Do cross-reactive antibodies cause neuropathology in COVID-19?

Nat Rev Immunol. 2020 Nov;20(11):645-646. doi: 10.1038/s41577-020-00458-y.

Abstract

Neurological symptoms are seen in patients with COVID-19 and can persist or re-emerge after clearance of SARS-CoV-2. Recent findings suggest that antibodies to SARS-CoV-2 can cross-react with mammalian proteins. Focusing on neurological symptoms, we discuss whether these cross-reactive antibodies could contribute to COVID-19 disease pathology and to the persistence of symptoms in patients who have cleared the initial viral infection.

MeSH terms

  • Antibodies, Monoclonal / biosynthesis
  • Antibodies, Neutralizing / biosynthesis
  • Antibodies, Viral / biosynthesis*
  • Autoimmunity
  • Betacoronavirus / immunology
  • Betacoronavirus / pathogenicity
  • Brain Diseases / complications
  • Brain Diseases / diagnosis
  • Brain Diseases / immunology*
  • COVID-19
  • Coronavirus Infections / complications
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / immunology*
  • Cross Reactions
  • Headache / complications
  • Headache / diagnosis
  • Headache / immunology
  • Humans
  • Pandemics
  • Parkinsonian Disorders / complications
  • Parkinsonian Disorders / diagnosis
  • Parkinsonian Disorders / immunology*
  • Pneumonia, Viral / complications
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / immunology*
  • SARS-CoV-2
  • Seizures / complications
  • Seizures / diagnosis
  • Seizures / immunology*
  • Tremor / complications
  • Tremor / diagnosis
  • Tremor / immunology*

Substances

  • Antibodies, Monoclonal
  • Antibodies, Neutralizing
  • Antibodies, Viral