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Post-acute Sequelae of SARS-CoV-2 Cardiovascular Symptoms Are Associated with Trace-level Cytokines That Affect Cardiomyocyte Function

Abstract

An estimated 65 million people globally suffer from post-acute sequelae of COVID-19 (PASC), with many experiencing cardiovascular symptoms (PASC-CVS) like chest pain and heart palpitations. This study examines the role of chronic inflammation in PASC-CVS, particularly in individuals with symptoms persisting over a year after infection. Blood samples from three groups-recovered individuals, those with prolonged PASC-CVS and SARS-CoV-2-negative individuals-revealed that those with PASC-CVS had a blood signature linked to inflammation. Trace-level pro-inflammatory cytokines were detected in the plasma from donors with PASC-CVS 18 months post infection using nanotechnology. Importantly, these trace-level cytokines affected the function of primary human cardiomyocytes. Plasma proteomics also demonstrated higher levels of complement and coagulation proteins in the plasma from patients with PASC-CVS. This study highlights chronic inflammation's role in the symptoms of PASC-CVS.

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References
1.
Bowe B, Xie Y, Al-Aly Z . Postacute sequelae of COVID-19 at 2 years. Nat Med. 2023; 29(9):2347-2357. PMC: 10504070. DOI: 10.1038/s41591-023-02521-2. View

2.
Davis H, McCorkell L, Vogel J, Topol E . Long COVID: major findings, mechanisms and recommendations. Nat Rev Microbiol. 2023; 21(3):133-146. PMC: 9839201. DOI: 10.1038/s41579-022-00846-2. View

3.
Yin K, Peluso M, Luo X, Thomas R, Shin M, Neidleman J . Long COVID manifests with T cell dysregulation, inflammation and an uncoordinated adaptive immune response to SARS-CoV-2. Nat Immunol. 2024; 25(2):218-225. PMC: 10834368. DOI: 10.1038/s41590-023-01724-6. View

4.
Liew F, Efstathiou C, Fontanella S, Richardson M, Saunders R, Swieboda D . Large-scale phenotyping of patients with long COVID post-hospitalization reveals mechanistic subtypes of disease. Nat Immunol. 2024; 25(4):607-621. PMC: 11003868. DOI: 10.1038/s41590-024-01778-0. View

5.
Altmann D, Whettlock E, Liu S, Arachchillage D, Boyton R . The immunology of long COVID. Nat Rev Immunol. 2023; 23(10):618-634. DOI: 10.1038/s41577-023-00904-7. View