Vipin M. Vashishtha Profile picture
Jan 31, 2025 12 tweets 4 min read Read on X
Researchers found a link between COVID-19 & blood markers linked to faulty proteins in the brain. They found people who had previously had COVID-19 were more likely to have increased levels of biomarkers linked to faulty amyloid proteins—a hallmark for Alzheimer's disease. 1/ Image
On average, the effects were comparable to 4 years of aging with the greatest effects seen in those hospitalized with severe COVID-19 or with underlying risk factors for dementia such as smoking or high blood pressure. 2/ Image
The findings suggest that mild or moderate COVID may accelerate biological processes that contribute to buildup of disease-promoting amyloid in brain. This raises possibility that COVID-19 might contribute to an increase in later risks of developing Alzheimer's disease. 3/ Image
These findings suggest COVID-19 may drive changes which contribute to neurodegenerative disease. This may be due to the inflammation triggered by the disease, although how this inflammation might impact the brain and changes to amyloid is not yet fully clear. 4/ Image
However, the researchers can’t say that catching the SARS-CoV-2 virus directly causes these changes, or if it does, by how much a single episode of infection increases someone's risk. 5/
But these findings do suggest that COVID-19 may increase the risk of Alzheimer's in the future—as has been suggested in the past for other kinds of infections—especially among people with pre-existing risk factors. 6/ Image
Amyloid is a common protein with a range of functions in the body. But the buildup of an abnormal form of the protein, called beta amyloid (Aβ), is a key component of many diseases. 7/ Image
Aβ forms the characteristic clumps seen in the brains of patients with Alzheimer's disease, which are thought to cause damage to the neurons in the brain, leading to changes in cognition and behavior. 8/ Image
In this study, the researchers found SARS-CoV-2 infection was associated w/ changes in several blood proteins previously linked to brain Aβ pathology. The magnitude of changes was similar to that associated w/ a well-known genetic risk factor for AD, a genetic variant: APOE4 9/ Image
Greater changes found in older participants & those hospitalized with COVID-19-19 or had a history of hypertension. These correlated with poorer cognitive test scores & measures of overall health as well as changes in brain imaging patterns associated w/neurodegeneration 10/ Image
More studies now are needed to prove any causal links. Ultimately, the more we know about factors that contribute to dementia risk—whether they are directly under our control, like lifestyle or diet, or modifiable by vaccines or early treatment for infectious diseases. 11/11 Image
Here is the link to the study👇

nature.com/articles/s4159…

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More from @vipintukur

Feb 22
Scientists have identified a possible new cause of chronic constipation — called “bacterial constipation.”

➡️ Certain gut bacteria can damage the mucus layer in the colon, making stool dry and hard to pass.

➡️ The researchers found that two bacteria work together to cause this problem:

• Akkermansia muciniphila
• Bacteroides thetaiotaomicron

➡️ They break down intestinal mucus that normally keeps stool moist and easy to pass. 1/Image
This discovery may explain why some people with chronic constipation do not respond to usual treatments.

➡️ The problem may not always be slow bowel movement — it could be changes in gut bacteria. 2/ Image
Researchers also found higher levels of these mucus-destroying bacteria in Parkinson’s disease patients, who often have long-standing constipation.

➡️ Gut bacteria may play a role in symptoms previously blamed only on nerve damage. 3/ Image
Read 4 tweets
Feb 18
New study links #LongCOVID symptoms with mitochondrial dysfunction.

➡️ Patients with PASC had lower levels of circulating mitochondrial DNA and poorer cognitive performance than recovered controls. 1/ Image
Key findings in 228 adults:

• LongCOVID group showed worse cognition
• Higher psychological distress
• More inflammation
• Lower circulating mitochondrial DNA levels

➡️ Suggests energy-production problems may underlie symptoms. 2/ Image
Researchers found:

-Better cognitive function was linked to higher mitochondrial DNA levels in the blood.

-Higher inflammation markers were linked to lower mitochondrial DNA. 3/ Image
Read 5 tweets
Feb 17
A small brain-imaging study found that people with #LongCOVID showed slower thinking and reaction times during a cognitive task.

➡️ Advanced MRI scans revealed changes in how important brain networks communicate with each other, especially those involved in attention, language, and decision-making. 1/Image
Researchers found altered connectivity in key brain networks:

• Salience network
• Language network
• Central executive network
• Sensorimotor and visual networks

➡️ These systems are essential for attention, decision-making, and task control. 2/ Image
The most prominent deficits were seen in the salience network, which helps the brain detect and respond to important stimuli.

➡️ Connectivity problems in this network were more severe with longer illness duration. 3/ Image
Read 5 tweets
Feb 16
New systematic review finds that COVID-19 can be followed by serious liver and bile-duct diseases.

➡️ Some patients developed conditions like hepatitis, cholangitis, and gallbladder inflammation after infection.

➡️ The review analyzed 23 studies and found a wide range of post-COVID liver problems, including:

• Acute hepatitis
• Cholestasis
• Autoimmune liver disease
• Gallbladder disorders. 1/Image
The most common serious complication was post-COVID bile-duct disease (cholangitis or cholangiopathy).

➡️ In some studies, COVID patients were about twice as likely to develop cholangitis compared with controls. 2/ Image
Many affected patients had severe COVID-19, and outcomes could be serious:

• Some developed major complications
• Some required liver transplantation
• Deaths were reported in severe cases

➡️ Possible reasons for liver and bile-duct injury after COVID-19 include:

• Direct viral damage
• Inflammation and immune effects
• Low oxygen levels in severe illness
• Blood-clot–related injury. 3/Image
Read 4 tweets
Feb 10
🔥 New research shows that sleep disturbance directly harms intestinal stem cells.

➡️ Acute sleep deprivation impaired stem-cell function in the gut, disrupting normal tissue renewal.

👉 Mechanism uncovered:

➡️ Sleep loss triggered aberrant vagus-nerve signaling from brain to gut, leading to intestinal stem-cell dysfunction.

➡️ This disrupted the gut’s ability to repair itself. 1/Image
Key cellular changes after sleep deprivation:

• Shortened crypt-villus architecture
• Loss of Paneth cells
• Impaired intestinal stem-cell activity

All critical for maintaining gut health. 2/ Image
👉 Important implication:

➡️ Sleep disorders may contribute to chronic gastrointestinal diseases by altering brain-to-gut neural signaling and stem-cell function.

⚠️ Sleep is not just rest—it is essential for tissue regeneration. 3/ Image
Read 5 tweets
Feb 6
New study suggests #LongCOVID may involve disrupted cortisol rhythms, not just inflammation.

Patients showed:
• Reduced morning cortisol
• Elevated evening levels
• Flattened daily cortisol cycle

➡️ Indicating hypothalamic–pituitary–adrenal (HPA) axis dysfunction. 1/ Image
Prospective study of post-COVID patients:

➡️ Compared with healthy controls,
✔ Long COVID patients had blunted morning cortisol peaks
✔ Higher evening cortisol
✔ Loss of normal circadian pattern

Blood cortisol alone failed to detect these changes. 2/ Image
Key insight:

➡️ Salivary cortisol profiling may be a more sensitive marker of stress-system dysfunction in LongCOVID than standard blood tests.

➡️ HPA axis disruption could underlie:
• Fatigue
• Brain fog
• Sleep disturbance
• Dysautonomia. 3/ Image
Read 5 tweets

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