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The Influence of SARS-CoV-2 Infection on the Development of Selected Neurological Diseases

Kryńska et al., International Journal of Molecular Sciences, doi:10.3390/ijms25168715
Aug 2024  
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Review of the influence of SARS-CoV-2 infection on the development of selected neurological diseases, including multiple sclerosis (MS), ischemic stroke (IS), and Alzheimer's disease (AD). Authors report that SARS-CoV-2 causes activation of the NLRP3 inflammasome and production of interferons and neurotoxic cytokines that harm myelin sheaths, leading to synthesis of autoantibodies that attack glial cells and neurons, contributing to MS onset. In individuals already suffering from MS, SARS-CoV-2 exacerbates the disease through inflammation and nerve cell destruction. The release of pro-inflammatory cytokines may contribute to increased blood clotting, leading to thrombosis and ischemic stroke. AD is characterized by severe inflammation and increased oxidative stress, both of which are exacerbated during SARS-CoV-2 infection. Authors note that the virus enters cells more easily when the ACE2 receptor, already elevated in AD, and the ApoE ε4 allele are present, worsening the disease and increasing mortality in AD patients. Authors also report that mitochondrial dysfunction caused by SARS-CoV-2 infection contributes to the development of neurodegenerative diseases.
Kryńska et al., 9 Aug 2024, peer-reviewed, 6 authors. Contact: monika.gudowska-sawczuk@umb.edu.pl (corresponding author), barbara.mroczko@umb.edu.pl, monika.zajkowska@umb.edu.pl.
This PaperMiscellaneousAll
The Influence of SARS-CoV-2 Infection on the Development of Selected Neurological Diseases
Klaudia Kryńska, Katarzyna Kuliś, Wiktoria Mazurek, Monika Gudowska-Sawczuk, Monika Zajkowska, Barbara Mroczko
International Journal of Molecular Sciences, doi:10.3390/ijms25168715
In 2024, over 775 million cases of COVID-19 were recorded, including approximately 7 million deaths, indicating its widespread and dangerous nature. The disease is caused by the SARS-CoV-2 virus, which can manifest a wide spectrum of symptoms, from mild infection to respiratory failure and even death. Neurological symptoms, such as headaches, confusion, and impaired consciousness, have also been reported in some COVID-19 patients. These observations suggest the potential of SARS-CoV-2 to invade the central nervous system and induce neuroinflammation during infection. This review specifically explores the relationship between SARS-CoV-2 infection and selected neurological diseases such as multiple sclerosis (MS), ischemic stroke (IS), and Alzheimer's disease (AD). It has been observed that the SARS-CoV-2 virus increases the production of cytokines whose action can cause the destruction of the myelin sheaths of nerve cells. Subsequently, the body may synthesize autoantibodies that attack nerve cells, resulting in damage to the brain's anatomical elements, potentially contributing to the onset of multiple sclerosis. Additionally, SARS-CoV-2 exacerbates inflammation, worsening the clinical condition in individuals already suffering from MS. Moreover, the secretion of pro-inflammatory cytokines may lead to an escalation in blood clot formation, which can result in thrombosis, obstructing blood flow to the brain and precipitating an ischemic stroke. AD is characterized by intense inflammation and heightened oxidative stress, both of which are exacerbated during SARS-CoV-2 infection. It has been observed that the SARS-CoV-2 demonstrates enhanced cell entry in the presence of both the ACE2 receptor, which is already elevated in AD and the ApoE ε4 allele. Consequently, the condition worsens and progresses more rapidly, increasing the mortality rate among AD patients. The above information underscores the numerous connections between SARS-CoV-2 infection and neurological diseases.
Conflicts of Interest: The authors declare no conflict of interest.
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Neurological symptoms, such as headaches, confusion, and ' 'impaired consciousness, have also been reported in some COVID-19 patients. These observations ' 'suggest the potential of SARS-CoV-2 to invade the central nervous system and induce ' 'neuroinflammation during infection. This review specifically explores the relationship ' 'between SARS-CoV-2 infection and selected neurological diseases such as multiple sclerosis ' '(MS), ischemic stroke (IS), and Alzheimer’s disease (AD). It has been observed that the ' 'SARS-CoV-2 virus increases the production of cytokines whose action can cause the destruction ' 'of the myelin sheaths of nerve cells. Subsequently, the body may synthesize autoantibodies ' 'that attack nerve cells, resulting in damage to the brain’s anatomical elements, potentially ' 'contributing to the onset of multiple sclerosis. Additionally, SARS-CoV-2 exacerbates ' 'inflammation, worsening the clinical condition in individuals already suffering from MS. ' 'Moreover, the secretion of pro-inflammatory cytokines may lead to an escalation in blood clot ' 'formation, which can result in thrombosis, obstructing blood flow to the brain and ' 'precipitating an ischemic stroke. AD is characterized by intense inflammation and heightened ' 'oxidative stress, both of which are exacerbated during SARS-CoV-2 infection. It has been ' 'observed that the SARS-CoV-2 demonstrates enhanced cell entry in the presence of both the ' 'ACE2 receptor, which is already elevated in AD and the ApoE ε4 allele. Consequently, the ' 'condition worsens and progresses more rapidly, increasing the mortality rate among AD ' 'patients. The above information underscores the numerous connections between SARS-CoV-2 ' 'infection and neurological diseases.</jats:p>', 'DOI': '10.3390/ijms25168715', 'type': 'journal-article', 'created': {'date-parts': [[2024, 8, 14]], 'date-time': '2024-08-14T07:46:36Z', 'timestamp': 1723621596000}, 'page': '8715', 'source': 'Crossref', 'is-referenced-by-count': 0, 'title': 'The Influence of SARS-CoV-2 Infection on the Development of Selected Neurological Diseases', 'prefix': '10.3390', 'volume': '25', 'author': [ { 'given': 'Klaudia', 'family': 'Kryńska', 'sequence': 'first', 'affiliation': [ { 'name': 'Department of Biochemical Diagnostics, Medical University of ' 'Bialystok, Waszyngtona 15A St., 15-269 Bialystok, Poland'}]}, { 'given': 'Katarzyna', 'family': 'Kuliś', 'sequence': 'additional', 'affiliation': [ { 'name': 'Department of Biochemical Diagnostics, Medical University of ' 'Bialystok, Waszyngtona 15A St., 15-269 Bialystok, Poland'}]}, { 'given': 'Wiktoria', 'family': 'Mazurek', 'sequence': 'additional', 'affiliation': [ { 'name': 'Department of Biochemical Diagnostics, Medical University of ' 'Bialystok, Waszyngtona 15A St., 15-269 Bialystok, Poland'}]}, { 'ORCID': 'http://orcid.org/0000-0003-4854-7155', 'authenticated-orcid': False, 'given': 'Monika', 'family': 'Gudowska-Sawczuk', 'sequence': 'additional', 'affiliation': [ { 'name': 'Department of Biochemical Diagnostics, Medical University of ' 'Bialystok, Waszyngtona 15A St., 15-269 Bialystok, Poland'}]}, { 'ORCID': 'http://orcid.org/0000-0002-5179-0722', 'authenticated-orcid': False, 'given': 'Monika', 'family': 'Zajkowska', 'sequence': 'additional', 'affiliation': [ { 'name': 'Department of Neurodegeneration Diagnostics, Medical University ' 'of Bialystok, Waszyngtona 15A St., 15-269 Bialystok, Poland'}]}, { 'ORCID': 'http://orcid.org/0000-0002-4075-8479', 'authenticated-orcid': False, 'given': 'Barbara', 'family': 'Mroczko', 'sequence': 'additional', 'affiliation': [ { 'name': 'Department of Biochemical Diagnostics, Medical University of ' 'Bialystok, Waszyngtona 15A St., 15-269 Bialystok, Poland'}, { 'name': 'Department of Neurodegeneration Diagnostics, Medical University ' 'of Bialystok, Waszyngtona 15A St., 15-269 Bialystok, Poland'}]}], 'member': '1968', 'published-online': {'date-parts': [[2024, 8, 9]]}, 'reference': [ { 'key': 'ref_1', 'doi-asserted-by': 'crossref', 'first-page': '181', 'DOI': '10.1038/s41579-018-0118-9', 'article-title': 'Origin and evolution of pathogenic coronaviruses', 'volume': '17', 'author': 'Cui', 'year': '2019', 'journal-title': 'Nat. 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