Id |
Subject |
Object |
Predicate |
Lexical cue |
T68 |
0-15 |
Sentence |
denotes |
2 PATHOGENESIS |
T69 |
16-134 |
Sentence |
denotes |
Initially, the virus interacts with sensitive human cells that exhibit distinct receptors for the viral Spike protein. |
T70 |
135-379 |
Sentence |
denotes |
After making a successful entry, the RNA‐based genome starts replicating itself, and expressing specific sequences that results in production of useful accessory proteins; facilitating the adaptation of CoV to its human host (ViralZone., 2019). |
T71 |
380-608 |
Sentence |
denotes |
Alterations in genetic make‐up that result from recombination, exchange, insertion, or deletion of genes, are frequently reported among CoVs; a phenomenon that might have played a part in the past epidemics (Sahin et al., 2020). |
T72 |
609-677 |
Sentence |
denotes |
Therefore, the classification of CoVs is continuously being changed. |
T73 |
678-879 |
Sentence |
denotes |
Based on the most recent classification provided by The International Committee on Taxonomy of Viruses, there are four genera of CoVs, that comprise a total of 38 unique species (Subissi et al., 2014). |
T74 |
880-955 |
Sentence |
denotes |
Thus, variable mechanisms could be involved in the process of pathogenesis. |
T75 |
956-1029 |
Sentence |
denotes |
For instance, SARS‐CoV binds to angiotensin I converting enzyme 2 (ACE2). |
T76 |
1030-1180 |
Sentence |
denotes |
On the other hand, MERS‐CoV is more inclined to attach the cellular receptor of dipeptidyl peptidase 4 (Lambeir, Durinx, Scharpé, & De Meester, 2003). |
T77 |
1181-1290 |
Sentence |
denotes |
Following a cascade of signals after binding, the viral genome is successfully injected into the target cell. |
T78 |
1291-1418 |
Sentence |
denotes |
The genomic RNA that regulates the expression of structural and nonstructural polyproteins, is polyadenylated and encapsulated. |
T79 |
1419-1552 |
Sentence |
denotes |
These proteins are then cleaved by certain proteases that exhibit chymotrypsin‐like activity (Lambeir et al., 2003; ViralZone, 2019). |
T80 |
1553-1677 |
Sentence |
denotes |
Through replication and transcription, the resulting protein complex drives the production of negative‐sense RNA or (−) RNA. |
T81 |
1678-1854 |
Sentence |
denotes |
Full‐length (−)RNAs produced by replication are ultimately used as templates for generation of positive‐sense RNA or (+) RNA (Luk, Li, Fung, Lau, & Woo, 2019; ViralZone, 2019). |
T82 |
1855-1994 |
Sentence |
denotes |
All of the structural proteins are then translated from a subset of 7–9 subgenomic RNAs, which are products of discontinuous transcription. |
T83 |
1995-2221 |
Sentence |
denotes |
The resulting protein complex is the assembled together to envelope the viral genome, making a nucleocapsid in the process, that will bud into the lumen of the endoplasmic reticulum to finally complete the intracellular cycle. |
T84 |
2222-2303 |
Sentence |
denotes |
Newly formed virions are then expelled from the infected cell through exocytosis. |
T85 |
2304-2558 |
Sentence |
denotes |
The CoVs released thereafter are now capable to infect a wide spectrum of human cells, including lung, renal, hepatic, intestinal, and lower respiratory tract cells, as well as T lymphocytes (Chhikara, Rathi, Singh, & Poonam, 2020; Lambeir et al., 2003). |
T86 |
2559-2646 |
Sentence |
denotes |
Figure 1 presents a schematic of viral structure and the entry mechanism of SARS‐CoV‐2. |
T87 |
2647-2734 |
Sentence |
denotes |
Figure 1 Presents a schematic of viral structure and the entry mechanism of SARS‐CoV‐2 |
T88 |
2736-2759 |
Sentence |
denotes |
2.1 Respiratory system |
T89 |
2760-2945 |
Sentence |
denotes |
SARS‐CoV‐2 tends to infect the respiratory tract, thus, pneumonia is a primary clinical finding in patients with COVID‐19 (Huang et al., 2020; Li, Guan, et al., 2020; Zhu et al., 2020). |
T90 |
2946-3030 |
Sentence |
denotes |
However, pneumonia is only a component of the SARS that might develop in some cases. |
T91 |
3031-3291 |
Sentence |
denotes |
The resulting SARS may then be aggravated and lead to serious conditions that are extremely difficult to control, for example, septic shock, metabolic acidosis, and coagulation dysfunction (Kofi Ayittey, Dzuvor, Kormla Ayittey, Bennita Chiwero, & Habib, 2020). |
T92 |
3292-3436 |
Sentence |
denotes |
Investigation on the radiological findings of COVID‐19‐associated pneumonia have yielded little, if any, information that are mostly unspecific. |
T93 |
3437-3580 |
Sentence |
denotes |
Progressive lung lesions are usually detected in patients with COVID‐19, about 1 week after the onset of signs and symptoms (Ooi et al., 2004). |
T94 |
3581-3781 |
Sentence |
denotes |
The lesions then become aggravated during the 2nd week, and lead to formation of irregular reticular opacities mixed with ground glass opacities (GGOs), which can be detected by CT at the fourth week. |
T95 |
3782-3977 |
Sentence |
denotes |
In a recent cohort study, 85.7% (54/63) of subjects with COVID‐19‐associated pneumonia showed disease progression, defined by an increased extent of GGO, on early follow‐up CT (Pan et al., 2020). |
T96 |
3978-4146 |
Sentence |
denotes |
Pulmonary fibrous cords was reported in one particular patient that displayed signs of improvement, as the inflammatory secretions had been absorbed (Pan & Guan, 2020). |
T97 |
4147-4409 |
Sentence |
denotes |
Long‐term complications of COVID‐19 in patients with severe pneumonia might include an array of fibrotic changes often observed in the late stages of lung injury, for example, reticulation, interlobular septal thickening, and traction bronchiectasis (Kim, 2020). |
T98 |
4411-4429 |
Sentence |
denotes |
2.2 Immune system |
T99 |
4430-4652 |
Sentence |
denotes |
There have been several reports that indicated meager Cytolethal Distending Toxin‐induced lymphocytes, with a density as low as 200 cells/mm3 in three patients with SARS‐CoV infection (Chu et al., 2014; Zhou et al., 2014). |
T100 |
4653-4927 |
Sentence |
denotes |
As in the case of SARS‐CoV‐2, it has been suspected that infection with this type of CoV might lead to inflammatory cytokine storm (Chen, Liu, et al., 2020; Zumla et al., 2020); a life‐threatening condition characterized by elevated levels of interleukin 6 (IL‐6) in plasma. |
T101 |
4928-5130 |
Sentence |
denotes |
A number of investigations recently conducted on COVID‐19 have reported that IL‐6 levels was actually higher in the patients with severe disease (Cai, 2020; Chen, Liu, et al., 2020; Xiang et al., 2020). |
T102 |
5131-5252 |
Sentence |
denotes |
This could highlight the importance of IL‐6 as a biomarker for evaluation of disease severity (Chen, Zhao, et al., 2020). |
T103 |
5254-5271 |
Sentence |
denotes |
2.3 Liver damage |
T104 |
5272-5531 |
Sentence |
denotes |
Impaired liver function tests have been reported for a number of patients with SARS‐CoV‐2 infection, suggesting hepatic damage as an extrapulmonary complication of COVID‐19 in almost one half of the patients (Chen, Zhou, et al., 2020; Wang, Hu, et al., 2020). |
T105 |
5532-5654 |
Sentence |
denotes |
A recent study has concluded that liver function abnormality might stem from infection of bile duct cells with SARS‐CoV‐2. |
T106 |
5655-5834 |
Sentence |
denotes |
Nonetheless, the alkaline phosphatase value, which is an index of bile duct damage, were not specific in patients with COVID‐19 (Chen, Zhou, et al., 2020; Wang, Hu, et al., 2020). |
T107 |
5835-5920 |
Sentence |
denotes |
Investigation of liver biopsy specimens was accompanied by new pathological findings. |
T108 |
5921-6152 |
Sentence |
denotes |
Scientists have reported moderate microvascular steatosis, and mild lobular and portal activity in these patients, that suggests liver damage may have arisen from either SARS‐CoV‐2 infection or drug‐induced liver (Xu et al., 2020). |
T109 |
6154-6236 |
Sentence |
denotes |
2.4 Myocardial, gastrointestinal, and renal symptoms: homeostasis of electrolytes |
T110 |
6237-6481 |
Sentence |
denotes |
An essential player in maintenance of electrolyte balance and blood pressure, ACE2 is regarded by many as the principal counter‐regulatory arm in the axis of renin–angiotensin‐aldosterone system (RAAS; Santos, Ferreira, & Simões e Silva, 2008). |
T111 |
6482-6520 |
Sentence |
denotes |
Upon infection, SARS‐CoV‐2 binds ACE2. |
T112 |
6521-6620 |
Sentence |
denotes |
This results in degradation of ACE2, which subsequently dampens the counter‐effect of ACE2 on RAAS. |
T113 |
6621-6766 |
Sentence |
denotes |
The final effect of ACE2 in an otherwise healthy adult is to increase reabsorption of sodium and the reciprocal excretion of potassium ions (K+). |
T114 |
6767-6886 |
Sentence |
denotes |
The concomitant re‐uptake of water with sodium reabsorption prompts an increase in blood pressure (Weir & Rolfe, 2010). |
T115 |
6887-7000 |
Sentence |
denotes |
Potassium is the predominant intracellular ion, that is majorly involved in regulation of cell membrane polarity. |
T116 |
7001-7092 |
Sentence |
denotes |
Too low levels of K+ in blood, known as hypokalemia, can result in cellular hyper‐polarity. |
T117 |
7093-7252 |
Sentence |
denotes |
A hyper‐polarized cell membrane tends to be depolarized faster than normal, causing aberrancy in the function of cardiac cells (Bielecka‐Dabrowa et al., 2012). |
T118 |
7253-7398 |
Sentence |
denotes |
In a recent cohort study, patients diagnosed with COVID‐19 were categorized into three groups: severe hypokalemia, hypokalemia, and normokalemia. |
T119 |
7399-7488 |
Sentence |
denotes |
The study reported that 93% of patients with a severe clinical condition had hypokalemia. |
T120 |
7489-7637 |
Sentence |
denotes |
Scientists did not find a direct link between gastrointestinal symptoms and hypokalemia among 108 patients with both severe or moderate hypokalemia. |
T121 |
7638-7887 |
Sentence |
denotes |
Further investigations established an association between parameters such as body temperature, creatine kinase (CK), creatine kinase myocardial band (CK‐MB), lactate dehydrogenase (LDH), and C‐reactive protein (CRP) with the severity of hypokalemia. |
T122 |
7888-8007 |
Sentence |
denotes |
Reportedly, hypokalemia was most often observed with patients who had elevated levels of serum CK, CK‐MB, LDH, and CRP. |
T123 |
8008-8095 |
Sentence |
denotes |
Potassium (K+) loss in the urine was determined to be the primary cause of hypokalemia. |
T124 |
8096-8151 |
Sentence |
denotes |
Hypokalemia requires strenuous efforts to be corrected. |
T125 |
8152-8246 |
Sentence |
denotes |
This is chiefly due to the incessant loss of K+ in the urine, as a result of ACE2 degradation. |
T126 |
8247-8405 |
Sentence |
denotes |
In the case of COVID‐19‐associated hypokalemia, however, the patients seemed to respond well to potassium supplements when the critical phase had passed [49]. |
T127 |
8406-8530 |
Sentence |
denotes |
Therefore, one should consider the impact of hypokalemia in COVID‐19 morbidity, and its effect on the outcomes of treatment. |
T128 |
8531-8723 |
Sentence |
denotes |
This is a condition that must be carefully addressed for, as patients with COVID‐19 are more inclined to develop dysfunctions in heart, lungs, and other vital organs (Li, Hu, Su, & Dai, 2020). |