Neurological sequelae of post-COVID-19 Fatigue: a narrative review of dipeptidyl peptidase IV-mediated cerebrovascular complications

Che Mohd Nassir, Che Mohd Nasril and Che Ramli, Muhammad Danial and Jaffer, Usman and Abdul Hamid, Hafizah and Mehat, Muhammad Zulfadli and Mohammad Ghazali, Mazira and Cheriya, Ebrahim Nangarath Kottakal (2024) Neurological sequelae of post-COVID-19 Fatigue: a narrative review of dipeptidyl peptidase IV-mediated cerebrovascular complications. Current Issues in Molecular Biology, 46 (12). pp. 13565-13582. ISSN 1467-3037 E-ISSN 1467-3045

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Abstract

Coronavirus disease 2019 (COVID-19) has been a global pandemic affecting millions of people’s lives, which has led to ‘post-COVID-19 fatigue’. Alarmingly, severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) not only infects the lungs but also influences the heart and brain. Endothelial cell dysfunction and hypercoagulation, which we know occur with this infection, lead to thrombo-inflammation that can manifest as many myriad cardio-cerebrovascular disorders, such as brain fog, fatigue, cognitive dysfunction, etc. Additionally, SARS-CoV-2 has been associated with oxidative stress, protein aggregation, cytokine storm, and mitochondrial dysfunction in neurodegenerative diseases. Accordingly, the identification of molecular targets involved in these actions could provide strategies for preventing and treating this disease. In particular, the very common enzyme dipeptidyl peptidase IV (DPPIV) has recently been identified as a candidate co-receptor for the cell entry of the SARS-CoV-2 virus with its involvement in infection. In addition, DPPIV has been reported as a co-receptor for some viruses such as Middle East respiratory syndrome-coronavirus (MERS-CoV). It mediates immunologic reactions and diseases such as type 2 diabetes mellitus, obesity, and hypertension, which have been considered the prime risk factors for stroke among other types of cardio-cerebrovascular diseases. Unlike angiotensin-converting enzyme 2 (ACE2), DPPIV has been implicated in aggravating the course of infection due to its disruptive effect on inflammatory signaling networks and the neuro–glia–vascular unit. Regarding the neurological, physiological, and molecular grounds governing post-COVID-19 fatigue, this review focuses on DPPIV as one of such reasons that progressively establishes cerebrovascular grievances following SARS-CoV infection.

Item Type:	Article (Review)
Uncontrolled Keywords:	post-COVID-19 fatigue; neurodegenerative diseases; dipeptidyl peptidase IV; cerebrovascular; SARS-CoV-2
Subjects:	B Philosophy. Psychology. Religion > BF Psychology R Medicine > RC Internal medicine > RC321 Neuroscience. Biological psychiatry. Neuropsychiatry
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Islamic Revealed Knowledge and Human Sciences > Department of Psychology Kulliyyah of Islamic Revealed Knowledge and Human Sciences
Depositing User:	Dr Usman Jaffer
Date Deposited:	27 Jan 2025 12:01
Last Modified:	27 Jan 2025 12:01
URI:	http://irep.iium.edu.my/id/eprint/118851

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