The Significance of COVID-19 Immunological Status in Severe Neurological Complications and Multiple Sclerosis—A Literature Review

SARS-CoV-2/Coronavirus 2019 (COVID-19) is responsible for the pandemic, which started in December 2019. In addition to the typical respiratory symptoms, this virus also causes other severe complications, including neurological ones. In diagnostics, serological and polymerase chain reaction tests are...

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Main Authors: Joanna Kulikowska, Agnieszka Kulczyńska-Przybik, Barbara Mroczko, Alina Kułakowska
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/11/5894
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author Joanna Kulikowska
Agnieszka Kulczyńska-Przybik
Barbara Mroczko
Alina Kułakowska
author_facet Joanna Kulikowska
Agnieszka Kulczyńska-Przybik
Barbara Mroczko
Alina Kułakowska
author_sort Joanna Kulikowska
collection DOAJ
description SARS-CoV-2/Coronavirus 2019 (COVID-19) is responsible for the pandemic, which started in December 2019. In addition to the typical respiratory symptoms, this virus also causes other severe complications, including neurological ones. In diagnostics, serological and polymerase chain reaction tests are useful not only in detecting past infections but can also predict the response to vaccination. It is now believed that an immune mechanism rather than direct viral neuroinvasion is responsible for neurological symptoms. For this reason, it is important to assess the presence of antibodies not only in the serum but also in the cerebrospinal fluid (CSF), especially in the case of neuro-COVID. A particular group of patients are people with multiple sclerosis (MS) whose disease-modifying drugs weaken the immune system and lead to an unpredictable serological response to SARS-CoV-2 infection. Based on available data, the article summarizes the current serological information concerning COVID-19 in CSF in patients with severe neurological complications and in those with MS.
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spelling doaj.art-dc4c3c44b3084746aa19deec032acaa12023-11-21T22:11:17ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-05-012211589410.3390/ijms22115894The Significance of COVID-19 Immunological Status in Severe Neurological Complications and Multiple Sclerosis—A Literature ReviewJoanna Kulikowska0Agnieszka Kulczyńska-Przybik1Barbara Mroczko2Alina Kułakowska3Department of Neurology, Medical University of Bialystok, 15-276 Bialystok, PolandDepartment of Neurodegeneration Diagnostics, Medical University of Bialystok, 15-269 Bialystok, PolandDepartment of Neurodegeneration Diagnostics, Medical University of Bialystok, 15-269 Bialystok, PolandDepartment of Neurology, Medical University of Bialystok, 15-276 Bialystok, PolandSARS-CoV-2/Coronavirus 2019 (COVID-19) is responsible for the pandemic, which started in December 2019. In addition to the typical respiratory symptoms, this virus also causes other severe complications, including neurological ones. In diagnostics, serological and polymerase chain reaction tests are useful not only in detecting past infections but can also predict the response to vaccination. It is now believed that an immune mechanism rather than direct viral neuroinvasion is responsible for neurological symptoms. For this reason, it is important to assess the presence of antibodies not only in the serum but also in the cerebrospinal fluid (CSF), especially in the case of neuro-COVID. A particular group of patients are people with multiple sclerosis (MS) whose disease-modifying drugs weaken the immune system and lead to an unpredictable serological response to SARS-CoV-2 infection. Based on available data, the article summarizes the current serological information concerning COVID-19 in CSF in patients with severe neurological complications and in those with MS.https://www.mdpi.com/1422-0067/22/11/5894COVID-19SARS-CoV-2neuro-COVIDserologyantibodiescerebrospinal fluid
spellingShingle Joanna Kulikowska
Agnieszka Kulczyńska-Przybik
Barbara Mroczko
Alina Kułakowska
The Significance of COVID-19 Immunological Status in Severe Neurological Complications and Multiple Sclerosis—A Literature Review
International Journal of Molecular Sciences
COVID-19
SARS-CoV-2
neuro-COVID
serology
antibodies
cerebrospinal fluid
title The Significance of COVID-19 Immunological Status in Severe Neurological Complications and Multiple Sclerosis—A Literature Review
title_full The Significance of COVID-19 Immunological Status in Severe Neurological Complications and Multiple Sclerosis—A Literature Review
title_fullStr The Significance of COVID-19 Immunological Status in Severe Neurological Complications and Multiple Sclerosis—A Literature Review
title_full_unstemmed The Significance of COVID-19 Immunological Status in Severe Neurological Complications and Multiple Sclerosis—A Literature Review
title_short The Significance of COVID-19 Immunological Status in Severe Neurological Complications and Multiple Sclerosis—A Literature Review
title_sort significance of covid 19 immunological status in severe neurological complications and multiple sclerosis a literature review
topic COVID-19
SARS-CoV-2
neuro-COVID
serology
antibodies
cerebrospinal fluid
url https://www.mdpi.com/1422-0067/22/11/5894
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