Tissues from the brains of kids living in Mexico City show features linked to Alzheimer's disease: amyloid-ß plaques, neuronal phosphorylated tau protein tangles & frontal pyramidal immunoreactivity of DNA-binding protein 1/
Furthermore, the city children, with no other risk factors for brain disorders, performed comparatively poorly on cognitive tasks. 2/
It’s well established that air pollution, in the form of particulate matter, ozone or other toxic gases, contributes to asthma, lung cancer and other respiratory illnesses, and that particulate matter especially contributes to heart disease. 3/
Studies have shown that higher levels of air pollution are correlated with increased risks of dementia, as well as higher rates of depression, anxiety & psychosis. Researchers found links to neurodevelopmental conditions, such as autism & cognitive deficits in children. 4/
Neuroimaging revealed that many more children living in the highly polluted city had lesions in the white-matter tracts that connect brain regions than did children in less-polluted areas, with the prefrontal cortex seeming particularly vulnerable. 5/
A recent 16-year study of >200,000 residents in Scotland found that higher cumulative nitrogen dioxide exposure was associated with increased hospital admissions for mental-health and behavioural disorders 6/
Meanwhile, studies in France, the United States and China have documented that in regions where air quality has improved, there are decreased rates of dementia, cognitive decline and depression in older populations. 7/
Few studies have also linked air pollution to structural changes in the brain, such as reduced hippocampal volume, that are consistent with heightened dementia risk in older adults. 8/
Mice exposed to ultrafine particles during development — including in the womb, from their mothers’ breathing — have enlarged white-matter tracts and brain ventricles. Mice exposed during development went on to exhibit greater impulsivity and short-term memory deficits. 9/
In older animals, air pollution seems to accelerate the deposition of the amyloid and tau proteins associated with Alzheimer’s disease. Other animal studies have found damage at the anatomical, cellular and molecular levels. 10/
Brain scans show areas of reduced cortical thickness (coloured regions) in children exposed to higher levels of traffic pollution during their first year of life. 11/
Although signs of damage vary from study to study, Caleb Finch, who researches ageing at the University of Southern California, says that there is one shared facet: “It’s an inflammatory response”. 12/
Studies show that the genes that mediate inflammatory responses are switched on;
messengers associated with inflammation become more abundant; there are signs of oxidative stress & microglial cells that sense damage & protect neurons are activated 13/13
SARS-CoV-2 spike protein may directly amplify brain inflammation.
➡️ Researchers found that spike proteins can colocalize with amyloid-β (Aβ) and trigger distinct inflammatory responses in microglia — the brain’s immune cells.
➡️ This raises important questions about potential long-term neurodegenerative consequences of COVID-19. 1/
Researchers developed advanced “expansion microscopy” techniques that physically enlarge human brain tissue, allowing scientists to see disease-related structures at near-nanoscale resolution using ordinary microscopes. 2/
Applying this method to brains from some COVID-19 patients revealed tiny amyloid-like protein clusters closely associated with SARS-CoV-2 particles in a small subset of cases, suggesting a possible link between COVID-19, neuroinflammation, and abnormal protein aggregation in the brain.
The study highlights how ultra-high-resolution imaging could uncover previously hidden mechanisms of neurological disease. 3/
👉 The lungs may remain biologically altered long after acute infection resolves. 1/
A new review highlights how persistent immune activation in LongCOVID may lead to:
• Fibrosis-like lung changes
• Endothelial dysfunction
• Microvascular injury
• Ongoing respiratory symptoms
COVID may end clinically—but not biologically.
#LongCOVID #Pulmonology 2/
LongCOVID respiratory sequelae may result from a “perfect storm” of:
COVID-19 may be, in part, a mitochondrial disease.
➡️ A Cambridge review shows SARS-CoV-2 disrupts mitochondrial function in lung cells—driving inflammation and worsening pneumonia.
➡️ Emerging studies suggest even after the active infection is resolved, residual viral proteins, particularly SARS-CoV-2 spike protein, may linger and continue to cause damage to the mitochondria by increasing oxidative stress and disrupting energy metabolism, offering a plausible mechanism for #LongCOVID. 1/
H/T: @CatchTheBaby
COVID-19 is not just viral—it’s metabolic.
SARS-CoV-2 hijacks mitochondria →
↓ Energy production
↑ Inflammatory signaling
A key pathway worsening lung injury. 2/
Mitochondria may link acute COVID → #LongCOVID.
Viral disruption of mitochondrial function can persist, sustaining oxidative stress and immune dysregulation even after infection. 3/
New study shows SARS-CoV-2 directly damages heart cell mitochondria—key energy engines—offering a mechanistic link to #LongCOVID cardiovascular symptoms. 1/
#LongCOVID may be a mitochondrial disease: electron microscopy reveals structural damage & myofilament breakdown in cardiomyocytes. 2/
Biopsies from LongCOVID patients confirm myocarditis with mitochondrial disruption—mirrored in infected animal models. Strong biological plausibility for persistent cardiac symptoms. 3/