Blood-brain barrier breakdown in COVID-19 ICU survivors: an MRI pilot study

Objectives: Coronavirus disease 2019 (COVID-19) results in severe inflammation at the acute stage. Chronic neuroinflammation and abnormal immunological response have been suggested to be the contributors to neuro-long-COVID, but direct evidence has been scarce. This study aims to determine the integrity of the blood-brain barrier (BBB) in COVID-19 intensive care unit (ICU) survivors using a novel MRI technique. Methods: COVID-19 ICU survivors (n=7) and age and sex-matched control participants (n=17) were recruited from June 2021 to March 2023. None of the control participants were hospitalized due to COVID-19 infection. The COVID-19 ICU survivors were studied at 98.6 ± 14.9 days after their discharge from ICU. A non-invasive MRI technique was used to assess the BBB permeability to water molecules, in terms of permeability surface area-product (PS) in the units of mL/100 g/min. Results: PS was significantly higher in COVID-19 ICU survivors (p=0.038) when compared to the controls, with values of 153.1 ± 20.9 mL/100 g/min and 132.5 ± 20.7 mL/100 g/min, respectively. In contrast, there were no significant differences in whole-brain cerebral blood flow (p=0.649) or brain volume (p=0.471) between the groups. Conclusions: There is preliminary evidence of a chronic BBB breakdown in COVID-19 survivors who had a severe acute infection, suggesting a plausible contributor to neurological long-COVID symptoms.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Blood-brain barrier breakdown in COVID-19 ICU survivors: an MRI pilot study ; volume:2 ; number:4 ; year:2023 ; pages:333-338 ; extent:6
NeuroImmune Pharmacology and Therapeutics ; 2, Heft 4 (2023), 333-338 (gesamt 6)

Urheber
Shi, Wen
Jiang, Dengrong
Rando, Hannah
Khanduja, Shivalika
Lin, Zixuan
Hazel, Kaisha
Pottanat, George
Jones, Ebony
Xu, Cuimei
Lin, Doris
Yasar, Sevil
Cho, Sung-Min
Lu, Hanzhang

DOI
10.1515/nipt-2023-0018
URN
urn:nbn:de:101:1-2023120513215594672948
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:22 MESZ

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Beteiligte

  • Shi, Wen
  • Jiang, Dengrong
  • Rando, Hannah
  • Khanduja, Shivalika
  • Lin, Zixuan
  • Hazel, Kaisha
  • Pottanat, George
  • Jones, Ebony
  • Xu, Cuimei
  • Lin, Doris
  • Yasar, Sevil
  • Cho, Sung-Min
  • Lu, Hanzhang

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