RT journal article T1 From Cell to Symptoms: The Role of SARS-CoV-2 Cytopathic Effects in the Pathogenesis of COVID-19 and Long COVID A1 González García, Pablo A1 Fiorillo Moreno, Ornella A1 Zarate Peñata, Eloina A1 Calderón Villalba, Alejandro A1 Pacheco Lugo, Lisandro A1 Acosta Hoyos, Antonio A1 Villarreal Camacho, José Luis A1 Navarro Quiroz, Roberto A1 Pacheco Londoño, Leonardo A1 Aroca Martínez, Gustavo A1 Moares Fernández, Noelia del Carmen A1 Gabucio López, Antonio A1 Fernández Ponce, Cecilia Matilde A1 García Cózar, Francisco José A1 Navarro Quiroz, Elkin A2 BiomedicinaBiotecnología y Salud Pública K1 angiotensin-converting enzyme 2 K1 cell dysfunction K1 coronavirus K1 COVID-19 K1 cytokine storm K1 ytopathy K1 long COVID K1 PASC K1 SARS-CoV-2 K1 sequelae AB Severe Acute Respiratory Syndrome CoronaVirus 2 (SARS-CoV-2) infection triggers various events from molecular to tissue level, which in turn is given by the intrinsic characteristics of each patient. Given the molecular diversity characteristic of each cellular phenotype, the possible cytopathic, tissue and clinical effects are difficult to predict, which determines the heterogeneity of COVID-19 symptoms. The purpose of this article is to provide a comprehensive review of the cytopathic effects of SARS-CoV-2 on various cell types, focusing on the development of COVID-19, which in turn may lead, in some patients, to a persistence of symptoms after recovery from the disease, a condition known as long COVID. We describe the molecular mechanisms underlying virus-host interactions, including alterations in protein expression, intracellular signaling pathways, and immune responses. In particular, the article highlights the potential impact of these cytopathies on cellular function and clinical outcomes, such as immune dysregulation, neuropsychiatric disorders, and organ damage. The article concludes by discussing future directions for research and implications for the management and treatment of COVID-19 and long COVID. PB MDPI SN 1661-6596 YR 2023 FD 2023-05-05 LK http://hdl.handle.net/10498/31831 UL http://hdl.handle.net/10498/31831 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 21-sep-2026