Pennsylvania Folklife Vol. 25, No. 1

• Pennsylvania German Tombstone Art of Lebanon County, Pennsylvania • Rain Day in Waynesburg, Pennsylvania • Non-Ordinary Stoneware Pieces from New Geneva and Greensboro, Pennsylvania • Pennsylvania German Astronomy and Astrology XIII: Conjunctions of 1683, 1694, and 1743 • The Social Context of Musical Instruments within the Pennsylvania German Culture • Tourism and the Amish Way of Life • Home Brewing Techniques: Folk-Cultural Questionnaire No. 41https://digitalcommons.ursinus.edu/pafolklifemag/1065/thumbnail.jp

Para-infectious brain injury in COVID-19 persists at follow-up despite attenuated cytokine and autoantibody responses

To understand neurological complications of COVID-19 better both acutely and for recovery, we measured markers of brain injury, inflammatory mediators, and autoantibodies in 203 hospitalised participants; 111 with acute sera (1–11 days post-admission) and 92 convalescent sera (56 with COVID-19-associated neurological diagnoses). Here we show that compared to 60 uninfected controls, tTau, GFAP, NfL, and UCH-L1 are increased with COVID-19 infection at acute timepoints and NfL and GFAP are significantly higher in participants with neurological complications. Inflammatory mediators (IL-6, IL-12p40, HGF, M-CSF, CCL2, and IL-1RA) are associated with both altered consciousness and markers of brain injury. Autoantibodies are more common in COVID-19 than controls and some (including against MYL7, UCH-L1, and GRIN3B) are more frequent with altered consciousness. Additionally, convalescent participants with neurological complications show elevated GFAP and NfL, unrelated to attenuated systemic inflammatory mediators and to autoantibody responses. Overall, neurological complications of COVID-19 are associated with evidence of neuroglial injury in both acute and late disease and these correlate with dysregulated innate and adaptive immune responses acutely