A study from Cedars-Sinai's Smidt Heart Institute suggests that immune system dysfunction could be causing long COVID-19. The study found that patients with long COVID-19 produced antibodies against the virus for an extended period after vaccination, with especially high levels of nucleocapsid antibodies. The implications of this sustained immune response are still unclear, and researchers are now seeking a definitive biomarker for diagnosing and understanding long COVID-19.
Findings show people with long COVID-19 respond differently to COVID-19 vaccines.
A new study by investigators from the Smidt Heart Institute at Cedars-Sinai suggests long COVID-19 might be caused by a dysfunction of the immune system.
The study, published in the journal BMC Infectious Diseases, found that after people with long COVID-19 received the COVID-19 vaccine, they produced antibodies against the virus that causes COVID-19 for months longer than expected.
"There's general consensus that some level of aberrant immune response happens in long COVID-19, and this study adds to the evidence to suggest this is true," said Catherine Le, MD, co-director of the Cedars-Sinai COVID-19 Recovery Program and a senior author of the study.
Long COVID-19, a condition in which people experience COVID-19-related symptoms three months or more after initial infection with the virus that causes COVID-19, is estimated to affect 65 million people worldwide. Common symptoms include fatigue, shortness of breath, and cognitive dysfunction such as confusion and forgetfulness. Some symptoms can have debilitating effects.
To study the immune response of people with long COVID-19, investigators analyzed blood samples from 245 people diagnosed with long COVID-19 and 86 people who had COVID-19 and fully recovered. All the study participants had received either one or two doses of a COVID-19 vaccine regimen.
"We examined one part of the immune system response, the production of antibodies, which is mediated by immune cells called B-cells," Le explained.
Specifically, the investigators looked at two types of antibodies that attack the virus that causes COVID-19. One of these is called the spike protein antibody, which attacks a protein on the exterior of the virus. The other is the nucleocapsid antibody, which attacks the part of the virus that allows it to replicate.
The investigators found that people who were diagnosed with long COVID-19 produced higher levels of spike protein and nucleocapsid antibodies than people without long COVID-19. Eight weeks after receiving a dose of the COVID-19 vaccine, antibody levels in people without long COVID-19 began to decrease, as was expected. People with long COVID-19, however, continued to have elevated antibody levels, especially of nucleocapsid antibodies.
"What you would expect after getting a COVID-19 vaccination is a jump in your spike protein antibody levels, but you wouldn't expect a significant increase in nucleocapsid antibody levels," said Susan Cheng, MD, MPH, the Erika J. Glazer Chair in Women's Cardiovascular Health and Population Science, director of the Institute for Research on Healthy Aging in the Department of Cardiology at the Smidt Heart Institute, and a senior author of the study. "You would also expect these levels to eventually decrease and not persist for so long after vaccination."
Although this study shows that long COVID-19 affects the immune system, it's too soon to draw firm conclusions from these findings, according to the study's authors.
"Theoretically, the production of these antibodies could mean that people are more protected from infection," Le said. "We also need to investigate if the elevated immune response corresponds with severity or number of long COVID-19 symptoms."
Investigators are continuing to study blood samples from people with long COVID-19. They are hoping to identify a measurable molecule that could be used to diagnose long COVID-19 and better understand the biological processes that cause it.
News
Fever-Proof Bird Flu Variant Could Fuel the Next Pandemic
Bird flu viruses present a significant risk to humans because they can continue replicating at temperatures higher than a typical fever. Fever is one of the body’s main tools for slowing or stopping viral [...]
What could the future of nanoscience look like?
Society has a lot to thank for nanoscience. From improved health monitoring to reducing the size of electronics, scientists’ ability to delve deeper and better understand chemistry at the nanoscale has opened up numerous [...]
Scientists Melt Cancer’s Hidden “Power Hubs” and Stop Tumor Growth
Researchers discovered that in a rare kidney cancer, RNA builds droplet-like hubs that act as growth control centers inside tumor cells. By engineering a molecular switch to dissolve these hubs, they were able to halt cancer [...]
Platelet-inspired nanoparticles could improve treatment of inflammatory diseases
Scientists have developed platelet-inspired nanoparticles that deliver anti-inflammatory drugs directly to brain-computer interface implants, doubling their effectiveness. Scientists have found a way to improve the performance of brain-computer interface (BCI) electrodes by delivering anti-inflammatory drugs directly [...]
After 150 years, a new chapter in cancer therapy is finally beginning
For decades, researchers have been looking for ways to destroy cancer cells in a targeted manner without further weakening the body. But for many patients whose immune system is severely impaired by chemotherapy or radiation, [...]
Older chemical libraries show promise for fighting resistant strains of COVID-19 virus
SARS‑CoV‑2, the virus that causes COVID-19, continues to mutate, with some newer strains becoming less responsive to current antiviral treatments like Paxlovid. Now, University of California San Diego scientists and an international team of [...]
Lower doses of immunotherapy for skin cancer give better results, study suggests
According to a new study, lower doses of approved immunotherapy for malignant melanoma can give better results against tumors, while reducing side effects. This is reported by researchers at Karolinska Institutet in the Journal of the National [...]
Researchers highlight five pathways through which microplastics can harm the brain
Microplastics could be fueling neurodegenerative diseases like Alzheimer's and Parkinson's, with a new study highlighting five ways microplastics can trigger inflammation and damage in the brain. More than 57 million people live with dementia, [...]
Tiny Metal Nanodots Obliterate Cancer Cells While Largely Sparing Healthy Tissue
Scientists have developed tiny metal-oxide particles that push cancer cells past their stress limits while sparing healthy tissue. An international team led by RMIT University has developed tiny particles called nanodots, crafted from a metallic compound, [...]
Gold Nanoclusters Could Supercharge Quantum Computers
Researchers found that gold “super atoms” can behave like the atoms in top-tier quantum systems—only far easier to scale. These tiny clusters can be customized at the molecular level, offering a powerful, tunable foundation [...]
A single shot of HPV vaccine may be enough to fight cervical cancer, study finds
WASHINGTON -- A single HPV vaccination appears just as effective as two doses at preventing the viral infection that causes cervical cancer, researchers reported Wednesday. HPV, or human papillomavirus, is very common and spread [...]
New technique overcomes technological barrier in 3D brain imaging
Scientists at the Swiss Light Source SLS have succeeded in mapping a piece of brain tissue in 3D at unprecedented resolution using X-rays, non-destructively. The breakthrough overcomes a long-standing technological barrier that had limited [...]
Scientists Uncover Hidden Blood Pattern in Long COVID
Researchers found persistent microclot and NET structures in Long COVID blood that may explain long-lasting symptoms. Researchers examining Long COVID have identified a structural connection between circulating microclots and neutrophil extracellular traps (NETs). The [...]
This Cellular Trick Helps Cancer Spread, but Could Also Stop It
Groups of normal cbiells can sense far into their surroundings, helping explain cancer cell migration. Understanding this ability could lead to new ways to limit tumor spread. The tale of the princess and the [...]
New mRNA therapy targets drug-resistant pneumonia
Bacteria that multiply on surfaces are a major headache in health care when they gain a foothold on, for example, implants or in catheters. Researchers at Chalmers University of Technology in Sweden have found [...]
Current Heart Health Guidelines Are Failing To Catch a Deadly Genetic Killer
New research reveals that standard screening misses most people with a common inherited cholesterol disorder. A Mayo Clinic study reports that current genetic screening guidelines overlook most people who have familial hypercholesterolemia, an inherited disorder that [...]
