In-depth characterization of heart-brain communication in critically ill patients with severe acute respiratory failure is attracting significant interest in the COronaVIrus Disease 19 (COVID-19) pandemic era during intensive care unit (ICU) stay and after ICU or hospital discharge. Emerging research has provided new insights into pathogenic role of the deregulation of the heart-brain axis (HBA), a bidirectional flow of information, in leading to severe multiorgan disease syndrome (MODS) in patients with confirmed infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Noteworthy, HBA dysfunction may worsen the outcome of the COVID-19 patients. In this review, we discuss the critical role HBA plays in both promoting and limiting MODS in COVID-19. We also highlight the role of HBA as new target for novel therapeutic strategies in COVID-19 in order to open new translational frontiers of care. This is a translational perspective from the Italian Society of Cardiovascular Researches.

Understanding the Heart-Brain Axis Response in COVID-19 patients: a Suggestive Perspective for Therapeutic Development

Lionetti, Vincenzo
;
Ghigo, Alessandra;Iaccarino, Guido;Moccia, Francesco
;
Munaron, Luca;Pagliaro, Pasquale;Penna, Claudia;Tocchetti, Carlo Gabriele;Angelone, Tommaso
2021

Abstract

In-depth characterization of heart-brain communication in critically ill patients with severe acute respiratory failure is attracting significant interest in the COronaVIrus Disease 19 (COVID-19) pandemic era during intensive care unit (ICU) stay and after ICU or hospital discharge. Emerging research has provided new insights into pathogenic role of the deregulation of the heart-brain axis (HBA), a bidirectional flow of information, in leading to severe multiorgan disease syndrome (MODS) in patients with confirmed infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Noteworthy, HBA dysfunction may worsen the outcome of the COVID-19 patients. In this review, we discuss the critical role HBA plays in both promoting and limiting MODS in COVID-19. We also highlight the role of HBA as new target for novel therapeutic strategies in COVID-19 in order to open new translational frontiers of care. This is a translational perspective from the Italian Society of Cardiovascular Researches.
168
105581
105592
COVID-19; heart-brain axis; multiorgan disease syndrome
Lionetti, Vincenzo; Bollini, Sveva; Coppini, Raffaele; Gerbino, Andrea; Ghigo, Alessandra; Iaccarino, Guido; Madonna, Rosalinda; Mangiacapra, Fabio; Miragoli, Michele; Moccia, Francesco; Munaron, Luca; Pagliaro, Pasquale; Parenti, Astrid; Pasqua, Teresa; Penna, Claudia; Quaini, Federico; Rocca, Carmine; Samaja, Michele; Sartiani, Laura; Soda, Teresa; Tocchetti, Carlo Gabriele; Angelone, Tommaso
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2318/1784399
Citazioni
  • ???jsp.display-item.citation.pmc??? 7
  • Scopus 11
  • ???jsp.display-item.citation.isi??? ND
social impact