Impact of age and sex on neuroinflammation following SARS-CoV-2 infection in a murine model, 2024, Krishna et al

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In mice

Venkatramana D. Krishna1, Allison Chang2, Holly Korthas3, Susanna R. Var4, Davis M. Seelig5, Walter C. Low2,4*, Ling Li2,3* and Maxim C. -J. Cheeran1*
Minnesota team

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), the etiological agent of COVID-19, is known to infect people of all ages and both sexes. Senior populations have the greatest risk of severe COVID-19, and sexual dimorphism in clinical outcomes has been reported. Neurological symptoms are widely observed in COVID-19 patients, with many survivors exhibiting persistent neurological and cognitive impairment.

The present study aims to investigate the impact of age and sex on the neuroinflammatory response to SARS-CoV- 2 infection using a mouse model. Wild-type C57BL/6J mice were intranasally inoculated with SARS-CoV-2 lineage B.1.351, a variant known to infect mice. Older male mice exhibited a significantly greater weight loss and higher viral loads in the lung at 3 days post infection. Notably, no viral RNA was detected in the brains of infected mice. Nevertheless, expression of IL-6, TNF-α, and CCL- 2 in the lung and brain increased with viral infection. RNA-seq transcriptomic analysis of brains showed that SARS-CoV-2 infection caused significant changes in gene expression profiles, implicating innate immunity, defense response to virus, and cerebrovascular and neuronal functions.

These findings demonstrate that SARS-CoV-2 infection triggers a neuroinflammatory response, despite the lack of detectable virus in the brain. Aberrant activation of innate immune response, disruption of blood-brain barrier and endothelial cell integrity, and suppression of neuronal activity and axonogenesis underlie the impact of SARS- CoV-2 infection on the brain. Understanding the role of these affected pathways in SARS-CoV-2 pathogenesis helps identify appropriate points of therapeutic interventions to alleviate neurological dysfunction observed during COVID-19.
 
Article on the research
University of Minnesota: "Study uncovers the basis of COVID-19-related brain fog"

"New research from the University of Minnesota found that COVID-19 triggers inflammation in the brain, which is linked to many COVID-related symptoms such as fatigue and “brain fog.”

"Published in Frontiers in Microbiology, the researchers examined the specific ways the virus impacts the brain, developing a preclinical model to accurately mimic the effects of COVID-19 on humans to explore the impact of age and sex on the brain-related impacts of the disease.

'The researchers also found several biological pathways that the virus impacts in the brain, including overactive or misdirected immune response, disruption to the protective blood-brain barrier, damage to cells lining blood vessels, and impacts to how nerve cells are formed and function.'

'In addition to new targeted therapies, these findings allow for more accurate vaccine development and continued research. The research team has a study underway that could shed light on the persistence of these symptoms in individuals experiencing long COVID, including the long-term impacts on neurocognitive behavior and memory loss.'

'This work was supported in part by grants from the National Institutes of Health/National Institute on Aging and the SURRGE award program of the University of Minnesota’s College of Pharmacy.'

In particular, I note this
"The research team has a study underway that could shed light on the persistence of these symptoms in individuals experiencing long COVID, including the long-term impacts on neurocognitive behavior and memory loss."
 
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