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Does COVID-19 contribute to development of neurological disease?
Immunity, Inflammation and Disease
  • Arehally M. Mahalakshmi, JSS College of Pharmacy, Mysore
  • Bipul Ray, JSS College of Pharmacy, Mysore
  • Sunanda Tuladhar, JSS College of Pharmacy, Mysore
  • Abid Bhat, JSS College of Pharmacy, Mysore
  • Shasthara Paneyala, JSS Hospital
  • Duraisamy Patteswari, JSS Academy of Higher Education & Research
  • Meena Kishore Sakharkar, University of Saskatchewan
  • Hamdan Hamdan, Al-Faisal University
  • David M. Ojcius, University of the Pacific
  • Srinivasa Rao Bolla, Nazarbayev University
  • Musthafa Mohamed Essa, Sultan Qaboos University
  • Saravana Babu Chidambaram, JSS College of Pharmacy, Mysore
  • M. Walid Qoronfleh, Qatar Foundation
ORCiD
David M. Ojcius: 0000-0003-1461-4495
Department
Biomedical Sciences
Document Type
Article
DOI
10.1002/iid3.387
Publication Date
3-1-2021
Abstract

Background: Although coronavirus disease 2019 (COVID-19) has been associated primarily with pneumonia, recent data show that the causative agent of COVID-19, the coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), can infect a large number of vital organs beyond the lungs, such as the heart, kidneys, and the brain. Thus, there is evidence showing possible retrograde transmission of the virus from the olfactory epithelium to regions of the brain stem. Methods: This is a literature review article. The research design method is an evidence-based rapid review. The present discourse aim is first to scrutinize and assess the available literature on COVID-19 repercussion on the central nervous system (CNS). Standard literature and database searches were implemented, gathered relevant material, and extracted information was then assessed. Results: The angiotensin-converting enzyme 2 (ACE2) receptors being the receptor for the virus, the threat to the central nervous system is expected. Neurons and glial cells express ACE2 receptors in the CNS, and recent studies suggest that activated glial cells contribute to neuroinflammation and the devastating effects of SARS-CoV-2 infection on the CNS. The SARS-CoV-2-induced immune-mediated demyelinating disease, cerebrovascular damage, neurodegeneration, and depression are some of the neurological complications discussed here. Conclusion: This review correlates present clinical manifestations of COVID-19 patients with possible neurological consequences in the future, thus preparing healthcare providers for possible future consequences of COVID-19.

Creative Commons License
Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International
Citation Information
Arehally M. Mahalakshmi, Bipul Ray, Sunanda Tuladhar, Abid Bhat, et al.. "Does COVID-19 contribute to development of neurological disease?" Immunity, Inflammation and Disease Vol. 9 Iss. 1 (2021) p. 48 - 58 ISSN: 2050-4527
Available at: http://works.bepress.com/david-ojcius/336/