SARS-CoV-2 Invasion and Pathological Links to Prion Disease

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of the COVID-19 disease, is a highly infectious and transmissible viral pathogen that continues to impact human health globally. Nearly ~600 million people have been infected with SARS-CoV-2, and about half exhibit som...

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Main Authors: Walter J. Lukiw, Vivian R. Jaber, Aileen I. Pogue, Yuhai Zhao
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/12/9/1253
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author Walter J. Lukiw
Vivian R. Jaber
Aileen I. Pogue
Yuhai Zhao
author_facet Walter J. Lukiw
Vivian R. Jaber
Aileen I. Pogue
Yuhai Zhao
author_sort Walter J. Lukiw
collection DOAJ
description Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of the COVID-19 disease, is a highly infectious and transmissible viral pathogen that continues to impact human health globally. Nearly ~600 million people have been infected with SARS-CoV-2, and about half exhibit some degree of continuing health complication, generically referred to as <b><i>long COVID</i></b>. Lingering and often serious neurological problems for patients in the post-COVID-19 recovery period include <b><i>brain fog</i></b>, behavioral changes, confusion, delirium, deficits in intellect, cognition and memory issues, loss of balance and coordination, problems with vision, visual processing and hallucinations, encephalopathy, encephalitis, neurovascular or cerebrovascular insufficiency, and/or impaired consciousness. Depending upon the patient’s age at the onset of COVID-19 and other factors, up to ~35% of all elderly COVID-19 patients develop a mild-to-severe encephalopathy due to complications arising from a SARS-CoV-2-induced <b><i>cytokine storm</i></b> and a surge in cytokine-mediated pro-inflammatory and immune signaling. In fact, this <b><i>cytokine storm syndrome:</i></b> <b>(i)</b> appears to predispose aged COVID-19 patients to the development of other neurological complications, especially those who have experienced a more serious grade of COVID-19 infection; <b>(ii)</b> lies along highly interactive and pathological pathways involving SARS-CoV-2 infection that promotes the parallel development and/or intensification of progressive and often lethal neurological conditions, and <b>(iii)</b> is strongly associated with the symptomology, onset, and development of human prion disease (PrD) and other insidious and incurable neurological syndromes. This commentary paper will evaluate some recent peer-reviewed studies in this intriguing area of human SARS-CoV-2-associated neuropathology and will assess how chronic, viral-mediated changes to the brain and CNS contribute to cognitive decline in PrD and other progressive, age-related neurodegenerative disorders.
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spelling doaj.art-46ae6c25cdda49b49494318b5a9b7aa52023-11-23T15:15:31ZengMDPI AGBiomolecules2218-273X2022-09-01129125310.3390/biom12091253SARS-CoV-2 Invasion and Pathological Links to Prion DiseaseWalter J. Lukiw0Vivian R. Jaber1Aileen I. Pogue2Yuhai Zhao3LSU Neuroscience Center, Louisiana State University Health Science Center, New Orleans, LA 70112, USALSU Neuroscience Center, Louisiana State University Health Science Center, New Orleans, LA 70112, USAAlchem Biotek Research, Toronto, ON M5S 1A8, CanadaLSU Neuroscience Center, Louisiana State University Health Science Center, New Orleans, LA 70112, USASevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of the COVID-19 disease, is a highly infectious and transmissible viral pathogen that continues to impact human health globally. Nearly ~600 million people have been infected with SARS-CoV-2, and about half exhibit some degree of continuing health complication, generically referred to as <b><i>long COVID</i></b>. Lingering and often serious neurological problems for patients in the post-COVID-19 recovery period include <b><i>brain fog</i></b>, behavioral changes, confusion, delirium, deficits in intellect, cognition and memory issues, loss of balance and coordination, problems with vision, visual processing and hallucinations, encephalopathy, encephalitis, neurovascular or cerebrovascular insufficiency, and/or impaired consciousness. Depending upon the patient’s age at the onset of COVID-19 and other factors, up to ~35% of all elderly COVID-19 patients develop a mild-to-severe encephalopathy due to complications arising from a SARS-CoV-2-induced <b><i>cytokine storm</i></b> and a surge in cytokine-mediated pro-inflammatory and immune signaling. In fact, this <b><i>cytokine storm syndrome:</i></b> <b>(i)</b> appears to predispose aged COVID-19 patients to the development of other neurological complications, especially those who have experienced a more serious grade of COVID-19 infection; <b>(ii)</b> lies along highly interactive and pathological pathways involving SARS-CoV-2 infection that promotes the parallel development and/or intensification of progressive and often lethal neurological conditions, and <b>(iii)</b> is strongly associated with the symptomology, onset, and development of human prion disease (PrD) and other insidious and incurable neurological syndromes. This commentary paper will evaluate some recent peer-reviewed studies in this intriguing area of human SARS-CoV-2-associated neuropathology and will assess how chronic, viral-mediated changes to the brain and CNS contribute to cognitive decline in PrD and other progressive, age-related neurodegenerative disorders.https://www.mdpi.com/2218-273X/12/9/1253angiotensin-converting enzyme 2 receptor (ACE2R)Creutzfeldt–Jakob disease (CJD)cytokine stormmicroRNA (miRNA)miRNA-146amiRNA-155
spellingShingle Walter J. Lukiw
Vivian R. Jaber
Aileen I. Pogue
Yuhai Zhao
SARS-CoV-2 Invasion and Pathological Links to Prion Disease
Biomolecules
angiotensin-converting enzyme 2 receptor (ACE2R)
Creutzfeldt–Jakob disease (CJD)
cytokine storm
microRNA (miRNA)
miRNA-146a
miRNA-155
title SARS-CoV-2 Invasion and Pathological Links to Prion Disease
title_full SARS-CoV-2 Invasion and Pathological Links to Prion Disease
title_fullStr SARS-CoV-2 Invasion and Pathological Links to Prion Disease
title_full_unstemmed SARS-CoV-2 Invasion and Pathological Links to Prion Disease
title_short SARS-CoV-2 Invasion and Pathological Links to Prion Disease
title_sort sars cov 2 invasion and pathological links to prion disease
topic angiotensin-converting enzyme 2 receptor (ACE2R)
Creutzfeldt–Jakob disease (CJD)
cytokine storm
microRNA (miRNA)
miRNA-146a
miRNA-155
url https://www.mdpi.com/2218-273X/12/9/1253
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