Neurodegeneration after COVID persists

Kate Madden Yee, Senior Editor, AuntMinnie.com. Headshot

Thursday, December 4 | 2:00 p.m.-2:10 p.m. | R6-SSNR15-4 | Room S406B

The COVID pandemic may appear to be behind us, but for many who contracted the illness, its effects continue, according to research to be presented Thursday afternoon.

A team led by Yangsean Choi, MD, PhD, of Seoul St. Mary's Hospital in South Korea identified "structural and molecular brain changes specific to cognitively impaired PASC [postacute sequelae of SARS-CoV-2 infection] patients."

The group's findings address a knowledge gap regarding the extent of brain alterations and their association with neurodegenerative processes in individuals with PASC. 

Choi and colleagues conducted a study that assessed brain MRI results in this population, categorizing study participants -- all of whom had experienced mild COVID one year prior to the start of the research -- into the following three groups:

  1. Cog-PASC: PASC with cognitive impairment
  2. Other-PASC: PASC without cognitive impairment
  3. NS-PASC: No significant PASC symptoms

All patients underwent multimodal brain MR imaging. The team tracked MRI biomarkers such as cortical thickness and choroid plexus volumes from 3D T1-weighted images, diffusion tensor imaging along the perivascular spaces, and quantitative susceptibility mapping.

Overall, the investigators reported that Cog-PASC patients were older than those in the NS-PASC and Other-PASC groups (p < 0.001), and had worse cognitive performance (Montreal Cognitive Assessment [MoCA] score: 24 for Cog-PASC patients versus 28 in both other groups; p < 0.001).

"These results suggest that individuals with Cog-PASC, even after mild COVID-19 infection, exhibit distinct neurodegenerative changes," the researchers concluded.

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