Altered immunoemotional regulatory system in COVID-19 : From the origins to opportunities

Copyright © 2021 Elsevier B.V. All rights reserved..

The emergence of the novel coronavirus (SARS-CoV-2) and the worldwide spread of the coronavirus disease (COVID-19) have led to social regulations that caused substantial changes in manners of daily life. The subsequent loneliness and concerns of the pandemic during social distancing, quarantine, and lockdown are psychosocial stressors that negatively affect the immune system. These effects occur through mechanisms controlled by the sympathetic nervous system (SNS) and the hypothalamic-pituitary-adrenocortical (HPA) axis that alter immune regulation, namely the conserved transcriptional response to adversity (CTRA), which promotes inflammation and diminishes antiviral responses, leading to inadequate protection against viral disease. Unhealthy eating habits, physical inactivity, sleep disturbances, and mental health consequences of COVID-19 add on to the pathological effects of loneliness, making immunity against this ferocious virus an even tougher fight. Therefore, social isolation, with its unintended consequences, has inherently paradoxical effects on immunity in relation to viral disease. Though this paradox can present a challenge, its acknowledgment can serve as an opportunity to address the associated issues and find ways to mitigate the adverse effects. In this review, we aim to explore, in detail, the pathological effects of the new social norms on immunity and present suggested methods to improve our physical, psychological, and healthcare abilities to fight viral infection in the context of the COVID-19 pandemic.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:356

Enthalten in:

Journal of neuroimmunology - 356(2021) vom: 15. Juli, Seite 577578

Sprache:

Englisch

Beteiligte Personen:

Pourriyahi, Homa [VerfasserIn]
Saghazadeh, Amene [VerfasserIn]
Rezaei, Nima [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
CTRA
Hypothalamic-pituitary-adrenocortical axis
IMMERS
Immune booster
Immune regulation
Immunoemotional regulatory system
Journal Article
Loneliness
Pandemic
Quarantine
Review
Stress

Anmerkungen:

Date Completed 03.06.2021

Date Revised 17.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jneuroim.2021.577578

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM324869355