Long COVID: Is there a kidney link?

Metabolic causes such as altered bioenergetics and amino acid metabolism may play a major role in Long COVID. Renal-metabolic regulation is an integral part of these pathways but has not been systematically or routinely investigated in Long COVID. Here we discuss the biochemistry of renal tubular in...

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Main Authors: Raymond E. Garrett, Carlos H. Palacio, David Bar-Or
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1138644/full
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author Raymond E. Garrett
Carlos H. Palacio
David Bar-Or
David Bar-Or
author_facet Raymond E. Garrett
Carlos H. Palacio
David Bar-Or
David Bar-Or
author_sort Raymond E. Garrett
collection DOAJ
description Metabolic causes such as altered bioenergetics and amino acid metabolism may play a major role in Long COVID. Renal-metabolic regulation is an integral part of these pathways but has not been systematically or routinely investigated in Long COVID. Here we discuss the biochemistry of renal tubular injury as it may contribute to Long COVID symptoms. We propose three potential mechanisms that could be involved in Long COVID namely creatine phosphate metabolism, un-reclaimed glomerular filtrate and COVID specific proximal tubule cells (PTC) injury-a tryptophan paradigm. This approach is intended to allow for improved diagnostics and therapy for the long-haul sufferers.
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spelling doaj.art-7f212e0e98c14c21924a55e57d99667e2023-04-03T04:27:20ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-04-011010.3389/fmed.2023.11386441138644Long COVID: Is there a kidney link?Raymond E. Garrett0Carlos H. Palacio1David Bar-Or2David Bar-Or3Swedish Medical Center, Trauma Research Dept., Englewood, CO, United StatesSouth Texas Health System, Trauma Research Dept., McAllen, TX, United StatesSwedish Medical Center, Trauma Research Dept., Englewood, CO, United StatesSouth Texas Health System, Trauma Research Dept., McAllen, TX, United StatesMetabolic causes such as altered bioenergetics and amino acid metabolism may play a major role in Long COVID. Renal-metabolic regulation is an integral part of these pathways but has not been systematically or routinely investigated in Long COVID. Here we discuss the biochemistry of renal tubular injury as it may contribute to Long COVID symptoms. We propose three potential mechanisms that could be involved in Long COVID namely creatine phosphate metabolism, un-reclaimed glomerular filtrate and COVID specific proximal tubule cells (PTC) injury-a tryptophan paradigm. This approach is intended to allow for improved diagnostics and therapy for the long-haul sufferers.https://www.frontiersin.org/articles/10.3389/fmed.2023.1138644/fullSARS-CoV-2 (COVID 19)kynurenine (KYN)creatine phosphate (CP)glomerular reclamationproximal tubule celllong COVID
spellingShingle Raymond E. Garrett
Carlos H. Palacio
David Bar-Or
David Bar-Or
Long COVID: Is there a kidney link?
Frontiers in Medicine
SARS-CoV-2 (COVID 19)
kynurenine (KYN)
creatine phosphate (CP)
glomerular reclamation
proximal tubule cell
long COVID
title Long COVID: Is there a kidney link?
title_full Long COVID: Is there a kidney link?
title_fullStr Long COVID: Is there a kidney link?
title_full_unstemmed Long COVID: Is there a kidney link?
title_short Long COVID: Is there a kidney link?
title_sort long covid is there a kidney link
topic SARS-CoV-2 (COVID 19)
kynurenine (KYN)
creatine phosphate (CP)
glomerular reclamation
proximal tubule cell
long COVID
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1138644/full
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