Implications for Neuromodulation Therapy to Control Inflammation and Related Organ Dysfunction in COVID-19.

Abstract:

:COVID-19 is a syndrome that includes more than just isolated respiratory disease, as severe acute respiratory syndrome-coronavirus 2 (SARS-CoV2) also interacts with the cardiovascular, nervous, renal, and immune system at multiple levels, increasing morbidity in patients with underlying cardiometabolic conditions and inducing myocardial injury or dysfunction. Emerging evidence suggests that patients with the highest rate of morbidity and mortality following SARS-CoV2 infection have also developed a hyperinflammatory syndrome (also termed cytokine release syndrome). We lay out the potential contribution of a dysfunction in autonomic tone to the cytokine release syndrome and related multiorgan damage in COVID-19. We hypothesize that a cholinergic anti-inflammatory pathway could be targeted as a therapeutic avenue. Graphical Abstract .

authors

Fudim M,Qadri YJ,Ghadimi K,MacLeod DB,Molinger J,Piccini JP,Whittle J,Wischmeyer PE,Patel MR,Ulloa L

doi

10.1007/s12265-020-10031-6

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

894-899

issue

6

eissn

1937-5387

issn

1937-5395

pii

10.1007/s12265-020-10031-6

journal_volume

13

pub_type

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