Publications by authors named "Julia de Oliveira Xavier Ramos"

SARS-CoV-2 is responsible for the COVID-19 pandemic. The immune system is a determinant factor in defense against viral infections. Thus, when it acts in a balanced and effective manner the disease is self-limited and benign.

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Severe acute respiratory syndrome coronavirus 2 infection is capable of affecting several organs. Direct viral toxicity, pro-inflammatory and pro-thrombotic induction, endothelial damage, immune imbalance, and dysregulation of the renin-angiotensin-aldosterone system are the mechanisms underlying the viral potential of multiple organ damage. The impairment of four organs stands out among severe patients: lung, heart, kidney, and endothelium.

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COVID-19 and obesity are two pandemic diseases that the world is currently facing. Both activate the immune system and mediate inflammation. A sequence of disease phases in patients with severe COVID-19 results in a cytokine storm, which amplifies the subclinical inflammation that already exists in patients with obesity.

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Article Synopsis
  • Severe COVID-19 is associated with a heightened immune response, especially in patients with conditions like obesity and diabetes, resulting in poor health outcomes.
  • Chronic inflammation due to cardiometabolic issues leads to increased levels of pro-inflammatory cytokines like IL-6 and TNF-α, primarily through the Toll-Like Receptors 4 (TLR4) pathway.
  • The spike protein of SARS-CoV-2 interacts with TLR4, triggering a severe immune reaction that can cause respiratory distress, cytokine storms, and potential damage to multiple organs.
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