Geriatrics Research Educational and Clinical Center, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA; Division of Gerontology and Geriatric Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, WA, USA.
Geriatrics Research Educational and Clinical Center, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA.
Brain Behav Immun. 2023 Mar;109:251-268. doi: 10.1016/j.bbi.2023.01.010. Epub 2023 Jan 20.
COVID-19 and especially Long COVID are associated with severe CNS symptoms and may place persons at risk to develop long-term cognitive impairments. Here, we show that two non-infective models of SARS-CoV-2 can cross the blood-brain barrier (BBB) and induce neuroinflammation, a major mechanism underpinning CNS and cognitive impairments, even in the absence of productive infection. The viral models cross the BBB by the mechanism of adsorptive transcytosis with the sugar N-acetylglucosamine being key. The delta and omicron variants cross the BB B faster than the other variants of concern, with peripheral tissue uptake rates also differing for the variants. Neuroinflammation induced by icv injection of S1 protein was greatly enhanced in young and especially in aged SAMP8 mice, a model of Alzheimer's disease, whereas sex and obesity had little effect.
COVID-19,特别是长新冠,与严重的中枢神经系统症状相关,可能使患者面临长期认知障碍的风险。在这里,我们表明,两种非感染性的 SARS-CoV-2 模型可以穿透血脑屏障(BBB)并引发神经炎症,这是中枢神经系统和认知障碍的主要机制,即使没有生产性感染。病毒模型通过吸附性转胞运输的机制穿透 BBB,其中糖 N-乙酰葡萄糖胺是关键。德尔塔和奥密克戎变体比其他关注变体更快地穿透 BBB,外周组织摄取率也因变体而异。脑室内注射 S1 蛋白引起的神经炎症在年轻,特别是阿尔茨海默病模型 SAMP8 老年小鼠中大大增强,而性别和肥胖的影响则很小。