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Long Covid Molecular
MRI Long Covid Study Reveals Link Between Lower Pulmonary Gas Exchange and Cognitive Dysfunction
For patients with Long Covid, lower pulmonary gas exchange may be associated with lower gray and white matter volume, according to new MRI research to be presented at the Radiological Society of North America (RSNA) conference.
Autoantibodies present in long COVID, but not a ‘smoking gun’ for new autoimmune disease
WASHINGTON — The correlation between autoantibodies and new-onset autoimmune disease in individuals with long COVID symptoms remains “controversial,” according to a speaker at ACR Convergence 2024. “Disclaimer: This is a controversial topic,” Leonard H. Calabrese, DO, professor of medicine at the Cleveland Clinic Lerner College of Medicine, at Case Western Reserve
Exploring the landscape of symptom-specific inflammatory cytokines in post-COVID syndrome patients - BMC Infectious Diseases
Introduction Post-COVID syndrome (PCS) is characterized by a polymorphism of symptoms with hypothetical pathophysiological mechanisms. Here, we aimed to analyze the profile of inflammatory cytokines in patients with PCS and to study the relationship between this profile, the clinical symptoms as well as the endothelial function in PCS. Methods Our analytical study involved all eligible patients (n = 66) with PCS included from April 2021 to December 2021. The serum concentration of cytokines IFN-γ, IL-1α, IL-1β, IL-6, IL-8, IL-10, IL-12p70, IL-27, IP-10, MCP-1 and TNF-α was quantified by flow cytometry. Endothelial function was explored by assessing microvascular flow and reactivity using thermal probes. A comparative study was carried out according to the presence of each PCS symptom. Results The average age of our patients was 55.9 ± 16.2 years. The sex ratio was 0.69. Forty-one patients (62%) presented with a severe form of acute infection. The most frequently reported symptoms were dyspnea (67%), fatigue (50%), and memory problems (32%). Fifty-seven patients (86%) had endothelial dysfunction. The majority of patients had increased levels of IP-10 (100%), IL-8 (95%), IFN-γ (95%), MCP-1 (80%), and TNF-α (70%). The serum concentration of IL-10 was below the threshold of quantification in 89% of subjects. The severe form of acute infection was associated with elevated IL-10, MCP-1, and IL-27. Increased IL-6 and IL-27 levels were associated with fatigue while IL-8 concentrations were higher in patients who reported dyspnea. Elevation of IL-8 level was more common in patients with profound impairment of endothelial function. Conclusion Our results further support the presence of endothelial dysfunction in PCS and show an elevation of pro-inflammatory cytokines with a downmodulation of the IL-10- anti-inflammatory response. In addition, immuno-clinical phenotypes emerge, such as an inflammatory profile mediated by IL-6 and IL-27 in fatigue and IL-8 in dyspnea. The identification of immuno-clinical phenotypes would allow a better understanding of the pathophysiology of PCS symptoms.
Different dynamics of soluble inflammatory mediators after clearance of respiratory SARS-CoV-2 versus blood-borne hepatitis C virus infections
Scientific Reports - Different dynamics of soluble inflammatory mediators after clearance of respiratory SARS-CoV-2 versus blood-borne hepatitis C virus infections
Association between long COVID and nonsteroidal anti-inflammatory drug use by patients with acute-phase COVID-19: A nationwide Korea National Health Insurance Service cohort study | PLOS ONE
Introduction Long coronavirus disease (COVID) poses a significant burden following the coronavirus disease 2019 (COVID-19) pandemic. Debate persists regarding the impact of nonsteroidal anti-inflammatory drug (NSAID) administration during acute-phase COVID-19 on the development of long COVID. Hence, this study aimed to assess the potential association between NSAID use and long COVID using data from patients with COVID-19 in Korea’s National Health Insurance Service. Methods This nested case-control study defined the study cohort as patients diagnosed with COVID-19 for the first time between 2020 and 2021. The primary exposure investigated was NSAID prescriptions within 14 days of the initial COVID-19 diagnosis. We used propensity score matching to create three control patients matched to each patient in the NSAID exposure group. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated after the adjustment for demographics, Charlson Comorbidity Index, and existing comorbidities. Results Among the 225,458 patients diagnosed with COVID-19, we analyzed data from 254 with long COVID. The adjusted OR (aOR) for NSAID exposure during acute-phase COVID-19 was higher in long COVID cases versus controls (aOR, 1.79; 95% CI, 1.00–3.19), suggesting a potential relationship. However, a sensitivity analysis revealed that the increased odds of NSAID exposure in the acute phase became statistically non-significant (aOR, 1.64; 95% CI, 0.90–2.99) when COVID-19 self-quarantine duration was included as a covariate. Additionally, acetaminophen exposure was not significantly associated (aOR, 1.12; 95% CI, 0.75–1.68), while antiviral drugs demonstrated a stronger association (aOR, 3.75; 95% CI, 1.66–8.48). Conclusion Although this study suggests a possible link between NSAID use in the acute COVID-19 infection stage and a higher risk of long COVID as well as both NSAID and acetaminophen use during the chronic COVID-19 period and a lower risk of long COVID, the association was not statistically significant. Further research is needed to determine the causal relationship between the various treatment options for acute COVID-19 and the development of long COVID.
5 years after COVID, what did we learn? | Dr. Tim Spector
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The COVID-19 pandemic is in the rear-view mirror, so what did we learn about mask wearing, vaccines and prevention? And how can you stay healthy to face a future pandemic?
Professor Tim Spector, one of the world’s top 100 most cited scientists, looks back on the pandemic and what we learnt about symptoms, transmission and vaccines in the early stages. We’ll reflect on ZOE’s role - collecting data from millions of people on their symptoms, identifying COVID hotspots and shaping public understanding of the virus.
Then we discuss the possibility of the next pandemic, and how we can individually protect ourselves against it. By the end of this episode, listeners feel more equipped to stay safe in the face of another global pandemic.
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Timecodes
00:00 What did we learn from COVID?
01:44 Quickfire questions
04:22 ZOE's response to the pandemic
10:10 5 crucial days
14:06 How new symptoms were discovered
23:40 Did the virus come from a lab?
28:00 Were face masks worth it?
29:02 The data on lockdowns
36:01 The economic costs
37:50 Effectiveness of vaccines
40:04 Side effects of vaccines
46:10 Is there a cure for Long COVID?
48:39 The role of food choices
51:24 How to fight off infections
52:30 The risks of junk food
📚Books by our ZOE Scientists
The Food For Life Cookbook | https://amzn.to/4amfIMX
Every Body Should Know This by Dr Federica Amati | https://amzn.to/4blJsLg
Food For Life by Prof. Tim Spector | https://amzn.to/4amZinu
Free resources from ZOE:
Live Healthier: Top 10 Tips From ZOE Science & Nutrition | https://zoe.com/freeguide
Gut Guide - For a Healthier Microbiome in Weeks | https://zoe.com/gutguide
Mentioned in today's episode
The WHO estimates of excess mortality associated with the COVID-19 pandemic (2022), published in Nature https://www.nature.com/articles/s41586-022-05522-2
Long COVID: major findings, mechanisms and recommendations (2023), published in Nature Reviews Microbiology https://www.nature.com/articles/s41579-022-00846-2
Benefit-risk assessment of Covid-19 vaccine, MRNA (MRNA-1273) for males age 18–64 years (2023), published in Vaccine: X https://www.sciencedirect.com/science/article/pii/S2590136223000669
Physical interventions to interrupt or reduce the spread of respiratory viruses (2023), published in Cochrane Database of Systematic Reviews https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006207.pub6/full
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Episode transcripts are available here: https://zoe.com/learn/category/podcasts
Low IL-18 levels may predict long COVID risk in systemic autoimmune rheumatic diseases
WASHINGTON — Among patients with systemic autoimmune rheumatic diseases, circulating interleukin-18 levels were lower in those with long COVID vs. those without, according to data presented at ACR Convergence 2024. “We were interested to see if inflammatory cytokines were associated with long COVID among patients with rheumatic disease,” Jeffrey Sparks, MD, of Brigham and
Protective role of vaccination on the development of long COVID: data from a large, multicenter, prospective cohort study - BMC Infectious Diseases
Background Long COVID, a highly heterogeneous syndrome affecting millions of people worldwide, is emerging as an urgent public health threat, but data on the predictors of specific clinical manifestations over long follow-up periods are limited. The aim of this study is to investigate the role of viral variants and other predictors in long COVID incidence and clinical manifestations. Methods All COVID-19 patients aged 18 years and hospitalized from March 1 2020 to April 2022 in two Italian University Hospitals were enrolled. Incidence and clinical presentation of long COVID were assessed through structured questionnaires delivered by phone calls. The association between possible risk factors collected during hospitalization and long COVID was reported using an adjusted logistic regression and reported as odds ratios (ORs) with their 95% confidence intervals (CIs). Results Among 1,012 recruited patients, over a median follow-up of 19 months (IQR: 15–24 months), the cumulative incidence of long COVID was 91.7%, with the most common clinical manifestations involving the respiratory system (80.5%) and the neurological system (77.3%). Among 1,012 recruited patients, over a median follow-up of 19 months (IQR: 15–24 months), the cumulative incidence of long COVID was 91.7%, with the most common clinical manifestations involving the respiratory system (80.5%) and the neurological system (77.3%). Overall, 54% reported long COVID symptomatology between 18 and 24 months. Multivariate analysis suggested that being vaccinated against SARS-CoV-2 was associated with reduced odds of reporting any long COVID symptomatology (OR: 0.34; 95% CI: 0.21–0.58), while infection with the Delta variant was a strong predictor (OR: 9.61, p
UNILAG Scientists Publish Collaborative Research Discoveries on Long COVID in Journal of NeuroVirology - University of Lagos
Two dons of the University of Lagos (UNILAG); Professor Njideka Okubadejo, Neurologist at the Department of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos (CMUL) and Dr. Iorhen Akase, Infectious Diseases Physician, at the Infectious Diseases Unit, Department of Medicine, CMUL; have made a groundbreaking research on the neurological manifestations of long COVID in Nigeria, and published same in the prestigious Journal of NeuroVirology. This study, carried out in collaboration with researchers from Northwestern […]
The Impact of Vaccination Status on Post-acute Sequelae in Hospitalized COVID-19 Survivors using a multi-disciplinary approach: an observational single center study.
COVID-19 vaccines reduced mortality, hospitalizations and ICUs admissions. Conversely, the impact of vaccination on Long COVID-19 syndrome is still un…
Northwestern Medicine study shows severe COVID-19 may shrink cancer cells
Streaming now at https://abc7.ws/484PqhJ
A new Northwestern Medicine study in Chicago shows that severe COVID-19 may shrink cancer cells in patients, doctors told ABC7.
Full story: https://abc7chicago.com/post/chicago-northwestern-medicine-study-shows-severe-covid-19-may-shrink-cancer-cells/15548871/
Brain-wide alterations revealed by spatial transcriptomics and proteomics in COVID-19 infection
Nature Aging - Zhang et al. performed a multi-regional multi-omics study, identifying brain-wide mitochondrial and synaptic defects in neurons and glial inflammation as key mechanisms underlying...