Connecting dots of long COVID-19 pathogenesis: a vagus nerve-hypothalamic-pituitary-adrenal-mitochondrial axis dysfunction
2024

Understanding Long COVID: The Role of the Vagus Nerve and Mitochondrial Dysfunction

publication Evidence: moderate

Author Information

Author(s): Marta Camici, Giulia Del Duca, Anna Clelia Brita, Andreas Antinori

Primary Institution: National Institute for Infectious Diseases Lazzaro Spallanzani Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy

Hypothesis

The key to long COVID pathogenesis lies in chronic functional damage to the anti-inflammatory mechanisms mediated by the vagus nerve, hypothalamic-pituitary-adrenal axis, and mitochondrial function.

Conclusion

The study suggests that dysfunction in the vagus nerve and mitochondrial damage may contribute significantly to the symptoms of long COVID.

Supporting Evidence

  • Long COVID is linked to chronic inflammation and mitochondrial dysfunction.
  • Vagus nerve damage may reduce the body's ability to control inflammation.
  • Patients with long COVID often show signs of dysautonomia and hormonal imbalance.

Takeaway

Long COVID might be caused by problems with a nerve that helps control inflammation and energy in our bodies, leading to ongoing health issues after COVID-19.

Digital Object Identifier (DOI)

10.3389/fcimb.2024.1501949

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