COVID 19 in a family with rare genetic disease of the nervous system

We present familial tuberous sclerosis (TS) case complicated by COVID-19. COVID-19 aggravates the course of TS and may lead to a fatal outcome. We review the role of mTORC1 (mechanistic/mammalian Target of Rapamycin Complex 1) in the development and functions of the nervous system and the pathogenes...

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Main Authors: M. Yu. Martynov, V. A. Kutashov, O. V. Ulyanova
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2022-02-01
Series:Неврология, нейропсихиатрия, психосоматика
Subjects:
Online Access:https://nnp.ima-press.net/nnp/article/view/1759
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author M. Yu. Martynov
V. A. Kutashov
O. V. Ulyanova
author_facet M. Yu. Martynov
V. A. Kutashov
O. V. Ulyanova
author_sort M. Yu. Martynov
collection DOAJ
description We present familial tuberous sclerosis (TS) case complicated by COVID-19. COVID-19 aggravates the course of TS and may lead to a fatal outcome. We review the role of mTORC1 (mechanistic/mammalian Target of Rapamycin Complex 1) in the development and functions of the nervous system and the pathogenesis of TS and COVID-19 with emphasis on the involvement of the brain and lungs. We observed that COVID-19 worsens the course of epilepsy in patients with TS. In TS patients, lymphangioleiomyomatosis may predispose to SARS-CoV-2 invasion into the respiratory system because of the increased expression of ACE2 and TMPRSS2 in type II pneumocytes and thus may worsen the prognosis. We also review the current data on the continuation/termination of everolimus administration in patients with TS associated with COVID-19.
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spelling doaj.art-e55671a9466243609f4887197b8218672023-03-13T08:42:22ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422022-02-0114110811410.14412/2074-2711-2022-1-108-1141242COVID 19 in a family with rare genetic disease of the nervous systemM. Yu. Martynov0V. A. Kutashov1O. V. Ulyanova2N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; Federal Center of Brain and Neurotechnologies, FMBA of RussiaN.N. Burdenko Voronezh State Medical University, Ministry of Health of RussiaN.N. Burdenko Voronezh State Medical University, Ministry of Health of RussiaWe present familial tuberous sclerosis (TS) case complicated by COVID-19. COVID-19 aggravates the course of TS and may lead to a fatal outcome. We review the role of mTORC1 (mechanistic/mammalian Target of Rapamycin Complex 1) in the development and functions of the nervous system and the pathogenesis of TS and COVID-19 with emphasis on the involvement of the brain and lungs. We observed that COVID-19 worsens the course of epilepsy in patients with TS. In TS patients, lymphangioleiomyomatosis may predispose to SARS-CoV-2 invasion into the respiratory system because of the increased expression of ACE2 and TMPRSS2 in type II pneumocytes and thus may worsen the prognosis. We also review the current data on the continuation/termination of everolimus administration in patients with TS associated with COVID-19.https://nnp.ima-press.net/nnp/article/view/1759tuberous sclerosisbrainepilepsylymphangioleiomyomatosiscovid-19sars-cov-2mtorc1rapamycineverolimus
spellingShingle M. Yu. Martynov
V. A. Kutashov
O. V. Ulyanova
COVID 19 in a family with rare genetic disease of the nervous system
Неврология, нейропсихиатрия, психосоматика
tuberous sclerosis
brain
epilepsy
lymphangioleiomyomatosis
covid-19
sars-cov-2
mtorc1
rapamycin
everolimus
title COVID 19 in a family with rare genetic disease of the nervous system
title_full COVID 19 in a family with rare genetic disease of the nervous system
title_fullStr COVID 19 in a family with rare genetic disease of the nervous system
title_full_unstemmed COVID 19 in a family with rare genetic disease of the nervous system
title_short COVID 19 in a family with rare genetic disease of the nervous system
title_sort covid 19 in a family with rare genetic disease of the nervous system
topic tuberous sclerosis
brain
epilepsy
lymphangioleiomyomatosis
covid-19
sars-cov-2
mtorc1
rapamycin
everolimus
url https://nnp.ima-press.net/nnp/article/view/1759
work_keys_str_mv AT myumartynov covid19inafamilywithraregeneticdiseaseofthenervoussystem
AT vakutashov covid19inafamilywithraregeneticdiseaseofthenervoussystem
AT ovulyanova covid19inafamilywithraregeneticdiseaseofthenervoussystem