Journal of Inflammation (Mar 2023)

Cellular and molecular features of COVID-19 associated ARDS: therapeutic relevance

  • Gaetano Scaramuzzo,
  • Francesco Nucera,
  • Alessio Asmundo,
  • Roberto Messina,
  • Matilde Mari,
  • Federica Montanaro,
  • Matt D. Johansen,
  • Francesco Monaco,
  • Guido Fadda,
  • Giovanni Tuccari,
  • Nicole G. Hansbro,
  • Philip M. Hansbro,
  • Trevor T. Hansel,
  • Ian M. Adcock,
  • Antonio David,
  • Paul Kirkham,
  • Gaetano Caramori,
  • Carlo Alberto Volta,
  • Savino Spadaro

DOI
https://doi.org/10.1186/s12950-023-00333-2
Journal volume & issue
Vol. 20, no. 1
pp. 1 – 24

Abstract

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Abstract The severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection can be asymptomatic or cause a disease (COVID-19) characterized by different levels of severity. The main cause of severe COVID-19 and death is represented by acute (or acute on chronic) respiratory failure and acute respiratory distress syndrome (ARDS), often requiring hospital admission and ventilator support. The molecular pathogenesis of COVID-19-related ARDS (by now termed c-ARDS) is still poorly understood. In this review we will discuss the genetic susceptibility to COVID-19, the pathogenesis and the local and systemic biomarkers correlated with c-ARDS and the therapeutic options that target the cell signalling pathways of c-ARDS.

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