Comparison of serum neurodegenerative biomarkers among hospitalized COVID-19 patients versus non-COVID subjects with normal cognition, mild cognitive impairment, or Alzheimer's dementia.

Alzheimer's disease COVID-19 SARS-CoV-2 biomarker glial fibrillary acidic protein mortality neurodegeneration neurofilament light chain tau

Journal

Alzheimer's & dementia : the journal of the Alzheimer's Association
ISSN: 1552-5279
Titre abrégé: Alzheimers Dement
Pays: United States
ID NLM: 101231978

Informations de publication

Date de publication:
05 2022
Historique:
revised: 17 11 2021
received: 21 09 2021
accepted: 18 11 2021
pubmed: 14 1 2022
medline: 11 5 2022
entrez: 13 1 2022
Statut: ppublish

Résumé

Neurological complications among hospitalized COVID-19 patients may be associated with elevated neurodegenerative biomarkers. Among hospitalized COVID-19 patients without a history of dementia (N = 251), we compared serum total tau (t-tau), phosphorylated tau-181 (p-tau181), glial fibrillary acidic protein (GFAP), neurofilament light chain (NfL), ubiquitin carboxy-terminal hydrolase L1 (UCHL1), and amyloid beta (Aβ40,42) between patients with or without encephalopathy, in-hospital death versus survival, and discharge home versus other dispositions. COVID-19 patient biomarker levels were also compared to non-COVID cognitively normal, mild cognitive impairment (MCI), and Alzheimer's disease (AD) dementia controls (N = 161). Admission t-tau, p-tau181, GFAP, and NfL were significantly elevated in patients with encephalopathy and in those who died in-hospital, while t-tau, GFAP, and NfL were significantly lower in those discharged home. These markers correlated with severity of COVID illness. NfL, GFAP, and UCHL1 were higher in COVID patients than in non-COVID controls with MCI or AD. Neurodegenerative biomarkers were elevated to levels observed in AD dementia and associated with encephalopathy and worse outcomes among hospitalized COVID-19 patients.

Identifiants

pubmed: 35023610
doi: 10.1002/alz.12556
pmc: PMC9011610
mid: NIHMS1762224
doi:

Substances chimiques

Amyloid beta-Peptides 0
Biomarkers 0
tau Proteins 0

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

899-910

Subventions

Organisme : NIA NIH HHS
ID : P30 AG066512
Pays : United States
Organisme : NIBIB NIH HHS
ID : P41 EB017183
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS094610
Pays : United States

Informations de copyright

© 2021 The Authors. Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association.

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Auteurs

Jennifer A Frontera (JA)

New York University Grossman School of Medicine, New York, New York, USA.

Allal Boutajangout (A)

New York University Grossman School of Medicine, New York, New York, USA.

Arjun V Masurkar (AV)

New York University Grossman School of Medicine, New York, New York, USA.

Rebecca A Betensky (RA)

New York University School of Global Public Health, New York, New York, USA.

Yulin Ge (Y)

New York University Grossman School of Medicine, New York, New York, USA.

Alok Vedvyas (A)

New York University Grossman School of Medicine, New York, New York, USA.

Ludovic Debure (L)

New York University Grossman School of Medicine, New York, New York, USA.

Andre Moreira (A)

New York University Grossman School of Medicine, New York, New York, USA.

Ariane Lewis (A)

New York University Grossman School of Medicine, New York, New York, USA.

Joshua Huang (J)

New York University Grossman School of Medicine, New York, New York, USA.

Sujata Thawani (S)

New York University Grossman School of Medicine, New York, New York, USA.

Laura Balcer (L)

New York University Grossman School of Medicine, New York, New York, USA.

Steven Galetta (S)

New York University Grossman School of Medicine, New York, New York, USA.

Thomas Wisniewski (T)

New York University Grossman School of Medicine, New York, New York, USA.

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Classifications MeSH