Blood vessel injury may spur diseases fatal second phase

Autor: Catherine Matacic
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Science
ISSN: 1095-9203
0036-8075
DOI: 10.1126/science.368.6495.1039
Popis: As scientists have probed the deadly course of coronavirus—and realized that it is much more than a respiratory infection—they have zeroed in on how the virus damages blood vessels, finding blood clots in the lungs and other organs, inflammatory symptoms in children, and strokes in otherwise healthy young adults. Now, researchers have woven these findings into a new hypothesis explaining why some patients slip into a fatal "second phase" of COVID-19, 1 week or so after hospitalization. The key is direct and indirect damage to the endothelial cells that line the blood vessels, particularly in the lungs. By attacking those cells, COVID-19 infection causes vessels to leak and blood to clot, sparking inflammation throughout the body and fueling the acute respiratory distress syndrome responsible for most patient deaths. This mechanism could explain why the disease pummels some patients who have obesity, diabetes, and cardiovascular conditions: The cells lining their blood vessels are already compromised. If so, drugs already used to treat these conditions might help prevent other COVID-19 patients from sliding into serious disease.
Databáze: OpenAIRE
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