COVID-19 in Native Americans — Pathophysiology

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A set of flashcards covering the pathophysiology of COVID-19 in Native Americans.

Last updated 2:35 AM on 12/14/25
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11 Terms

1
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What virus causes COVID-19?

SARS-CoV-2, an enveloped single-stranded RNA virus.

2
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What protein allows SARS-CoV-2 to enter host cells?

The spike (S) protein.

3
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What receptor does the spike protein bind to?

ACE2 receptor.

4
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Where are ACE2 receptors highly expressed?

Type II alveolar epithelial cells, heart cells, and vascular endothelium.

5
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What host protease enables viral entry?

TMPRSS2.

6
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What happens once SARS-CoV-2 enters the cell?

Viral RNA is released and hijacks host machinery to replicate.

7
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What immune response is triggered by infected cells?

Release of cytokines and chemokines.

8
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What is a cytokine storm?

Excessive immune activation causing hyper-inflammation and tissue damage.

9
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How does COVID-19 affect the respiratory system?

Alveolar damage → impaired gas exchange → possible ARDS.

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How does COVID-19 affect the cardiovascular system?

Can cause myocarditis and increased cardiac workload.

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Why does COVID-19 cause GI symptoms?

ACE2 receptors are present in the gut epithelium.

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