COVID-19-associated gastrointestinal and liver injury: clinical features and potential mechanisms

Coronavirus disease-2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The infection is spreading globally and poses a huge threat to human health. Besides common respiratory symptoms, some patients with COVID-19 experience gastrointestinal symptoms, such as d...

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Veröffentlicht in:Signal transduction and targeted therapy 2020-11, Vol.5 (1), p.256, Article 256
Hauptverfasser: Zhong, Peijie, Xu, Jing, Yang, Dong, Shen, Yue, Wang, Lu, Feng, Yun, Du, Chunling, Song, Yuanlin, Wu, Chaomin, Hu, Xianglin, Sun, Yangbai
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container_title Signal transduction and targeted therapy
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creator Zhong, Peijie
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Song, Yuanlin
Wu, Chaomin
Hu, Xianglin
Sun, Yangbai
description Coronavirus disease-2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The infection is spreading globally and poses a huge threat to human health. Besides common respiratory symptoms, some patients with COVID-19 experience gastrointestinal symptoms, such as diarrhea, nausea, vomiting, and loss of appetite. SARS-CoV-2 might infect the gastrointestinal tract through its viral receptor angiotensin-converting enzyme 2 (ACE2) and there is increasing evidence of a possible fecal–oral transmission route. In addition, there exist multiple abnormalities in liver enzymes. COVID-19-related liver injury may be due to drug-induced liver injury, systemic inflammatory reaction, and hypoxia–ischemia reperfusion injury. The direct toxic attack of SARS-CoV-2 on the liver is still questionable. This review highlights the manifestations and potential mechanisms of gastrointestinal and hepatic injuries in COVID-19 to raise awareness of digestive system injury in COVID-19.
doi_str_mv 10.1038/s41392-020-00373-7
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subjects 692/4020/1503
692/699/255
Angiotensin-Converting Enzyme 2
Cancer Research
Cell Biology
Chemical and Drug Induced Liver Injury - epidemiology
Chemical and Drug Induced Liver Injury - genetics
Chemical and Drug Induced Liver Injury - pathology
Chemical and Drug Induced Liver Injury - virology
Coronavirus Infections - epidemiology
Coronavirus Infections - genetics
Coronavirus Infections - pathology
Coronavirus Infections - virology
Coronaviruses
COVID-19
Disease transmission
Feces - virology
Gastrointestinal Diseases - complications
Gastrointestinal Diseases - epidemiology
Gastrointestinal Diseases - genetics
Gastrointestinal Diseases - virology
Gastrointestinal Tract - injuries
Gastrointestinal Tract - pathology
Gastrointestinal Tract - virology
Humans
Internal Medicine
Liver
Liver - physiopathology
Liver - virology
Liver Diseases - epidemiology
Liver Diseases - genetics
Liver Diseases - pathology
Liver Diseases - virology
Medicine
Medicine & Public Health
Oncology
Pandemics
Pathology
Peptidyl-Dipeptidase A - genetics
Pneumonia, Viral - epidemiology
Pneumonia, Viral - genetics
Pneumonia, Viral - pathology
Pneumonia, Viral - virology
Review
Review Article
Severe acute respiratory syndrome coronavirus 2
title COVID-19-associated gastrointestinal and liver injury: clinical features and potential mechanisms
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