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. 2022 May 3;16:867825. doi: 10.3389/fnins.2022.867825

FIGURE 2.

FIGURE 2

Mechanisms suggested through which SARS-CoV-2 invades the nervous system. (A) Transcribrial neuroinvasive route; SARS-CoV-2 may invade the brain through the olfactory nerve, and via cranial nerves. (B) Route ocular surface; multiple cell types of the visual system are suggested provide as potential entry points for SARS-CoV-2 invasion to the brain. (C) Hematogenous neuroinvasive route; SARS-CoV-2 possibly infects vascular endothelial cells via the ACE2 and TMPRSS2 receptors. Viral particles can reach the brain through the BBB by infecting and replicating inside brain microvascular endothelial cells. Moreover, SARS-CoV-2 infection can cause excessive peripheral immune responses to result in BBB dysfunction via cytokine storm.