SARS-CoV-2 Rapidly Infects Peripheral Sensory and Autonomic Neurons, Contributing to Central Nervous System Neuroinvasion before Viremia DOI Open Access
Jonathan D. Joyce, Greyson A. Moore, Poorna Goswami

и другие.

International Journal of Molecular Sciences, Год журнала: 2024, Номер 25(15), С. 8245 - 8245

Опубликована: Июль 28, 2024

Neurological symptoms associated with COVID-19, acute and long term, suggest SARS-CoV-2 affects both the peripheral central nervous systems (PNS/CNS). Although studies have shown olfactory hematogenous invasion into CNS, coinciding neuroinflammation, little attention has been paid to susceptibility of PNS infection or its contribution CNS invasion. Here we show that sensory autonomic neurons in are susceptible productive outline physiological molecular mechanisms mediating neuroinvasion. Our K18-hACE2 mice, wild-type golden Syrian hamsters, as well primary neuronal cultures, viral RNA, proteins, infectious virus neurons, satellite glial cells, functionally connected tissues. Additionally, demonstrate, vitro, neuropilin-1 facilitates entry. rapidly invades prior viremia, establishes a results often reported by COVID-19 patients.

Язык: Английский

Long COVID: An inevitable sequela of SARS-CoV-2 infection DOI Creative Commons
Chih‐Cheng Lai, Chi‐Kuei Hsu, Muh‐Yong Yen

и другие.

Journal of Microbiology Immunology and Infection, Год журнала: 2022, Номер 56(1), С. 1 - 9

Опубликована: Окт. 15, 2022

At present, there are more than 560 million confirmed cases of the coronavirus disease 2019 (COVID-19) worldwide. Although 98% patients with severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) infection can survive COVID, a significant portion survivors develop residual health problems, which is termed as long COVID. COVID-19 generally associated high risk asymptomatic or mild also show The definition COVID inconsistent and its clinical manifestations protean. In addition to general symptoms, such fatigue, affect many organ systems, including respiratory, neurological, psychosocial, cardiovascular, gastrointestinal, metabolic systems. Moreover, may experience exercise intolerance impaired daily function quality life. Long be caused by SARS-CoV-2 direct injury immune/inflammatory response. Assessment requires comprehensive evaluation, history taking, physical examination, laboratory tests, radiography, functional tests. However, no known effective treatment for Based on limited evidence, vaccines help prevent development As new entity that constantly evolving, still unknowns, further investigation warranted enhance our understanding this disease.

Язык: Английский

Процитировано

103

Long Covid: where we stand and challenges ahead DOI Creative Commons
Alberto Mantovani, Maria Concetta Morrone, Carlo Patrono

и другие.

Cell Death and Differentiation, Год журнала: 2022, Номер unknown

Опубликована: Сен. 7, 2022

Abstract Post-acute sequelae of SARS-CoV-2 (PASC), also known as Post-Covid Syndrome, and colloquially Long Covid, has been defined a constellation signs symptoms which persist for weeks or months after the initial infection. PASC affects wide range diverse organs systems, with manifestations involving lungs, brain, cardiovascular system other such kidney neuromuscular system. The pathogenesis is complex multifactorial. Evidence suggests that seeding persistence in different organs, reactivation, response to unrelated viruses EBV, autoimmunity, uncontrolled inflammation are major drivers PASC. relative importance pathogenetic pathways may differ tissue organ contexts. vaccination, addition protecting against disease, reduces breakthrough infection although its actual impact remains be defined. represents formidable challenge health care systems dissecting mechanisms pave way targeted preventive therapeutic approaches.

Язык: Английский

Процитировано

100

Long COVID, the Brain, Nerves, and Cognitive Function DOI Creative Commons
Allison B. Reiss, C. E. Greene,

Christopher Dayaramani

и другие.

Neurology International, Год журнала: 2023, Номер 15(3), С. 821 - 841

Опубликована: Июль 6, 2023

SARS-CoV-2, a single-stranded RNA coronavirus, causes an illness known as coronavirus disease 2019 (COVID-19). Long-term complications are increasing issue in patients who have been infected with COVID-19 and may be result of viral-associated systemic central nervous system inflammation or arise from virus-induced hypercoagulable state. incite changes brain function wide range lingering symptoms. Patients often experience fatigue note fog, sensorimotor symptoms, sleep disturbances. Prolonged neurological neuropsychiatric symptoms prevalent can interfere substantially everyday life, leading to massive public health concern. The mechanistic pathways by which SARS-CoV-2 infection sequelae important subject ongoing research. Inflammation- induced blood-brain barrier permeability viral neuro-invasion direct nerve damage involved. Though the mechanisms uncertain, resulting documented numerous patient reports studies. This review examines constellation spectrum seen long COVID incorporates information on prevalence these contributing factors, typical course. Although treatment options generally lacking, potential therapeutic approaches for alleviating improving quality life explored.

Язык: Английский

Процитировано

47

The knowns and unknowns of long COVID-19: from mechanisms to therapeutical approaches DOI Creative Commons
Roxana Gheorghiţă, Iuliana Șoldănescu, Andrei Lobiuc

и другие.

Frontiers in Immunology, Год журнала: 2024, Номер 15

Опубликована: Март 4, 2024

The coronavirus disease 2019 (COVID-19) pandemic caused by SARS-CoV-2 has been defined as the greatest global health and socioeconomic crisis of modern times. While most people recover after being infected with virus, a significant proportion them continue to experience issues weeks, months even years acute infection SARS-CoV-2. This persistence clinical symptoms in individuals for at least three onset or emergence new lasting more than two months, without any other explanation alternative diagnosis have named long COVID, long-haul post-COVID-19 conditions, chronic post-acute sequelae (PASC). Long COVID characterized constellation disorders that vary widely their manifestations. Further, mechanisms underlying are not fully understood, which hamper efficient treatment options. review describes predictors common related COVID's effects on central peripheral nervous system organs tissues. Furthermore, transcriptional markers, molecular signaling pathways risk factors such sex, age, pre-existing condition, hospitalization during phase COVID-19, vaccination, lifestyle presented. Finally, recommendations patient rehabilitation management, well therapeutical approaches discussed. Understanding complexity this disease, its across multiple organ systems overlapping pathologies possible paramount developing diagnostic tools treatments.

Язык: Английский

Процитировано

23

Prevalence and Trajectories of Post-COVID-19 Neurological Manifestations: A Systematic Review and Meta-Analysis DOI
Giorgia Giussani, Erica Westenberg, David García‐Azorín

и другие.

Neuroepidemiology, Год журнала: 2024, Номер 58(2), С. 120 - 133

Опубликована: Янв. 1, 2024

<b><i>Introduction:</i></b> The aim of this systematic review and meta-analysis was to evaluate the prevalence thirteen neurological manifestations in people affected by COVID-19 during acute phase at 3, 6, 9 12-month follow-up time points. <b><i>Methods:</i></b> study protocol registered with PROSPERO (CRD42022325505). MEDLINE (PubMed), Embase, Cochrane Library were used as information sources. Eligible studies included original articles cohort studies, case-control cross-sectional case series ≥5 subjects that reported type manifestations, a minimum 3 months after disease. Two independent reviewers screened from January 1, 2020, June 16, 2022. following assessed: neuromuscular disorders, encephalopathy/altered mental status/delirium, movement dysautonomia, cerebrovascular cognitive impairment/dementia, sleep seizures, syncope/transient loss consciousness, fatigue, gait disturbances, anosmia/hyposmia, headache. pooled their 95% confidence intervals calculated six pre-specified times. <b><i>Results:</i></b> 126 6,565 fulfilled eligibility criteria, accounting for 1,542,300 Of these, four only data on conditions other than 13 selected. disorders highest estimates (per 100 subjects) headache, encephalopathy, impairment, At 3-month follow-up, still 20% higher. six- 9-month there tendency headache further increase prevalence. decreased but remained high some such fatigue anosmia/hyposmia. Other had more fluctuating occurrence. <b><i>Discussion:</i></b> Neurological prevalent over 1-year period, overall There downward trend time, suggesting early post-COVID-19 may be long-lasting not permanent. However, especially point, robust are needed confirm trend.

Язык: Английский

Процитировано

10

Post-COVID Symptoms in Occupational Cohorts: Effects on Health and Work Ability DOI Open Access
Nicola Magnavita, Gabriele Arnesano, Reparata Rosa Di Prinzio

и другие.

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(9), С. 5638 - 5638

Опубликована: Апрель 25, 2023

Post-acute COVID-19 syndrome is frequently observed in workers and has a substantial impact on work ability. We conducted health promotion program to identify cases of post-COVID syndrome, analyze the distribution symptoms their association with Of 1422 who underwent routine medical examination 2021, 1378 agreed participate. Among latter, 164 had contracted SARS-CoV-2 115 (70% those were infected) persistent symptoms. A cluster analysis showed that most characterized by sensory disturbances (anosmia dysgeusia) fatigue (weakness, fatigability, tiredness). In one-fifth these cases, additional included dyspnea, tachycardia, headache, sleep disturbances, anxiety, muscle aches. Workers found have poorer quality sleep, increased fatigue, depression, decreased ability compared whose rapidly disappeared. It important for occupational physician diagnose workplace since this condition may require temporary reduction tasks supportive treatment.

Язык: Английский

Процитировано

21

Global prevalence of post-COVID-19 sleep disturbances in adults at different follow-up time points: A systematic review and meta-analysis DOI
Tran Thanh Duy Linh, Dang Khanh Ngan Ho, Nam Nhat Nguyen

и другие.

Sleep Medicine Reviews, Год журнала: 2023, Номер 71, С. 101833 - 101833

Опубликована: Авг. 11, 2023

Язык: Английский

Процитировано

21

Long COVID Symptomatology and Associated Factors in Primary Care Patients: The EPICOVID-AP21 Study DOI Open Access
Esperanza Romero‐Rodríguez, Luis Ángel Pérula de Torres, Jesús González-Lama

и другие.

Healthcare, Год журнала: 2023, Номер 11(2), С. 218 - 218

Опубликована: Янв. 11, 2023

Persistent COVID-19 condition includes a wide variety of symptoms and health problems indeterminate duration. The present study examined the sociodemographic clinical characteristics population with Long COVID seen in Primary Care using questionnaire based on existing scientific literature. It was an observational descriptive Spanish over 14 years age. responses were analysed by means analysis variables recorded, addition to bivariate determine existence relationship between persistent such as gender, age, vaccination status or concomitant pathology. results obtained clearly describe population, highlighting predominance female gender prevalence tiredness fatigue. Furthermore, relevant information differences symptomatology according previous pathologies alterations derived from infection and/or vaccination. These data are important for better detection, diagnosis treatment improvement quality life this population.

Язык: Английский

Процитировано

12

Evaluation and treatment approaches for neurological post-acute sequelae of COVID-19: A consensus statement and scoping review from the global COVID-19 neuro research coalition DOI
Jennifer Frontera, Alla Guekht, Ricardo Allegri

и другие.

Journal of the Neurological Sciences, Год журнала: 2023, Номер 454, С. 120827 - 120827

Опубликована: Окт. 13, 2023

Язык: Английский

Процитировано

11

What We Know About Neurocognitive Outcomes in Long-/Post-COVID-19 Adults DOI Creative Commons
Susan Seibert, Alexander Hanke, Michelle Wieberneit

и другие.

Zeitschrift für Neuropsychologie, Год журнала: 2024, Номер 35(2), С. 63 - 76

Опубликована: Май 1, 2024

Abstract: This review assesses neurocognitive studies on long-/post-COVID-19 adult patients, highlighting the research gaps. We categorize populations by infection severity, demographics, inclusion of controls, and psychological/biological factors. Methodologically, we analyzed 73 (95,600 subjects) from December 2019 to October 2022 using PRISMA-ScR guidelines PICO framework. Our findings revealed that most lacked control groups (88 %) reported unclear overall cognitive outcomes (73 %). While frequently assessed executive functions (86 attention (85 %), there were few longitudinal studies. Varied reporting sample sizes further complicated analysis. The identified gaps encompass convenience sampling, limited studies, inadequate use test batteries, leading a discrepancy between expected outcomes. absence standardized comparisons inconsistent statistical methods exacerbated these

Язык: Английский

Процитировано

4