Endothelial-Mesenchymal Transition in COVID-19 lung lesions.


Journal

Pathology, research and practice
ISSN: 1618-0631
Titre abrégé: Pathol Res Pract
Pays: Germany
ID NLM: 7806109

Informations de publication

Date de publication:
May 2021
Historique:
received: 18 12 2020
revised: 22 03 2021
accepted: 22 03 2021
pubmed: 16 4 2021
medline: 21 5 2021
entrez: 15 4 2021
Statut: ppublish

Résumé

Sars-Cov-2 infection is still a healthcare emergency and acute respiratory distress failure with Diffuse Alveolar Damage (DAD) features is the main causes of patients' death. Pathogenic mechanisms of the disease are not clear yet, but new insights are necessary to improve therapeutic management, to prevent fatal irreversible multi-organ damage and to adequately follow up those patients who survive. Here we investigated, by histochemistry and immunohistochemistry, a wide number of mapped lung specimens taken from whole body autopsies of 7 patients dead of COVID-19 disease. Our data confirm morphological data of other authors, and enlarge recent reports of the literature suggesting that Endothelial-Mesenchymal Transition might be central to COVID-19 lung fibrosing lesions. Furthermore, based upon recent acquisition of new roles in immunity and vascular pathology of the CD31 molecule, we hypothesize that this molecule might be important in the development and treatment of COVID-19 pulmonary lesions. These preliminary findings need further investigations to shed light on the complexity of Sars-Cov-2 disease.

Identifiants

pubmed: 33857718
pii: S0344-0338(21)00080-7
doi: 10.1016/j.prp.2021.153419
pmc: PMC7997691
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

153419

Informations de copyright

Copyright © 2021 Elsevier GmbH. All rights reserved.

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Auteurs

Monica Falleni (M)

Unità di Anatomia Patologica, Dipartimento di Scienze della Salute, Università degli Studi di Milano, 20142, Milan, Italy; Struttura Complessa Dipartimentale di Anatomia Patologica e Genetica Medica, ASST Santi Paolo e Carlo, 20142, Milan, Italy. Electronic address: monica.falleni@unimi.it.

Delfina Tosi (D)

Unità di Anatomia Patologica, Dipartimento di Scienze della Salute, Università degli Studi di Milano, 20142, Milan, Italy.

Federica Savi (F)

Struttura Complessa Dipartimentale di Anatomia Patologica e Genetica Medica, ASST Santi Paolo e Carlo, 20142, Milan, Italy.

Davide Chiumello (D)

Anestesia e Rianimazione, Ospedale, Centro ricerca coordinata di insufficienza respiratoria, Dipartimento di Scienze della Salute, Università degli Studi di Milano ASST Santi Paolo e Carlo, 20142, Milan, Italy.

Gaetano Bulfamante (G)

Unità di Anatomia Patologica, Dipartimento di Scienze della Salute, Università degli Studi di Milano, 20142, Milan, Italy; Struttura Complessa Dipartimentale di Anatomia Patologica e Genetica Medica, ASST Santi Paolo e Carlo, 20142, Milan, Italy.

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