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10.1038/s41586-021-03710-0

http://scihub22266oqcxt.onion/10.1038/s41586-021-03710-0
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34153974!8400927!34153974
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suck abstract from ncbi


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pmid34153974      Nature 2021 ; 595 (7868): 565-571
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  • Dysregulation of brain and choroid plexus cell types in severe COVID-19 #MMPMID34153974
  • Yang AC; Kern F; Losada PM; Agam MR; Maat CA; Schmartz GP; Fehlmann T; Stein JA; Schaum N; Lee DP; Calcuttawala K; Vest RT; Berdnik D; Lu N; Hahn O; Gate D; McNerney MW; Channappa D; Cobos I; Ludwig N; Schulz-Schaeffer WJ; Keller A; Wyss-Coray T
  • Nature 2021[Jul]; 595 (7868): 565-571 PMID34153974show ga
  • Although SARS-CoV-2 primarily targets the respiratory system, patients with and survivors of COVID-19 can suffer neurological symptoms(1-3). However, an unbiased understanding of the cellular and molecular processes that are affected in the brains of patients with COVID-19 is missing. Here we profile 65,309 single-nucleus transcriptomes from 30 frontal cortex and choroid plexus samples across 14 control individuals (including 1 patient with terminal influenza) and 8 patients with COVID-19. Although our systematic analysis yields no molecular traces of SARS-CoV-2 in the brain, we observe broad cellular perturbations indicating that barrier cells of the choroid plexus sense and relay peripheral inflammation into the brain and show that peripheral T cells infiltrate the parenchyma. We discover microglia and astrocyte subpopulations associated with COVID-19 that share features with pathological cell states that have previously been reported in human neurodegenerative disease(4-6). Synaptic signalling of upper-layer excitatory neurons-which are evolutionarily expanded in humans(7) and linked to cognitive function(8)-is preferentially affected in COVID-19. Across cell types, perturbations associated with COVID-19 overlap with those found in chronic brain disorders and reside in genetic variants associated with cognition, schizophrenia and depression. Our findings and public dataset provide a molecular framework to understand current observations of COVID-19-related neurological disease, and any such disease that may emerge at a later date.
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Astrocytes/*pathology[MESH]
  • |Brain/metabolism/*pathology/physiopathology/virology[MESH]
  • |COVID-19/*diagnosis/genetics/*pathology/physiopathology[MESH]
  • |Cell Nucleus/genetics[MESH]
  • |Choroid Plexus/metabolism/*pathology/physiopathology/virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Inflammation/virology[MESH]
  • |Male[MESH]
  • |Microglia/*pathology[MESH]
  • |Middle Aged[MESH]
  • |Neurons/*pathology[MESH]
  • |SARS-CoV-2/growth & development/pathogenicity[MESH]
  • |Single-Cell Analysis[MESH]
  • |Transcriptome[MESH]


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