LongCOVID Is Believed To Be An Idiopathic Disease Resulting From Chronic Inflammation and An Exaggerated Immune Response - Vipin M. Vashishta (2024)

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22/04/2024, 13:23 (1) Vipin M.

Vashishtha on X: "#LongCOVID is believed to be an idiopathic disease resulting from chronic inflammation and …

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Vipin M. Vashishtha
@vipintukur

#LongCOVID is believed to be an idiopathic disease resulting from chronic


inflammation and an exaggerated immune response. Current evidence
indicates that COVID-19 has long-lasting effects on the nervous system. 1/

9:05 PM · Apr 20, 2024 · 92.9K Views

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Vipin M. Vashishtha @vipintukur · Apr 20


A new study explores the mechanism of neurodegenerative diseases by
examining the main pathways of central nervous system infection of SARS-
CoV-2. 2/

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Vipin M. Vashishtha @vipintukur · Apr 20


Research has indicated that chronic inflammation and abnormal immune
response are the primary factors leading to neuronal damage and long-term
consequences of COVID-19. 3/

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Vipin M. Vashishtha @vipintukur · Apr 20


The nervous system plays a crucial role in the long-term effects of COVID-19.
Studies have shown that a significant percentage (30–80%) of COVID-19
patients have experienced neurological sequelae or changes in mental health
4/

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22/04/2024, 13:23 (1) Vipin M. Vashishtha on X: "#LongCOVID is believed to be an idiopathic disease resulting from chronic inflammation and …

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Vipin M. Vashishtha @vipintukur · Apr 20


COVID-19 survivors with cerebrovascular or neurodegenerative diseases, such
as stroke, Alzheimer’s disease, or Parkinson’s disease, were about 40% more
likely to experience these sequelae compared to individuals without SARS-
CoV-2 infection. 5/

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Vipin M. Vashishtha @vipintukur · Apr 20


Cognitive disturbances and fatigue are particularly prominent and debilitating
symptoms of long COVID, which are also significant indicators in
neurodegenerative diseases. 6/

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Vipin M. Vashishtha @vipintukur · Apr 20


Two possible mechanisms of long-term effects on the nervous system
The SARS-CoV-2 enters human cells by interacting with specific membrane
cell receptors, such ACE2 transmembrane receptor, & activating SARS-CoV-2
spike protein through TMPRSS2) cleavage. 7/

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22/04/2024, 13:23 (1) Vipin M. Vashishtha on X: "#LongCOVID is believed to be an idiopathic disease resulting from chronic inflammation and …

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Vipin M. Vashishtha @vipintukur · Apr 20


Evidence suggests the presence of the virus in the nervous system, with the
case of SARS-CoV-2-associated meningitis. Additionally, SARS-CoV-2 has
been detected in cerebrospinal fluid by other researchers 8/

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Vipin M. Vashishtha @vipintukur · Apr 20


There are 5 routes by which SARS2 enters the nervous system: through the
olfactory epithelium & spread through the olfactory nerve (1), can pass
through blood–brain barrier (2) and the lateral ventricular choroid plexus (3)
due to the interaction of inflammatory factors. 9/

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Vipin M. Vashishtha @vipintukur · Apr 20


Another possible route is through the microorganism gastrointestinal tract-
brain axis (4). Furthermore, the corneal epithelium of the optic nervous system
can also act as an entry point (5). 10/

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