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Alzheimer's proteinopathy in olfactory neuroepithelium from persistent olfactory impairment SARS-CoV-2 patients
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  • Carlos Alberto Ayala Grosso,
  • Rosalinda Pieruzzini,
  • Cesar Rodriguez ,
  • Mireya Gil,
  • Mercedes Fernandez-Mestre,
  • Kharelys Duque,
  • Lisbeth Cubillan
Carlos Alberto Ayala Grosso
Instituto Venezolano de Investigaciones Cientificas

Corresponding Author:c1ayala@idcbis.org.co

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Rosalinda Pieruzzini
Hospital Universitario Militar Carlos Arvelo de Caracas
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Cesar Rodriguez
Hospital Clinico Universitario de Caracas
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Mireya Gil
Policlinica de la Guardia Nacional Bolivariana de Venezuela
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Mercedes Fernandez-Mestre
Instituto Venezolano de Investigaciones Cientificas
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Kharelys Duque
Instituto Venezolano de Investigaciones Cientificas
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Lisbeth Cubillan
Instituto Venezolano de Investigaciones Cientificas
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Abstract

Persistent olfactory impairment (POI) and dysgeusia are lingering symptoms following recovery from Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection. These symptoms, along with neurological changes affecting mood, anxiety, cognitive function, and sleep, have significant public health implications. However, the cause of these symptoms is still unknown. For this reason, we investigated whether the presence of certain proteins, such as amyloid Aβ and α-synuclein in the olfactory mucosa tissue of POI patients, could be associated with neurological changes. We conducted a study where we collected tissue biopsies and cultured cells from patients with normosmic non-cognitive impairment, hyposmic mild cognitive impairment or Alzheimer’s disease, and persistent olfactory impairment (POI) who had been infected with SARS-CoV-2 for 20 months or more. We then examined the expression of amyloid Aβ, α-Synuclein, and tau proteins using immuno-fluorescence and flow cytometry methodology. Our findings revealed that for the first time, amyloid Aβ, α-Synuclein, and tau proteins were detected in olfactory mucosa tissue sections and in cultured olfactory-derived mesenchymal stromal cells from patients with normosmia, hyposmia, and POI post-SARS-CoV-2 with neurological alterations. We also observed that POI occurred in younger post-COVID-19 patients than in those with hyposmia-mild cognitive impairment and normosmia non-cognitive impairment. Immunoreactive positive cells for Aβ, α-syn, and tau proteins were observed in sustentacular-like cells, intermediate cells, and parenchymal sub-lamina propria cells from olfactory mucosa tissue. Our study suggests that the presence of these biomarkers in middle-aged patients may indicate a protein dysmetabolism that could contribute to the progression of a neurodegenerative disorder.
07 Apr 2024Submitted to European Journal of Neuroscience
15 Apr 2024Submission Checks Completed
15 Apr 2024Assigned to Editor
17 Apr 2024Reviewer(s) Assigned
10 May 2024Review(s) Completed, Editorial Evaluation Pending
31 Aug 20241st Revision Received
04 Sep 2024Submission Checks Completed
04 Sep 2024Assigned to Editor
04 Sep 2024Review(s) Completed, Editorial Evaluation Pending
04 Sep 2024Reviewer(s) Assigned
02 Oct 2024Editorial Decision: Revise Major
12 Oct 20242nd Revision Received
14 Oct 2024Submission Checks Completed
14 Oct 2024Assigned to Editor
14 Oct 2024Review(s) Completed, Editorial Evaluation Pending
14 Oct 2024Reviewer(s) Assigned
26 Oct 2024Editorial Decision: Revise Minor