期刊
MEDICAL HYPOTHESES
卷 147, 期 -, 页码 -出版社
ELSEVIER
DOI: 10.1016/j.mehy.2020.110475
关键词
Selenium; SARS-CoV-2; Coagulopathy; Endothelium; Platelets
Recent findings suggest that coagulopathy in COVID-19 patients may be linked to selenium deficiency, impacting selenoprotein synthesis and potentially leading to impairment in immune response and platelet activation status. This provides a new perspective on the mechanism of coagulopathy in COVID-19 beyond critical illness-related complications.
Coagulopathy has recently been recognized as a recurring complication of COVID-19, most typically associated with critical illness. There are epidemiological, mechanistic and transcriptomic evidence that link Selenium with SARS-CoV-2's intracellular latency. Taking into consideration the vital role of selenoproteins in maintaining an adequate immune response, endothelial homeostasis and a non-prothrombotic platelet activation status, we propose that impairment in selenocysteine synthesis, via perturbations in the aforementioned physiological functions, potentially constitutes a mechanism of coagulopathy in COVID 19 patients other than those developed in critical illness.
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