Correlation of SARS-CoV-2 Infection with Hepatitis and Liver Disorders

The coronavirus infectious disease-2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has become a severe global health challenge. The primary target for this virus is the lung. However, SARSCoV- 2 can also attack other organs, including the kidney and liver. S...

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Main Authors: Kimia Kardani, Azam Bolhassani, Mona Kardani, Elnaz Agi
Format: Article
Language:English
Published: Pasteur Institute of Iran 2021-09-01
Series:Journal of Medical Microbiology and Infectious Diseases
Subjects:
Online Access:https://jommid.pasteur.ac.ir/article-1-369-en.html
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author Kimia Kardani
Azam Bolhassani
Mona Kardani
Elnaz Agi
author_facet Kimia Kardani
Azam Bolhassani
Mona Kardani
Elnaz Agi
author_sort Kimia Kardani
collection DOAJ
description The coronavirus infectious disease-2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has become a severe global health challenge. The primary target for this virus is the lung. However, SARSCoV- 2 can also attack other organs, including the kidney and liver. Some COVID-19 case reports demonstrated elevated liver enzymes such as aspartate aminotransferase (AST), alanine aminotransferase (ALT), and total bilirubin. Indeed, higher levels of liver enzymes occur in severe cases compared with mild to moderate cases. The relationship between liver injury and COVID-19 might be due to various possible reasons such as reactivation of pre-existing liver disease, viral replication in hepatic cells causing direct cytotoxicity, liver ischemia and hypoxia, cytokine storm, and drug-induced liver injury (DILI). Thus, hepatitis prevention and care services are necessary during the COVID- 19 pandemic. For instance, drugs that might reactivate hepatitis B should not be prescribed for treating COVID-19. Generally, the long-term effects of SARSCoV- 2 on human health and various organs are not well understood. This review briefly discusses the relationship between SARS-CoV-2 and liver injury (hepatitis), coinfection of hepatitis and COVID-19, and SARS-CoV-2 infection in autoimmune hepatitis.
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issn 2345-5349
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publishDate 2021-09-01
publisher Pasteur Institute of Iran
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series Journal of Medical Microbiology and Infectious Diseases
spelling doaj-art-a4593e8b3a2a42b0b6d9a2fe21939dd92025-08-20T02:55:28ZengPasteur Institute of IranJournal of Medical Microbiology and Infectious Diseases2345-53492345-53302021-09-019312213210.52547/JoMMID.9.3.122Correlation of SARS-CoV-2 Infection with Hepatitis and Liver DisordersKimia Kardani0https://orcid.org/0000-0003-0357-6331Azam Bolhassani1https://orcid.org/0000-0001-7363-7406Mona Kardani2https://orcid.org/0000-0003-1475-2863Elnaz Agi3https://orcid.org/0000-0003-3587-2952Department of Hepatitis and AIDS, Pasteur Institute of Iran, Tehran, IranDepartment of Hepatitis and AIDS, Pasteur Institute of Iran, Tehran, IranIranian Comprehensive Hemophilia Care Center, Tehran, IranIranian Comprehensive Hemophilia Care Center, Tehran, IranThe coronavirus infectious disease-2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has become a severe global health challenge. The primary target for this virus is the lung. However, SARSCoV- 2 can also attack other organs, including the kidney and liver. Some COVID-19 case reports demonstrated elevated liver enzymes such as aspartate aminotransferase (AST), alanine aminotransferase (ALT), and total bilirubin. Indeed, higher levels of liver enzymes occur in severe cases compared with mild to moderate cases. The relationship between liver injury and COVID-19 might be due to various possible reasons such as reactivation of pre-existing liver disease, viral replication in hepatic cells causing direct cytotoxicity, liver ischemia and hypoxia, cytokine storm, and drug-induced liver injury (DILI). Thus, hepatitis prevention and care services are necessary during the COVID- 19 pandemic. For instance, drugs that might reactivate hepatitis B should not be prescribed for treating COVID-19. Generally, the long-term effects of SARSCoV- 2 on human health and various organs are not well understood. This review briefly discusses the relationship between SARS-CoV-2 and liver injury (hepatitis), coinfection of hepatitis and COVID-19, and SARS-CoV-2 infection in autoimmune hepatitis.https://jommid.pasteur.ac.ir/article-1-369-en.htmlsars-cov-2covid- 19liver disordershepatitismechanism of action
spellingShingle Kimia Kardani
Azam Bolhassani
Mona Kardani
Elnaz Agi
Correlation of SARS-CoV-2 Infection with Hepatitis and Liver Disorders
Journal of Medical Microbiology and Infectious Diseases
sars-cov-2
covid- 19
liver disorders
hepatitis
mechanism of action
title Correlation of SARS-CoV-2 Infection with Hepatitis and Liver Disorders
title_full Correlation of SARS-CoV-2 Infection with Hepatitis and Liver Disorders
title_fullStr Correlation of SARS-CoV-2 Infection with Hepatitis and Liver Disorders
title_full_unstemmed Correlation of SARS-CoV-2 Infection with Hepatitis and Liver Disorders
title_short Correlation of SARS-CoV-2 Infection with Hepatitis and Liver Disorders
title_sort correlation of sars cov 2 infection with hepatitis and liver disorders
topic sars-cov-2
covid- 19
liver disorders
hepatitis
mechanism of action
url https://jommid.pasteur.ac.ir/article-1-369-en.html
work_keys_str_mv AT kimiakardani correlationofsarscov2infectionwithhepatitisandliverdisorders
AT azambolhassani correlationofsarscov2infectionwithhepatitisandliverdisorders
AT monakardani correlationofsarscov2infectionwithhepatitisandliverdisorders
AT elnazagi correlationofsarscov2infectionwithhepatitisandliverdisorders