Characteristics and Mechanism of Liver Injury in 2019 Coronavirus Disease
Identifieur interne : 000019 ( Psycho/Analysis ); précédent : 000018; suivant : 000020Characteristics and Mechanism of Liver Injury in 2019 Coronavirus Disease
Auteurs : Jie Li [République populaire de Chine] ; Jian-Gao Fan [République populaire de Chine]Source :
- Journal of Clinical and Translational Hepatology [ 2225-0719 ] ; 2020.
Abstract
An outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (2019 coronavirus disease, COVID-19) since December 2019, from Wuhan, China, has been posing a significant threat to global human health. The clinical features and outcomes of Chinese patients with COVID-19 have been widely reported. Increasing evidence has witnessed the frequent incident liver injury in COVID-19 patients, and it is often manifested as transient elevation of serum aminotransferases; however, the patients seldom have liver failure and obvious intrahepatic cholestasis, unless pre-existing advanced liver disease was present. The underlying mechanisms of liver injury in cases of COVID-19 might include psychological stress, systemic inflammation response, drug toxicity, and progression of pre-existing liver diseases. However, there is insufficient evidence for SARS-CoV-2 infected hepatocytes or virus-related liver injury in COVID-19 at present. The clinical, pathological and laboratory characteristics as well as underlying pathophysiology and etiology of liver injury in COVID-19 remain largely unclear. In this review, we highlight these important issues based on the recent developments in the field, for optimizing the management and treatment of liver injury in Chinese patients with COVID-19.
Url:
DOI: 10.14218/JCTH.2020.00019
PubMed: 32274341
PubMed Central: 7132021
Affiliations:
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PMC:7132021Le document en format XML
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Shandong University, Ji’nan, Shandong</wicri:regionArea><wicri:noRegion>Shandong</wicri:noRegion></affiliation></author><author><name sortKey="Fan, Jian Gao" sort="Fan, Jian Gao" uniqKey="Fan J" first="Jian-Gao" last="Fan">Jian-Gao Fan</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Gastroenterology, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Gastroenterology, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Shanghai Key Lab of Pediatric Gastroenterology and Nutrition, Shanghai, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Shanghai Key Lab of Pediatric Gastroenterology and Nutrition, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Clinical and Translational Hepatology</title><idno type="ISSN">2225-0719</idno><idno type="eISSN">2310-8819</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p>An outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (2019 coronavirus disease, COVID-19) since December 2019, from Wuhan, China, has been posing a significant threat to global human health. The clinical features and outcomes of Chinese patients with COVID-19 have been widely reported. Increasing evidence has witnessed the frequent incident liver injury in COVID-19 patients, and it is often manifested as transient elevation of serum aminotransferases; however, the patients seldom have liver failure and obvious intrahepatic cholestasis, unless pre-existing advanced liver disease was present. The underlying mechanisms of liver injury in cases of COVID-19 might include psychological stress, systemic inflammation response, drug toxicity, and progression of pre-existing liver diseases. However, there is insufficient evidence for SARS-CoV-2 infected hepatocytes or virus-related liver injury in COVID-19 at present. The clinical, pathological and laboratory characteristics as well as underlying pathophysiology and etiology of liver injury in COVID-19 remain largely unclear. In this review, we highlight these important issues based on the recent developments in the field, for optimizing the management and treatment of liver injury in Chinese patients with COVID-19.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wu, Z" uniqKey="Wu Z">Z Wu</name></author><author><name sortKey="Mcgoogan, Jm" uniqKey="Mcgoogan J">JM McGoogan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, N" uniqKey="Chen N">N Chen</name></author><author><name sortKey="Zhou, M" uniqKey="Zhou M">M Zhou</name></author><author><name sortKey="Dong, X" uniqKey="Dong X">X Dong</name></author><author><name sortKey="Qu, J" uniqKey="Qu J">J Qu</name></author><author><name sortKey="Gong, F" uniqKey="Gong F">F Gong</name></author><author><name sortKey="Han, Y" uniqKey="Han Y">Y Han</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Li, Q" uniqKey="Li Q">Q 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Lv</name></author><author><name sortKey="Liu, Hq" uniqKey="Liu H">HQ Liu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deng, Sq" uniqKey="Deng S">SQ Deng</name></author><author><name sortKey="Peng, Hj" uniqKey="Peng H">HJ Peng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sun, C" uniqKey="Sun C">C Sun</name></author><author><name sortKey="Fan, Jg" uniqKey="Fan J">JG Fan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhang, C" uniqKey="Zhang C">C Zhang</name></author><author><name sortKey="Shi, L" uniqKey="Shi L">L Shi</name></author><author><name sortKey="Wang, Fs" uniqKey="Wang F">FS Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jiang, F" uniqKey="Jiang F">F Jiang</name></author><author><name sortKey="Deng, L" uniqKey="Deng L">L Deng</name></author><author><name sortKey="Zhang, L" uniqKey="Zhang L">L Zhang</name></author><author><name sortKey="Cai, Y" uniqKey="Cai Y">Y Cai</name></author><author><name sortKey="Cheung, Cw" uniqKey="Cheung C">CW Cheung</name></author><author><name sortKey="Xia, Z" uniqKey="Xia Z">Z Xia</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, J" uniqKey="Chen J">J Chen</name></author><author><name sortKey="Ling, Y" uniqKey="Ling Y">Y Ling</name></author><author><name sortKey="Xi, X" uniqKey="Xi X">X Xi</name></author><author><name sortKey="Liu, P" uniqKey="Liu P">P Liu</name></author><author><name sortKey="Li, F" uniqKey="Li F">F Li</name></author><author><name sortKey="Li, T" uniqKey="Li T">T Li</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, Fs" uniqKey="Wang F">FS Wang</name></author><author><name sortKey="Fan, Jg" uniqKey="Fan J">JG Fan</name></author><author><name sortKey="Zhang, Z" uniqKey="Zhang Z">Z Zhang</name></author><author><name sortKey="Gao, B" uniqKey="Gao B">B Gao</name></author><author><name sortKey="Wang, Hy" uniqKey="Wang H">HY Wang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Li, Jie" sort="Li, Jie" uniqKey="Li J" first="Jie" last="Li">Jie Li</name></noRegion><name sortKey="Fan, Jian Gao" sort="Fan, Jian Gao" uniqKey="Fan J" first="Jian-Gao" last="Fan">Jian-Gao Fan</name><name sortKey="Fan, Jian Gao" sort="Fan, Jian Gao" uniqKey="Fan J" first="Jian-Gao" last="Fan">Jian-Gao Fan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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