Thermal dysregulation in patients with multiple sclerosis during SARS-CoV-2 infection. The potential therapeutic role of exercise

Omid Razi, Bakhtyar Tartibian, Ana Maria Teixeira, Nastaran Zamani, Karuppasamy Govindasamy, Katsuhiko Suzuki*, Ismail Laher, Hassane Zouhal

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)

Abstract

Thermoregulation is a homeostatic mechanism that is disrupted in some neurological diseases. Patients with multiple sclerosis (MS) are susceptible to increases in body temperature, especially with more severe neurological signs. This condition can become intolerable when these patients suffer febrile infections such as coronavirus disease-2019 (COVID-19). We review the mechanisms of hyperthermia in patients with MS, and they may encounter when infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Finally, the thermoregulatory role and relevant adaptation to regular physical exercise are summarized.

Original languageEnglish
Article number103557
JournalMultiple Sclerosis and Related Disorders
Volume59
DOIs
Publication statusPublished - 2022 Mar

Keywords

  • ANS Autonomic nervous system
  • APN, Adiponectin
  • CNS, Central nervous system
  • COVID-19, Coronavirus disease-2019
  • EDHF, Endothelial-derived hyperpolarizing factor
  • MS, Multiple sclerosis
  • Multiple sclerosis
  • NLRP3, NLR family pyrin domain containing 3
  • NO, Nitric oxide
  • PACAP, Pituitary adenylate cyclase-activating polypeptide
  • PAMPs, Pathogen-associated molecular patterns
  • PGE, Prostaglandin E
  • PGs, Prostaglandins
  • ROS, Reactive oxygen species
  • SARS-CoV-2
  • SARS-CoV-2, severe acute respiratory syndrome coronavirus 2
  • SNS, Sympathetic nervous system
  • TRPV-1, Transient receptor potential vanilloid type 1
  • VDP, Vascular-dilating prostanoids
  • VEGF, Vascular endothelial growth factor
  • VIP, Vasoactive intestinal peptide
  • eNOS, Endothelial nitric oxide synthase
  • exercise
  • sweat gland
  • thermoregulation

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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