DOI

The clinical spectrum of SARS-CoV-2 infection continues to expand, raising important fundamental issues regarding the SARS-CoV-2 cellular tropism and pathogenic mechanisms. Liver damage is observed in patients with all forms of COVID-19, especially severe and critical forms, which could be due to the direct viral damage, immune dysregulation (systemic inflammatory response and cytokine storm), hypoxia-ischemia, drug-induced hepatotoxicity, and concomitant chronic disorders. Liver damage, defined primarily by elevated transaminase levels, is often observed in patients with COVID-19 and correlates with clinical outcomes, including mortality. Diagnostic criteria, pathogenesis, clinical characteristics, treatment, and prognosis of liver injury in COVID-19 should be clarified in further clinical trials. Currently, there is a critical shortage of proven treatment options for patients with COVID-19, resulting in an urgent need to study the multiple organ failure and liver damage pathogenesis in patients with this disease. The review provides information about the pathophysiological mechanisms of the SARS-CoV-2-induced liver damage and the development of liver failure in COVID-19. Information sources were searched in the PubMed database using the keywords “liver damage in COVID-19” and “immune liver damage in COVID-19”.

Translated title of the contributionLiver damage in patients with COVID-19
Original languageRussian
Pages (from-to)12-19
Number of pages8
JournalМедицина экстремальных ситуаций
Issue number1
DOIs
StatePublished - Jan 2022

    Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Genetics(clinical)
  • Microbiology (medical)
  • Infectious Diseases
  • Radiology Nuclear Medicine and imaging
  • Immunology and Allergy
  • Toxicology
  • Orthopedics and Sports Medicine

    Research areas

  • COVID-19, concomitant chronic liver disease, coronavirus SARS-CoV-2, drug-induced hepatotoxicity, immune liver damage, liver damage, сsystemic hepatotoxicity

ID: 101141386