DiscoverMedNews

news and major stories from evidence-based medical research and published peer-reviewed medical studies

Post-COVID Condition & Post-COVID vaccination syndrome

Multispecialty Page

Acute COVID-19

Education Page

Most Read

From the Education Page

You can download a free book at the Education Page

New Insights into Endometrial Cancer, MDPI, Basel, 2022

Diverse functions of mucosal resident memory T cells. Frontiers in Immunology, 2015.

Textbook of Plastic and Reconstructive Surgery, University College London, 2016

Selected Topics

(scroll for more content)

 Post-COVID Condition/ Post-COVID Vaccination Syndrome & Cardiac Sequelae

A Korean nationwide study conducted on more than 44 million vaccinated individuals found that the incidence of myocarditis associated with COVID vaccination was highest in males aged 12 to 17 years, and the most serious adverse effect was sudden cardiac death

The authors concluded that the findings of sudden cardiac deaths attributable to COVID vaccine-related myocarditis warrant the careful monitoring or warning of sudden cardiac death as a potentially fatal complication of COVID-19 vaccination, especially in individuals younger than 45 years of age who received the mRNA vaccines.

SARS-CoV-2 S1 protein activates human cardiac fibroblasts by priming NLRP3 inflammasomes through NF-κB signaling in an ACE2-dependent way and promotes cardiac fibrosis

The S1 protein activates human CFs by priming NLRP3 inflammasomes through NF-κB signaling in an ACE2-dependent way.

The mRNA-1273 and BNT162b2 COVID-19 vaccines induce different cardiotoxic effects and dysfunction in isolated rat left ventricular cardiomyocytes

This study showed for the first time that mRNA-1273 and BNT162b2 COVID-19 vaccines induced cardiotoxic effects with disturbances of normal contractile function in rat cardiomyocytes. The effects of vaccines differed fundamentally in their pathophysiological mechanisms.

Higher 18F-FDG uptake was detected in the myocardium, axilla, liver, and spleen of asymptomatic vaccinated individuals up to 6 months after the second mRNA COVID-19 vaccination (PET/CT study)

Individuals who were asymptomatic and underwent PET/CT within a period of 180 days following their second vaccination had increased 18Fluorine-fluorodeoxyglucose uptake in the myocardium, axilla, liver, and spleen as compared to unvaccinated individuals.

The VAERS reporting rates of myocarditis/pericarditis after mRNA COVID-19 vaccination demonstrate a higher reporting rate mainly after the second dose, particularly among young males

In this retrospective pharmacovigilance study of safety signals associated with myocarditis/pericarditis after the primary and up to three booster doses of mRNA COVID-19 vaccines, the second dose of the vaccines showed the strongest signal in vaccinated individuals under 25 years old.

Cardiac MRI showed signs of non-ischemic myocardial fibrosis in a significant portion of the cohort diagnosed with long COVID syndrome (30%)

30% of patients diagnosed with long COVID syndrome had cardiac MRI signs of non-ischemic fibrosis, exceeding the prevalence of this disease in the normal adult population.

Myocardial inflammation and edema have been found in a small proportion of patients diagnosed with acute myocarditis within 14 days of mRNA COVID-19 vaccination (PET and MRI study)

PET and MRI visualization of myocardial tissue has shown localized myocardial inflammation and edema in a small proportion of patients with symptomatic myocarditis approximately two months after COVID-19 vaccination. 

Patients with acute COVID-19 and convalescents who recovered after severe COVID-19 were found to have elevated levels of anti-desmoglein 2 autoantibodies

The results showed the possible association between anti-Dsg2 autoantibodies and post-COVID-19 cardiac sequelae. 

Post-COVID Condition/ Post-COVID-Vaccination Syndrome & Brain Structural and Functional Changes

Quantitative susceptibility mapping revealed microstructural abnormalities in several medullary clusters associated with respiratory function and body homeostasis in COVID-19 survivors over months after hospitalization

Non-invasive ultra-high-field 7 T QSM showed imaging evidence of pathophysiological changes and microstructural abnormalities in the brainstem over months after COVID-19 hospitalization.

Neurometabolite concentrations show neuronal injury and glial dysfunction in the frontal brain regions of patients with neuropsychiatric symptoms of long COVID (proton MR spectroscopy study)

Brain proton MR spectroscopy demonstrated decreased tNAA and Glu/Gln levels, increased Cho and tCr levels, and altered MI levels (decreased or increased depending on the severity of acute COVID-19) in the frontal brain regions of long COVID patients with neuropsychiatric symptoms.

Cognitive dysfunction is associated with changes in the brain functional connectivity in individuals with neuro-post-COVID syndrome

These findings demonstrate characteristics and changes of the complex network known as brain functional connectome in individuals with primarily neurological symptoms of post-COVID syndrome.

Transcranial magnetic stimulation demonstrated abnormal GABAergic and glutamatergic regulation of the motor cortex excitability in individuals with post-COVID syndrome and cognitive deterioration

Patients diagnosed with long COVID syndrome and cognitive deterioration had significantly reduced long-interval intracortical inhibition that depends on slow inhibitory post-synaptic potentials mediated through GABA receptors and an abnormal pattern of intracortical facilitation, which is associated with glutamatergic excitatory signaling.

Individuals with neuropsychiatric symptoms of post-acute COVID syndrome have abnormal brain activation during working memory tasks and performed worse in the domains of endurance, locomotion, and the manual dexterity of the dominant hand (BOLD-fMRI study)

The first task-activated BOLD-fMRI study conducted in individuals diagnosed with post-COVID neuropsychiatric symptoms discovered a different brain activity and reorganized working memory network in post-COVID participants.

SARS-CoV-2 & Reactivation of Latent Viruses

Increased circulating levels of HERV-W envelope proteins and proinflammatory cytokines in SARS-CoV-2-positive patients hospitalized for psychosis spectrum disorders

This study demonstrated increased expression of HERV-W ENV proteins and proinflammatory cytokines only in hospitalized patients with psychosis spectrum disorders who were positive for SARS-CoV-2, suggesting a strong link between HERV-W activation, cytokine expression and SARS-CoV-2 infection.

Circulating HERV-W envelope proteins and elevated levels of anti-SARS-CoV-2 IgE antibodies were detected in patients with post-COVID syndrome one year after the acute infection

HERV-W ENV protein was expressed in 58% of plasma samples of post-COVID patients, long after the acute SARS-CoV-2 infection was resolved .75% of post-COVID patients had elevated levels of anti-S and anti-N IgE antibodies compared to pre-pandemic controls.

SARS-CoV-2 & The Feto-Placental Pathology

Highly expressed markers of vascular impairment and autophagy are co-localized with SARS-CoV-2 spike protein in placenta samples of unvaccinated women positive for SARS-CoV-2

Increased expression of VEGF and the endothelial cell marker CD34 indicates alterations, disarrangements, or remodeling of normal vasculature, associated with vascular endothelial injury and endothelitis.

Neurodevelopmental disorders and microcephaly after in utero SARS-CoV-2 exposure (case reports)

Clinical findings, placental pathology, and immunohistochemical analysis strongly suggest that second-trimester maternal SARS-CoV-2 infection and placentitis triggered an inflammatory response in the fetoplacental unit that affected the fetal brain.

Maternal-fetal transmission of SARS-CoV-2, viral tropism for various fetal brain cells, and a concerning degree of brain gliosis were observed in the brains of in utero-infected mouse fetuses

The results showed significant level of maternal-fetal transmission of delta variant SARS-CoV-2 in later stages of mice pregnancy, and viral tropism for various fetal brain cells, like endothelial cells of blood vessels, barrier cells of the choroid plexus, neurons, and glial cells.

The SARS-CoV-2 proteins were found in the fetal brain cortical hemorrhages during early gestation

This study reported the presence of SARS-CoV-2 in fetal brain tissue, associated with cortical hemorrhages, and linked to reduced blood vessel integrity and monocyte infiltration of the hemorrhagic cortex. SARS-COV-2 antigens were also detected in the placenta, amnion, and umbilical cord during early gestation (the first and second trimesters of pregnancy).

Severe vascular remodeling (including severe thickening and fibrosis of the vessel walls, smooth muscle cell proliferation, and vessel lumen occlusion) was found in the placental arteries of women infected with SARS-CoV-2 during pregnancy

The results show severe vascular remodeling of placental arteries, including severe thickening of the vessel walls and the occlusion of the vessel lumen, in women with COVID-19 during pregnancy.

Stool samples from newborns, born to mothers infected with SARS-CoV-2 during pregnancy, contained SARS-CoV-2 RNA and S protein at delivery, indicating in utero viral transmission to the fetal intestine

The mechanism of in utero transmission to the fetal intestine remains unclear. Since viral RNA was detected in the placenta and amniotic fluid, this might be the pathway of viral transmission.

Sex/Gender Medicine

The study of first-onset psychiatric disorders in a large sample size of more than 120,000 women showed that the perimenopause is a period of increased risk of first-onset major depressive disorder and mania

The results showed that the perimenopause (2 years prior and 2 years after the final menstrual period) is a period of increased risk of first-onset major depressive disorder and mania.

Differences in gene transcriptomics in peripheral blood cells of vaccinated patients with post-COVID syndrome are sex-specific

Sex-specific differences in the transcriptome of peripheral blood cells in vaccinated patients with PACS indicate possible sex-specific differences in the pathophysiology of PACS.

A Korean nationwide study conducted on more than 44 million vaccinated individuals found that the incidence of myocarditis associated with COVID vaccination was highest in males aged 12 to 17 years, and the most serious adverse effect was sudden cardiac death

The authors concluded that the findings of sudden cardiac deaths attributable to COVID vaccine-related myocarditis warrant the careful monitoring or warning of sudden cardiac death as a potentially fatal complication of COVID-19 vaccination, especially in individuals younger than 45 years of age who received the mRNA vaccines.

Sex-specific proteomic profiles of patients with heart failure and reduced ejection fraction

Circulating proteins associated with extracellular matrix organization were overrepresented in women, while those reflecting apoptotic processes were overrepresented in men. The predictive value of circulating proteins measured repeatedly did not differ between sexes, except for endothelin-1 and somatostatin.

Neuroplasticity of the maternal brain during pregnancy and postpartum

The specific changes in physiology and neuroplasticity in the maternal brain during pregnancy prepare the mother for the challenges of motherhood and contribute to the survival of the offspring.

Hypotestosteronemia in COVID-19 or post COVID syndrome could be of hypothalamic origin

A persistent hypotestosteronemia in certain patients with COVID-19 or long COVID syndrome could be of hypothalamic origin due to impaired GnRH function, or hypogonadotropic hypogonadism.

HERV expression in pregnant women with multiple sclerosis is reduced compared to healthy pregnant women

The expression of HERVs in pregnant women with MS was reduced compared to healthy pregnant women.

The VAERS reporting rates of myocarditis/pericarditis after mRNA COVID-19 vaccination demonstrate a higher reporting rate mainly after the second dose, particularly among young males

In this retrospective pharmacovigilance study of safety signals associated with myocarditis/pericarditis after the primary and up to three booster doses of mRNA COVID-19 vaccines, the second dose of the vaccines showed the strongest signal in vaccinated individuals under 25 years old.

Sex-specific association between depressive symptoms and specific forms of childhood trauma in patients with recent-onset schizophrenia spectrum disorders

This study revealed a gender-specific association between depressive symptoms and specific forms of childhood trauma in patients with recent-onset schizophrenia spectrum disorders. In women, the severity of depressive symptoms was associated with childhood sexual abuse, which was three times as often as in men.

Sex-specific association between ultra-processed foods and the increased risk of colorectal cancer

This study found a positive association between the overall consumption of ultra-processed foods and the increased risk of colorectal cancer in men. The association was limited to distal colon cancer.

Plasma and tear fluid concentrations of calcitonin gene-related peptide are related to the endogenous sex hormone levels during the menstrual cycle phases in women suffering from episodic migraine

The increased CGRP release from the trigeminal-vascular system during menstruation could explain the biological predisposition to more frequent, severe, and prolonged migraine attacks during this period

Sex-specific differences in functional brain connectivity are present in utero

Sex-specific differences in brain functional connectivity are present in utero in a way that is consistent and reliable enough to be highly identifiable.

Female college athletes are more likely to have a longer recovery after a sport-related brain concussion

Participants who experienced slow recovery after sport-related brain concussion were more likely to be women and have more symptoms immediately after injury.

Nutrition: The Mediterranean diet and olive oil

Consumption of olive oil reduces the risk of dementia-related mortality

This study, conducted in two large US prospective cohorts, found that the risk of dementia-related mortality was 28% lower in participants who consumed more than 7 grams per day of olive oil than in participants who never or rarely consumed olive oil.

The Mediterranean diet changed the gut microbiome and decreased the fecal calprotectin concentration in patients in remission of ulcerative colitis

In patients with remission of ulcerative colitis, the Mediterranean diet, compared to the habitual diet, induced changes in the gut microbiome, reduced fecal calprotectin concentrations, and increased fecal short-chain fatty acid levels.

The Mediterranean and low-fat diets reduce the risk of all cause mortality and non-fatal myocardial infarction in patients at increased risk of cardiovascular diseases

This network meta-analysis determined the relative efficacy of structured diet and health behavior programs (dietary programs) for preventing mortality and major cardiovascular events in patients at increased risk of cardiovascular diseases. 

The Mediterranean diet is associated with a lower risk for all-cause dementia

Participants with the highest adherence to the Mediterranean diet had a 23% lower risk to develop dementia than those with the lowest level of adherence.