Evidence map›Paper›PMID 38756214›Full record

ArticleFrontiers in neurology2024

Blood brain barrier disruption and glutamatergic excitotoxicity in post-acute sequelae of SARS COV-2 infection cognitive impairment: potential biomarkers and a window into pathogenesis.

Joga Chaganti, Govinda Poudel, Lucette Adeline Cysique, Gregory J Dore, Anthony Kelleher, Gael Matthews, David Darley, Anthony Byrne, David Jakabek, Xin Zhang and 3 more

Abstract read
In one paragraph

Article in Frontiers in neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Neuroimmune pathophysiology of long COVID.Psychiatry and clinical neurosciences · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Long COVID Is Not a Functional Neurologic Disorder.Journal of personalized medicine · 2024
    Review
  16. Article
  17. Brain Microstructural Damage as Potential Biomarker of Immune Cell-Associated Neurotoxicity Syndrome.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Joga ChagantiThomas Jefferson University, Philadelphia, PA, United States.
Govinda PoudelMary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, VIC, Australia.
Lucette Adeline CysiqueDepartment of Neurology and Immunology, Peter Duncan Neuroscience Unit, St Vincent's Hospital, University of New South Wales, Darlinghurst, NSW, Australia.
Gregory J DoreThe Kirby Institute, Faculty of Medicine, University of New South Wales, Kensington, NSW, Australia.
Anthony KelleherThe Kirby Institute, Faculty of Medicine, University of New South Wales, Kensington, NSW, Australia.
Gael MatthewsThe Kirby Institute, Faculty of Medicine, University of New South Wales, Kensington, NSW, Australia.
David DarleyDepartment of Neurology and Immunology, Peter Duncan Neuroscience Unit, St Vincent's Hospital, University of New South Wales, Darlinghurst, NSW, Australia.
Anthony ByrneSt Vincent's Hospital, University of NSW, Darlinghurst, NSW, Australia.
David JakabekSt Vincent's Hospital, University of NSW, Darlinghurst, NSW, Australia.
Xin ZhangRoyal Prince Alfred Hospital, Sydney, NSW, Australia.
Marrissa LewisSt Vincent's Hospital, University of NSW, Darlinghurst, NSW, Australia.
Nikhil JhaThe Canberra Hospital, Canberra, ACT, Australia.
Bruce James BrewDepartment of Neurology and Immunology, Peter Duncan Neuroscience Unit, St Vincent's Hospital, University of New South Wales, Darlinghurst, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the association between blood-brain barrier permeability, brain metabolites, microstructural integrity of the white matter, and cognitive impairment (CI) in post-acute sequelae of SARS-COV-2 infection (PASC). Methods: In this multimodal longitudinal MRI study 14 PASC participants with CI and 10 healthy controls were enrolled. All completed investigations at 3 months following acute infection (3 months ± 2 weeks SD), and 10 PASC participants completed at 12 months ± 2.22 SD weeks. The assessments included a standard neurological assessment, a cognitive screen using the brief CogState battery and multi-modal MRI derived metrics from Dynamic contrast enhanced (DCE) perfusion Imaging, Diffusion Tensor Imaging (DTI), and single voxel proton Magnetic Resonance Spectroscopy. These measures were compared between patients and controls and correlated with cognitive scores. Results: At baseline, and relative to controls, PASC participants had higher K-Trans and Myo-inositol, and lower levels of Glutamate/Glutamine in the frontal white matter (FWM) ( Interpretation: PASC with CI is associated with BBB impairment, loss of WM integrity, and inflammation at 3 months which significantly but not uniformly improved at 12 months. The loss of WM integrity is possibly mediated by BBB impairment and associated glutamatergic excitotoxicity.

Indexed as

BBBdiffusion tensor imagingglutamatergic excitotoxicityMRIPASC-CI

Identifiers

PMID38756214
PMCPMC11097901

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.