中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 37 Issue 1
Jan.  2021
Turn off MathJax
Article Contents

Pathogenesis of coronavirus disease 2019 with liver injury

DOI: 10.3969/j.issn.1001-5256.2021.01.046
  • Received Date: 2020-07-04
  • Accepted Date: 2020-07-30
  • Published Date: 2021-01-20
  • Coronavirus disease 2019 (COVID-19) has become a major threat to global public health. In addition to injury in the respiratory system, some patients may have varying degrees of liver injury. With reference to related articles, this article analyzes the etiological characteristics and pathogenesis of COVID-19 and discusses the possible causes of COVID-19 with liver injury, including the direct effect of virus, inflammatory cytokine storm, drug-induced liver injury, hypoxic liver injury, and immune dysfunction. It is suggested that reasonable drugs should be selected in clinical practice to protect the liver and reduce the incidence rate of liver injury.

     

  • loading
  • [1]
    WANG C, HORBY PW, HAYDEN FG, et al. A novel coronavirus outbreak of global health concern[J]. Lancet, 2020, 395 (10223): 470-473. DOI: 10.1016/S0140-6736(20)30185-9
    [2]
    HORTON R. Offline: 2019-nCoV outbreak-early lessons[J]. Lancet, 2020, 395(10221): 322. DOI: 10.1016/S0140-6736(20)30212-9
    [3]
    LUO GG, GAO SJ. Global health concerns stirred by emerging viral infections[J]. J Med Virol, 2020, 92(4): 399-400. DOI: 10.1002/jmv.25683
    [4]
    CHEN N, ZHOU M, DONG X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: A descriptive study[J]. Lancet, 2020, 395(10223): 507-513. DOI: 10.1016/S0140-6736(20)30211-7
    [5]
    WANG D, HU B, HU C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China[J]. JAMA, 2020, 323(11): 1061-1069. DOI: 10.1001/jama.2020.1585
    [6]
    HUANG C, WANG Y, LI X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China[J]. Lancet, 2020, 395(10223): 497-506. DOI: 10.1016/S0140-6736(20)30183-5
    [7]
    LAI MM, CAVANAGH D. The molecular biology of coronaviruses[J]. Adv Virus Res, 1997, 48: 1-100.
    [8]
    ADAMS MJ, CARSTENS EB. Ratification vote on taxonomic proposals to the International Committee on Taxonomy of Viruses (2012)[J]. Arch Virol, 2012, 157(7): 1411-1422. DOI: 10.1007/s00705-012-1299-6
    [9]
    ZHOU P, YANG XL, WANG XG, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin[J]. Nature, 2020, 579(7798): 270-273. DOI: 10.1038/s41586-020-2012-7
    [10]
    WHO. WHO Director-General's remarks at the media briefing on 2019-nCoV on 11st February 2020[R]. Geneva: WHO, 2020.
    [11]
    LI F. Structure, function, and evolution of coronavirus spike proteins[J]. Annu Rev Virol, 2016, 3(1): 237-261. DOI: 10.1146/annurev-virology-110615-042301
    [12]
    LU G, WANG Q, GAO GF. Bat-to-human: Spike features determining 'host jump' of coronaviruses SARS-CoV, MERS-CoV, and beyond[J]. Trends Microbiol, 2015, 23(8): 468-478. DOI: 10.1016/j.tim.2015.06.003
    [13]
    WANG Q, WONG G, LU G, et al. MERS-CoV spike protein: Targets for vaccines and therapeutics[J]. Antiviral Res, 2016, 133: 165-177. DOI: 10.1016/j.antiviral.2016.07.015
    [14]
    BRADFORD CN, ELY DR, RAIZADA MK. Targeting the vasoprotective axis of the renin-angiotensin system: A novel strategic approach to pulmonary hypertensive therapy[J]. Curr Hypertens Rep, 2010, 12(4): 212-219. DOI: 10.1007/s11906-010-0122-6
    [15]
    CHAI XQ, HU L, ZHANG Y, et al. Specific ACE2 expression in cholangiocytes may cause liver damage after 2019-nCov infection[J]. bioRxiv, 2020.[Online ahead of print] http://www.researchgate.net/publication/340003305_Recapitulation_of_SARS-CoV-2_Infection_and_Cholangiocyte_Damage_with_Human_Liver_Organoids
    [16]
    SUN C, FAN JG. Strengthen clinical research on liver injury in patients with novel corona virus pneumonia[J]. J Prac Hepatol, 2020, 23(2): 153-155. (in Chinese) DOI: 10.3969/j.issn.1672-5069.2020.02.001

    孙超, 范建高. 加强新型冠状病毒肺炎患者肝损伤的临床研究[J]. 实用肝脏病杂志, 2020, 23(2): 153-155. DOI: 10.3969/j.issn.1672-5069.2020.02.001
    [17]
    BERTOLINI A, van de PEPPEL IP, BODEWES FAJA, et al. Abnormal liver function tests in patients with Covid-19: Relevance and potential pathogenesis[J]. Hepatology, 2020, 72(5): 1864-1872. DOI: 10.1002/hep.31480
    [18]
    CHANNAPPANAVAR R, PERLMAN S. Pathogenic human coronavirus infections: Causes and consequences of cytokine storm and immunopathology[J]. Semin Immunopathol, 2017, 39(5): 529-539. DOI: 10.1007/s00281-017-0629-x
    [19]
    XU XW, WU XX, JIANG XG, et al. Clinical findings in a group of patients infected with the 2019 novel coronavirus (SARS-Cov-2) outside of Wuhan, China: Retrospective case series[J]. BMJ, 2020, 368: m606. http://www.researchgate.net/publication/341503517_Clinical_Characteristics_of_Patients_Infected_With_the_Novel_2019_Coronavirus_SARS-Cov-2_in_Guangzhou_China
    [20]
    FAN Z, CHEN L, LI J, et al. Clinical features of COVID-19-related liver functional abnormality[J]. Clin Gastroenterol Hepatol, 2020, 18(7): 1561-1566. DOI: 10.1016/j.cgh.2020.04.002
    [21]
    CHEN P, ZHOU B. Clinical characteristics of COVID-19 patients with abnormal liver tests[J]. J Hepatol, 2020, 73(3): 712-713. DOI: 10.1016/j.jhep.2020.04.028
    [22]
    XUAN ZX, ZHANG GB, YE X, et al. Cause analysis of liver injury in patients infected by novel coronavirus and suggestion of drug monitoring[J]. Chin Pharmacol Bull, 2020, 36(4): 19-20. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YAOL202004026.htm

    宣自学, 张国兵, 叶晓, 等. 新型冠状病毒肺炎患者肝损的原因分析[J]. 中国药理学通报, 2020, 36(4): 19-20. https://www.cnki.com.cn/Article/CJFDTOTAL-YAOL202004026.htm
    [23]
    BASTURK A, ARTAN R, YILMAZ A, et al. Acute vanishing bile duct syndrome after the use of ibuprofen[J]. Arab J Gastroenterol, 2016, 17(3): 137-139. DOI: 10.1016/j.ajg.2016.08.006
    [24]
    CHALASANI N, BONKOVSKY HL, FONTANA R, et al. Features and outcomes of 899 patients with drug-induced liver injury: The DILIN prospective study[J]. Gastroenterology, 2015, 148(7): 1340-1352. DOI: 10.1053/j.gastro.2015.03.006
    [25]
    HENRION J. Hypoxic hepatitis[J]. Liver Int, 2012, 32(7): 1039-1052. DOI: 10.1111/j.1478-3231.2011.02655.x
    [26]
    BANGASH MN, PATEL J, PAREKH D. COVID-19 and the liver: Little cause for concern[J]. Lancet Gastroenterol Hepatol, 2020, 5(6): 529-530. DOI: 10.1016/S2468-1253(20)30084-4
    [27]
    ADAMS DH, HUBSCHER SG. Systemic viral infections and collateral damage in the liver[J]. Am J Pathol, 2006, 168(4): 1057-1059. DOI: 10.2353/ajpath.2006.051296
    [28]
    YUEN KY, WONG SS. Human infection by avian influenza A H5N1[J]. Hong Kong Med J, 2005, 11(3): 189-199. http://femspd.oxfordjournals.org/lookup/external-ref?access_num=16192482&link_type=MED&atom=%2Ffemspd%2F71%2F2%2F94.atom
    [29]
    NARASARAJU T, YANG E, SAMY RP, et al. Excessive neutrophils and neutrophil extracellular traps contribute to acute lung injury of influenza pneumonitis[J]. Am J Pathol, 2011, 179(1): 199-210. DOI: 10.1016/j.ajpath.2011.03.013
    [30]
    QIAN ZP, MEI X, ZHANG YY, et al. Baseline biochemical markers of novel coronavirus pneumonia in Shanghai area: Analysis of 324 cases[J]. Chin J Hepatol, 2020, 28(3): 229-233. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SYIY2020S1056.htm

    钱志平, 梅雪, 张宇一, 等. 上海地区324例新型冠状病毒肺炎患者基线肝功能分析[J]. 中华肝脏病杂志, 2020, 28(3): 229-233. https://www.cnki.com.cn/Article/CJFDTOTAL-SYIY2020S1056.htm
    [31]
    China Digestion Association, Chinese Medical Doctor Association; Chinese Society of Hepatology, Chinese Medical Association. The protocol for prevention, diagnosis and treatment of liver injury in coronavirus disease 2019[J]. J Clin Hepatol, 2020, 36(4): 754-757. (in Chinese) DOI: 10.3969/j.issn.1001-5256.2020.04.008

    中国医师协会消化医师分会, 中华医学会肝病学分会. 新型冠状病毒肺炎合并肝脏损伤的预防及诊疗方案[J]. 临床肝胆病杂志, 2020, 36(4): 754-757. DOI: 10.3969/j.issn.1001-5256.2020.04.008
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (1207) PDF downloads(45) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return