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ABSTRACT: Introduction
Neurological complications among hospitalized COVID-19 patients may be associated with elevated neurodegenerative biomarkers.Methods
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).Results
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.Discussion
Neurodegenerative biomarkers were elevated to levels observed in AD dementia and associated with encephalopathy and worse outcomes among hospitalized COVID-19 patients.
SUBMITTER: Frontera JA
PROVIDER: S-EPMC9011610 | biostudies-literature | 2022 May
REPOSITORIES: biostudies-literature
Frontera Jennifer A JA Boutajangout Allal A Masurkar Arjun V AV Betensky Rebecca A RA Ge Yulin Y Vedvyas Alok A Debure Ludovic L Moreira Andre A Lewis Ariane A Huang Joshua J Thawani Sujata S Balcer Laura L Galetta Steven S Wisniewski Thomas T
Alzheimer's & dementia : the journal of the Alzheimer's Association 20220113 5
<h4>Introduction</h4>Neurological complications among hospitalized COVID-19 patients may be associated with elevated neurodegenerative biomarkers.<h4>Methods</h4>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 enceph ...[more]