Interplay between Comorbidities and Long COVID: Challenges and Multidisciplinary Approaches
Biomolecules,
Journal Year:
2024,
Volume and Issue:
14(7), P. 835 - 835
Published: July 11, 2024
Long
COVID,
a
name
often
given
to
the
persistent
symptoms
following
acute
SARS-CoV-2
infection,
poses
multifaceted
challenge
for
health.
This
review
explores
intrinsic
relationship
between
comorbidities
and
autoimmune
responses
in
shaping
trajectory
of
long
COVID.
Autoantibodies
have
emerged
as
significant
players
COVID-19
pathophysiology,
with
implications
disease
severity
progression.
Studies
show
immune
dysregulation
persisting
months
after
marked
by
activated
innate
cells
high
cytokine
levels.
The
presence
autoantibodies
against
various
autoantigens
suggests
their
potential
comorbid
factors
Additionally,
formation
complexes
may
lead
severe
progression,
highlighting
urgency
early
detection
intervention.
Furthermore,
COVID
is
highly
linked
cardiovascular
complications
neurological
symptoms,
posing
challenges
diagnosis
management.
Multidisciplinary
approaches,
including
vaccination,
tailored
rehabilitation,
pharmacological
interventions,
are
used
mitigating
COVID’s
burden.
However,
numerous
persist,
from
evolving
diagnostic
criteria
addressing
psychosocial
impact
predicting
outcomes.
Leveraging
AI-based
applications
holds
promise
enhancing
patient
management
improving
our
understanding
As
research
continues
unfold,
unravelling
complexities
remains
paramount
effective
intervention
care.
Language: Английский
Translating insights into therapies for Long Covid
Science Translational Medicine,
Journal Year:
2024,
Volume and Issue:
16(773)
Published: Nov. 13, 2024
Long
Covid
is
defined
by
a
wide
range
of
symptoms
that
persist
after
the
acute
phase
severe
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
infection.
Commonly
reported
include
fatigue,
weakness,
postexertional
malaise,
and
cognitive
dysfunction,
with
many
other
reported.
Symptom
range,
duration,
severity
are
highly
variable
partially
overlap
myalgic
encephalomyelitis/chronic
fatigue
post-acute
infectious
syndromes,
highlighting
opportunities
to
define
shared
mechanisms
pathogenesis.
Potential
diverse,
including
persistence
viral
reservoirs,
dysregulated
immune
responses,
direct
damage
tissues
targeted
SARS-CoV-2,
inflammation
driven
reactivation
latent
infections,
vascular
endothelium
activation
or
subsequent
thromboinflammation,
autoimmunity,
metabolic
derangements,
microglial
activation,
microbiota
dysbiosis.
The
heterogeneity
baseline
characteristics
people
Covid,
as
well
varying
states
immunity
therapies
given
at
time
infection,
have
made
etiologies
difficult
determine.
Here,
we
examine
progress
on
preclinical
models
for
review
being
in
clinical
trials,
need
large
human
studies
further
development
better
understand
Covid.
Such
will
inform
trials
treatments
benefit
those
living
this
condition.
Language: Английский
Reduced Presence of SARS-CoV-2 microRNA-like Small RNA in the Serum of Patients with Post-Acute Sequelae SARS-CoV-2 Infection
Microorganisms,
Journal Year:
2025,
Volume and Issue:
13(1), P. 126 - 126
Published: Jan. 9, 2025
The
mechanisms
underlying
post-acute
sequelae
of
SARS-CoV-2
infection
(PASC)
are
a
topic
debate.
This
study
examined
the
presence
microRNA
(miRNA)-like
small
RNAs
in
extracellular
fluids
and
their
potential
link
to
PASC
by
using
quantitative
stem-loop
RT-PCR
MiRNA
assay.
Initially,
it
was
demonstrated
that
three
previously
identified
miRNA-like
RNAs,
specifically
svRNA
1
2
miR-07a,
were
significantly
expressed
infected
cells
vitro
released
into
supernatant
following
different
variants.
Then,
expression
studied
both
nasopharyngeal
swabs
(NPS)
sera
from
24
patients
at
initial
COVID-19
diagnosis
(T0)
collected
91
193
days
post-diagnosis
(T1).
Notably,
11
out
(46%)
reported
consequences.
All
NPS
samples
showed
RNA
with
an
altered
cytokine
network
during
acute
infection,
but
did
not
correlate
outcomes.
Serum
had
similar
statuses,
though
patients,
notably
T1,
T0,
displayed
reduced
overall
positivity
compared
those
without
PASC.
host
target
between
groups.
suggests
need
for
further
research
its
role
viral
behavior
Language: Английский
Viral persistence in long COVID: Research advances and treatment strategies
Infectious Diseases & Immunity,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 28, 2025
Abstract
Although
the
coronavirus
disease
2019
(COVID-19)
pandemic
has
ended,
enduring
health
impacts
of
severe
acute
respiratory
syndrome
2
(SARS-CoV-2)
infection
continue
to
garner
global
attention,
as
approximately
10%
patients
develop
long
COVID
(post
COVID-19
condition).
The
epidemiological
characteristics
and
symptoms
have
been
reported,
various
pathogenic
hypotheses
proposed.
Recent
evidence
suggests
that
SARS-CoV-2
nucleic
acids
or
fragments
persist
in
some
post-infection
these
are
correlated
with
symptoms.
This
review
focuses
on
clinical
studies
linking
persistence
symptoms,
explores
relationship
between
viral
other
etiological
hypotheses,
such
immune
dysregulation,
vascular
issues,
coagulation
dysfunction,
microbiome
dysbiosis,
brainstem/vagus
nerve
signaling
latent
virus
reactivation.
Futhermore,
treatment
strategies
for
proposed
based
current
trials
antiviral
modulation
therapies.
Understanding
role
pathogenesis
is
critical
developing
targeted
therapies
improving
management
this
debilitating
condition.
Language: Английский
Are the Comorbidities Constitute an Intrinsic Factor for Long COVID?
Published: May 2, 2024
Long
COVID,
a
name
often
given
to
the
persistent
symptoms
following
acute
SARS-CoV-2
infection,
poses
multifaceted
challenge
for
health.
This
review
explores
intrinsic
relationship
between
comorbidities
and
autoimmune
responses
in
shaping
trajectory
of
long
COVID.
Autoantibodies
have
emerged
as
significant
players
COVID-19
pathophysiology,
with
implications
disease
severity
progression.
Studies
show
immune
dysregulation
persisting
months
after
marked
by
activated
innate
cells
high
cytokine
levels.
The
presence
autoantibodies
against
various
autoantigens
suggests
their
potential
comorbid
factors
Additionally,
formation
complexes
may
lead
severe
progression,
highlighting
urgency
early
detection
intervention.
Furthermore,
COVID
is
highly
linked
cardiovascular
complications
neurological
symptoms,
posing
challenges
diagnosis
management.
Multidisciplinary
approaches,
including
vaccination,
tailored
rehabilitation,
pharmacological
interventions,
are
used
mitigating
COVID's
burden.
However,
numerous
persist,
from
evolving
diagnostic
criteria
addressing
psychosocial
impact
predicting
outcomes.
Leveraging
AI-based
applications
holds
promise
enhancing
patient
management
improving
our
understanding
As
research
continues
unfold,
unravelling
complexities
remains
paramount
effective
intervention
care.
Language: Английский
Humoral anti-SARS-CoV-2 response in patients with different long COVID phenotypes
Piotr Rzymski,
No information about this author
Jacek Niedziela,
No information about this author
Barbara Poniedziałek
No information about this author
et al.
Virology,
Journal Year:
2024,
Volume and Issue:
596, P. 110118 - 110118
Published: May 23, 2024
Long
COVID
(LC)
is
characterized
by
persistent
symptoms
following
SARS-CoV-2
infection,
with
various
mechanisms
offered
to
explain
its
pathogenesis.
This
study
explored
whether
adaptive
humoral
anti-SARS-CoV-2
responses
differ
in
LC.
Unvaccinated
COVID-19
convalescents
(n
=
200)
were
enrolled,
21.5%
43)
presenting
LC
three
months
post-infection.
diagnosis
was
based
on
symptom(s)
and
alterations
biochemical/clinical
markers;
phenotypes
distinguished:
cardiological,
pulmonary,
psychiatric
All
significantly
decreased
seroprevalence
of
IgG
antibodies
against
nucleocapsid
(anti-NP).
associated
odds
testing
positive
for
anti-NP
(OR
0.35,
95%CI:
0.16-0.78,
p
0.001).
Seropositive
patients
had
lower
anti-S1
anti-S2
levels
than
individuals
without
LC,
those
pulmonary
psychological
also
revealed
anti-RBD
concentrations.
The
results
indicate
that
can
be
diminished
response
SARS-CoV-2.
potential
implication
this
phenomenon
post-acute
viral
sequelae
discussed.
Language: Английский
The intersection of microbiome and autoimmunity in long COVID-19: Current insights and future directions
Cytokine & Growth Factor Reviews,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Aug. 1, 2024
Language: Английский
Is There a Link between the Microbiome and Autoimmune Aspects of Long COVID-19?
Published: June 11, 2024
Long
COVID-19
affects
a
significant
percentage
of
survivors
and
is
characterized
by
wide
range
symptoms,
including
weariness
mental
fog
as
well
emotional
symptoms
like
worry
sadness.
closely
linked
to
the
autoimmune
disorders
that
are
becoming
more
prevalent
worldwide
immune
system
hyperactivation,
neutrophil
extracellular
trap
(NET)
development,
molecular
mimicry
pathways.
Long-term
COVID-related
responses
include
watchful
system,
altered
innate
adaptive
cells,
autoantigens
secreted
living
or
dead
neutrophils,
high
concentrations
autoantibodies
directed
against
different
proteins.
The
microbiome,
which
consists
billions
bacteria
in
human
body,
essential
for
controlling
supporting
overall
health.
microbiome
can
affect
course
long-term
COVID-associated
autoimmunity,
degree
illness,
rate
recovery,
onset
reactions.
Although
precise
role
long
COVID
autoimmunity
still
being
investigated,
new
studies
indicate
probiotics,
prebiotics,
dietary
changes—interventions
target
microbiome—may
be
able
reduce
reactions
enhance
outcomes
survivors.
It
clear
research
required
precisely
understand
how
COVID-19-related
create
tailored
treatment
plans.
Language: Английский