Cytokine Storm: The Primary Determinant for the Pathophysiological Evolution of COVID-19 Deterioration

The coronavirus disease 2019 (COVID-19) pandemic caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is an ongoing major threat to global health and has posed significant challenges for the treatment of severely ill COVID-19 patients. Several studies have reported that c...

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Main Authors: Ruirong Chen, Zhien Lan, Jujian Ye, Limin Pang, Yi Liu, Wei Wu, Xiaohuan Qin, Yang Guo, Peidong Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-04-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2021.589095/full
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author Ruirong Chen
Zhien Lan
Jujian Ye
Limin Pang
Yi Liu
Wei Wu
Xiaohuan Qin
Yang Guo
Peidong Zhang
author_facet Ruirong Chen
Zhien Lan
Jujian Ye
Limin Pang
Yi Liu
Wei Wu
Xiaohuan Qin
Yang Guo
Peidong Zhang
author_sort Ruirong Chen
collection DOAJ
description The coronavirus disease 2019 (COVID-19) pandemic caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is an ongoing major threat to global health and has posed significant challenges for the treatment of severely ill COVID-19 patients. Several studies have reported that cytokine storms are an important cause of disease deterioration and death in COVID-19 patients. Consequently, it is important to understand the specific pathophysiological processes underlying how cytokine storms promote the deterioration of COVID-19. Here, we outline the pathophysiological processes through which cytokine storms contribute to the deterioration of SARS-CoV-2 infection and describe the interaction between SARS-CoV-2 and the immune system, as well as the pathophysiology of immune response dysfunction that leads to acute respiratory distress syndrome (ARDS), multi-organ dysfunction syndrome (MODS), and coagulation impairment. Treatments based on inhibiting cytokine storm-induced deterioration and occurrence are also described.
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spelling doaj.art-3c92770b59ff4d16a03da2b8c628da7c2022-12-21T21:31:04ZengFrontiers Media S.A.Frontiers in Immunology1664-32242021-04-011210.3389/fimmu.2021.589095589095Cytokine Storm: The Primary Determinant for the Pathophysiological Evolution of COVID-19 DeteriorationRuirong Chen0Zhien Lan1Jujian Ye2Limin Pang3Yi Liu4Wei Wu5Xiaohuan Qin6Yang Guo7Peidong Zhang8Department of Cardiology, Heart Center, Zhujiang Hospital, Southern Medical University/The Second School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Cardiology, Heart Center, Zhujiang Hospital, Southern Medical University/The Second School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Cardiology, Heart Center, Zhujiang Hospital, Southern Medical University/The Second School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Cardiology, Heart Center, Zhujiang Hospital, Southern Medical University/The Second School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Cardiology, Heart Center, Zhujiang Hospital, Southern Medical University/The Second School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Cardiology, Heart Center, Zhujiang Hospital, Southern Medical University/The Second School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Cardiology, Heart Center, Zhujiang Hospital, Southern Medical University/The Second School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Neurology, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Cardiology, Heart Center, Zhujiang Hospital, Southern Medical University/The Second School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaThe coronavirus disease 2019 (COVID-19) pandemic caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is an ongoing major threat to global health and has posed significant challenges for the treatment of severely ill COVID-19 patients. Several studies have reported that cytokine storms are an important cause of disease deterioration and death in COVID-19 patients. Consequently, it is important to understand the specific pathophysiological processes underlying how cytokine storms promote the deterioration of COVID-19. Here, we outline the pathophysiological processes through which cytokine storms contribute to the deterioration of SARS-CoV-2 infection and describe the interaction between SARS-CoV-2 and the immune system, as well as the pathophysiology of immune response dysfunction that leads to acute respiratory distress syndrome (ARDS), multi-organ dysfunction syndrome (MODS), and coagulation impairment. Treatments based on inhibiting cytokine storm-induced deterioration and occurrence are also described.https://www.frontiersin.org/articles/10.3389/fimmu.2021.589095/fullcytokine stormssevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)acute respiratory distress syndrome (ARDS)multi-organ dysfunction syndrome (MODS)coronavirus disease 2019 (COVID-19)
spellingShingle Ruirong Chen
Zhien Lan
Jujian Ye
Limin Pang
Yi Liu
Wei Wu
Xiaohuan Qin
Yang Guo
Peidong Zhang
Cytokine Storm: The Primary Determinant for the Pathophysiological Evolution of COVID-19 Deterioration
Frontiers in Immunology
cytokine storms
severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
acute respiratory distress syndrome (ARDS)
multi-organ dysfunction syndrome (MODS)
coronavirus disease 2019 (COVID-19)
title Cytokine Storm: The Primary Determinant for the Pathophysiological Evolution of COVID-19 Deterioration
title_full Cytokine Storm: The Primary Determinant for the Pathophysiological Evolution of COVID-19 Deterioration
title_fullStr Cytokine Storm: The Primary Determinant for the Pathophysiological Evolution of COVID-19 Deterioration
title_full_unstemmed Cytokine Storm: The Primary Determinant for the Pathophysiological Evolution of COVID-19 Deterioration
title_short Cytokine Storm: The Primary Determinant for the Pathophysiological Evolution of COVID-19 Deterioration
title_sort cytokine storm the primary determinant for the pathophysiological evolution of covid 19 deterioration
topic cytokine storms
severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
acute respiratory distress syndrome (ARDS)
multi-organ dysfunction syndrome (MODS)
coronavirus disease 2019 (COVID-19)
url https://www.frontiersin.org/articles/10.3389/fimmu.2021.589095/full
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