COVID-19-Related Anosmia: The Olfactory Pathway Hypothesis and Early Intervention.

COVID-19 SARS-CoV-2 anosmia olfactory bulb olfactory receptors

Journal

Frontiers in neurology
ISSN: 1664-2295
Titre abrégé: Front Neurol
Pays: Switzerland
ID NLM: 101546899

Informations de publication

Date de publication:
2020
Historique:
received: 20 05 2020
accepted: 23 07 2020
entrez: 5 10 2020
pubmed: 6 10 2020
medline: 6 10 2020
Statut: epublish

Résumé

Anosmia is a well-described symptom of Corona Virus Disease 2019 (COVID-19). Several respiratory viruses are able to cause post-viral olfactory dysfunction, suggesting a sensorineural damage. Since the olfactory bulb is considered an immunological organ contributing to prevent the invasion of viruses, it could have a role in host defense. The inflammatory products locally released in COVID-19, leading to a local damage and causing olfactory loss, simultaneously may interfere with the viral spread into the central nervous system. In this context, olfactory receptors could play a role as an alternative way of SARS-CoV-2 entry into cells locally, in the central nervous system, and systemically. Differences in olfactory bulb due to sex and age may contribute to clarify the different susceptibility to infection and understand the role of age in transmission and disease severity. Finally, evaluation of the degree of functional impairment (grading), central/peripheral anosmia (localization), and the temporal course (evolution) may be useful tools to counteract COVID-19.

Identifiants

pubmed: 33013637
doi: 10.3389/fneur.2020.00956
pmc: PMC7511833
doi:

Types de publication

Journal Article

Langues

eng

Pagination

956

Informations de copyright

Copyright © 2020 Gori, Leone, Loffredo, Cinicola, Brindisi, De Castro, Spalice, Duse and Zicari.

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Auteurs

Alessandra Gori (A)

Department of Pediatrics, Sapienza University, Rome, Italy.

Fabrizio Leone (F)

Department of Pediatrics, Sapienza University, Rome, Italy.

Lorenzo Loffredo (L)

Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy.

Bianca Laura Cinicola (BL)

Department of Pediatrics, Sapienza University, Rome, Italy.

Giulia Brindisi (G)

Department of Pediatrics, Sapienza University, Rome, Italy.

Giovanna De Castro (G)

Department of Pediatrics, Sapienza University, Rome, Italy.

Alberto Spalice (A)

Child Neurology Division, Department of Pediatrics, Sapienza University of Rome, Rome, Italy.

Marzia Duse (M)

Department of Pediatrics, Sapienza University, Rome, Italy.

Anna Maria Zicari (AM)

Department of Pediatrics, Sapienza University, Rome, Italy.

Classifications MeSH