2022
DOI: 10.3390/ijms23020720
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COVID-19 in Joint Ageing and Osteoarthritis: Current Status and Perspectives

Abstract: COVID-19 is a trending topic worldwide due to its immense impact on society. Recent trends have shifted from acute effects towards the long-term morbidity of COVID-19. In this review, we hypothesize that SARS-CoV-2 contributes to age-related perturbations in endothelial and adipose tissue, which are known to characterize the early aging process. This would explain the long-lasting symptoms of SARS-CoV-2 as the result of an accelerated aging process. Connective tissues such as adipose tissue and musculoskeletal… Show more

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Cited by 46 publications
(43 citation statements)
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“…According to some reviews, SARS-CoV-2 could exacerbate the pathological process of degenerative osteoarthritis. ACE2 expression, RAS imbalances, inflammation, and dysfunction at the molecular level have been suggested as the causative factors [ 64 ]. Based on the aforementioned reports, we speculate that systemic inflammation and ischaemia could aggravate cardiac injury in patients with HCM.…”
Section: Discussionmentioning
confidence: 99%
“…According to some reviews, SARS-CoV-2 could exacerbate the pathological process of degenerative osteoarthritis. ACE2 expression, RAS imbalances, inflammation, and dysfunction at the molecular level have been suggested as the causative factors [ 64 ]. Based on the aforementioned reports, we speculate that systemic inflammation and ischaemia could aggravate cardiac injury in patients with HCM.…”
Section: Discussionmentioning
confidence: 99%
“…Although there is evidence of musculoskeletal manifestations involving immune-inflammation-dependent mechanisms and cases of arthralgia and/or myalgia within SARS-CoV-2 ( 34 ), common features and crosstalk between COVID-19 and immune-based RD are still debated. Some similarities have been recently reported between COVID-19 and OA patients like hypocalcemia, vitamin D deficiency, endothelial and adipose tissue dysfunction, neuronal sensitization, and joint and muscle pain ( 35 , 36 ).…”
Section: The Relationship Between Covid-19 and Rheumatic Diseasesmentioning
confidence: 55%
“…The manifestations are very similar to osteoarthritis, but it is not a viral arthritis as no viral RNA has been found in the joints and the prevalence is much higher. One possible explanation could be hypocalcemia, vitamin D deficiency, and pro-inflammatory cytokine production, alongside the expression of ACE2 and the disruption of RAS [ 62 ], which lead to bone resorption and promote bone loss [ 59 ].…”
Section: Orthopedic Conditions and Covid-19mentioning
confidence: 99%