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Neuroinflammation and Brain Development: Possible Risk Factors in COVID-19-Infected Children
Luana da Silva Chagas1, Poliana Capucho Sandre2, Patricia Coelho de Velasco3
1Laboratory of Neural Plasticity, Neurobiology Department, Biology Institute, Federal Fluminense University, Niteroi, Brazil.
Insights
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can cause neuroinflammation in children, potentially leading to neurodevelopmental disorders. This review examines risk factors like cytokine surges and maternal health conditions impacting pediatric brain development.
Area of Science:
- Pediatric Neurology
- Neuroimmunology
- Infectious Diseases
Background:
- COVID-19 in children often presents with milder symptoms than in adults.
- Neurological complications, including neuroinflammatory syndromes like MIS-C, have been reported post-mild COVID-19.
- Viral infections, including SARS-CoV-2, can trigger proinflammatory cytokine release affecting brain development.
Purpose of the Study:
- To review potential risk factors for neurodevelopmental disorders in children infected with SARS-CoV-2.
- To explore the interplay between viral infection, neuroinflammation, and noninfectious conditions.
- To highlight factors impacting pediatric neural development mechanisms.
Main Methods:
- Literature review of studies on COVID-19 in children.
- Analysis of mechanisms linking SARS-CoV-2 infection to neuroinflammation.
- Examination of noninfectious contributing factors and their impact on neural development.
Main Results:
- SARS-CoV-2 can induce neuroinflammation via cytokine surges, potentially harming microglial function.
- Noninfectious factors like nutritional imbalances and prenatal alcohol exposure may exacerbate inflammation.
- Thyroid dysfunction, including transient thyrotoxicosis and hypothyroidism, can occur and impact pregnancy.
Conclusions:
- Combined factors of SARS-CoV-2 infection, neuroinflammation, and maternal health issues pose risks to pediatric neural development.
- Potential impacts include disruptions to synaptic pruning and neural circuitry formation.
- Further research is needed to understand and mitigate the risk of neurodevelopmental disorders in COVID-19-affected children.
Abstract:
COVID-19, a disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) betacoronavirus, affects children in a different way than it does in adults, with milder symptoms. However, several cases of neurological symptoms with neuroinflammatory syndromes, such as the multisystem inflammatory syndrome (MIS-C), following mild cases, have been reported. As with other viral infections, such as rubella, influenza, and cytomegalovirus, SARS-CoV-2 induces a surge of proinflammatory cytokines that affect microglial function, which can be harmful to brain development. Along with the viral induction of neuroinflammation, other noninfectious conditions may interact to produce additional inflammation, such as the nutritional imbalance of fatty acids and polyunsaturated fatty acids and alcohol consumption during pregnancy. Additionally, transient thyrotoxicosis induced by SARS-CoV-2 with secondary autoimmune hypothyroidism has been reported, which could go undetected during pregnancy. Together, those factors may pose additional risk factors for SARS-CoV-2 infection impacting mechanisms of neural development such as synaptic pruning and neural circuitry formation. The present review discusses those conditions in the perspective of the understanding of risk factors that should be considered and the possible emergence of neurodevelopmental disorders in COVID-19-infected children.
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