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Long-COVID and Its Complications

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Immunology".

Deadline for manuscript submissions: 4 December 2025 | Viewed by 2788

Special Issue Editor


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Guest Editor
1. Institute of Immunology and Physiology, Ural Branch of the Russian Academy of Science, 620049 Ekaterinburg, Russia
2. Russian–Chinese Education and Research Center of System Pathology, South Ural State University, 454080 Chelyabinsk, Russia
Interests: anxiety; COVID-19; dentistry; depression; inflammation; pathophysiology; pediatric dentistry; psychological distress; PTSD; stress
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Special Issue Information

Dear Colleagues,

Long COVID, a persistent multisystem condition following COVID-19 infection, poses significant challenges for medical practitioners and researchers. Despite the growing number of affected individuals, the mechanisms underlying long COVID's pathophysiology remain unclear. While organ damage from the acute infection phase likely accounts for some symptoms, specific long-lasting inflammatory mechanisms have also been proposed.

This Special Issue aims to explore the enigmatic pathophysiological mechanisms of long COVID, focusing on different levels of the relationship between the nervous and immune systems and analyzing broader categories that may offer insights into potential therapeutic interventions. Researchers are invited to contribute their work on diverse aspects of long COVID to advance our understanding and management of this challenging condition.

Key Points:

  • Immunological dysregulation: investigating the immune system's role in long COVID, including acquired immune deficiency, auto-immunity, and potential persistent viral presence;
  • Persistent inflammatory processes: addressing the potential mechanisms of organ damage from the acute infection phase and investigating persistent inflammatory processes as contributors to long COVID;
  • Neurological aspects of the pathogenesis of long COVID associated with an imbalance in the action of various neurotransmitters and inflammatory mediators in the central nervous system;
  • The relationship between disturbances of the gut microbiome, gut barrier function and blood-brain barrier dysfunction in the pathogenesis of long COVID;
  • Molecular mechanisms of dysfunction of the limbic–reticular–hypothalamic complex and the hypothalamic–pituitary–adrenal axis in the manifestations of long COVID and its complications;
  • Autonomic nervous system dysfunction: Investigating autonomic nervous system damage as a possible explanation for various long COVID symptoms, even without clear evidence of organ damage;
  • Multisystem nature of long COVID: the role of comorbidities and low-grade chronic systemic inflammation in the development of multiple organ dysfunction as manifestations of post-COVID syndrome.

This Special Issue seeks to consolidate research on these broader mechanisms underlying long COVID, offering a comprehensive understanding of the condition's complexities and paving the way for potential therapeutic avenues. Researchers are invited to contribute their work on these topics to advance our comprehension and management of this challenging condition.

Dr. Alexey Sarapultsev
Guest Editor

Manuscript Submission Information

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Keywords

  • acquired immune deficiency
  • auto-immunity
  • blood–brain barrier dysfunction
  • complication
  • COVID-19
  • gut microbiome
  • hypothalamic–pituitary–adrenal axis
  • immune dysfunction
  • long COVID
  • multisystem dysfunction
  • neurological complications
  • SARS-CoV-2
  • systemic inflammation

Published Papers (1 paper)

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15 pages, 635 KiB  
Review
The Microbiota in Long COVID
by Carmen Álvarez-Santacruz, Sylwia D. Tyrkalska and Sergio Candel
Int. J. Mol. Sci. 2024, 25(2), 1330; https://doi.org/10.3390/ijms25021330 - 22 Jan 2024
Cited by 2 | Viewed by 2343
Abstract
Interest in the coronavirus disease 2019 (COVID-19) has progressively decreased lately, mainly due to the great effectivity of vaccines. Furthermore, no new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants able to circumvent the protection of these vaccines, while presenting high transmissibility and/or [...] Read more.
Interest in the coronavirus disease 2019 (COVID-19) has progressively decreased lately, mainly due to the great effectivity of vaccines. Furthermore, no new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants able to circumvent the protection of these vaccines, while presenting high transmissibility and/or lethality, have appeared. However, long COVID has emerged as a huge threat to human health and economy globally. The human microbiota plays an important role in health and disease, participating in the modulation of innate and adaptive immune responses. Thus, multiple studies have found that the nasopharyngeal microbiota is altered in COVID-19 patients, with these changes associated with the onset and/or severity of the disease. Nevertheless, although dysbiosis has also been reported in long COVID patients, mainly in the gut, little is known about the possible involvement of the microbiota in the development of this disease. Therefore, in this work, we aim to fill this gap in the knowledge by discussing and comparing the most relevant studies that have been published in this field up to this point. Hence, we discuss that the relevance of long COVID has probably been underestimated, and that the available data suggest that the microbiota could be playing a pivotal role on the pathogenesis of the disease. Further research to elucidate the involvement of the microbiota in long COVID will be essential to explore new therapeutic strategies based on manipulation of the microbiota. Full article
(This article belongs to the Special Issue Long-COVID and Its Complications)
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