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Cerebromicrovascular mechanisms contributing to #longCOVID: implications for neurocognitive health

https://link.springer.com/article/10.1007/s11357-024-01487-4

> This review investigates key pathophysiological mechanisms contributing to cerebrovascular dysfunction in long COVID and their impacts on brain health. We discuss how endothelial tropism of #SARSCoV2 and direct vascular infection trigger endothelial dysfunction, impaired neurovascular coupling, and blood–brain barrier disruption, resulting in compromised cerebral perfusion. Furthermore, the infection appears to induce mitochondrial dysfunction, enhancing oxidative stress and inflammation within cerebral endothelial cells. Autoantibody formation following infection also potentially exacerbates neurovascular injury, contributing to chronic vascular inflammation and ongoing blood–brain barrier compromise. These factors collectively contribute to the emergence of white matter hyperintensities, promote amyloid pathology, and may accelerate neurodegenerative processes, including Alzheimer’s disease.

#PASC #SARS2

FYI
"Acknowledgements The 4o version of ChatGPT, developed by OpenAI, and Gemini, developed by Google, were used as a tool to refine our writing and enhance the clarity of our work."
I shall keep that in mind as I read it (406 references!!)
I would like it if someone would put this in layperson's terms...if that is possible.
Not read it all yet but basically COVID messes with lots of the brain's metabolism. It weakens the normal barrier to the rest of the body, it changes the blood supply within the brain, it speeds up aging and promotes Alzheimer-like changes.
Thanks. So, pretty much what was being discovered at end of '20, and in '21. The huge controversy about the early vaccines, plus the specialists not being able to detect signs of sequelae that contribute to Long Covid, means that---for most sufferers---it is too late. They've had too many infections, and of different variants. I'm still Covid-free, as is my partner. We're in the throwaway cohort. @EricCarroll