Cluster analysis identifies long COVID subtypes in belgian patients DOI Creative Commons
Pamela Mfouth Kemajou, Tatiana Besse‐Hammer,

Claire Lebouc

et al.

Biology Methods and Protocols, Journal Year: 2024, Volume and Issue: 9(1)

Published: Jan. 1, 2024

Abstract Severe acute respiratory syndrome coronavirus infection presents complications known as long COVID, a multisystemic organ disease which allows multidimensional analysis. This study aims to uncover clusters of COVID cases and establish their correlation with the clinical classification developed at Clinical Research Unit Brugmann University Hospital, Brussels. Such an endeavour is instrumental in customizing patient management strategies tailored unique needs each distinct group. A two-stage exploratory analysis was performed on retrospective cohort 205 patients, involving factorial mixed data, then hierarchical clustering post component The study's sample comprised 76% women, average age 44.5 years. Three forms were identified: long, persistent, post-viral syndrome. Multidimensional using demographic, clinical, biological variables identified three patients. Biological data did not provide sufficient differentiation between clusters. emphasizes importance identifying or classifying patients according predominant Long phenotypes, well forms, appear be associated pathophysiological mechanisms genetic predispositions. underscores need for further research.

Language: Английский

Immune activation and immune-associated neurotoxicity in Long-COVID: A systematic review and meta-analysis of 103 studies comprising 58 cytokines/chemokines/growth factors DOI
Abbas F. Almulla,

Yanin Thipakorn,

Bo Zhou

et al.

Brain Behavior and Immunity, Journal Year: 2024, Volume and Issue: 122, P. 75 - 94

Published: Aug. 9, 2024

Language: Английский

Citations

7

Brain-targeted autoimmunity is strongly associated with Long COVID and its chronic fatigue syndrome as well as its affective symptoms DOI Creative Commons
Abbas F. Almulla, Michaël Maes, Bo Zhou

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2023, Volume and Issue: unknown

Published: Oct. 5, 2023

Abstract Background Autoimmune responses contribute to the pathophysiology of Long COVID, affective symptoms and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Objectives To examine whether its accompanying CFS are associated with immunoglobulin (Ig)A/IgM/IgG directed at neuronal proteins including myelin basic protein (MBP), oligodendrocyte glycoprotein (MOG), synapsin, α+β-tubulin, neurofilament (NFP), cerebellar protein-2 (CP2), blood-brain-barrier-brain-damage (BBD) claudin-5 S100B. Methods IgA / IgM/IgG above proteins, human herpes virus-6 (HHV-6) Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) were measured in 90 COVID patients healthy controls, while C-reactive (CRP), advanced oxidation products (AOPP) association ratings additionally assessed a subgroup thereof. Results is significant increases IgG tubulin (IgG-tubulin), MBP, MOG synapsin; IgM-MBP, MOG, CP2, synapsin BBD; IgA-CP2 synapsin. IgM-SARS-CoV-2 IgM-HHV-6 antibody titers significantly correlated IgA/IgG/IgM-tubulin -CP2, IgG/IgM-BBD, IgM-MOG, IgA/IgM-NFP, IgG/IgM-synapsin. Binary logistic regression analysis shows that IgM-MBP IgG-MBP best predictors COVID. Multiple IgG-MOG, CRP AOPP explain together 41.7% variance severity CFS. Neural network IgM-synapsin, IgA-MBP, IgA-synapsin, IgA-CP2, most important due predictive accuracy r=0.801. Conclusion Brain-targeted autoimmunity contributes pathogenesis physio-affective phenome.

Language: Английский

Citations

12

Significance of nitrosative stress and glycoxidation products in the diagnosis of COVID-19 DOI Creative Commons
Blanka Wolszczak-Biedrzycka, Justyna Dorf, Joanna Matowicka-Karna

et al.

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: April 22, 2024

Abstract Nitrosative stress promotes protein glycoxidation, and both processes can occur during an infection with the SARS-CoV-2 virus. Therefore, aim of this study was to assess selected nitrosative parameters glycoxidation products in COVID-19 patients convalescents relative healthy subjects, including reference severity symptoms. The diagnostic utility biomarkers also evaluated patients. involved 218 COVID-19, 69 convalescents, 48 subjects. (NO, S-nitrosothiols, nitrotyrosine) (tryptophan, kynurenine, N-formylkynurenine, dityrosine, AGEs) were measured blood plasma or serum use colorimetric/fluorometric methods. levels NO ( p = 0.0480), S-nitrosothiols 0.0004), nitrotyrosine 0.0175), kynurenine < 0.0001), N-formylkynurenine dityrosine AGEs 0.0001) significantly higher, whereas tryptophan fluorescence lower than control group. Significant differences analyzed observed different stages COVID-19. In turn, concentrations controls. ROC analysis revealed that be useful for diagnosing infections virus because they differentiate (KN: sensitivity—91.20%, specificity—92.00%; NFK: sensitivity—92.37%, AGEs: sensitivity—99,02%, specificity—100%) sensitivity—82.22%, specificity—84.00%; sensitivity—82,86%, specificity—86,00%; DT: sensitivity—100%, specificity—100%; AGE: from subjects high sensitivity specificity. are intensified after redox fluctuate disease. Circulating stress/protein have potential convalescents.

Language: Английский

Citations

4

From human herpes virus‐6 reactivation to autoimmune reactivity against tight junctions and neuronal antigens, to inflammation, depression, and chronic fatigue syndrome due to Long COVID DOI Creative Commons
Michael Maes, Abbas F. Almulla,

Xiaoou Tang

et al.

Journal of Medical Virology, Journal Year: 2024, Volume and Issue: 96(8)

Published: Aug. 1, 2024

Inflammation and autoimmune responses contribute to the pathophysiology of Long COVID, its affective chronic fatigue syndrome symptoms, labeled "the physio-affective phenome." To investigate whether COVID phenome are linked autoimmunity tight junction proteins, zonulin occludin (ZOOC), immune reactivity lipopolysaccharides (LPS), latter associated with signs human herpes virus-6 (HHV-6) reactivation, directed against oligodendrocyte neuronal including myelin basic protein. IgA/IgM/IgG severe acute respiratory coronavirus 2 (SARS-CoV-2), HHV-6, ZOOC, C-reactive protein (CRP), advanced oxidation products (AOPPs), were measured in 90 patients healthy controls. The was conceptualized as a factor extracted from physical symptom domains. Neural network identified IgA LPS (IgA-LPS), IgG-ZOOC, IgG-LPS, IgA-ZOOC important variables diagnosis an area under ROC curve 0.755. Partial Least Squares analysis showed that 40.9% variance explained by CRP, IgA-myelin (MBP), IgG-MBP. A large part variances both MBP (36.3%-39.7%) (IgA IgG) ZOOC. strongly indicants HHV-6 which turn increased IgM-SARS-CoV-2. Autoimmunity components junctions bacterial translocation may be involved COVID's phenome.

Language: Английский

Citations

4

The tryptophan catabolite or kynurenine pathway in Long COVID disease: A systematic review and meta-analysis DOI
Abbas F. Almulla,

Yanin Thipakorn,

Bo Zhou

et al.

Neuroscience, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 1, 2024

Language: Английский

Citations

2

Immune activation and immune-associated neurotoxicity in Long-COVID: A systematic review and meta-analysis of 82 studies comprising 58 cytokines/chemokines/growth factors DOI Creative Commons
Abbas F. Almulla,

Yanin Thipakorn,

Bo Zhou

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Feb. 8, 2024

Abstract Background Multiple studies have shown that Long COVID (LC) disease is associated with heightened immune activation, as evidenced by elevated levels of inflammatory mediators. However, there no comprehensive meta-analysis focusing on activation the response system (IRS) and compensatory immunoregulatory (CIRS) along other phenotypes in LC patients. Objectives This designed to explore IRS CIRS profiles patients, individual cytokines, chemokines, growth factors, C-reactive protein (CRP) immune-associated neurotoxicity. Methods To gather relevant for our research, we conducted a thorough search using databases such PubMed, Google Scholar, SciFinder, covering all available literature up December 20th, 2023. Results The current encompassed 82 examined multiple profiles, protein, 58 cytokines/chemokines/growth factors 3836 patients versus 4537 normal controls (NC). showed significant increases IRS/CIRS ratio (standardized mean difference (SMD:0.156, confidence interval (CI): 0.051;0.261), (SMD: 0.345, CI: 0.222;0.468), M1 macrophage 0.421, 0.290;0.551), T helper (Th)1 0.353, 0.189;0.517), Th17 0.492, 0.332;0.651) neurotoxicity 0.327 0.205;0.448). In addition, CRP 19 different cytokines displayed significantly compared NC. Conclusion characterized increased

Language: Английский

Citations

1

Kynurenic acid inflammatory signaling expands in primates and impairs prefrontal cortical cognition DOI Open Access
Shengtao Yang, Dibyadeep Datta, Fenna M. Krienen

et al.

bioRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: June 14, 2024

Summary Cognitive deficits from dorsolateral prefrontal cortex (dlPFC) dysfunction are common in neuroinflammatory disorders, including long-COVID, schizophrenia and Alzheimer’s disease, have been correlated with kynurenine inflammatory signaling. Kynurenine is further metabolized to kynurenic acid (KYNA) brain, where it blocks NMDA α7-nicotinic receptors (nic-α7Rs). These essential for neurotransmission dlPFC, suggesting that KYNA may cause higher cognitive these disorders. The current study found its synthetic enzyme, KAT II, greatly expanded expression primate dlPFC both glia neurons. Local application of onto neurons markedly reduced the delay-related firing needed working memory via actions at nic-α7Rs, while inhibition II enhanced neuronal aged macaques. Systemic administration agents reduce production similarly improved performance monkeys, a therapeutic avenue treatment

Language: Английский

Citations

1

Brain-targeted autoimmunity is strongly associated with Long COVID and its chronic fatigue syndrome as well as its affective symptoms DOI Creative Commons
Abbas F. Almulla, Michaël Maes, Bo Zhou

et al.

Journal of Advanced Research, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 1, 2024

Autoimmune responses contribute to the pathophysiology of Long COVID, affective symptoms and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). To examine whether its accompanying CFS are associated with immunoglobulin (Ig)A/IgM/IgG directed at neuronal proteins including myelin basic protein (MBP), oligodendrocyte glycoprotein (MOG), synapsin, α + β-tubulin, neurofilament (NFP), cerebellar protein-2 (CP2), blood-brain-barrier-brain-damage (BBD) claudin-5 S100B. IgA/IgM/IgG above proteins, human herpes virus-6 (HHV-6) Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) were measured in 90 COVID patients healthy controls, while C-reactive (CRP), advanced oxidation products (AOPP) association ratings additionally assessed a subgroup thereof. is significant increases IgG tubulin (IgG-tubulin), MBP, MOG synapsin; IgM-MBP, MOG, CP2, synapsin BBD; IgA-CP2 synapsin. IgM-SARS-CoV-2 IgM-HHV-6 antibody titers significantly correlated IgA/IgG/IgM-tubulin -CP2, IgG/IgM-BBD, IgM-MOG, IgA/IgM-NFP, IgG/IgM-synapsin. Binary logistic regression analysis shows that IgM-MBP IgG-MBP best predictors COVID. Multiple IgG-MOG, CRP AOPP explain together 41.7 % variance severity CFS. Neural network IgM-synapsin, IgA-MBP, IgA-synapsin, IgA-CP2, most important due predictive accuracy r = 0.801. Brain-targeted autoimmunity contributes pathogenesis physio-affective phenome.

Language: Английский

Citations

1

The tryptophan catabolite or kynurenine pathway in Long COVID disease: A systematic review and meta-analysis DOI
Abbas F. Almulla,

Yanin Thipakorn,

Bo Zhou

et al.

Published: May 1, 2024

Abstract Background Recent studies confirm the involvement of activated immune-inflammatory responses and increased oxidative nitrosative stress in Long COVID (LC) disease. However, influence these pathways on metabolism tryptophan (TRP) through TRP catabolite (TRYCAT) pathway their mediating effects LC pathophysiology, has not been fully explored. Objective This meta-analysis investigates peripheral TRYCAT levels patients with Method review utilized systematic searches PubMed, Google Scholar, SciFinder, including 14 full-text articles 1,167 participants, consisting 480 687 normal controls. Results The results indicated a significant increase kynurenine (KYN)/TRP ratio, large effect size (standardized mean difference, SMD = 0.755; confidence intervals, CI: 0.119;1.392), compared to Additionally, exhibited decrease (SMD -0.520, -0.793; -0.246) an KYN after imputing missing 1.176, 0.474; 1.877), suggesting activation Indoleamine 2,3-dioxygenase (IDO) enzyme upregulation pathway. No elevation TRYCAT-related neurotoxicity, kynurenic acid (KA)/KYN 3-hydroxykynurenine (3-HK)/KYN ratios were observed Conclusion current findings indicate that pathway, characterized by decreased maybe elevated levels, plays role pathophysiology LC.

Language: Английский

Citations

0

Brain-targeted autoimmunity is strongly associated with Long COVID and its chronic fatigue syndrome as well as its affective symptoms DOI Creative Commons
Abbas F. Almulla, Michaël Maes, Bo Zhou

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: May 8, 2024

Abstract Background Autoimmune responses contribute to the pathophysiology of Long COVID, affective symptoms and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Objectives To examine whether its accompanying CFS are associated with immunoglobulin (Ig)A/IgM/IgG directed at neuronal proteins including myelin basic protein (MBP), oligodendrocyte glycoprotein (MOG), synapsin, α + β-tubulin, neurofilament (NFP), cerebellar protein-2 (CP2), blood-brain-barrier-brain-damage (BBD) claudin-5 S100B. Methods IgA/IgM/IgG above proteins, human herpes virus-6 (HHV-6) Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) were measured in 90 COVID patients healthy controls, while C-reactive (CRP), advanced oxidation products (AOPP) association ratings additionally assessed a subgroup thereof. Results is significant increases IgG tubulin (IgG-tubulin), MBP, MOG synapsin; IgM-MBP, MOG, CP2, synapsin BBD; IgA-CP2 synapsin. IgM-SARS-CoV-2 IgM-HHV-6 antibody titers significantly correlated IgA/IgG/IgM-tubulin -CP2, IgG/IgM-BBD, IgM-MOG, IgA/IgM-NFP, IgG/IgM-synapsin. Binary logistic regression analysis shows that IgM-MBP IgG-MBP best predictors COVID. Multiple IgG-MOG, CRP AOPP explain together 41.7% variance severity CFS. Neural network IgM-synapsin, IgA-MBP, IgA-synapsin, IgA-CP2, most important due predictive accuracy r = 0.801. Conclusion Brain-targeted autoimmunity contributes pathogenesis physio-affective phenome.

Language: Английский

Citations

0