The neurobiology of long COVID
Open accessAbstract
Persistent neurological and neuropsychiatric symptoms affect a substantial fraction of people after COVID-19 and represent a major component of the post-acute COVID-19 syndrome, also known as long COVID. Here, we review what is understood about the pathobiology of post-acute COVID-19 impact on the CNS and discuss possible neurobiological underpinnings of the cognitive symptoms affecting COVID-19 survivors. We propose the chief mechanisms that may contribute to this emerging neurological health crisis.
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Acute and long COVID encompass a wide range of neurological and neuropsychiatric symptoms termed 'brain fog', as seen by cognitive impairment phenotypes like slower information processing speed and worse executive function.
“Acute and long COVID encompass a wide range of neurological and neuropsychiatric symptoms termed ‘brain fog’, as seen by cognitive impairment phenotypes like slower information processing speed and worse executive function [5], reflecting AD-like cognitive dysfunction.”
From What would it take to prove that a chronic infection is a causal agent in Alzheimer’s disease? (2025) · cites this paper as [5]
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Long COVID science, research and policy
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Neutrophil extracellular traps and long COVID
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Role of Endothelium in Cardiovascular Sequelae of Long COVID
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Rheumatology and Long COVID: lessons from the study of fibromyalgia
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Novel biomarkers of mitochondrial dysfunction in Long COVID patients
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Neuroimmune Pathophysiology of Long COVID
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Brain exposure to SARS-CoV-2 virions perturbs synaptic homeostasis
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Microglial Inflammatory Responses to SARS‐CoV‐2 Infection: A Comprehensive Review
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COVID‐19 as a trigger of Guillain‐Barré syndrome: A review of the molecular mechanism
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Long COVID: Molecular Mechanisms and Detection Techniques
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The Aftermath of COVID-19: Exploring the Long-Term Effects on Organ Systems
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Cerebromicrovascular mechanisms contributing to long COVID: implications for neurocognitive health
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Human microglial models to study host–virus interactions
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Long-Term effects of COVID-19: a review of current perspectives and mechanistic insights
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Direct and indirect impact of SARS-CoV-2 on the brain
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Leitlinie S1 für das Management postviraler Zustände am Beispiel Post-COVID-19
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COVID, complement, and the brain
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Cerebrospinal fluid findings in patients with neurological manifestations in post-COVID-19 syndrome
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Long COVID: A Comprehensive Overview of the Signs and Symptoms across Multiple Organ Systems
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The impact of COVID-19 on accelerating of immunosenescence and brain aging
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Brain Leukocytes as the Potential Therapeutic Target for Post-COVID-19 Brain Fog
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Long COVID as a Tauopathy: Of “Brain Fog” and “Fusogen Storms”
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Neuroinflammation: An Oligodendrocentric View
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COVID-19-associated neurological and psychological manifestations
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Self-citationAddressing psychosomatic issues after lifting the COVID-19 policy in China: A wake-up call
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- Authors
- Monje, M., & Iwasaki, A.
- Affiliations
- Howard Hughes Medical Institute (US)
- Corresponding author
- Monje, Michelle
- Iwasaki, Akiko
- Venue
- Neuron
- Publisher
- Elsevier BV
- Published
- 2022-11
- Volume
- 110
- Issue
- 21
- Pages
- 3484-3496
- ISSN
- 0896-6273 (ISSN-L)
- PMC
- PMC9537254
- OpenAlex
- W4303182677
- Cited by
- 415
- References
- 126
- Citations by year
- 2026: 59 · 2025: 105 · 2024: 146 · 2023: 101 · 2022: 3 · 2013: 1
- FWCI
- 12.82
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Neuron (publishedVersion, cc-by)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (UL1TR001863)
- National Cancer Institute (R01CA258384, R01CA263500, P50CA165962, U19CA264504)
- National Institute of Allergy and Infectious Diseases (R01AI157488)
- National Institute of Neurological Disorders and Stroke (R01NS092597, DP1NS111132)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Infectious Diseases › Infectious Encephalopathies and Encephalitis
- Keywords
- long COVID, neurobiology, central nervous system, neuropsychiatric symptoms, cognitive symptoms, pathobiology, COVID-19 survivors
- MeSH terms
- COVID-19, SARS-CoV-2, Post-Acute COVID-19 Syndrome, Mental Disorders, Humans, Nervous System Diseases
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