Кинуренины в патогенезе эндогенных психических заболеваний Незаменимая аминокислота триптофан метаболизируется по метоксииндольному пути до серотонина, мелатонина и 5-гидроксииндолуксусной кислоты и по кинурениновому пути с образованием кинуренина и его нейроактивных метаболитов, таких как 3-гидроксикинуренин, кинуреновая, хинолиновая и ксантуреновая кислота. Кинуренин и его метаболиты играют важную роль в патогенезе депрессивных расстройств и шизофрении. В обзоре приведены литературные данные по современному состоянию этой проблемы. Ключевые слова: депрессия, шизофрения, метаболизм триптофана, кинуренин, кинуреновая кислота, ксантуреновая кислота, хинолиновая кислота.
Introduction: the complement system can be a critical factor in the outcome of SARS-CoV-2 viral infection. Many mental illnesses are characterized by systemic sterile inflammation, in which the complement system is an obligatory participant. Purpose: to present an analysis of scientific data on the role of the complement system in the pathogenesis of viral diseases and the characteristics of the course of COVID-19 in mental patients. Material and methods: the keywords “complement system” “SARS-CoV-2”, “inhibition of the complement system”, “COVID-19” “mental illness” were used to search scientific articles in the databases MEDLINE, PubMed and other bibliographic sources. Conclusion: patients with mental illness are at risk due to physiological and mental characteristics, and infection with SARS-CoV-2 can provoke a relapse of the underlying disease. Therapeutic inhibition of complement system will help reduce this risk and reduce the likelihood of severe complications from systemic inflammation caused by this infection.
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