A Prospective Study on Neural Biomarkers in Patients with Long-COVID Symptoms.

Journal: Journal of personalized medicine

Volume: 14

Issue: 3

Year of Publication: 

Affiliated Institutions:  First Department of Critical Care Medicine, Evangelismos Hospital, Medical School, National & Kapodistrian University of Athens, Athens, Greece. Department of Endocrinology Diabetes and Metabolism, National Expertise Center for Rare Endocrine Diseases, Evangelismos Hospital, Athens, Greece.

Abstract summary 

this prospective observational study aims to assess serum levels of glial fibrillary acidic protein (GFAP), s100b, and total Tau in long-COVID patients, exploring correlations with symptoms, cognitive decline, mental health, and quality of life.Long-COVID patients visiting our outpatient clinic (February 2021-December 2022) were screened alongside age- and sex-matched controls. GFAP, s100b, and total Tau in serum were measured with ELISA. Cognitive function, depression, anxiety, post-traumatic stress disorder, and quality of life were evaluated using MoCA, HADS (depression and anxiety), IES-R, and SF-36, respectively.Sixty-five long-COVID patients and 20 controls were included. GFAP levels were significantly higher in long-COVID patients ( = 0.031), though not correlating with the presence of long-COVID symptoms. S100b and total Tau showed no significant differences between patients and controls. Nervous system-related symptoms were reported in 47% of patients. High rates of cognitive decline (65.9%), depression (32.2%), anxiety (47.5%), and post-traumatic stress disorder (44.1%) were observed. Over 80% of the study population scored below normative cutoffs for SF-36, indicating a significant impact on quality of life.in this long-COVID cohort with substantial psychological and cognitive symptoms, GFAP levels were elevated compared to controls, though not correlating with the presence of long-COVID symptoms.

Authors & Co-authors:  Vrettou Vassiliou Keskinidou Mourelatos Asimakos Spetsioti Diamantopoulos Jahaj Antonoglou Katsaounou Vassiliadi Kotanidou Dimopoulou

Study Outcome 

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Statistics
Citations :  Ellul M.A., Benjamin L., Singh B., Lant S., Michael B.D., Easton A., Kneen R., Defres S., Sejvar J., Solomon T. Neurological Associations of COVID-19. Lancet Neurol. 2020;19:767–783. doi: 10.1016/S1474-4422(20)30221-0.
Authors :  13
Identifiers
Doi : 313
SSN : 2075-4426
Study Population
Male,Female
Mesh Terms
Other Terms
GFAP;health-related quality of life;long-COVID;s100b;total Tau
Study Design
Study Approach
Country of Study
Publication Country
Switzerland