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Nikhil Prasad  Fact checked by:Thailand Medical News Team Feb 10, 2024  1 week, 4 days, 8 hours, 49 minutes ago

Cleveland Clinic Study Uncovers Dysregulated Platelet Function In Most Long COVID Individuals

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Cleveland Clinic Study Uncovers Dysregulated Platelet Function In Most Long COVID Individuals
Nikhil Prasad  Fact checked by:Thailand Medical News Team Feb 10, 2024  1 week, 4 days, 8 hours, 49 minutes ago
COVID-19 News: In a recent study conducted by the Cleveland Clinic Lerner Research Institute, researchers have identified a significant link between Long COVID, also known as post-acute sequelae of COVID-19 (PASC), and dysregulated platelet function. The study covered in this COVID-19 News report provides comprehensive insights into the thrombotic potential in patients suffering from Long COVID, highlighting a potential protective response against ongoing thrombosis commonly associated with SARS-CoV-2 infection.


 
Understanding Long COVID
Long COVID, a term used to describe persistent symptoms following recovery from acute SARS-CoV-2 infection, has become a challenging aspect of the global battle against the pandemic. While some individuals experience mild or asymptomatic cases, others face prolonged symptoms that extend well beyond the acute phase of the illness, lasting for four weeks or more. These symptoms span across various organ systems, including respiratory, cardiovascular, neurological, gastrointestinal, and musculoskeletal, often leading to debilitating fatigue, dyspnea, chest pain, cognitive impairment, and other challenges. Despite vaccination efforts, the risk of severe and persistent symptoms remains, particularly among older adults and those with underlying health conditions.
 
Thrombotic Risk in Long COVID
One of the complications associated with acute COVID-19 is its propensity to induce a prothrombotic state, increasing the risk of thromboembolic events such as deep vein thrombosis (DVT) and pulmonary embolism (PE). However, the thrombotic risk in Long COVID patients has been less understood until now, prompting researchers at the Cleveland Clinic to delve into the intricate details of platelet function and coagulation cascade in this population.
 
The Cleveland Clinic Study
The study, led by a multidisciplinary team of researchers at the Cleveland Clinic, aimed to evaluate platelet function and thrombotic potential in patients with Long COVID. They enrolled a cohort of patients with persistent symptoms characteristic of Long COVID and matched them with healthy controls for a comparative analysis. The assessment of platelet activation involved sophisticated techniques, including light transmission aggregometry (LTA) and flow cytometry, shedding light on the nuanced dysregulation present in Long COVID individuals.
 
Key Findings
The study yielded a wealth of data, revealing several key findings that deepen our understanding of Long COVID:
 
-Platelet Reactivity: Patients with Long COVID exhibited a mild increase in platelet aggregation through the thromboxane receptor, a critical mediator in the clotting cascade. Intriguingly, platelet activation via the glycoprotein VI (GPVI) receptor was found to be decreased in Long COVID patients compared to their age- and sex-matched healthy counterparts.
 
-Thrombosis Risk: Thrombosis under shear stress conditions, simulating the venous vasculature environment, and Factor Xa activity, a pivotal point in the coagulation cascade, were both reduced in Long COVID patients. These findings indicate a potential protective response against thrombosis, offering a glimpse into the intricate interplay between platelets and the coagulation system in Long COVID.
 
-Plasma Activation: Perhaps the most intriguing discovery was the potent activation of healthy, washed platelets when exposed to plasma from Long COVID patients. This phenomenon was not observed when healthy platelets were stimulated with plasma from healthy individuals. The implication is that a circulating molecule in the plasma of Long COVID patients promotes thrombosis, suggesting the existence of a hitherto undescribed pro-thrombotic factor.
 
Implications and Future Directions
These groundbreaking findings have significant implications for the understanding of Long COVID pathophysiology and its thrombotic manifestations. The observed dysregulation in platelet function and coagulation cascade in Long COVID patients opens avenues for further research into potential therapeutic interventions aimed at mitigating thrombotic risk in this unique population.
 
Researchers are now eager to delve deeper into the molecular underpinnings of the observed platelet dysfunction in Long COVID. Identification of the specific pro-thrombotic mediator circulating in the plasma of these patients is a priority, as it could offer a target for therapeutic interventions. Additionally, exploring the adaptive response in Long COVID individuals that seems to counterbalance ongoing thrombosis could unveil novel pathways for intervention.
 
Conclusion
In summary, the Cleveland Clinic study provides critical insights into the dysregulated platelet function and thrombotic potential observed in Long COVID patients. By elucidating these complex mechanisms, researchers hope to pave the way for targeted interventions that could improve outcomes and enhance the quality of life for individuals grappling with the lingering effects of COVID-19.
 
As the scientific community continues to unravel the mysteries surrounding Long COVID, this study represents a significant stride towards a more comprehensive understanding of the intricate interplay between the virus, platelets, and the coagulation system. The implications extend beyond the realm of research, with potential therapeutic strategies on the horizon that could make a tangible difference in the lives of those affected by the enduring impact of SARS-CoV-2 infection.
 
The study findings were published in the peer reviewed journal: Vascular Medicine (Sage Journals).
https://journals.sagepub.com/doi/10.1177/1358863X231224383
 
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