Zdenek Vrozina Profile picture
Oct 22 18 tweets 3 min read Read on X
A new study strengthens the view that SARS-CoV-2:
disrupts brain homeostasis,
alters ionic & neurotransmitter balance,
and triggers lasting epigenetic reprogramming.
Researchers exposed human primary astrocytes to Delta and Omicron.
The results are striking🧵
Astrocytes were infected with Delta and Omicron at a very low viral load (MOI 0.2).
After just 6 hours, RNA-seq revealed major transcriptional shifts
Omicron deregulated 346 genes (197 ↑, 149 ↓)
Delta deregulated 341 (215 ↑, 126 ↓)
About half of the changes overlapped.
Even minimal exposure triggered broad molecular changes within hours.
Viral sensing and immune response.
Astrocytes primarily activated TLR2, but not RIG-I or NLRP3 - meaning they sensed the virus without launching a full antiviral storm.
Only 16 genes involved in interferon and interleukin signaling were affected.
This represents a low-grade immune activation, not an acute inflammation. It’s exactly the kind of chronic, silent neuroinflammation seen in long COVID.
Neurotransmitters - the brain’s language disrupted.
The infection rewired how astrocytes handle major neurotransmitters:
Glutamate
↓ EAAT1 (SLC1A3) & EAAT2 (SLC1A2) - impaired glutamate uptake - excitotoxicity risk.
↑ mGluR5 (GRM5) - linked to anxiety, depression, and suicidal behavior.
Too much glutamate = neuronal overactivation, sleep disruption, cognitive overload.
GABA
↓ GABRB2, ↑ GABRG3 - loss of inhibitory control.
The brain loses its brake.
Purinergic (ATP) signaling
↓ P2RY1, P2RY6, P2RY11; ↑ ENTPD2 - disrupted energy & sleep regulation.
The brain’s timekeeping and energy balance start to fall apart.
Neurotrophic factors - a protective overreaction.
Astrocytes increased BDNF, NT-4, GDNF, and TrkC (NTRK3) - an attempt to protect and remodel neurons.
But over time, this may lead to maladaptive rewiring rather than repair.
Meanwhile, NRTN (a motor neuron protector) dropped - reducing resilience.
The BBB - the vascular barrier also shifted.
↑ EDN1 (endothelin-1) - promotes vascular permeability.
Tight junction proteins changed unevenly - CLDN16 rose, but CLDN3, 7, 15 fell.
The BBB doesn’t simply open - it becomes patchy and unstable, allowing microscopic leaks and immune infiltration.
Non-coding RNAs - the epigenetic fingerprint.
Astrocytes dramatically altered regulatory RNAs
↓ BDNF-AS - transient rise in BDNF, but disrupted long-term control.
↓ MALAT1 & NEAT1 (especially in Omicron sic) - loss of neuroprotective tone, weaker BBB integrity.
These are epigenetic changes - durable shifts in how the cell reads its genome.
They may underlie the persistent cognitive and neurological symptoms of long COVID.
Delta vs Omicron - two paths, same destination
Delta acted more aggressively, with stronger cytokine signaling and deeper glutamate imbalance.
Omicron was quieter, but it rewired regulatory layers - especially noncoding RNAs like MALAT1 and NEAT1.
In short.
Delta burns fast (acute dysfunction),
Omicron programs slow (lasting dysregulation).
Both impair astrocyte health - and with it, the brain’s ability to keep itself in balance.
Sum:
SARS-CoV-2 reprograms the brain - quietly but deeply.
Disrupting homeostasis
Distorting neurotransmission
Rewriting epigenetic control
These are measurable, biological changes - not psychological aftereffects.
And they appear within hours of exposure.
Bhide et al., Comprehensive mapping of the signaling events evoked by SARS-CoV-2 variants Delta and Omicron in human astrocytes. nature.com/articles/s4159…
What emerges here are striking parallels to viruses known for long-term neuroimmune interference - HIV, EBV, CMV.
All manipulate host gene expression, silence antiviral responses, and reshape glial signaling to secure persistence within the nervous system.
SARS-CoV-2 now shows the same pattern:
low-grade inflammation, altered cytokine balance, disruption of neurotransmitter circuits, and epigenetic reprogramming of astrocytes.
The difference is scale and timing -
what those viruses evolved over millennia to sustain chronically, SARS-CoV-2 is already beginning to reproduce through its post-acute effects.
It doesn’t just set the stage for chronicity.
It’s demonstrating it, biologically and clinically.
It doesn’t merely trigger inflammation.
It shows a long-term shift toward neuroimmune exhaustion.

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More from @ZdenekVrozina

Oct 23
A new preprint from Aarhus University shows something striking:
people with post-COVID, MCS, and functional disorders all share the same brain pattern -
split hemispheres, weakened bridges between left and right (!),
overloaded smell and sensory circuits🧵
The study scanned 57 women (post-COVID, MCS, FSD, controls) using diffusion MRI (DTI).
It didn’t measure brain activity, but rather its wiring - the white-matter highways that carry information between regions.
Result.
Interhemispheric connectivity - the bridge between left and right hemispheres - was reduced by 70% in all three patient groups.
That means information flow across the brain is slower, less coordinated, and less efficient.
Read 19 tweets
Oct 22
Even though Omicron often causes milder illness, it leaves a clear metabolic footprint disrupting liver, immune, and energy metabolism.
A new study shows that even 2-4 weeks after recovery, the body does not return to normal metabolic state🧵
Researchers analyzed blood serum from 300 Omicron patients, 200 recovered, and 380 healthy controls.
Using LC-MS metabolomics, they tracked hundreds of molecules revealing how the infection affects the liver, mitochondria, and immune system.
Over 100 metabolites were significantly altered during infection - that’s expected in any acute illness.
What’s not expected?
Most of these changes did not return to normal even after clinical recovery.
Read 13 tweets
Oct 21
For the first time ever, a human body was instructed to make lab-designed antibodies against SARS-CoV-2 - by itself - from synthetic DNA.
One shot.
No virus.
Protection lasting over a year.🧵
A new Nature Medicine study tested something called DNA-encoded monoclonal antibodies (DMAbs).
Instead of injecting ready made antibodies, scientists injected synthetic DNA that tells your cells how to make them.
Your muscle becomes a mini factory for antibodies.
The DNA carried blueprints for tixagevimab and cilgavimab - the antibodies used in Evusheld.
It was delivered intramuscularly, with short electric pulses (electroporation) that help DNA enter cells.
Read 11 tweets
Oct 20
SARS-CoV-2 is not just a respiratory virus. It acts more like an epigenetic manipulator - a virus that rewires how our genes are read and expressed. A new study shows how the virus edits the body’s epigenetic code🧵
Instead of simply damaging cells, it reprograms the host’s immune system, changing the molecular instructions that guide how the body responds to infection.
This is why COVID-19 can leave such a deep biological footprint. The virus doesn’t have to remain active to keep affecting you - it can alter the settings of your immune and metabolic genes in ways that persist long after recovery.
Read 22 tweets
Oct 18
Smell loss after COVID isn’t just a sensory symptom.
It’s a window into how the virus reshapes the emotional brain.
New imaging data reveal microstructural changes in the amygdala - linking smell, mood, and neuroplastic stress🧵
A new MRI study found structural changes in the amygdala - the brain’s emotional hub - in people with long term smell loss after COVID-19.
This goes far beyond the nose.
Loss of smell after COVID isn’t just damage to nasal cells.
In some people it persists for months or years - and the brain adapts.
Researchers used diffusion tensor MRI (DTI) to examine microstructural white-matter changes in key olfactory–emotional regions.
Read 16 tweets
Oct 17
A possible new diagnostic approach to Long COVID.
Long COVID may involve microcirculatory blockages - tiny, persistent clots known as fibrinaloid microclots.
These abnormal fibrin structures resist breakdown and can obstruct blood flow in the smallest vessels.🧵
The result - local hypoxia, fatigue, muscle weakness, brain fog - classic long COVID symptoms.
Even a slight obstruction means tissues aren’t getting enough oxygen.
A new preprint study by Kell & Pretorius proposes a non-invasive diagnostic tool -
thermal imaging (IR thermography) - using skin temperature patterns to visualize microcirculatory dysfunction.
Read 11 tweets

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