Mast Cell Activation Syndrome in COVID-19 and Female Reproductive Function: Theoretical Background vs. Accumulating Clinical Evidence

Coronavirus disease 2019 (COVID-19), a pandemic disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, can affect almost all systems and organs of the human body, including those responsible for reproductive function in women. The multisystem inflammatory response...

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Main Authors: Dariusz Szukiewicz, Piotr Wojdasiewicz, Mateusz Watroba, Grzegorz Szewczyk
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2022/9534163
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author Dariusz Szukiewicz
Piotr Wojdasiewicz
Mateusz Watroba
Grzegorz Szewczyk
author_facet Dariusz Szukiewicz
Piotr Wojdasiewicz
Mateusz Watroba
Grzegorz Szewczyk
author_sort Dariusz Szukiewicz
collection DOAJ
description Coronavirus disease 2019 (COVID-19), a pandemic disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, can affect almost all systems and organs of the human body, including those responsible for reproductive function in women. The multisystem inflammatory response in COVID-19 shows many analogies with mast cell activation syndrome (MCAS), and MCAS may be an important component in the course of COVID-19. Of note, the female sex hormones estradiol (E2) and progesterone (P4) significantly influence mast cell (MC) behavior. This review presents the importance of MCs and the mediators from their granules in the female reproductive system, including pregnancy, and discusses the mechanism of potential disorders related to MCAS. Then, the available data on COVID-19 in the context of hormonal disorders, the course of endometriosis, female fertility, and the course of pregnancy were compiled to verify intuitively predicted threats. Surprisingly, although COVID-19 hyperinflammation and post-COVID-19 illness may be rooted in MCAS, the available clinical data do not provide grounds for treating this mechanism as significantly increasing the risk of abnormal female reproductive function, including pregnancy. Further studies in the context of post COVID-19 condition (long COVID), where inflammation and a procoagulative state resemble many aspects of MCAS, are needed.
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issn 2314-7156
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publishDate 2022-01-01
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series Journal of Immunology Research
spelling doaj-art-22b3c59b1fb9413191c7dbf7a485bd232025-02-03T01:32:30ZengWileyJournal of Immunology Research2314-71562022-01-01202210.1155/2022/9534163Mast Cell Activation Syndrome in COVID-19 and Female Reproductive Function: Theoretical Background vs. Accumulating Clinical EvidenceDariusz Szukiewicz0Piotr Wojdasiewicz1Mateusz Watroba2Grzegorz Szewczyk3Department of Biophysics Physiology & PathophysiologyDepartment of Biophysics Physiology & PathophysiologyDepartment of Biophysics Physiology & PathophysiologyDepartment of Biophysics Physiology & PathophysiologyCoronavirus disease 2019 (COVID-19), a pandemic disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, can affect almost all systems and organs of the human body, including those responsible for reproductive function in women. The multisystem inflammatory response in COVID-19 shows many analogies with mast cell activation syndrome (MCAS), and MCAS may be an important component in the course of COVID-19. Of note, the female sex hormones estradiol (E2) and progesterone (P4) significantly influence mast cell (MC) behavior. This review presents the importance of MCs and the mediators from their granules in the female reproductive system, including pregnancy, and discusses the mechanism of potential disorders related to MCAS. Then, the available data on COVID-19 in the context of hormonal disorders, the course of endometriosis, female fertility, and the course of pregnancy were compiled to verify intuitively predicted threats. Surprisingly, although COVID-19 hyperinflammation and post-COVID-19 illness may be rooted in MCAS, the available clinical data do not provide grounds for treating this mechanism as significantly increasing the risk of abnormal female reproductive function, including pregnancy. Further studies in the context of post COVID-19 condition (long COVID), where inflammation and a procoagulative state resemble many aspects of MCAS, are needed.http://dx.doi.org/10.1155/2022/9534163
spellingShingle Dariusz Szukiewicz
Piotr Wojdasiewicz
Mateusz Watroba
Grzegorz Szewczyk
Mast Cell Activation Syndrome in COVID-19 and Female Reproductive Function: Theoretical Background vs. Accumulating Clinical Evidence
Journal of Immunology Research
title Mast Cell Activation Syndrome in COVID-19 and Female Reproductive Function: Theoretical Background vs. Accumulating Clinical Evidence
title_full Mast Cell Activation Syndrome in COVID-19 and Female Reproductive Function: Theoretical Background vs. Accumulating Clinical Evidence
title_fullStr Mast Cell Activation Syndrome in COVID-19 and Female Reproductive Function: Theoretical Background vs. Accumulating Clinical Evidence
title_full_unstemmed Mast Cell Activation Syndrome in COVID-19 and Female Reproductive Function: Theoretical Background vs. Accumulating Clinical Evidence
title_short Mast Cell Activation Syndrome in COVID-19 and Female Reproductive Function: Theoretical Background vs. Accumulating Clinical Evidence
title_sort mast cell activation syndrome in covid 19 and female reproductive function theoretical background vs accumulating clinical evidence
url http://dx.doi.org/10.1155/2022/9534163
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AT mateuszwatroba mastcellactivationsyndromeincovid19andfemalereproductivefunctiontheoreticalbackgroundvsaccumulatingclinicalevidence
AT grzegorzszewczyk mastcellactivationsyndromeincovid19andfemalereproductivefunctiontheoreticalbackgroundvsaccumulatingclinicalevidence