EARLY DIAGNOSTICS OF DISORDERS OF THE NEUROMEDIATOR SYSTEMS WITH THE USE OF NEUROTROPIC AUTOANTIBODIES IN PERSONS WITH COVID-19

Authors

  • Inoyatova Firuza Khidoyatovna
  • Rakhmatullaeva Gulnora Kutbiddinovna
  • Vakhobova Nigina Anorbekovna
  • Mirkomilov Eldor Mirkodir ugli
  • Salikhodjaeva Umida Shakirovna

Keywords:

COVID-19, nervous system, neurotropic autoantibodies, early diagnosis

Abstract

COVID-19 is a new disease in the history of mankind, but the neurotropic properties of the causative agent of this disease SARS-CoV-2 are already beyond doubt. It is well known that some neurotropic viruses can cause nervous system disease several years after infection, and perhaps this also applies to coronavirus infection. Given the pandemic situation, this could have serious consequences in the form of an increase in the number of patients with neurological disorders in the future. The method of immunochemical analysis ELI-Neuro-Test, developed by Professor A.B. Poletaev, makes it possible to comprehensively assess the state of neurotransmitter systems and, long before the appearance of neurological symptoms, with a high probability of predicting diseases of the central nervous system, in particular those associated with COVID-19. Using this method, an individual profile of serum immunoreactivity is analyzed, depending on changes in the relative content of IgG autoantibodies directed to 12 autogens of the nervous system. In our small study, we identified in patients who underwent COVID-19 immunochemical signs of damage to the GABAergic (58.6%), opioid (37.9%), serotonergic (20.7%), cholinergic (13.8%) neurotransmitter systems, and also markers of axonal damage (20.7%), demyelination (10.3%) and reactive astrogliosis (24.1%), which suggest what variety of neurological deficits can be expected in the medium and long-term in patients with SARS-CoV-2 infection.

References

Niazkar, H. R., Zibaee, B., Nasimi, A., and Bahri, N. (2020). The neurological manifestations of COVID-19: a review article. Neurol. Sci. 41, 1667–1671. doi: 10.1007/s10072-020-04486-3.

Hoffmann, M., Kleine-Weber, H., Schroeder, S., Krüger, N., Herrler, T., Erichsen, S., et al. (2020). SARS-CoV-2 Cell Entry Depends on ACE2 and TMPRSS2 and Is Blocked by a Clinically Proven Protease Inhibitor. Cell 181, 271–280. doi: 10.1016/j.cell.2020.02.052.

Chen, R., Yu, J., Wang, K., Chen, Z., Wen, C., and Xu, Z. (2020). The spatial and cell-type distribution of SARS-CoV-2 receptor ACE2 in human and mouse brain. bioRxiv.

Puelles, V. G., Lütgehetmann, M., Lindenmeyer, M. T., Sperhake, J. P., Wong, M. N., Allweiss, L., et al. (2020). Multiorgan and Renal Tropism of SARS-CoV-2. N. Engl. J. Med. 383, 590–592. doi: 10.1056/nejmc2011400.

Moriguchi, T., Harii, N., Goto, J., Harada, D., Sugawara, H., Takamino, J., et al. (2020). A first case of meningitis/encephalitis associated with SARS-Coronavirus-2. Int. J. Infect. Dis. 94, 55–58.

Virhammar, J., Kumlien, E., Fällmar, D., Frithiof, R., Jackmann, S., Sköld, M. K., et al. (2020). Acute necrotizing encephalopathy with SARS-CoV-2 RNA confirmed in cerebrospinal fluid. Neurology 95:445. doi: 10.1212/wnl.0000000000010250.

Bullen, C. K., Hogberg, H. T., Bahadirli-Talbott, A., Bishai, W. R., Hartung, T., Keuthan, C., et al. (2020). Infectability of human Brain Sphere neurons suggests neurotropism of SARS-CoV-2. Altex 37, 665–671.

Song, E., Zhang, C., Israelow, B., Lu-Culligan, A., Prado, A. V., Skriabine, S., et al. (2020). Neuroinvasion of SARS-CoV-2 in human and mouse brain. bioRxiv [Preprint]. doi: 10.1101/2020.06.25.169946.

Tavčar P, Potokar M, Kolenc M, Korva M, Avšič-Županc T, Zorec R and Jorgačevski J (2021) Neurotropic Viruses, Astrocytes, and COVID-19. Front. Cell. Neurosci. 15:662578. doi: 10.3389/fncel.2021.662578.

Jurayev A.M., Khalimov R.J. New methods for surgical Treatment of Perthes Disease in children International Journal of Psychosocial Rehabilitation, Vol 24, Issue 02, 2020. Р.301-307

Shan L, Zhang T, Fan K, Cai W and Liu H (2021) Astrocyte-Neuron Signaling in Synaptogenesis. Front. Cell Dev. Biol. 9:680301. doi: 10.3389/fcell.2021.680301.

Chen Y, Park YB, Patel E, Silverman GJ. IgM antibodies to apoptosis-associated determinants recruit C1q and enhance dendritic cell phagocytosis of apoptotic cells. J Immunol (2009) 182:6031–43. doi:10.4049/jimmunol.0804191.

Nagele EP, Han M, Acharya NK, DeMarshall C, Kosciuk MC, Nagele RG. Natural IgG autoantibodies are abundant and ubiquitous in human sera, and their number is influenced by age, gender, and disease. PLoS One (2013) 8:e60726. doi:10.1371/journal.pone.0060726.

Poletaev, A. B., Stepanjulk, V. L., & Gershwin, M. V. (2008). Integrating Immunity: the Immunculus and Self-reactivity. Journal of Autoimmunity, 30(1-2), 68-73.

R.Dj. Khalimov, A.M. Djurayev, Kh.R. Rakhmatullayev. Rehabilitation Program For Children Withperthes Disease. Turkish Journal of Physiotherapy. and Rehabilitation. 32(3).2021. Р.18403 – 18406

Matzinger P (2002). "The Danger Model: A Renewed Sense of Self" (PDF). Science. 296 (5566): 301–305. Bibcode: 2002Sci. 296 301M. Cite Seer X 10.1.1.127.558. doi:10.1126/science.1071059. PMID 11951032. S2CID 13615808.

Fu M, Fan PS, Li W, Li CX, Xing Y, et al. (2007) Identification of poly-reactive natural IgM antibody that recognizes late apoptotic cells and promotes phagocytosis of the cells. Apoptosis 12: 355–362.

Han M, Nagele E, DeMarshall C, Acharya N, Nagele R (2012) Diagnosis of Parkinson's disease based on disease-specific autoantibody profiles in human sera. PLoS One 7: e32383.

A.M. Jurayev, R.J. Khalimov New methods for surgical Treatment of Perthes disease in children International Journal of Psychosocial Rehabilitation, Vol 24, Issue 02, 2020 ISSN: 1475 -7192. 301-307.

Allen, N. J. (2014). Astrocyte regulation of synaptic behavior. Annu. Rev. Cell Dev. Biol. 30, 439–463. doi: 10.1146/annurev-cellbio-100913-013053.

Kumar S, Veldhuis A and Malhotra T (2021) Neuropsychiatric and Cognitive Sequelae of COVID-19. Front. Psychol. 12:577529. doi: 10.3389/fpsyg.2021.577529.

Lippi, A., Domingues, R., Setz, C., Outeiro, T. F., and Krisko, A. (2020). SARS-CoV-2: at the crossroad between aging and Neurodegeneration. Mov. Disord. 35, 716–720. doi: 10.1002/mds.28084.

Lee, M. H., Perl, D. P., Nair, G., Li, W., Maric, D., Murray, H., et al. (2020). Microvascular Injury in the Brains of Patients with Covid-19. N. Engl. J. Med. 384, 481–483. doi: 10.1056/nejmc2033369.

Kanberg, N., Ashton, N., Andersson, L.-M., Yilmaz, A., Lindh, M., Nilsson, S., et al. (2020). Neurochemical evidence of astrocytic and neuronal injury commonly found in COVID-19. Neurology 95, e1754–e1759. doi: 10.1212/WNL.0000000000010111.

Arnaud, S., Budowski, C., Ng Wing Tin, S., and Degos, B. (2020). Post SARS-CoV-2 Guillain-Barre syndrome. Clin. Neurophysiol. 131, 1652–1654. doi: 10.1016/j.clinph.2020.05.003.

Published

2022-02-26