Influence of aging on deterioration of patients with COVID-19

Aging is an important factor affecting the deterioration of patients with coronavirus disease 2019 (COVID-19). The aging and degeneration of various tissues and organs in the elderly lead to impaired organ function. Underlying conditions such as chronic lung disease, cardiovascular disease, and diab...

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Veröffentlicht in:Aging (Albany, NY.) NY.), 2020-11, Vol.12 (24), p.26248-26262
Hauptverfasser: Pang, Limin, Liu, Yi, Shen, Maoze, Ye, Jujian, Chen, Ruirong, Lan, Zhien, Wu, Zhijian, Guo, Yang, Zhang, Peidong
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container_end_page 26262
container_issue 24
container_start_page 26248
container_title Aging (Albany, NY.)
container_volume 12
creator Pang, Limin
Liu, Yi
Shen, Maoze
Ye, Jujian
Chen, Ruirong
Lan, Zhien
Wu, Zhijian
Guo, Yang
Zhang, Peidong
description Aging is an important factor affecting the deterioration of patients with coronavirus disease 2019 (COVID-19). The aging and degeneration of various tissues and organs in the elderly lead to impaired organ function. Underlying conditions such as chronic lung disease, cardiovascular disease, and diabetes in aged patients are associated with higher mortality. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) primarily interacts with the cell surface receptor angiotensin-converting enzyme (ACE) 2 and other accessory proteins such as 78 kDa glucose-regulated protein 78 (GRP78) and CD147. Thus, altered receptor signals in aging and chronic disease play a role in SARS-CoV-2 infection, and are associated with a higher risk of deterioration in different organs. In this review, after a brief introduction to the link between aging and receptors for SARS-CoV-2, we focus on the risk of deterioration in different organs of COVID-19 patients considering aging as the main factor. We further discuss the structural and/or physiological changes in the immune system and organs (lung, heart, kidney, vessels, nerve system), as well as those associated with diabetes, in aging patients, and speculate on the most likely mechanisms underlying the deterioration of COVID-19 patients.
doi_str_mv 10.18632/aging.202136
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The aging and degeneration of various tissues and organs in the elderly lead to impaired organ function. Underlying conditions such as chronic lung disease, cardiovascular disease, and diabetes in aged patients are associated with higher mortality. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) primarily interacts with the cell surface receptor angiotensin-converting enzyme (ACE) 2 and other accessory proteins such as 78 kDa glucose-regulated protein 78 (GRP78) and CD147. Thus, altered receptor signals in aging and chronic disease play a role in SARS-CoV-2 infection, and are associated with a higher risk of deterioration in different organs. In this review, after a brief introduction to the link between aging and receptors for SARS-CoV-2, we focus on the risk of deterioration in different organs of COVID-19 patients considering aging as the main factor. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; PubMed Central
subjects Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Aging
Angiotensin-Converting Enzyme 2 - metabolism
Biomarkers
Child
Child, Preschool
Comorbidity
COVID-19 - epidemiology
COVID-19 - metabolism
COVID-19 - virology
Disease Susceptibility
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
Mortality
Patient Outcome Assessment
Population Surveillance
Receptors, Virus - metabolism
Review
SARS-CoV-2
Young Adult
title Influence of aging on deterioration of patients with COVID-19
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