Neurological damages in COVID‐19 patients: Mechanisms and preventive interventions

Abstract Severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), a novel coronavirus, causes coronavirus disease 2019 (COVID‐19) which led to neurological damage and increased mortality worldwide in its second and third waves. It is associated with systemic inflammation, myocardial infarction,...

Full description

Saved in:
Bibliographic Details
Main Authors: Sibani Sarkar, Subhajit Karmakar, Malini Basu, Pratyasha Ghosh, Mrinal K Ghosh
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:MedComm
Subjects:
Online Access:https://doi.org/10.1002/mco2.247
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832589882770325504
author Sibani Sarkar
Subhajit Karmakar
Malini Basu
Pratyasha Ghosh
Mrinal K Ghosh
author_facet Sibani Sarkar
Subhajit Karmakar
Malini Basu
Pratyasha Ghosh
Mrinal K Ghosh
author_sort Sibani Sarkar
collection DOAJ
description Abstract Severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), a novel coronavirus, causes coronavirus disease 2019 (COVID‐19) which led to neurological damage and increased mortality worldwide in its second and third waves. It is associated with systemic inflammation, myocardial infarction, neurological illness including ischemic strokes (e.g., cardiac and cerebral ischemia), and even death through multi‐organ failure. At the early stage, the virus infects the lung epithelial cells and is slowly transmitted to the other organs including the gastrointestinal tract, blood vessels, kidneys, heart, and brain. The neurological effect of the virus is mainly due to hypoxia‐driven reactive oxygen species (ROS) and generated cytokine storm. Internalization of SARS‐CoV‐2 triggers ROS production and modulation of the immunological cascade which ultimately initiates the hypercoagulable state and vascular thrombosis. Suppression of immunological machinery and inhibition of ROS play an important role in neurological disturbances. So, COVID‐19 associated damage to the central nervous system, patients need special care to prevent multi‐organ failure at later stages of disease progression. Here in this review, we are selectively discussing these issues and possible antioxidant‐based prevention therapies for COVID‐19‐associated neurological damage that leads to multi‐organ failure.
format Article
id doaj-art-0162ed19406a46fc887bba1aac9daf19
institution Kabale University
issn 2688-2663
language English
publishDate 2023-04-01
publisher Wiley
record_format Article
series MedComm
spelling doaj-art-0162ed19406a46fc887bba1aac9daf192025-01-24T05:36:29ZengWileyMedComm2688-26632023-04-0142n/an/a10.1002/mco2.247Neurological damages in COVID‐19 patients: Mechanisms and preventive interventionsSibani Sarkar0Subhajit Karmakar1Malini Basu2Pratyasha Ghosh3Mrinal K Ghosh4Division of Cancer Biology and Inflammatory Disorder Signal Transduction in Cancer and Stem Cells Laboratory Council of Scientific and Industrial Research‐Indian Institute of Chemical Biology (CSIR‐IICB) Kolkata IndiaDivision of Cancer Biology and Inflammatory Disorder Signal Transduction in Cancer and Stem Cells Laboratory Council of Scientific and Industrial Research‐Indian Institute of Chemical Biology (CSIR‐IICB) Kolkata IndiaDepartment of Microbiology Dhruba Chand Halder College, University of Calcutta Dakshin Barasat WB IndiaDepartment of Economics Bethune College University of Calcutta Kolkata IndiaDivision of Cancer Biology and Inflammatory Disorder Signal Transduction in Cancer and Stem Cells Laboratory Council of Scientific and Industrial Research‐Indian Institute of Chemical Biology (CSIR‐IICB) Kolkata IndiaAbstract Severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), a novel coronavirus, causes coronavirus disease 2019 (COVID‐19) which led to neurological damage and increased mortality worldwide in its second and third waves. It is associated with systemic inflammation, myocardial infarction, neurological illness including ischemic strokes (e.g., cardiac and cerebral ischemia), and even death through multi‐organ failure. At the early stage, the virus infects the lung epithelial cells and is slowly transmitted to the other organs including the gastrointestinal tract, blood vessels, kidneys, heart, and brain. The neurological effect of the virus is mainly due to hypoxia‐driven reactive oxygen species (ROS) and generated cytokine storm. Internalization of SARS‐CoV‐2 triggers ROS production and modulation of the immunological cascade which ultimately initiates the hypercoagulable state and vascular thrombosis. Suppression of immunological machinery and inhibition of ROS play an important role in neurological disturbances. So, COVID‐19 associated damage to the central nervous system, patients need special care to prevent multi‐organ failure at later stages of disease progression. Here in this review, we are selectively discussing these issues and possible antioxidant‐based prevention therapies for COVID‐19‐associated neurological damage that leads to multi‐organ failure.https://doi.org/10.1002/mco2.247antioxidantCOVID‐19ischemianeurological damageprevention therapyROS
spellingShingle Sibani Sarkar
Subhajit Karmakar
Malini Basu
Pratyasha Ghosh
Mrinal K Ghosh
Neurological damages in COVID‐19 patients: Mechanisms and preventive interventions
MedComm
antioxidant
COVID‐19
ischemia
neurological damage
prevention therapy
ROS
title Neurological damages in COVID‐19 patients: Mechanisms and preventive interventions
title_full Neurological damages in COVID‐19 patients: Mechanisms and preventive interventions
title_fullStr Neurological damages in COVID‐19 patients: Mechanisms and preventive interventions
title_full_unstemmed Neurological damages in COVID‐19 patients: Mechanisms and preventive interventions
title_short Neurological damages in COVID‐19 patients: Mechanisms and preventive interventions
title_sort neurological damages in covid 19 patients mechanisms and preventive interventions
topic antioxidant
COVID‐19
ischemia
neurological damage
prevention therapy
ROS
url https://doi.org/10.1002/mco2.247
work_keys_str_mv AT sibanisarkar neurologicaldamagesincovid19patientsmechanismsandpreventiveinterventions
AT subhajitkarmakar neurologicaldamagesincovid19patientsmechanismsandpreventiveinterventions
AT malinibasu neurologicaldamagesincovid19patientsmechanismsandpreventiveinterventions
AT pratyashaghosh neurologicaldamagesincovid19patientsmechanismsandpreventiveinterventions
AT mrinalkghosh neurologicaldamagesincovid19patientsmechanismsandpreventiveinterventions