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Persistent Gut-Immune Axis dysregulation in long-term Post-COVID Syndrome: Insights from a prospective, observational, cross-sectional case-control study - PubMed

4 days ago
  • #Post-COVID syndrome
  • #Viral persistence
  • #Gut-Immune Axis
  • Post-COVID syndrome (PCS) affects individuals even after mild SARS-CoV-2 infection.
  • Study investigates viral protein persistence in gut-associated lymphoid tissue (GALT) and its link to PCS.
  • PCS+ individuals show increased mast cell activity, elevated zonulin levels, and compromised gut barrier function.
  • Higher SARS-CoV-2 nucleocapsid protein expression found in the terminal ileum of PCS+ patients.
  • Alterations in immune cell populations include expanded plasmacytoid dendritic cells and changes in NK cell subsets.
  • Central memory T-cells in PCS+ patients show low PD-1 expression.
  • Elevated MMP-9 levels indicate gut inflammation and tissue remodeling.
  • Findings suggest the gut-immune axis as a key driver of PCS.
  • Therapeutic strategies targeting viral persistence and gut immune homeostasis are supported.