Endotheliopathy in Acute COVID-19 and Long COVID

Int J Mol Sci. 2023 May 4;24(9):8237. doi: 10.3390/ijms24098237.

Abstract

The pulmonary endothelium is a highly regulated organ that performs a wide range of functions under physiological and pathological conditions. Since endothelial dysfunction has been demonstrated to play a direct role in sepsis and acute respiratory distress syndrome, its role in COVID-19 has also been extensively investigated. Indeed, apart from the COVID-19-associated coagulopathy biomarkers, new biomarkers were recognised early during the pandemic, including markers of endothelial cell activation or injury. We systematically searched the literature up to 10 March 2023 for studies examining the association between acute and long COVID-19 severity and outcomes and endothelial biomarkers.

Keywords: COVID-19; biomarkers; endotheliopathy; long COVID.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Biomarkers
  • COVID-19* / complications
  • Humans
  • Lung / pathology
  • Post-Acute COVID-19 Syndrome
  • Vascular Diseases* / pathology

Substances

  • Biomarkers

Grants and funding

This research received no external funding.