Inside View 33.2 2024 Inside View 33.2 2024 | Page 5

Issue 33.2
The COVID-CNS study analyzed samples from over 800 patients hospitalized with COVID-19 from across England and Wales , half of whom with new neurological conditions . Here researchers measured brain injury markers , serum inflammatory proteins ( cytokines ), antibodies , and brain ( neuroglial ) injury proteins .
The analysis of these shows that during the acute phase ( when symptoms are developing quickly ) there is production of key inflammatory proteins and brain injury markers , but surprisingly ongoing robust biomarker evidence of brain ( neuroglial ) injury in COVID-19 even months after discharge from hospital .
Crucially this was more prominent in patients with neurological dysfunction in the acute phase of the illness and continued in the recovery phase in patients who had suffered acute neurological complications .
The inflammatory markers are associated with abnormal immune responses in the acute phase of the disease , and the researchers suggest that these may represent targets for therapy for COVID-19 and other infections that cause acute brain dysfunction .
“ Our study shows that markers of brain injury are present in the blood months after COVID- 19 , and particularly in those who have had a COVID-19- induced brain complication ( e . g ., inflammation , or stroke ), despite resolution of the inflammatory response in the blood . This suggests the possibility of ongoing inflammation and injury inside the brain itself which may not be detected by blood tests for inflammation ,” Professor Michael said .
Head of the Department of Clinical Infection , Microbiology & Immunology , Professor Aras Kadioglu , said , “ Liverpool has been at the forefront of research
throughout the pandemic and this important new study has identified ongoing brain injury markers in those who developed neurological complications during COVID-19 , even months after they had been discharged from hospital .”
“ The Liverpool team led by Professor Benedict Michael and colleagues is now working to understand what this means for cognitive function , independence and recovery in those affected .”
Professor Leonie Taams , from King ’ s College London , said , “ It was a great privilege to be part of this important cross-disciplinary research by the COVID-CNS consortium . By bringing together immunology , neurology and infection research , we were able to reveal a number of biomarkers that were associated with the neurological complications of COVID-19 . This work may help set the stage for elucidating the possible underlying mechanisms
of these complications .” g

Research suggests that markers associated with abnormal immune responses may represent targets for therapy for COVID-19 and other infections that cause acute brain dysfunction .

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