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关于新冠病毒疾病中依赖海马体的记忆障碍潜在神经认知机制的见解

Insights on the neurocognitive mechanisms underlying hippocampus-dependent memory impairment in COVID-19.

作者信息

Meyer Patric, Zaiser Ann-Kathrin

机构信息

Cognitive Neuroscience Unit, School of Psychology, SRH University of Applied Sciences Heidelberg, Maria-Probst-Strasse 3, D-69123, Heidelberg, Germany.

Department for General and Applied Linguistics, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany.

出版信息

Sci Rep. 2025 Jun 20;15(1):20114. doi: 10.1038/s41598-025-04166-2.


DOI:10.1038/s41598-025-04166-2
PMID:40542011
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12181319/
Abstract

COVID-19 has been linked to acute and long-term cognitive impairments, including memory and concentration deficits, as well as neuropsychiatric symptoms such as anxiety and depression. However, the neuropathophysiological mechanisms underlying these cognitive and affective changes remain poorly understood. Accumulating evidence points towards neuroinflammation as a potential driver of most acute and post-acute neurofunctional symptoms. In this study, we aimed to comprehensively characterize cognitive impairment associated with COVID-19 using a large online cohort of over 1400 participants, including individuals reporting a previous SARS-CoV-2 infection and individuals who had never been tested positive. Our cognitive test battery covered alertness, executive functions, and episodic long-term memory. Our results demonstrate a pronounced and selective impairment of individuals previously infected in a mnemonic discrimination task known to engage hippocampus-dependent pattern separation. This impairment remained statistically significant after controlling for potential confounding factors (i.e., age, gender, education, depressiveness, anxiety, and stress). This finding, derived indirectly from behavioral performance, suggests compromised hippocampal neurogenesis following infection, which may contribute to COVID-related memory deficits. Our study has important implications for understanding the neurofunctional consequences of COVID-19 and highlights the potential significance of neuroinflammation in the manifestation of cognitive impairments.

摘要

新冠病毒已被证实与急性和长期认知障碍有关,包括记忆和注意力缺陷,以及焦虑和抑郁等神经精神症状。然而,这些认知和情感变化背后的神经病理生理机制仍未得到充分理解。越来越多的证据表明,神经炎症可能是导致大多数急性和急性后神经功能症状的潜在原因。在这项研究中,我们旨在通过一个超过1400名参与者的大型在线队列,全面描述与新冠病毒相关的认知障碍,其中包括报告曾感染过严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的个体以及从未检测呈阳性的个体。我们的认知测试组合涵盖了警觉性、执行功能和情景长期记忆。我们的研究结果表明,在一项已知涉及海马体依赖的模式分离的记忆辨别任务中,曾感染过新冠病毒的个体存在明显且选择性的损伤。在控制了潜在的混杂因素(即年龄、性别、教育程度、抑郁程度、焦虑和压力)后,这种损伤在统计学上仍然显著。这一从行为表现间接得出的发现表明,感染后海马体神经发生受损,这可能导致与新冠病毒相关的记忆缺陷。我们的研究对于理解新冠病毒的神经功能后果具有重要意义,并凸显了神经炎症在认知障碍表现中的潜在重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81bd/12181319/ae07e1b29c09/41598_2025_4166_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81bd/12181319/ae07e1b29c09/41598_2025_4166_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81bd/12181319/ae07e1b29c09/41598_2025_4166_Fig1_HTML.jpg

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本文引用的文献

[1]
Hippocampal alterations after SARS-CoV-2 infection: A systematic review.

Behav Brain Res. 2023-10-18

[2]
Post-acute sequelae of COVID-19: understanding and addressing the burden of multisystem manifestations.

Lancet Respir Med. 2023-8

[3]
Self-perception of cognitive sequels in post-COVID-19 individuals.

Dement Neuropsychol. 2023-5-5

[4]
Evaluation of cognitive functions in adult individuals with COVID-19.

Neurol Sci. 2023-3

[5]
Brain fog of post-COVID-19 condition and Chronic Fatigue Syndrome, same medical disorder?

J Transl Med. 2022-12-6

[6]
Cognitive impairments in patients with subacute coronavirus disease: Initial experiences in a post-coronavirus disease clinic.

Front Aging Neurosci. 2022-11-9

[7]
The negative impact of COVID-19 on working memory revealed using a rapid online quiz.

PLoS One. 2022

[8]
Brain F-FDG PET imaging in outpatients with post-COVID-19 conditions: findings and associations with clinical characteristics.

Eur J Nucl Med Mol Imaging. 2023-3

[9]
The neurobiology of long COVID.

Neuron. 2022-11-2

[10]
Multimodal neuroimaging in post-COVID syndrome and correlation with cognition.

Brain. 2023-5-2

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