Reactive gliosis and neuroinflammation: prime suspects in the pathophysiology of post-acute neuroCOVID-19 syndrome

IntroductionAs the repercussions from the COVID-19 pandemic continue to unfold, an ever-expanding body of evidence suggests that infection also elicits pathophysiological manifestations within the central nervous system (CNS), known as neurological symptoms of post-acute sequelae of COVID infection...

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Main Authors: Jacob Saucier, Dominique Comeau, Gilles A. Robichaud, Ludivine Chamard-Witkowski
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1221266/full
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author Jacob Saucier
Jacob Saucier
Dominique Comeau
Gilles A. Robichaud
Gilles A. Robichaud
Gilles A. Robichaud
Ludivine Chamard-Witkowski
Ludivine Chamard-Witkowski
Ludivine Chamard-Witkowski
Ludivine Chamard-Witkowski
author_facet Jacob Saucier
Jacob Saucier
Dominique Comeau
Gilles A. Robichaud
Gilles A. Robichaud
Gilles A. Robichaud
Ludivine Chamard-Witkowski
Ludivine Chamard-Witkowski
Ludivine Chamard-Witkowski
Ludivine Chamard-Witkowski
author_sort Jacob Saucier
collection DOAJ
description IntroductionAs the repercussions from the COVID-19 pandemic continue to unfold, an ever-expanding body of evidence suggests that infection also elicits pathophysiological manifestations within the central nervous system (CNS), known as neurological symptoms of post-acute sequelae of COVID infection (NeuroPASC). Although the neurological impairments and repercussions associated with NeuroPASC have been well described in the literature, its etiology remains to be fully characterized.ObjectivesThis mini-review explores the current literature that elucidates various mechanisms underlining NeuroPASC, its players, and regulators, leading to persistent neuroinflammation of affected individuals. Specifically, we provide some insights into the various roles played by microglial and astroglial cell reactivity in NeuroPASC and how these cell subsets potentially contribute to neurological impairment in response to the direct or indirect mechanisms of CNS injury.DiscussionA better understanding of the mechanisms and biomarkers associated with this maladaptive neuroimmune response will thus provide better diagnostic strategies for NeuroPASC and reveal new potential mechanisms for therapeutic intervention. Altogether, the elucidation of NeuroPASC pathogenesis will improve patient outcomes and mitigate the socioeconomic burden of this syndrome.
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spelling doaj.art-f4a2de9206f74481b49cdacb4bcd4a742023-08-25T07:17:05ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-08-011410.3389/fneur.2023.12212661221266Reactive gliosis and neuroinflammation: prime suspects in the pathophysiology of post-acute neuroCOVID-19 syndromeJacob Saucier0Jacob Saucier1Dominique Comeau2Gilles A. Robichaud3Gilles A. Robichaud4Gilles A. Robichaud5Ludivine Chamard-Witkowski6Ludivine Chamard-Witkowski7Ludivine Chamard-Witkowski8Ludivine Chamard-Witkowski9Centre de Formation Médicale du Nouveau-Brunswick, Moncton, NB, CanadaFaculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, QC, CanadaCentre de médecine de précision du Nouveau-Brunswick, Vitality Health Network, Moncton, NB, CanadaCentre de médecine de précision du Nouveau-Brunswick, Vitality Health Network, Moncton, NB, CanadaDepartment of Chemistry and Biochemistry, Université de Moncton, Moncton, NB, CanadaAtlantic Cancer Research Institute, Moncton, NB, CanadaCentre de Formation Médicale du Nouveau-Brunswick, Moncton, NB, CanadaFaculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, QC, CanadaCentre de médecine de précision du Nouveau-Brunswick, Vitality Health Network, Moncton, NB, CanadaDepartment of Neurology, Dr. Georges-L.-Dumont University Hospital Centre, Vitality Health Network, Moncton, NB, CanadaIntroductionAs the repercussions from the COVID-19 pandemic continue to unfold, an ever-expanding body of evidence suggests that infection also elicits pathophysiological manifestations within the central nervous system (CNS), known as neurological symptoms of post-acute sequelae of COVID infection (NeuroPASC). Although the neurological impairments and repercussions associated with NeuroPASC have been well described in the literature, its etiology remains to be fully characterized.ObjectivesThis mini-review explores the current literature that elucidates various mechanisms underlining NeuroPASC, its players, and regulators, leading to persistent neuroinflammation of affected individuals. Specifically, we provide some insights into the various roles played by microglial and astroglial cell reactivity in NeuroPASC and how these cell subsets potentially contribute to neurological impairment in response to the direct or indirect mechanisms of CNS injury.DiscussionA better understanding of the mechanisms and biomarkers associated with this maladaptive neuroimmune response will thus provide better diagnostic strategies for NeuroPASC and reveal new potential mechanisms for therapeutic intervention. Altogether, the elucidation of NeuroPASC pathogenesis will improve patient outcomes and mitigate the socioeconomic burden of this syndrome.https://www.frontiersin.org/articles/10.3389/fneur.2023.1221266/fullpost-COVID syndromeNeuroPASCreactive gliosisneuroinflammationmicroglial reactivityreactive astrocytes
spellingShingle Jacob Saucier
Jacob Saucier
Dominique Comeau
Gilles A. Robichaud
Gilles A. Robichaud
Gilles A. Robichaud
Ludivine Chamard-Witkowski
Ludivine Chamard-Witkowski
Ludivine Chamard-Witkowski
Ludivine Chamard-Witkowski
Reactive gliosis and neuroinflammation: prime suspects in the pathophysiology of post-acute neuroCOVID-19 syndrome
Frontiers in Neurology
post-COVID syndrome
NeuroPASC
reactive gliosis
neuroinflammation
microglial reactivity
reactive astrocytes
title Reactive gliosis and neuroinflammation: prime suspects in the pathophysiology of post-acute neuroCOVID-19 syndrome
title_full Reactive gliosis and neuroinflammation: prime suspects in the pathophysiology of post-acute neuroCOVID-19 syndrome
title_fullStr Reactive gliosis and neuroinflammation: prime suspects in the pathophysiology of post-acute neuroCOVID-19 syndrome
title_full_unstemmed Reactive gliosis and neuroinflammation: prime suspects in the pathophysiology of post-acute neuroCOVID-19 syndrome
title_short Reactive gliosis and neuroinflammation: prime suspects in the pathophysiology of post-acute neuroCOVID-19 syndrome
title_sort reactive gliosis and neuroinflammation prime suspects in the pathophysiology of post acute neurocovid 19 syndrome
topic post-COVID syndrome
NeuroPASC
reactive gliosis
neuroinflammation
microglial reactivity
reactive astrocytes
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1221266/full
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