后COVID-19认知衰退和阿波多形态:朝着一个可能的联系?
José Wagner Leonel Tavares-Júnior1,2, Danilo Nunes Oliveira1,2, Jean Breno Silveira da Silva3
1Neurology Division, Clinical Medicine Department, Faculty of Medicine, Federal University of Ceará (UFC), Fortaleza 60020-181, CE, Brazil.
Brain sciences
|December 23, 2023
概括
APOE ε4等位基因与COVID-19幸存者经历持续的神经症状的认知衰退有关. 焦虑和睡眠问题也与后COVID认知障碍相关.
科学领域:
- 神经学 神经学
- 遗传学 是一个遗传学.
- 传染性疾病 传染性疾病
背景情况:
- COVID-19可能会导致持续的神经症状,包括认知缺陷.
- 阿波利波蛋白E (APOE) ε4等位基因是认知障碍的已知危险因素.
研究的目的:
- 研究COVID-19,认知障碍和门诊患者的APOE基因多态性之间的关联.
- 为了确定APOE ε4是否影响SARS-CoV-2感染后的认知衰退.
主要方法:
- 对219名COVID-19门诊患者进行了横截面研究,这些患者有持续的神经症状 (>3个月).
- 在186名参与者身上进行了APOE基因定型.
- 使用阿登布鲁克认知检查-修订和迷你精神状态检查评估的认知功能.
主要成果:
- 16.4%的患者表现出客观验证的认知能力下降.
- 在认知衰退组中,APOE ε4基因基因更为普遍 (30.8%对比16.4%).
- 在多变量分析后,APOE ε4,焦虑症状和睡眠障碍与认知衰退显著相关.
结论:
- APOE ε4等位基因与COVID-19幸存者的认知障碍有关.
- 在COVID后认知衰退的患者中,焦虑症状和睡眠障碍更为频繁.
- 即使在轻微的COVID-19病例中,也可能发生认知变化,这凸显了评估的必要性.
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