Concept

Lost smell and taste hint COVID-19 can target the nervous system

  • the loss of smell or taste is one of the first occurred COVID-19 symptoms

  • SARS-CoV-2 like SARS-CoV and MERS-CoV could infect the nervous system through neurons in the nasal passage targeting olfactory bulb

  • Experiment on transgenic mice expressing human ACE2 showed SARS-CoV enter CNS through neurons in the nose. 

  • SARS-CoV-2 could work its way up to the olfactory mucosa, which consists of epithelium cells, blood vessels, and the axons from olfactory neurons, which lead to the frontal lobe.

  • Loss of sense could be caused by inflammation as the body fights the virus

  • SARS-CoV-2 infects medulla oblongata— part of the brain stem that serves as the control center for the heart and the lungs—causing acute respiratory failure for patients e.g. loss of involuntary breathing

  • SARS-CoV-2 cross BBB by circulating through the blood and then attack ACE2 receptors in the endothelia that lines blood capillaries in the brain, causing swelling and compression of brain stem

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Updated 2020-07-29

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Neurological symptoms Presented in COVID-19 Patients

SARS-CoV-2 (COVID-19)

Biomedical Sciences