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 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
Feb 5
Brain Fog after COVID-19: What’s driving it?

➡️ New review highlights that persistent cognitive symptoms in COVID survivors are strongly linked to pro-inflammatory cytokines and blood–brain barrier (BBB) dysfunction.

➡️ Key culprits include IL-6, TNF-α, IL-1β, IL-8, IL-13 and MCP-1 — many remain elevated months after infection.

🔥 COVID-19 is not just a respiratory disease.

➡️ Evidence suggests cognitive impairment can occur due to:

• Systemic inflammation
• Neuroinflammation
• Microvascular injury
• Persistent immune activation
• BBB disruption

➡️ These mechanisms may explain prolonged attention, memory & executive dysfunction. 1/Image
Cytokine signature of cognitive impairment in #LongCOVID:

🔹 Acute phase → IL-6, IL-1β, CXCL10 rise
🔹 Post-acute → Persistent IL-6, TNF-α, MCP-1
🔹 Long phase (>6 months) → IL-6, IL-13, IL-8 linked with “brain fog”

Inflammation clearly outlives the infection.

➡️ Blood–brain barrier disruption appears central in post-COVID cognitive decline.

Markers suggesting BBB injury:
• GFAP
• Neurofilament light chain
• MMP-9
• S100β

➡️ BBB leakage may persist in patients with cognitive symptoms even >1 year. 2/Image
Blood–brain barrier disruption appears central in post-COVID cognitive decline.

➡️ Markers suggesting BBB injury:
• GFAP
• Neurofilament light chain
• MMP-9
• S100β

➡️ BBB leakage may persist in patients with cognitive symptoms even >1 year.

Post-COVID cognitive deficits often affect:

✔ Attention
✔ Working memory
✔ Executive function
✔ Processing speed

➡️ Deficits may start as inflammatory-driven dysfunction but can evolve into persistent neuronal/glial injury.

Early cognitive rehabilitation may be crucial. 3/Image
Read 4 tweets
Jan 24
Post-COVID fatigue isn’t just subjective.
Using advanced MRI, researchers found real changes in brain blood flow and oxygen metabolism in people with Post-COVID-19 Syndrome (PCS) after mild infection.

➡️ Key finding:

PCS patients showed increased oxygen metabolism in the hippocampus (memory hub) but reduced metabolism in the anterior cingulate cortex (ACC) — despite no visible brain atrophy. 1/Image
Why this matters:

➡️ Higher hippocampal metabolism was linked to better cognitive performance, suggesting a compensatory response to maintain thinking and memory in PCS. 2/ Image
In contrast, lower anterior cingulate cortex (ACC) metabolism correlated with:

• depressive symptoms
• reduced motivation
• higher inflammatory & glial markers (TNF-α, GFAP)
➡️ pointing to immune-driven neurovascular uncoupling. 3/ Image
Image
Read 4 tweets
Jan 22
Why do some people feel exhausted long after COVID-19?

➡️ New brain-imaging research shows that even after mild COVID, people with persistent fatigue can have subtle but real changes in brain structure.

➡️ These changes are not large or widespread, but tend to appear in connected brain networks, especially areas involved in attention, decision-making, and sensory processing. 1/Image
Image
Importantly, the brain regions affected overlap with areas that naturally express TMPRSS2, a protein that helps SARS-CoV-2 enter cells — suggesting certain brain circuits may be more vulnerable to the virus. 2/ Image
The study also links these changes to brain chemical systems involved in mood, energy, and cognition (serotonin, acetylcholine, glutamate, and cannabinoids). 3/ Image
Read 4 tweets
Jan 19
COVID-19 doesn’t just affect the lungs — it can disrupt how cells produce energy. New research shows that COVID-19 alters the genetic “switches” that control mitochondria, the structures that power our cells. 1/ Image
By comparing people who died from severe COVID-19, those who recovered, and healthy individuals, researchers found lasting changes in how mitochondrial genes are regulated. These changes were most prominent in genes involved in energy production and metabolism. 2/ Image
Importantly, people with COVID-19 showed abnormally high levels of proteins that control mitochondrial structure and stress responses, suggesting long-term damage to the cell’s energy system. 3/ Image
Read 5 tweets

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