Post-acute sequelae of COVID-19: A metabolic perspective

The SARS-CoV-2 pandemic continues to rage around the world. At the same time, despite strong public health measures and high vaccination rates in some countries, a post-COVID-19 syndrome has emerged which lacks a clear definition, prevalence, or etiology. However, fatigue, dyspnea, brain fog, and la...

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Main Authors: Philipp E Scherer, John P Kirwan, Clifford J Rosen
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2022-03-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/78200
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author Philipp E Scherer
John P Kirwan
Clifford J Rosen
author_facet Philipp E Scherer
John P Kirwan
Clifford J Rosen
author_sort Philipp E Scherer
collection DOAJ
description The SARS-CoV-2 pandemic continues to rage around the world. At the same time, despite strong public health measures and high vaccination rates in some countries, a post-COVID-19 syndrome has emerged which lacks a clear definition, prevalence, or etiology. However, fatigue, dyspnea, brain fog, and lack of smell and/or taste are often characteristic of patients with this syndrome. These are evident more than a month after infection, and are labeled as Post-Acute Sequelae of CoV-2 (PASC) or commonly referred to as long-COVID. Metabolic dysfunction (i.e., obesity, insulin resistance, and diabetes mellitus) is a predisposing risk factor for severe acute COVID-19, and there is emerging evidence that this factor plus a chronic inflammatory state may predispose to PASC. In this article, we explore the potential pathogenic metabolic mechanisms that could underly both severe acute COVID-19 and PASC, and then consider how these might be targeted for future therapeutic approaches.
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spelling doaj.art-f0f3c7db776546e1a867daa2fa1079182022-12-22T03:52:32ZengeLife Sciences Publications LtdeLife2050-084X2022-03-011110.7554/eLife.78200Post-acute sequelae of COVID-19: A metabolic perspectivePhilipp E Scherer0https://orcid.org/0000-0003-0680-3392John P Kirwan1https://orcid.org/0000-0001-7321-9917Clifford J Rosen2https://orcid.org/0000-0003-3436-8199Touchstone Diabetes Center University of Texas Southwestern, Dallas, United StatesPennington Biomedical Research Center, Baton Rouge, United StatesCenter for Clinical and Translational Research, Maine Medical Center Research Institute, Scarborough, United StatesThe SARS-CoV-2 pandemic continues to rage around the world. At the same time, despite strong public health measures and high vaccination rates in some countries, a post-COVID-19 syndrome has emerged which lacks a clear definition, prevalence, or etiology. However, fatigue, dyspnea, brain fog, and lack of smell and/or taste are often characteristic of patients with this syndrome. These are evident more than a month after infection, and are labeled as Post-Acute Sequelae of CoV-2 (PASC) or commonly referred to as long-COVID. Metabolic dysfunction (i.e., obesity, insulin resistance, and diabetes mellitus) is a predisposing risk factor for severe acute COVID-19, and there is emerging evidence that this factor plus a chronic inflammatory state may predispose to PASC. In this article, we explore the potential pathogenic metabolic mechanisms that could underly both severe acute COVID-19 and PASC, and then consider how these might be targeted for future therapeutic approaches.https://elifesciences.org/articles/78200COVID-19PASCmetabolic dysfunctionobesity
spellingShingle Philipp E Scherer
John P Kirwan
Clifford J Rosen
Post-acute sequelae of COVID-19: A metabolic perspective
eLife
COVID-19
PASC
metabolic dysfunction
obesity
title Post-acute sequelae of COVID-19: A metabolic perspective
title_full Post-acute sequelae of COVID-19: A metabolic perspective
title_fullStr Post-acute sequelae of COVID-19: A metabolic perspective
title_full_unstemmed Post-acute sequelae of COVID-19: A metabolic perspective
title_short Post-acute sequelae of COVID-19: A metabolic perspective
title_sort post acute sequelae of covid 19 a metabolic perspective
topic COVID-19
PASC
metabolic dysfunction
obesity
url https://elifesciences.org/articles/78200
work_keys_str_mv AT philippescherer postacutesequelaeofcovid19ametabolicperspective
AT johnpkirwan postacutesequelaeofcovid19ametabolicperspective
AT cliffordjrosen postacutesequelaeofcovid19ametabolicperspective