Vagus nerve inflammation contributes to dysautonomia in COVID-19
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Vagus nerve inflammation contributes to dysautonomia in COVID-19. / Woo, Marcel S; Shafiq, Mohsin; Fitzek, Antonia; Dottermusch, Matthias; Altmeppen, Hermann; Mohammadi, Behnam; Mayer, Christina; Bal, Lukas C; Raich, Lukas; Matschke, Jakob; Krasemann, Susanne; Pfefferle, Susanne; Brehm, Thomas Theo; Lütgehetmann, Marc; Schädler, Julia; Addo, Marylyn M; Schulze Zur Wiesch, Julian; Ondruschka, Benjamin; Friese, Manuel A; Glatzel, Markus.
in: ACTA NEUROPATHOL, Jahrgang 146, Nr. 3, 09.2023, S. 387-394.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Vagus nerve inflammation contributes to dysautonomia in COVID-19
AU - Woo, Marcel S
AU - Shafiq, Mohsin
AU - Fitzek, Antonia
AU - Dottermusch, Matthias
AU - Altmeppen, Hermann
AU - Mohammadi, Behnam
AU - Mayer, Christina
AU - Bal, Lukas C
AU - Raich, Lukas
AU - Matschke, Jakob
AU - Krasemann, Susanne
AU - Pfefferle, Susanne
AU - Brehm, Thomas Theo
AU - Lütgehetmann, Marc
AU - Schädler, Julia
AU - Addo, Marylyn M
AU - Schulze Zur Wiesch, Julian
AU - Ondruschka, Benjamin
AU - Friese, Manuel A
AU - Glatzel, Markus
N1 - © 2023. The Author(s).
PY - 2023/9
Y1 - 2023/9
N2 - Dysautonomia has substantially impacted acute COVID-19 severity as well as symptom burden after recovery from COVID-19 (long COVID), yet the underlying causes remain unknown. Here, we hypothesized that vagus nerves are affected in COVID-19 which might contribute to autonomic dysfunction. We performed a histopathological characterization of postmortem vagus nerves from COVID-19 patients and controls, and detected SARS-CoV-2 RNA together with inflammatory cell infiltration composed primarily of monocytes. Furthermore, we performed RNA sequencing which revealed a strong inflammatory response of neurons, endothelial cells, and Schwann cells which correlated with SARS-CoV-2 RNA load. Lastly, we screened a clinical cohort of 323 patients to detect a clinical phenotype of vagus nerve affection and found a decreased respiratory rate in non-survivors of critical COVID-19. Our data suggest that SARS-CoV-2 induces vagus nerve inflammation followed by autonomic dysfunction which contributes to critical disease courses and might contribute to dysautonomia observed in long COVID.
AB - Dysautonomia has substantially impacted acute COVID-19 severity as well as symptom burden after recovery from COVID-19 (long COVID), yet the underlying causes remain unknown. Here, we hypothesized that vagus nerves are affected in COVID-19 which might contribute to autonomic dysfunction. We performed a histopathological characterization of postmortem vagus nerves from COVID-19 patients and controls, and detected SARS-CoV-2 RNA together with inflammatory cell infiltration composed primarily of monocytes. Furthermore, we performed RNA sequencing which revealed a strong inflammatory response of neurons, endothelial cells, and Schwann cells which correlated with SARS-CoV-2 RNA load. Lastly, we screened a clinical cohort of 323 patients to detect a clinical phenotype of vagus nerve affection and found a decreased respiratory rate in non-survivors of critical COVID-19. Our data suggest that SARS-CoV-2 induces vagus nerve inflammation followed by autonomic dysfunction which contributes to critical disease courses and might contribute to dysautonomia observed in long COVID.
U2 - 10.1007/s00401-023-02612-x
DO - 10.1007/s00401-023-02612-x
M3 - SCORING: Journal article
C2 - 37452829
VL - 146
SP - 387
EP - 394
JO - ACTA NEUROPATHOL
JF - ACTA NEUROPATHOL
SN - 0001-6322
IS - 3
ER -