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Neuropathobiology of COVID-19: The Role for Glia
Open accessAbstract
SARS-CoV-2, which causes the Coronavirus Disease 2019 (COVID-19) pandemic, has a brain neurotropism through binding to the receptor angiotensin-converting enzyme 2 expressed by neurones and glial cells, including astrocytes and microglia. Systemic infection which accompanies severe cases of COVID-19 also triggers substantial increase in circulating levels of chemokines and interleukins that compromise the blood-brain barrier, enter the brain parenchyma and affect its defensive systems, astrocytes and microglia. Brain areas devoid of a blood-brain barrier such as the circumventricular organs are particularly vulnerable to circulating inflammatory mediators. The performance of astrocytes and microglia, as well as of immune cells required for brain health, is considered critical in defining the neurological damage and neurological outcome of COVID-19. In this review, we discuss the neurotropism of SARS-CoV-2, the implication of neuroinflammation, adaptive and innate immunity, autoimmunity, as well as astrocytic and microglial immune and homeostatic functions in the neurological and psychiatric aspects of COVID-19. The consequences of SARS-CoV-2 infection during ageing, in the presence of systemic comorbidities, and for the exposed pregnant mother and foetus are also covered.
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“Once the virus enters the CNS, it affects neurons, microglia, oligodendrocytes, and especially astrocytes, undermining neurons viability [17, 179, 180].”
From Cognitive decline following acute viral infections: literature review and projections for post-COVID-19 (2022) · cites this paper as [179]
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“In SARS-CoV-2, trans-nasal and trans-synaptic mechanisms might allow the virus to invade the olfactory bulb and brainstem, with both being the possible initial site for CNS invasion [179].”
From Cognitive decline following acute viral infections: literature review and projections for post-COVID-19 (2022) · cites this paper as [179]
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BackgroundPossible Central Nervous System Infection by SARS Coronavirus
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BackgroundSystemic Immune Activation Leads to Neuroinflammation and Sickness Behavior in Mice
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BackgroundNeuroinfection may contribute to pathophysiology and clinical manifestations of COVID‐19
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Self-citationMicroglia phagocytose myelin sheaths to modify developmental myelination
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Self-citationMicroglia, Lifestyle Stress, and Neurodegeneration
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Blood-brain barrier permeability and physical exercise
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BackgroundAging Microglia—Phenotypes, Functions and Implications for Age-Related Neurodegenerative Diseases
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BackgroundSingle-nucleus RNA-seq identifies Huntington disease astrocyte states
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BackgroundThe circumventricular organs: An atlas of comparative anatomy and vascularization
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BackgroundEarly postmortem brain MRI findings in COVID-19 non-survivors
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BackgroundMicroglia Gone Rogue: Impacts on Psychiatric Disorders across the Lifespan
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Self-citationExosomes, DAMPs and miRNA: Features of Stress Physiology and Immune Homeostasis
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“Similarly, microglia respond to BBB disruption and DAMPs presence by increasing their phagocytic capacity and release of proinflammatory mediators, together associated with their reactivity (Fleshner and Crane, 2017).”
BackgroundDixon, L. V. M., Varley, J. A., Gontsarova, A., Mallon, D. H., Tona, F., Muir, D. A., Luqmani, A., Jenkins, I. H., Nicholas, R. S., Jones, B., et al. (2020) · Neurology Neuroimmunology & Neuroinflammation · doi:10.1212/nxi.0000000000000789 · Cited by 206 · cited 1×
“Similarly, the clinical presentation of COVID-19 frequently includes neurological symptoms and neuropathologies such as acute ischemic stroke, meningitis/encephalitis, acute necrotising haemorrhagic encephalopathy, acute Guillain–Barré syndrome (Beyrouti et al., 2020; Dixon et al., 2020; Oxley et al., 2020; Paterson e…”
BackgroundAstrocytes and Microglia as Major Players of Myelin Production in Normal and Pathological Conditions
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“More recently, microglia were also found to contribute to developmental myelination and remyelination (for instance in multiple sclerosis) through the release of trophic factors regulating oligodendrocyte progenitor’s formation and maturation, as well as removal of myelin debris required for remyelination (Domingues e…”
BackgroundGuillain-Barré syndrome following COVID-19: new infection, old complication?
Padroni, M., Mastrangelo, V., Asioli, G. M., Pavolucci, L., Abu‐Rumeileh, S., Piscaglia, M. G., Querzani, P., Callegarini, C., & Foschi, M. (2020) · Journal of Neurology · doi:10.1007/s00415-020-09849-6 · Cited by 199 · cited 2×
“While the consequences of SARS-CoV-2 on cells of the oligodendrocytic lineage responsible for myelination remain unclear, COVID-19 resulted in several cases of demyelinating Guillain-Barré syndrome (Arnaud et al., 2020; Padroni et al., 2020; Sedaghat and Karimi, 2020; Tiet and AlShaikh, 2020; Zhao et al., 2020) and Mi…”
BackgroundMETHYLDOPA AND HqMOLYTIC ANqMIA
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When encephalitogenic T cells collaborate with microglia in multiple sclerosis
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“As key components in compartmentalised immune responses of the CNS, both astrocytes and microglia contribute to CNS autoimmunity by regulating autoantigen-presentation, BBB or blood-cerebrospinal fluid (CSF) barrier breakdown and autoantibody leakage, as well as adaptive T- or B- cell activation for autoantibody produ…”
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“In experimental mouse models of infection with coronavirus, MHV-59A resulted in encephalitis with prominent astrogliosis and induction of astroglial synthesis of cytokines; moreover, neurovirulence correlated with the cytokine response (Li et al., 2004).”
BackgroundEpigenetics Control Microglia Plasticity
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A Developmental Analysis of Juxtavascular Microglia Dynamics and Interactions with the Vasculature
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Astroglia dynamics in ageing and Alzheimer's disease
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BackgroundThe glial perspective of autism spectrum disorders
Zeidán‐Chuliá, F., Salmina, A. B., Malinovskaya, N. A., Noda, M., Verkhratsky, A., & Moreira, J. C. F. (2013) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2013.11.008 · Cited by 116
Self-citationMicroglial interactions with the neurovascular system in physiology and pathology
Zhao, X., Eyo, U. B., Murugan, M., & Wu, L. (2018) · Developmental Neurobiology · doi:10.1002/dneu.22576 · Cited by 112 · cited 1×
“While microglia are associated with the regulation of vascular remodelling, blood flow and BBB maintenance, the molecular mechanisms underlying these emerging functions are largely undetermined (Zhao et al., 2018; Halder and Milner, 2019; Haruwaka et al., 2019).”
BackgroundVerkhratsky, A., Augusto‐Oliveira, M., Pivoriūnas, A., Popov, A., Brazhe, A., & Semyanov, A. V. (2020) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/s00424-020-02465-3 · Cited by 110
Self-citationMolecular mimicry between SARS-CoV-2 and respiratory pacemaker neurons
Lucchese, G., & Flöel, A. (2020) · Autoimmunity Reviews · doi:10.1016/j.autrev.2020.102556 · Cited by 109
Systemic inflammation in early neonatal mice induces transient and lasting neurodegenerative effects
Cardoso, F. L., Herz, J., Fernandes, A., Rocha, J., Sepodes, B., Brito, M. A., McGavern, D. B., & Brites, D. (2015) · Journal of Neuroinflammation · doi:10.1186/s12974-015-0299-3 · Cited by 103
Cranial neuropathies and COVID-19
Costello, F., & Dalakas, M. C. (2020) · Neurology · doi:10.1212/wnl.0000000000009921 · Cited by 103
Astroglial Calcium Signaling in Aging and Alzheimer's Disease
Verkhratsky, A. (2019) · Cold Spring Harbor Perspectives in Biology · doi:10.1101/cshperspect.a035188 · Cited by 99 · cited 1×
“Brain as an organ sustains ageing remarkably well; cognitive excellence sustains into ages when physical abilities are remarkably affected (Verkhratsky, 2019).”
BackgroundSelf-citationA critical role for microglia in maintaining vascular integrity in the hypoxic spinal cord
Halder, S. K., & Milner, R. (2019) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1912178116 · Cited by 98 · cited 1×
“While microglia are associated with the regulation of vascular remodelling, blood flow and BBB maintenance, the molecular mechanisms underlying these emerging functions are largely undetermined (Zhao et al., 2018; Halder and Milner, 2019; Haruwaka et al., 2019).”
BackgroundSerum S100B protein as a marker of severity in Covid-19 patients
Aceti, A., Margarucci, L. M., Scaramucci, E., Orsini, M., Salerno, G., Sante, G. D., Gianfranceschi, G., Liddo, R. D., Valeriani, F., Ria, F., et al. (2020) · Scientific Reports · doi:10.1038/s41598-020-75618-0 · Cited by 98 · cited 1×
“Serum levels of the astrocytic calcium binding protein S100b, associated with an increased BBB permeability, significantly correlate with COVID-19 disease severity, inflammationmarkers (ferritin, C-Reactive Protein, procalcitonin), and organ damage markers (alanine aminotransferase, creatinine) (Aceti et al., 2020).”
BackgroundEffects of 3D culturing conditions on the transcriptomic profile of stem-cell-derived neurons
Tekin, H., Simmons, S., Cummings, B. B., Gao, L. A., Adiconis, X., Hession, C. C., Ghoshal, A., Dionne, D. A., Choudhury, S., Yesilyurt, V., et al. (2018) · Nature Biomedical Engineering · doi:10.1038/s41551-018-0219-9 · Cited by 97 · cited 1×
“, 2015) but also by both neurons and neuroglial cells (Xia and Lazartigues, 2010; Gowrisankar and Clark, 2016; Tekin et al., 2018; Nemoto et al., 2020).”
BackgroundTREM2 is required for microglial instruction of astrocytic synaptic engulfment in neurodevelopment
Jay, T. R., von Saucken, V. E., Muñoz, B., Codocedo, J. F., Atwood, B. K., Lamb, B. T., & Landreth, G. E. (2019) · Glia · doi:10.1002/glia.23664 · Cited by 97 · cited 1×
“Glial cells are thus orchestrating together the brain health and its response to systemic and local pathology (Pascual et al., 2012; Rothhammer et al., 2018; Jay et al., 2019; Vainchtein and Molofsky, 2020).”
BackgroundVerkhratsky, A., Marutle, A., Rodríguez-Arellano, J. J., & Nordberg, A. (2015) · The Neuroscientist · doi:10.1177/1073858414547132 · Cited by 95
Self-citationGowrisankar, Y. V., & Clark, M. A. (2016) · Journal of Neurochemistry · doi:10.1111/jnc.13641 · Cited by 92 · cited 2×
“In particular, ACE2 populates the circumventricular organs (CVOs), the subfornical organ, paraventricular nucleus (PVN), nucleus of the tractus solitarius (NTS), and rostral ventrolateral medulla (Xia and Lazartigues, 2010; Gowrisankar and Clark, 2016).”
BackgroundCrisp, S. J., Kullmann, D. M., & Vincent, A. C. (2016) · Nature reviews. Neuroscience · doi:10.1038/nrn.2015.27 · Cited by 92
COVID-19 Infection and Neurological Complications: Present Findings and Future Predictions
Beghi, E., Feigin, V. L., Caso, V., Santalucia, P., & Logroscino, G. (2020) · Neuroepidemiology · doi:10.1159/000508991 · Cited by 87
Post SARS-CoV-2 Guillain-Barré syndrome
Arnaud, S., Budowski, C., Tin, S. N. W., & Degos, B. (2020) · Clinical Neurophysiology · doi:10.1016/j.clinph.2020.05.003 · Cited by 84 · cited 2×
“While the consequences of SARS-CoV-2 on cells of the oligodendrocytic lineage responsible for myelination remain unclear, COVID-19 resulted in several cases of demyelinating Guillain-Barré syndrome (Arnaud et al., 2020; Padroni et al., 2020; Sedaghat and Karimi, 2020; Tiet and AlShaikh, 2020; Zhao et al., 2020) and Mi…”
BackgroundInfection Hospitalization Increases Risk of Dementia in the Elderly*
Tate, J. A., Snitz, B. E., Alvarez, K., Nahin, R. L., Weissfeld, L. A., López, O. L., Angus, D. C., Shah, F. A., Ives, D. G., Fitzpatrick, A. L., et al. (2013) · Critical Care Medicine · doi:10.1097/ccm.0000000000000123 · Cited by 81 · cited 1×
“, with flu and pneumonia) can render individuals more prone to developing depression, psychosis, delirium, Parkinson’s disease and other forms of dementia, among other conditions, and even more so with a chronic stress life history (Tate et al., 2014; Bisht et al., 2018).”
BackgroundStenzel, W., Soltek, S., Schlüter, D., & Deckert, M. (2004) · Journal of Neuropathology & Experimental Neurology · doi:10.1093/jnen/63.6.631 · Cited by 74 · cited 1×
“For example, suppression of astrogliosis in glial fibrillary acidic protein (GFAP) knockout mice substantially facilitates the penetration of Staphylococcus aureus or Toxoplasma gondii into the brain, which results in vasculitis, purulent ventriculitis and severe brain oedema (Stenzel et al., 2004).”
BackgroundMicroglia are continuously activated in the circumventricular organs of mouse brain
Takagi, S., Furube, E., Nakano, Y., Morita, M., & Miyata, S. (2017) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2017.10.008 · Cited by 70 · cited 1×
“, 2005) and express markers that suggest they are ready to cope with invading agents using phagocytosis and the release of various mediators such as pro-inflammatory cytokines (Takagi et al., 2019).”
BackgroundAstrocytes to the rescue! Glia limitans astrocytic endfeet control CNS inflammation
Quintana, F. J. (2017) · Journal of Clinical Investigation · doi:10.1172/jci95769 · Cited by 66 · cited 1×
“This parenchymal wall is represented by the glia limitans externa (bordering the pia matter) and glia limitans perivascularis (plastering the intra-parenchymal blood vessels), which are formed by astroglial endfeet (Mathiisen et al., 2010; Quintana, 2017).”
BackgroundJoost, E., Jordão, M. J. C., Mages, B., Prinz, M., Bechmann, I., & Krueger, M. (2019) · Brain Structure and Function · doi:10.1007/s00429-019-01834-8 · Cited by 66
Shedding Light on the Dark Side of the Microglia
St‐Pierre, M., Šimončičová, E., Bögi, E., & Tremblay, M. (2020) · ASN NEURO · doi:10.1177/1759091420925335 · Cited by 66 · cited 1×
“While dark microglia’s consequences on the BBB are still elusive, they make extensive phagocytic interactions with synapses, suggesting their implication in pathological remodelling of neuronal circuits (Bisht et al., 2016; St.-Pierre et al., 2020).”
BackgroundSelf-citationThion, M. S., Mosser, C., Férézou, I., Grisel, P., Baptista, S., Low, D., Ginhoux, F., Garel, S., & Audinat, É. (2019) · Cell Reports · doi:10.1016/j.celrep.2019.06.086 · Cited by 64
Role of Glia in the Regulation of Sleep in Health and Disease
Garofalo, S., Picard, K., Limatola, C., Nadjar, A., Pascual, O., & Tremblay, M. (2020) · Comprehensive physiology · doi:10.1002/cphy.c190022 · Cited by 64
Self-citationTay, T. L., Carrier, M., & Tremblay, M. (2019) · Advances in experimental medicine and biology · doi:10.1007/978-981-13-9913-8_6 · Cited by 61 · cited 1×
“Microglial surveillance of the parenchyma, but also contribution to the regulation of neuronal activity, myelination, as well as synaptic plasticity, and cognition, among others essential physiological roles (Salter and Beggs, 2014; Tay et al., 2019), could be reduced or compromised as a result of their resource-consu…”
BackgroundSelf-citationAlam, S. B., Willows, S. D., Kulka, M., & Sandhu, J. K. (2020) · European Journal of Neurology · doi:10.1111/ene.14442 · Cited by 61 · cited 1×
“…2020) and breakdown of Frontiers in Cellular Neuroscience | www.frontiersin.org 7 November 2020 | Volume 14 | Article 592214 physiological barriers (Alam et al., 2020; Buzhdygan et al., 2020), in which unleashed autoimmune cells cross-react to exposed autoantigens, hence causing autoimmune…”
BackgroundDoes SARS-CoV-2 Trigger Stress-Induced Autoimmunity by Molecular Mimicry? A Hypothesis
Cappello, F., Marino, A., Dieli, F., de Macario, E. C., & Macario, A. J. L. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9072038 · Cited by 60 · cited 1×
“Autoimmune responses can be induced by viral pathogens, possibly through “molecular mimicry” (Cappello et al., 2020; Lucchese and Floel, 2020) and breakdown of Frontiers in Cellular Neuroscience | www.frontiersin.org 7 November 2020 | Volume 14 | Article 592214 physiological barriers (Alam et al.,…”
BackgroundDelirium as a presenting feature in COVID-19: Neuroinvasive infection or autoimmune encephalopathy?
Hosseini, A. A., Shetty, A. K., Sprigg, N., Auer, D. P., & Constantinescu, C. S. (2020) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2020.06.012 · Cited by 58 · cited 2×
“Currently, although the involvement of neurotropism and autoimmunity was suggested for SARS-CoV-2 and COVID19 neuropathies (Costello and Dalakas, 2020; Hosseini et al., 2020), there has been no solid clinical or preclinical evidence of autoantibodies positively detected in the CSF or blood of COVID-19 sufferers to sup…”
BackgroundThe immunopathogenesis of multiple sclerosis and Guillain-Barré syndrome
Giovannoni, G., & Hartung, H. (1996) · Current Opinion in Neurology · doi:10.1097/00019052-199606000-00004 · Cited by 57 · cited 1×
“As an immune privileged site, nervous tissue is most vulnerable for autoimmune attack, which instigates various neurological and psychiatric diseases, such as the demyelinating multiple sclerosis and Guillain-Barré syndrome (Giovannoni and Hartung, 1996), as well as the recently depicted autoimmune encephalitis (Dalma…”
BackgroundNemoto, W., Yamagata, R., Nakagawasai, O., Nakagawa, K., Hung, W.-Y., Fujita, M., Tadano, T., & Tan–No, K. (2020) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2020.172950 · Cited by 51 · cited 1×
“, 2015) but also by both neurons and neuroglial cells (Xia and Lazartigues, 2010; Gowrisankar and Clark, 2016; Tekin et al., 2018; Nemoto et al., 2020).”
BackgroundPan, R., Zhang, Q., Anthony, S. M., Zhou, Y., Zou, X., Cassell, M. D., & Perlman, S. M. (2020) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2003432117 · Cited by 50 · cited 2×
“Studies using other coronaviruses, such as herpes virus, revealed that cells of the oligodendrocytic lineage can be infected, yet they survived and contributed to sustaining neuroinflammation (Pan et al., 2020).”
BackgroundMethodGuillain-Barré syndrome associated with COVID-19 infection: a case from the UK
Tiet, M. Y., & AlShaikh, N. (2020) · BMJ Case Reports · doi:10.1136/bcr-2020-236536 · Cited by 49 · cited 2×
“While the consequences of SARS-CoV-2 on cells of the oligodendrocytic lineage responsible for myelination remain unclear, COVID-19 resulted in several cases of demyelinating Guillain-Barré syndrome (Arnaud et al., 2020; Padroni et al., 2020; Sedaghat and Karimi, 2020; Tiet and AlShaikh, 2020; Zhao et al., 2020) and Mi…”
BackgroundDevita, M., Bordignon, A., Sergi, G., & Coin, A. (2021) · Aging Clinical and Experimental Research · doi:10.1007/s40520-020-01637-6 · Cited by 48 · cited 1×
“Similarly, neurological and cognitive deficits seem to be on increase in elderly with COVID-19 history (Devita et al., 2020; Varatharaj et al., 2020).”
BackgroundCesarean Delivery Impacts Infant Brain Development
Deoni, S., Adams, S. H., Li, X., Badger, T. M., Pivik, R. T., Glasier, C. M., Ramakrishnaiah, R. H., Rowell, A. C., & Ou, X. (2018) · American Journal of Neuroradiology · doi:10.3174/ajnr.a5887 · Cited by 47 · cited 1×
“vaginal deliveries may seriously impact infant immune maturation with consequences on the brain development (Curran et al., 2015a,b; Deoni et al., 2019).”
BackgroundMicroglia: The Brain's First Responders.
Bilbo, S. D., & Stevens, B. (2017) · Europe PMC (PubMed Central) · Cited by 47
Thoughts on COVID-19 and autoimmune diseases
Askanase, A., Khalili, L., & Buyon, J. P. (2020) · Lupus Science & Medicine · doi:10.1136/lupus-2020-000396 · Cited by 47 · cited 1×
“Patients already affected by autoimmune diseases are, arguably, more susceptible for developing cytokine storm that can initiate or exacerbate autoimmune neurology (Askanase et al., 2020).”
BackgroundMinami, T., Okazaki, J., Kawabata, A., KAWAKI, H., Okazaki, Y., & Tohno, Y. (1998) · Environmental Toxicology and Pharmacology · doi:10.1016/s1382-6689(97)10004-7 · Cited by 45
Kriaučiūnaitė, K., Kaušylė, A., Pajarskienė, J., Tunaitis, V., Lim, D., Verkhratsky, A., & Pivoriūnas, A. (2020) · Cellular and Molecular Neurobiology · doi:10.1007/s10571-020-00871-w · Cited by 40 · cited 1×
“Furthermore, astrocytes regulate the permeability of BBB through influencing expression of tight junctions in endothelial cells layer (Kriauciunaite et al., 2020).”
BackgroundSelf-citationGrotta, J. C., Jacobs, T. P., Koroshetz, W. J., & Moskowitz, M. A. (2008) · Stroke · doi:10.1161/strokeaha.107.510776 · Cited by 39 · cited 1×
“All these structures are highly vascularised and they lack the blood-brain-barrier (BBB) (Duvernoy and Risold, 2007), which is formed by the endothelial cells lining brain vessels, together with pericytes, astrocytes, microglia, and extracellular components such as the basement membrane that together form the neurovas…”
BackgroundWu, H., Brown, E. V., Acharya, N. K., Appelt, D. M., Marks, A., Nagele, R. G., & Venkataraman, V. (2016) · Brain Research · doi:10.1016/j.brainres.2016.02.026 · Cited by 37
Maternal viral infection causes global alterations in porcine fetal microglia
Antonson, A. M., Lawson, M. A., Caputo, M. P., Matt, S. M., Leyshon, B. J., & Johnson, R. W. (2019) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1817014116 · Cited by 34 · cited 1×
“As previously characterised in other maternal infection models, MIA-exposed microglia increase their expression of MHC class II that is coupled with an altered microglial transcriptome and with a reduced phagocytic and chemotactic activity (Mattei et al., 2017; Antonson et al., 2019; Purves-Tyson et al., 2019; Thion e…”
BackgroundEndocytic uptake of SARS-CoV-2: the critical roles of pH, Ca2+, and NAADP
Petersen, O. H., Gerasimenko, O. V., & Gerasimenko, J. V. (2020) · Function · doi:10.1093/function/zqaa003 · Cited by 34 · cited 1×
“The actual invasion occurs through endocytosis controlled by endosomal proton pump, and by NAADP-sensitive intracellular two-pore channel 2 (TPC2) (Petersen et al., 2020) (Figure 1).”
BackgroundAutoantibodies against N-methyl-d-aspartate receptor 1 in health and disease
Ehrenreich, H. (2018) · Current Opinion in Neurology · doi:10.1097/wco.0000000000000546 · Cited by 30 · cited 1×
“On the other hand, autoantibodies are not all pathogenic, can even circulate in healthy subjects (Ehrenreich, 2018), and therefore increased autoimmunity may not be specific for COVID-19.”
BackgroundBuzhdygan, T. P., DeOre, B. J., Baldwin-Leclair, A., McGary, H., Razmpour, R., Galie, P. A., Potula, R., Andrews, A. M., & Ramirez, S. H. (2020) · doi:10.1101/2020.06.15.150912 · Cited by 29
Tachibana, M., Mohri, I., Hirata, I., Kuwada, A., Kimura-Ohba, S., Kagitani-Shimono, K., Fushimi, H., Inoue, T., Shiomi, M., Kakuta, Y., et al. (2019) · Brain and Development · doi:10.1016/j.braindev.2018.07.008 · Cited by 28 · cited 1×
“At the same time, viral infections may damage astrocytes: for example, a severe astrodegeneration in the form of clasmatodendrosis, an astrocytic morphological change characterised by fragmentation of the distal processes and swollen cell bodies, has been identified in the brains of influenza-associated encephalopathy…”
BackgroundDomingues, H. S., Portugal, C. C., Socodato, R., & Relvas, J. B. (2016) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2016.00079 · Cited by 25 · cited 1×
“…and remyelination (for instance in multiple sclerosis) through the release of trophic factors regulating oligodendrocyte progenitor’s formation and maturation, as well as removal of myelin debris required for remyelination (Domingues et al., 2016; Hughes and Appel, 2020; Traiffort et al., 2020).”
BackgroundCOVID-19: A Perspective from Clinical Neurology and Neuroscience
Pero, A., Ng, S., & Cai, D. (2020) · The Neuroscientist · doi:10.1177/1073858420946749 · Cited by 13 · cited 1×
“Similarly, the clinical presentation of COVID-19 frequently includes neurological symptoms and neuropathologies such as acute ischemic stroke, meningitis/encephalitis, acute necrotising haemorrhagic encephalopathy, acute Guillain–Barré syndrome (Beyrouti et al., 2020; Dixon et al., 2020; Oxley et al., 2020; Paterson e…”
BackgroundEPIDEMIC ENCEPHALO-MYELITIS AND INFLUENZA.
Crookshank, F. G. (1919) · The Lancet · doi:10.1016/s0140-6736(01)25193-9 · Cited by 12 · cited 1×
“The clinical presentation of Spanish flu included neurological and neuropsychiatric symptoms, both acute and delayed; the H1N1 virus was arguably linked to the still mysterious encephalitis lethargica, which alone claimed 500,000 death in 1920s (Crookshank, 1919; Ravenholt and Foege, 1982).”
BackgroundDevelopment of residential care services facilitated for persons with dementia in Norway
Kirkevold, Ø., Eek, A., & Engedal, K. (2012) · Aging Clinical and Experimental Research · doi:10.1007/bf03325351 · Cited by 11
Kriaučiūnaitė, K., Kaušylė, A., Pajarskienė, J., Tunaitis, V., Lim, D., Verkhratsky, A., & Pivoriūnas, A. (2020) · doi:10.1101/2020.03.26.009563 · Cited by 2
Self-citationSerum S100B protein as a marker of severity in Covid-19 patients
Aceti, A., Margarucci, L. M., Scaramucci, E., Orsini, M., Salerno, G., Sante, G. D., Gianfranceschi, G., Liddo, R. D., Valeriani, F., Ria, F., et al. (2020) · doi:10.21203/rs.3.rs-50341/v1 · Cited by 1
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Microglia states and nomenclature: A field at its crossroads
Paolicelli, R. C., Sierra, A., Stevens, B., Tremblay, M.-E., Aguzzi, A., Ajami, B., Amit, I., Audinat, E., Bechmann, I., Bennett, M., et al. (2022) · Neuron · doi:10.1016/j.neuron.2022.10.020 · Cited by 1,973
Self-citationAstrocytes in human central nervous system diseases: a frontier for new therapies
Verkhratsky, A., Butt, A., Li, B., Illes, P., Zorec, R., Semyanov, A., Tang, Y., & Sofroniew, M. V. (2023) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-023-01628-9 · Cited by 428
Self-citationPost-COVID-19 Depressive Symptoms: Epidemiology, Pathophysiology, and Pharmacological Treatment
Mazza, M. G., Palladini, M., Poletti, S., & Benedetti, F. (2022) · CNS Drugs · doi:10.1007/s40263-022-00931-3 · Cited by 248
“Accordingly, increased microglial activation in association with high levels of IL-6 and TNF-α have been observed in MDD episodes [82], whereas microglia activation has been implicated in both acute and chronic neurological complications of COVID-19 [83], and increased microglial activation has been demonstrated in po…”
BackgroundS1-Leitlinie Post-COVID/Long-COVID
Koczulla, A. R., Ankermann, T., Behrends, U., Berlit, P., Böing, S., Brinkmann, F., Franke, C., Glöckl, R., Gogoll, C., Hummel, T. R., et al. (2021) · Pneumologie · doi:10.1055/a-1551-9734 · Cited by 164
“[150] Tremblay ME, Madore C, Bordeleau M et al.”
BackgroundCould SARS-CoV-2 Spike Protein Be Responsible for Long-COVID Syndrome?
Theoharides, T. C. (2022) · Molecular Neurobiology · doi:10.1007/s12035-021-02696-0 · Cited by 156
“Increasing evidence indicates the involvement of neuroinflammation [71, 88, 89] that may damage brain blood vessels [90, 91], as well as brain cells [88, 92, 93], possibly via activation of microglia [94, 95] and mast cells [96].”
Background
Metadata
- Authors
- Tremblay, M.-E., Madore, C., Bordeleau, M., Tian, L., & Verkhratsky, A.
- Affiliations
- Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement (FR)
- Université Laval (CA)
- Peking University (CN)
- Ikerbasque (ES)
- Venue
- Frontiers in Cellular Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2020-11-11
- Volume
- 14
- Pages
- 592214-592214
- ISSN
- 1662-5102 (ISSN-L)
- PMC
- PMC7693550
- OpenAlex
- W3101561456
- Cited by
- 159
- References
- 188
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 20 · 2023: 25 · 2022: 60 · 2021: 36 · 2020: 1
- FWCI
- 3.42
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Cellular Neuroscience (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion, cc-by)
- HAL (submittedVersion)
- cIRcle (University of British Columbia) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship@McGill (McGill) (submittedVersion)
- Oskar-Bordeaux (Universite de Bordeaux) (submittedVersion, cc-by)
- Research Explorer (The University of Manchester) (submittedVersion, other-oa)
- Open Collections
- Funders
- European Commission
- Eesti Teadusagentuur (MOBTT77)
- Fondation pour la Recherche Médicale
- Canadian Institutes of Health Research (Tier 2)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Keywords
- COVID-19 pandemic, SARS-CoV-2, glial cells, astrocytes, microglia, neurotropism, ACE2 receptor, blood-brain barrier, neuroinflammation, chemokines, interleukins, circumventricular organs, autoimmunity, innate immunity, adaptive immunity, neurological complications, psychiatric aspects, aging, comorbidities, pregnancy, fetus
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