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fredag 28 februari 2020

Onko uudella SARS2- koronaviruksella neurotrooppisia piirteitä?

Kerään tähän tietoja .
On mainittu muutamisas artikkeleissa lehdistössä, että virus aiheutta  tuskatiloja, paniikkia ja myös konfuusiota, jotka kyllä ovat ohimeneviäkin toipuneilla. Neurologisista jälkitgaudeista on liian varhaista sanoa mitään. Kova väsymys kuuluu tulehdukseen.
Pari vanhaa tietoa koronavirusten neurotropismista netistä googlaamalla:
 

Neuroinvasive and neurotropic human respiratory ... - NCBI


av M Desforges - ‎2014 - ‎Citerat av 11 - ‎Relaterade artiklar
Neuroinvasive and neurotropic human respiratory coronaviruses: potential ... respiratory distress syndrome, or even severe acute respiratory syndrome (SARS).   Abstract
In humans, viral infections of the respiratory tract are a leading cause of morbidity and mortality worldwide. Several recognized respiratory viral agents have a neuroinvasive capacity since they can spread from the respiratory tract to the central nervous system (CNS). Once there, infection of CNS cells (neurotropism) could lead to human health problems, such as encephalitis and long-term neurological diseases. Among the various respiratory viruses, coronaviruses are important pathogens of humans and animals. Human Coronaviruses (HCoV) usually infect the upper respiratory tract, where they are mainly associated with common colds. However, in more vulnerable populations, such as newborns, infants, the elderly, and immune-compromised individuals, they can also affect the lower respiratory tract, leading to pneumonia, exacerbations of asthma, respiratory distress syndrome, or even severe acute respiratory syndrome (SARS). The respiratory involvement of HCoV has been clearly established since the 1960s. In addition, for almost three decades now, the scientific literature has also demonstrated that HCoV are neuroinvasive and neurotropic and could induce an overactivation of the immune system, in part by participating in the activation of autoreactive immune cells that could be associated with autoimmunity in susceptible individuals. Furthermore, it was shown that in the murine CNS, neurons are the main target of infection, which causes these essential cells to undergo degeneration and eventually die by some form of programmed cell death after virus infection. Moreover, it appears that the viral surface glycoprotein (S) represents an important factor in the neurodegenerative process. Given all these properties, it has been suggested that these recognized human respiratory pathogens could be associated with the triggering or the exacerbation of neurological diseases for which the etiology remains unknown or poorly understood.

Neurotropic coronavirus infections - ResearchGate



Neurotropism and neuroinvasiveness have also has been described for two other members of the Coronaviridae family, HCoV-OC43 and SARS-coronavirus ...

(Jokin vanha koronavirus oli varsin neurotrooppinen Viruksen hepatiitti-koronavirus on osoitautunutoelvan hyvä koe-eläinmalli  myös mahdollisista enkefaliiteista ja  demyelinisoivista seuraamuksista. Ihmisellä havaittiin tämän alunperin vain talvallisia vilustumisa aiheuttavan viruksen
 mahdollisuus  päästä aivoihin  tekemään enkefaliitteja. ne taas voivat oolla eri asteisia, lievissä virus puhdistuu vähitellen itsestään  eikä jätä jälkitauteja. Joissain tapauksissa  myelinisaatiohäiriö progredioituu ja enkefaliitti  voi olla hengenvaarallinen.   ne ihmisvirukset mitkä ensimmäistä kertaa liitettiin  neurotrooppisuuteen olivat  varhain jo 1960 luvulla  löydetyt   embecovirus betakoronavirus  HCoV-OC43 ja  HCoV-229E, Duvinavirus, alfakoronavirus .  Myös  aiemmasta SARS CoV virukssta maintian neurotrooppisuutta.

Abstract
Introduction/classification
 Mouse hepatitis virus (MHV) is a member of the Coronaviridae family in the order Nidovirales. Coronaviruses are classified into one of three antigenic groups, with MHV classified as a member of group 2 [1]. 
 Members of the Coronaviridae family infect a wide range of species including humans, cows, pigs, chickens, dogs, cats, bats, and mice. In addition to causing clinically relevant disease in humans ranging from mild upper respiratory infection (e.g., HCoV [human coronavirus]-OC43 and HCoV-229E responsible for a large fraction of common colds) to severe acute respiratory syndrome (SARS) [2, 3], coronavirus infections in cows, chickens, and pigs exact a significant annual economic toll on the livestock industry. MHV is a natural pathogen of mice that generally is restricted to replication within the gastrointestinal tract [4, 5]. 
However, there exist several laboratory strains of MHV that have adapted to replicate efficiently in the central nervous system (CNS) of mice and other rodents. Depending on the strain of MHV, virulence and pathology ranges from mild encephalitis with subsequent clearance of the virus and the development of demyelination to rapidly fatal encephalitis
Thus, the neurotropic strains of MHV have proved to be useful systems in which to study processes of virus- and immune-mediated demyelination, virus clearance and/or persistence in the CNS, and mechanisms of virus evasion from the immune system. 
Neurotropism and neuroinvasiveness have also has been described for two other members of the Coronaviridae family, HCoV-OC43 and SARS-coronavirus (CoV) (Table 4.1). © Cambridge University Press 2008 and Cambridge University Press, 2009.

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