peter H. J., Olde Rikkert, Marcel G. M., van der Hoeven, Johannes G., den Dunnen, Wilfred F. A., Hillebrands, Jan-Luuk, van Goor, Harry |
| Source: |
Journal of Pathology; Jul2021, Vol. 254 Issue 4, p307-331, 25p |
| Subject Terms: |
COVID-19, COVID-19 pandemic, ADULT respiratory distress syndrome, IMMUNOPATHOLOGY, PATHOLOGICAL physiology |
| Abstract: |
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), continues to spread globally despite the worldwide implementation of preventive measures to combat the disease. Although most COVID-19 cases are characterised by a mild, self-limiting disease course, a considerable subset of patients develop a more severe condition, varying from pneumonia and acute respiratory distress syndrome (ARDS) to multi-organ failure (MOF). Progression of COVID-19 is thought to occur as a result of a complex interplay between multiple pathophysiological mechanisms, all of which may orchestrate SARS-CoV-2 infection and contribute to organ-specific tissue damage. In this respect, dissecting currently available knowledge of COVID-19 immunopathogenesis is crucially important, not only to improve our understanding of its pathophysiology but also to fuel the rationale of both novel and repurposed treatment modalities. Various immune-mediated pathways during SARS-CoV-2 infection are relevant in this context, which relate to innate immunity, adaptive immunity, and autoimmunity. Pathological findings in tissue specimens of patients with COVID-19 provide valuable informationwith regard to our understanding of pathophysiology as well as the development of evidence-based treatment regimens. This review provides an updated overview of the main pathological changes observed in COVID-19 within themost commonly affected organ systems, with special emphasis on immunopathology. Current management strategies for COVID-19 include supportive care and the use of repurposed or symptomatic drugs, such as dexamethasone, remdesivir, and anticoagulants. Ultimately, prevention is key to combat COVID-19, and this requires appropriate measures to attenuate its spread and, above all, the development and implementation of effective vaccines. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
