☝️this just popped up in my notifications, it's a year old, but maybe a good time to resurrect #longCovidChat for anybody who needs it.

The S1 subunits of SARS-CoV-2 variants differentially trigger the IL-6 signaling pathway in human brain endothelial cells and downstream impact on microglia activation

Free full text:
https://www.degruyter.com/document/doi/10.1515/nipt-2023-0024/html

@longcovid
#LongCovid #PwLC #PostCovidSyndrome #LC #PASC #postcovid #longCovidChat
@covid19 #COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2 @novid #novid #CovidIsNotOver #CovidBrain @auscovid19

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The S1 subunits of SARS-CoV-2 variants differentially trigger the IL-6 signaling pathway in human brain endothelial cells and downstream impact on microglia activation

Objectives Cerebrovascular complications are prevalent in COVID-19 infection and post-COVID conditions; therefore, interactions of SARS-CoV-2 with cerebral microvascular cells became an emerging concern. Methods We examined the inflammatory responses of human brain microvascular endothelial cells (HBMEC), the main structural element of the blood–brain barrier (BBB), following exposure to the S1 subunit of the spike protein of different SARS-CoV-2 variants. Specifically, we used the S1 subunit derived from the D614 variant of SARS-CoV-2, which started widely circulating in March of 2020, and from the Delta variant, which started widely circulating in early 2021. We then further examined the impact of the HBMEC secretome, produced in response to the S1 exposure, on microglial proinflammatory responses. Results Treatment with S1 derived from the D614 variant and from the Delta variant resulted in differential alterations of the IL-6 signaling pathway. Moreover, the HBMEC secretome obtained after exposure to the S1 subunit of the D614 variant activated STAT3 in microglial cells, indicating that proinflammatory signals from endothelial cells can propagate to other cells of the neurovascular unit. Overall, these results indicate the potential for different SARS-CoV-2 variants to induce unique cellular signatures and warrant individualized treatment strategies. The findings from this study also bring further awareness to proinflammatory responses involving brain microvasculature in COVID-19 and demonstrate how the surrounding microglia react to each unique variant derived response.

De Gruyter

Role of the complement system in #LongCOVID

https://t.ly/TD8sQ

Refutes findings in a recent high-profile study. "In seeking to explain why age & BMI are such strong predictors of #PACS in this study, we noticed the cohort was substantially imbalanced for age and BMI”

@longcovid
#LongCovid #PwLC #PostCovidSyndrome #LC #PASC #postcovid #longCovidChat
@covid19 #COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2 #CovidIsNotOver #CovidBrain @auscovid19

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“Our current system of siloed, efficiency oriented medical care is ill-equipped to adequately address such complex chronic conditions.”

@longcovid
#LongCovid #PwLC #PostCovidSyndrome #LC #PASC #postcovid #longCovidChat
@covid19 #COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2

Vortioxetine for the treatment of #postCOVID19 condition: a randomized controlled trial

https://academic.oup.com/brain/article-abstract/147/3/849/7344681

“Between-group analysis did not show a significant difference in the overall change in cognitive function [P = 0.361]. (contd)”

#BrainFog @longcovid
#LongCovid #PwLC #PostCovidSyndrome #LC #PASC #postcovid #longCovidChat
@covid19 #COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2 #CovidBrain @auscovid19
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Vortioxetine for the treatment of post-COVID-19 condition: a randomized controlled trial

In a randomized, double-blind, placebo-controlled study, McIntyre et al. examine the effects of vortioxetine—a multimodal antidepressant—on cognition, mood-rela

OUP Academic
Impaired Sleep in Patients with Post-COVID-19 Syndrome Compared to Healthy Controls: A Cross-Sectional Trial

Abstract. Introduction: To objectify self-reported sleep disorders in individuals with post-COVID-syndrome (PCS), we aimed to investigate the prevalence and nature of sleep disturbances by polysomnography (PSG) in PCS compared to healthy individuals. Methods: People with PCS (n = 21) and healthy controls (CON, n = 10) were included in this prospective trial. At baseline, clinical and social anamnesis, lung function, 1 min sit-to-stand test (STST) and Pittsburgh Sleep Quality Index (PSQI) were assessed. For a single-night, sleep health was evaluated by video-PSG. The apnoea/hypopnea index (AHI) was used as the primary outcome. Results: Twenty patients with PCS (50 ± 11 y, BMI 27.1 m2/kg, SARS-CoV-2 infection 8.5 ± 4.5 months ago) and 10 CON participants (46 ± 10 y, BMI 23.0 m2/kg, no SARS-CoV-2 infection in the history) completed the study. Forced vital capacity (p = 0.018), STST repetitions (p < 0.001), and symptoms of dyspnoea (at rest: p = 0.002, exertion: p < 0.001) were worse in PCS compared to CON. PSQI score (PCS: 7.5 ± 4.7 points) was higher in PCS compared to CON (Δ = 3.7 points, 95% CI [0.4–7.1] p = 0.015), indicating poor sleep in 80% of patients with PCS. Although PSG showed comparable sleep stage distributions in both groups, AHI (Δ = 9.0 n/h, 95% CI [3.3–14.8], p = 0.002), PLM index (Δ = 5.1 n/h, 95% CI [0.4–9.8], p = 0.017), and the prevalence of sleep apnoea (60% vs. 10%, p = 0.028) was significantly higher in PCS compared to CON. Conclusion: Quantifiable subjective limitations of sleep have been revealed by PSG data in this PCS cohort. More than half of PCS patients had signs of sleep apnoea, highlighting the importance of sleep screening in PCS.

Karger Publishers

Press release:
Low iron levels resulting from infection could be key trigger of #longCOVID
https://www.eurekalert.org/news-releases/1036264

Paper:
Iron dysregulation and inflammatory stress erythropoiesis associates with long-term outcome of #COVID19
https://www.nature.com/articles/s41590-024-01754-8

@longcovid
#PwLC #PostCovidSyndrome #LC #PASC #postcovid #longCovidChat
@covid19 #COVIDー19 #COVID #COVID_19 #SARSCoV2 #novid #CovidIsNotOver #CovidBrain @auscovid19

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Low iron levels resulting from infection could be key trigger of long COVID

<p>Problems with iron levels in the blood and the body’s ability to regulate this important nutrient as a result of SARS-CoV-2 infection could be a key trigger for long COVID, new research has discovered.</p>

EurekAlert!

Employment outcomes of people with #LongCovid symptoms: community-based cohort study [in the UK]

Free full text:
https://academic.oup.com/eurpub/advance-article/doi/10.1093/eurpub/ckae034/7616634

“This was an observational, longitudinal study using a pre–post design”

@longcovid
#PwLC #PostCovidSyndrome #LC #PASC #postcovid #longCovidChat
@covid19 #COVIDー19 #COVID19 #COVID #COVID_19 #SARSCoV2 @novid #novid #CovidIsNotOver #CovidBrain @auscovid19

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Employment outcomes of people with Long Covid symptoms: community-based cohort study

AbstractBackground. Evidence on the long-term employment consequences of SARS-CoV-2 infection is lacking. We used data from a large, community-based sample

OUP Academic

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“the team discovered that samples from the 14 Covid patients who self-reported brain fog contained higher levels of a protein called S100β than those from #Covid patients without this symptom, or people who had not had Covid.

This protein is produced by cells within the brain, and is not normally found in the blood, suggesting these patients had a breakdown of the blood-brain barrier”

@longcovid
#LongCovid #PwLC #LC #PASC #postcovid #longCovidChat
#COVID19 #SARSCoV2 #CovidBrain