Title
Chronic neuropsychiatric sequelae of SARS-CoV-2: Protocol and methods from the Alzheimer's Association Global Consortium
Date Issued
01 January 2022
Access level
open access
Resource Type
research article
Author(s)
de Erausquin G.A.
Snyder H.
Brugha T.S.
Seshadri S.
Carrillo M.
Sagar R.
Huang Y.
Newton C.
Tartaglia C.
Teunissen C.
Håkanson K.
Akinyemi R.
Prasad K.
D'Avossa G.
Gonzalez-Aleman G.
Hosseini A.
Vavougios G.D.
Sachdev P.
Bankart J.
Mors N.P.O.
Lipton R.
Katz M.
Fox P.T.
Katshu M.Z.
Iyengar M.S.
Weinstein G.
Sohrabi H.R.
Jenkins R.
Stein D.J.
Hugon J.
Mavreas V.
Blangero J.
Cruchaga C.
Krishna M.
Wadoo O.
Becerra R.
Zwir I.
Longstreth W.T.
Kroenenberg G.
Edison P.
Mukaetova-Ladinska E.
Staufenberg E.
Figueredo-Aguiar M.
Yécora A.
Vaca F.
Zamponi H.P.
Re V.L.
Majid A.
Sundarakumar J.
Gonzalez H.M.
Geerlings M.I.
Skoog I.
Salmoiraghi A.
Boneschi F.M.
Patel V.N.
Santos J.M.
Arroyo G.R.
Moreno A.C.
Felix P.
Gallo C.
Arai H.
Yamada M.
Iwatsubo T.
Sharma M.
Chakraborty N.
Ferreccio C.
Akena D.
Brayne C.
Maestre G.
Blangero S.W.
Brusco L.I.
Siddarth P.
Hughes T.M.
Zuñiga A.R.
Kambeitz J.
Laza A.R.
Allen N.
Panos S.
Merrill D.
Ibáñez A.
Ibáñez A.
Ibáñez A.
Tsuang D.
Valishvili N.
Shrestha S.
Wang S.
Wang S.
Padma V.
Anstey K.J.
Ravindrdanath V.
Blennow K.
Mullins P.
Łojek E.
Pria A.
Mosley T.H.
Gowland P.
Girard T.D.
Bowtell R.
Vahidy F.S.
Vahidy F.S.
Vahidy F.S.
Vahidy F.S.
The University of Texas Health Science Center at San Antonio
Alzheimer's Association
University of Leicester
The University of Texas Health Science Center at San Antonio
Alzheimer's Association
All India Institute of Medical Sciences, New Delhi
Peking University Sixth Hospital
University of Oxford Medical Sciences Division
University of Toronto
Amsterdam UMC - University of Amsterdam
Karolinska Institutet
University of Ibadan
All India Institute of Medical Sciences, New Delhi
Bangor University
Pontificia Universidad Catolica Argentina
University of Nottingham
University of Thessaly
UNSW Sydney
University of Leicester
Aarhus Universitet
Albert Einstein College of Medicine
Albert Einstein College of Medicine
The University of Texas Health Science Center at San Antonio
University of Nottingham
The University of Arizona Health Sciences
University of Haifa
Murdoch University
King's College London
University of Cape Town
Université Paris Cité
University of Ioannina
The University of Texas Rio Grande Valley
Washington University School of Medicine in St. Louis
Foundation for Research and Advocacy in Mental Health
Hamad Medical Corporation
The University of Western Australia
Washington University School of Medicine in St. Louis
University of Washington
Universität Zürich
Imperial College London
University of Leicester
Hertfordshire Partnership University NHS Foundation Trust
Instituto de Neurociencias Buenos Aires
Ministerio de Salud
Ministerio de Salud
Ministerio de Salud
Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione
Sher-I-Kashmir Institute of Medical Sciences
Indian Institute of Science
University of California, San Diego
University Medical Center Utrecht
Göteborgs Universitet
Betsi Cadwaladr University Health Board
Università degli Studi di Milano
The University of Texas Health Science Center at San Antonio
Instituto de Neurociencias Buenos Aires
Universidad Privada de Santa Cruz de la Sierra
Universidad de Ciencias Médicas de La Habana
Complexe Medico-Sociale Maranatha
Universidad Peruana Cayetano Heredia
National Center for Geriatrics and Gerontology
Kudanzaka Hospital
The University of Tokyo
University of Washington
University of Leicester
Pontificia Universidad Católica de Chile
School of Medicine, Makerere University College of Health Sciences
University of Cambridge
The University of Texas Rio Grande Valley
The University of Texas Rio Grande Valley
Universidad de Buenos Aires
University of California, Los Angeles
Wake Forest University School of Medicine
Universität zu Köln
Universität zu Köln
Ace Alzheimer Center Barcelona
Northwestern University
Pacific Neuroscience Institute
Pacific Neuroscience Institute
Universidad de San Andres
University of California, San Francisco
Universidad Adolfo Ibáñez
University of Washington
Accel Clinical Services
University of Mississippi
Indiana University School of Medicine
University of Warsaw
All India Institute of Medical Sciences, New Delhi
UNSW Sydney
Indian Institute of Science
Göteborgs Universitet
Bangor University
University of Warsaw
Boston University
University of Mississippi
University of Nottingham
University of Pittsburgh School of Medicine
University of Nottingham
Houston Methodist
Houston Methodist
Houston Methodist
Weill Cornell Medicine
Abstract
Introduction: Coronavirus disease 2019 (COVID-19) has caused >3.5 million deaths worldwide and affected >160 million people. At least twice as many have been infected but remained asymptomatic or minimally symptomatic. COVID-19 includes central nervous system manifestations mediated by inflammation and cerebrovascular, anoxic, and/or viral neurotoxicity mechanisms. More than one third of patients with COVID-19 develop neurologic problems during the acute phase of the illness, including loss of sense of smell or taste, seizures, and stroke. Damage or functional changes to the brain may result in chronic sequelae. The risk of incident cognitive and neuropsychiatric complications appears independent from the severity of the original pulmonary illness. It behooves the scientific and medical community to attempt to understand the molecular and/or systemic factors linking COVID-19 to neurologic illness, both short and long term. Methods: This article describes what is known so far in terms of links among COVID-19, the brain, neurological symptoms, and Alzheimer's disease (AD) and related dementias. We focus on risk factors and possible molecular, inflammatory, and viral mechanisms underlying neurological injury. We also provide a comprehensive description of the Alzheimer's Association Consortium on Chronic Neuropsychiatric Sequelae of SARS-CoV-2 infection (CNS SC2) harmonized methodology to address these questions using a worldwide network of researchers and institutions. Results: Successful harmonization of designs and methods was achieved through a consensus process initially fragmented by specific interest groups (epidemiology, clinical assessments, cognitive evaluation, biomarkers, and neuroimaging). Conclusions from subcommittees were presented to the whole group and discussed extensively. Presently data collection is ongoing at 19 sites in 12 countries representing Asia, Africa, the Americas, and Europe. Discussion: The Alzheimer's Association Global Consortium harmonized methodology is proposed as a model to study long-term neurocognitive sequelae of SARS-CoV-2 infection. Key Points: The following review describes what is known so far in terms of molecular and epidemiological links among COVID-19, the brain, neurological symptoms, and AD and related dementias (ADRD) The primary objective of this large-scale collaboration is to clarify the pathogenesis of ADRD and to advance our understanding of the impact of a neurotropic virus on the long-term risk of cognitive decline and other CNS sequelae. No available evidence supports the notion that cognitive impairment after SARS-CoV-2 infection is a form of dementia (ADRD or otherwise). The longitudinal methodologies espoused by the consortium are intended to provide data to answer this question as clearly as possible controlling for possible confounders. Our specific hypothesis is that SARS-CoV-2 triggers ADRD-like pathology following the extended olfactory cortical network (EOCN) in older individuals with specific genetic susceptibility. The proposed harmonization strategies and flexible study designs offer the possibility to include large samples of under-represented racial and ethnic groups, creating a rich set of harmonized cohorts for future studies of the pathophysiology, determinants, long-term consequences, and trends in cognitive aging, ADRD, and vascular disease. We provide a framework for current and future studies to be carried out within the Consortium. and offers a “green paper” to the research community with a very broad, global base of support, on tools suitable for low- and middle-income countries aimed to compare and combine future longitudinal data on the topic. The Consortium proposes a combination of design and statistical methods as a means of approaching causal inference of the COVID-19 neuropsychiatric sequelae. We expect that deep phenotyping of neuropsychiatric sequelae may provide a series of candidate syndromes with phenomenological and biological characterization that can be further explored. By generating high-quality harmonized data across sites we aim to capture both descriptive and, where possible, causal associations.
Volume
8
Issue
1
Subjects
Scopus EID
2-s2.0-85141701490
Source
Alzheimer's and Dementia: Translational Research and Clinical Interventions
ISSN of the container
23528737
Sources of information: Scopus Directorio de Producción Científica