Liver injury in COVID-19: an insight into pathobiology and roles of risk factors

Abstract COVID-19 is a complex disease that can lead to fatal respiratory failure with extrapulmonary complications, either as a direct result of viral invasion in multiple organs or secondary to oxygen supply shortage. Liver is susceptible to many viral pathogens, and due to its versatile functions...

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Main Authors: Abbas Tazarghi, Sahar Bazoq, Mohammad Hosein Taziki Balajelini, Mohsen Ebrahimi, Seyed Mehran Hosseini, Hadi Razavi Nikoo
Format: Article
Language:English
Published: BMC 2024-03-01
Series:Virology Journal
Subjects:
Online Access:https://doi.org/10.1186/s12985-024-02332-y
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author Abbas Tazarghi
Sahar Bazoq
Mohammad Hosein Taziki Balajelini
Mohsen Ebrahimi
Seyed Mehran Hosseini
Hadi Razavi Nikoo
author_facet Abbas Tazarghi
Sahar Bazoq
Mohammad Hosein Taziki Balajelini
Mohsen Ebrahimi
Seyed Mehran Hosseini
Hadi Razavi Nikoo
author_sort Abbas Tazarghi
collection DOAJ
description Abstract COVID-19 is a complex disease that can lead to fatal respiratory failure with extrapulmonary complications, either as a direct result of viral invasion in multiple organs or secondary to oxygen supply shortage. Liver is susceptible to many viral pathogens, and due to its versatile functions in the body, it is of great interest to determine how hepatocytes may interact with SARS-CoV-2 in COVID-19 patients. Liver injury is a major cause of death, and SARS-CoV-2 is suspected to contribute significantly to hepatopathy. Owing to the lack of knowledge in this field, further research is required to address these ambiguities. Therefore, we aimed to provide a comprehensive insight into host-virus interactions, underlying mechanisms, and associated risk factors by collecting results from epidemiological analyses and relevant laboratory experiments. Backed by an avalanche of recent studies, our findings support that liver injury is a sequela of severe COVID-19, and certain pre-existing liver conditions can also intensify the morbidity of SARS-CoV-2 infection in synergy. Notably, age, sex, lifestyle, dietary habits, coinfection, and particular drug regimens play a decisive role in the final outcome and prognosis as well. Taken together, our goal was to unravel these complexities concerning the development of novel diagnostic, prophylactic, and therapeutic approaches with a focus on prioritizing high-risk groups.
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spelling doaj.art-0d4698238cc44aa08a270a6d331461e62024-03-17T12:14:25ZengBMCVirology Journal1743-422X2024-03-0121111310.1186/s12985-024-02332-yLiver injury in COVID-19: an insight into pathobiology and roles of risk factorsAbbas Tazarghi0Sahar Bazoq1Mohammad Hosein Taziki Balajelini2Mohsen Ebrahimi3Seyed Mehran Hosseini4Hadi Razavi Nikoo5Department of Microbiology, Faculty of Medicine, Golestan University of Medical SciencesDepartment of Microbiology, Faculty of Medicine, Golestan University of Medical SciencesDepartment of Otorhinolaryngology, Neuroscience Research Center, School of Medicine, Golestan University of Medical SciencesNeonatal and Children’s Health Research Center, Golestan University of Medical SciencesDepartment of Physiology, School of Medicine, Neuroscience Research Center, Golestan University of Medical SciencesDepartment of Microbiology, Faculty of Medicine, Golestan University of Medical SciencesAbstract COVID-19 is a complex disease that can lead to fatal respiratory failure with extrapulmonary complications, either as a direct result of viral invasion in multiple organs or secondary to oxygen supply shortage. Liver is susceptible to many viral pathogens, and due to its versatile functions in the body, it is of great interest to determine how hepatocytes may interact with SARS-CoV-2 in COVID-19 patients. Liver injury is a major cause of death, and SARS-CoV-2 is suspected to contribute significantly to hepatopathy. Owing to the lack of knowledge in this field, further research is required to address these ambiguities. Therefore, we aimed to provide a comprehensive insight into host-virus interactions, underlying mechanisms, and associated risk factors by collecting results from epidemiological analyses and relevant laboratory experiments. Backed by an avalanche of recent studies, our findings support that liver injury is a sequela of severe COVID-19, and certain pre-existing liver conditions can also intensify the morbidity of SARS-CoV-2 infection in synergy. Notably, age, sex, lifestyle, dietary habits, coinfection, and particular drug regimens play a decisive role in the final outcome and prognosis as well. Taken together, our goal was to unravel these complexities concerning the development of novel diagnostic, prophylactic, and therapeutic approaches with a focus on prioritizing high-risk groups.https://doi.org/10.1186/s12985-024-02332-ySARS-CoV-2COVID-19Liver injuryRisk factorsPathobiology mechanisms
spellingShingle Abbas Tazarghi
Sahar Bazoq
Mohammad Hosein Taziki Balajelini
Mohsen Ebrahimi
Seyed Mehran Hosseini
Hadi Razavi Nikoo
Liver injury in COVID-19: an insight into pathobiology and roles of risk factors
Virology Journal
SARS-CoV-2
COVID-19
Liver injury
Risk factors
Pathobiology mechanisms
title Liver injury in COVID-19: an insight into pathobiology and roles of risk factors
title_full Liver injury in COVID-19: an insight into pathobiology and roles of risk factors
title_fullStr Liver injury in COVID-19: an insight into pathobiology and roles of risk factors
title_full_unstemmed Liver injury in COVID-19: an insight into pathobiology and roles of risk factors
title_short Liver injury in COVID-19: an insight into pathobiology and roles of risk factors
title_sort liver injury in covid 19 an insight into pathobiology and roles of risk factors
topic SARS-CoV-2
COVID-19
Liver injury
Risk factors
Pathobiology mechanisms
url https://doi.org/10.1186/s12985-024-02332-y
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