Long COVID pathophysiology: Difference between revisions

From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history
No edit summary
No edit summary
Line 4: Line 4:


=== Infection and immunity ===
=== Infection and immunity ===
A range of [[Antibody|antibodies]] have been found in patients with persistent post-acute COVID symptoms. Elevated G-protein coupled receptor autoantibodies have been found.<ref>{{Cite journal|date=2021-01-01|title=Functional autoantibodies against G-protein coupled receptors in patients with persistent Long-COVID-19 symptoms|url=https://www.sciencedirect.com/science/article/pii/S2589909021000204|journal=Journal of Translational Autoimmunity|language=en|volume=4|pages=100100|doi=10.1016/j.jtauto.2021.100100|issn=2589-9090}}</ref> One study founded elevated [[antinuclear antibody]] (ANA) titles in 43.6% of long COVID patients twelve months after symptom onset.<ref>{{Cite journal|last=Seeßle|first=Jessica|last2=Waterboer|first2=Tim|last3=Hippchen|first3=Theresa|last4=Simon|first4=Julia|last5=Kirchner|first5=Marietta|last6=Lim|first6=Adeline|last7=Müller|first7=Barbara|last8=Merle|first8=Uta|date=2021-07-05|title=Persistent symptoms in adult patients one year after COVID-19: a prospective cohort study|url=https://doi.org/10.1093/cid/ciab611|journal=Clinical Infectious Diseases|issue=ciab611|doi=10.1093/cid/ciab611|issn=1058-4838}}</ref>


=== Neurological and neuropsychiatric ===
=== Neurological and neuropsychiatric ===


=== Cardiovascular ===
=== Cardiovascular ===
=== Pulmonary ===


== Comparison to other conditions ==
== Comparison to other conditions ==
Line 26: Line 29:
=== Traumatic Brain Injury ===
=== Traumatic Brain Injury ===
{| class="wikitable"
{| class="wikitable"
!Findings
!Long COVID
!Long COVID
!Post-acute SARS
!Post-acute SARS
Line 32: Line 36:
!MCAS
!MCAS
|-
|-
|G-protein coupled receptor autoantibodies
|β2- and α1-adrenoceptors, angiotensin II AT1-, muscarinic M2-, MAS-, nociceptin- and ETA-receptors
|
|
|M3 and M4 [[Muscarinic acetylcholine receptor|muscarinic acetylcholine receptors]], as well as ß2 [[Adrenergic receptor|adrenergic receptors]]
|α1, β1 and β2 adrenergic receptor autoantibodies
|
|
|-
|
|
|
|
|
|-
|
|
|
|
|
|
|
|
|-
|
|
|-
|
|
|
|

Revision as of 14:29, August 11, 2021

Long COVIDlong tail covidPost-Acute Sequelae of COVID-19 (PASC)post-acute COVID-19 and ongoing COVID are terms used to describe a group of long term health problems that are found in a significant minority of people who developed COVID-19 and remain ill a number of weeks or months later.

Pathophysiology[edit | edit source]

Infection and immunity[edit | edit source]

A range of antibodies have been found in patients with persistent post-acute COVID symptoms. Elevated G-protein coupled receptor autoantibodies have been found.[1] One study founded elevated antinuclear antibody (ANA) titles in 43.6% of long COVID patients twelve months after symptom onset.[2]

Neurological and neuropsychiatric[edit | edit source]

Cardiovascular[edit | edit source]

Pulmonary[edit | edit source]

Comparison to other conditions[edit | edit source]

Post-acute SARS[edit | edit source]

ME/CFS[edit | edit source]

POTS[edit | edit source]

MCAS[edit | edit source]

Alzheimer’s[edit | edit source]

Traumatic Brain Injury[edit | edit source]

Findings Long COVID Post-acute SARS ME/CFS POTS MCAS
G-protein coupled receptor autoantibodies β2- and α1-adrenoceptors, angiotensin II AT1-, muscarinic M2-, MAS-, nociceptin- and ETA-receptors M3 and M4 muscarinic acetylcholine receptors, as well as ß2 adrenergic receptors α1, β1 and β2 adrenergic receptor autoantibodies

See also[edit | edit source]

Learn more[edit | edit source]

References[edit | edit source]

  1. "Functional autoantibodies against G-protein coupled receptors in patients with persistent Long-COVID-19 symptoms". Journal of Translational Autoimmunity. 4: 100100. January 1, 2021. doi:10.1016/j.jtauto.2021.100100. ISSN 2589-9090.
  2. Seeßle, Jessica; Waterboer, Tim; Hippchen, Theresa; Simon, Julia; Kirchner, Marietta; Lim, Adeline; Müller, Barbara; Merle, Uta (July 5, 2021). "Persistent symptoms in adult patients one year after COVID-19: a prospective cohort study". Clinical Infectious Diseases (ciab611). doi:10.1093/cid/ciab611. ISSN 1058-4838.