Elevation of neural injury markers in patients with neurologic sequelae after hospitalization for SARS-CoV-2 infection.

Elevation of neural injury markers in patients with neurologic sequelae after hospitalization for SARS-CoV-2 infection.
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DOI:
10.1016/j.isci.2022.104833
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发表时间:
2022-08-19
期刊:
影响因子:
5.8
通讯作者:
Das, Saumya
Das, Saumya
中科院分区:
综合性期刊2区
文献类型:
--
作者:
Spanos, Michail;Shachar, Sigal;Sweeney, Thadryan;Lehmann, Immo;Gokulnath, Priyanka;Li, Guoping;Sigal, George B.;Nagaraj, Rajini;Bathala, Pradeepthi;Rana, Farhan;Shah, Ravi V.;Routenberg, David A.;Das, Saumya

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Patients with SARS-CoV-2 infection (COVID-19) risk developing long-term neurologic symptoms after infection. Here, we identify biomarkers associated with neurologic sequelae one year after hospitalization for SARS-CoV-2 infection. SARS-CoV-2-positive patients were followed using post-SARS-CoV-2 online questionnaires and virtual visits. Hospitalized adults from the pre-SARS-CoV-2 era served as historical controls. 40% of hospitalized patients develop neurological sequelae in the year after recovery from acute COVID-19 infection. Age, disease severity, and COVID-19 infection itself was associated with additional risk for neurological sequelae in our cohorts. Glial fibrillary astrocytic protein (GFAP) and neurofilament light chain (NF-L) were significantly elevated in SARS-CoV-2 infection. After adjusting for age, sex, and disease severity, GFAP and NF-L remained significantly associated with longer term neurological symptoms in patients with SARS-CoV-2 infection. GFAP and NF-L warrant exploration as biomarkers for long-term neurologic complications after SARS-CoV-2 infection. 40% of hospitalized patients with COVID-19 developed neurological sequelae after recovery Age, disease severity, and COVID-19 infection were associated with neurological sequelae GFAP and NF-L were significantly elevated in SARS-CoV-2 infection compared to controls GFAP and NF-L were elevated in patients with long-term neurological symptoms Immunology; Neuroscience
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