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Alzheimer's disease and COVID-19

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37: 1611: 2190: 1930: 2114: 2110:, which reduces inflammation and protects neurons. At higher levels of Ang II, the AT1R is preferably activated, causing inflammation, decreased blood flow to the brain, and cognitive impairment in the long term. Ang II can be cleaved by ACE2 into more neuroprotective species, such as Ang III and IV, which counteract the effect of Ang II. In AD, AT1R signaling has been shown to be increased, contributing to neurodegeneration and cognitive impairment. 1680:. While COVID-19 has been known to more severely impact elderly populations, AD patients have been shown to have a higher rate of SARS-CoV-2 infection compared to cognitively normal patients. The disproportionate risk of COVID-19 in AD patients is thought to arise from an interplay of biological and social factors between the two diseases. Many common biological pathways are shared between COVID-19 and AD, notably those involved in 1975:, among others, increases risk of developing AD. In a study of 6,245,282 patients, it was observed that cognitively normal individuals over 65 are at an increased risk of a new dementia diagnosis following COVID-19 infection. Moreover, COVID-19 has been shown to potentially exacerbate the progression of existing AD, leading to increased research interest into the interaction between the two diseases 1865: 2211:
inflammation and neurodegeneration in AD. Being a virus, SARS-CoV-2 can activate the NLRP3 inflammasome, triggering inflammation required to fight infection. It is through this mechanism that SARS-CoV-2 is thought to increase deposition of toxic Aβ42 and hyperphosphorylated tau, worsening AD pathology. The subsequent increase in inflammatory
2170:, an immune cell will initially prime an inflammatory response by increasing expression of NLRP3 (signal 1). NLRP3 will become active once the cell receives an additional "activation signal", normally consisting of toxins, viral RNA, or signs of cell damage. Once activated, NLRP3 will interact with two other proteins, ASC and 1953:
of blood vessels, only allowing certain molecules from the blood to access the central nervous system. A decline in the integrity of the BBB has long been associated with AD and contributes to disease progression by allowing neurotoxic factors from the blood to enter the brain. As the BBB declines in
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Multiple studies have shown that AD patients are at a significantly increased risk of death due to COVID-19. AD diagnosis was one of the major risk factors in predicting death due to complications from COVID-19. Patients with AD were also at a higher risk of death due to COVID-19 compared to patients
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Multiple studies have shown that regular physical exercise can reduce the risk of developing AD or other forms of dementia. Exercise is associated with increased blood flow to the brain and improved cognitive function. Exercise has also been shown to potentially improve psychiatric symptoms and slow
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public health measures. As such, this increases the risk of contracting COVID-19. Moreover, as dementia patients are susceptible to wandering which, when combined with lack of adherence to public health protocols, can increase contact with infected people. In addition, many dementia patients live in
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The COVID-19 pandemic prompted the introduction of numerous public health measures to curb the virus' spread, including recommendations on hand washing, social distancing, and masking. Due to the effect of dementia on memory and cognition, AD patients often are unable to remember or properly follow
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Age is one of the primary contributors to the risk of AD, over 10% of individuals over 65 years of age are thought to have the disease. Likewise age is also a primary risk factor for morbidity and mortality associated with COVID-19. As AD patients are generally older, they are more susceptible to
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Some studies have found a link between increased ACE2 in the brain and AD, however this remains controversial. ACE2 has been shown to potentially play a protective role in AD, as ACE2 decreases activity of the Ang II/AT1R axis. Additionally, ACE2 has been shown to have benefits in AD besides the
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can be detrimental or even fatal, especially in cases of severe COVID-19. In addition to their role in viral infections, cytokines are highly abundant in the brains of AD patients. While initially produced to help clear toxic Aβ , chronic cytokine release is thought to play an important role in
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to increase its binding to ACE2. Inhibition of ACE2 due to infection ultimately leads to increased accumulation of Aβ peptides and decreased activation of BDNF, accelerating neurodegeneration in AD. Additionally, inhibition of ACE2 by SARS-CoV-2 causes increased Ang II, contributing to neuronal
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Studies have shown involvement of the NLRP3 inflammasome in AD. The expression of genes related to inflammasome activation were shown to be increased in AD, while stimulation of immune cells with Aβ42 can directly activate it. Aβ plaques and oligomers can function similar to DAMPs, priming and
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towards neuroinflammation as Aβ buildup can further activate additional inflammasomes. NLRP3 activation can also arise from hyperphosphorylated tau, and can consequently lead to additional tau phosphorylation. This chronic activation of the NLRP3 inflammasome ultimately contributes to chronic
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facilities, which have an overall higher rate of COVID-19 transmission due to poor social distancing between residents and staff. Many AD patients, especially those with advanced disease, are dependent on others to provide basic care, such as hygiene and feeding. In these situations, social
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the decline in the ability to perform daily tasks in AD patients. Lockdowns during the early stages of the COVID-19 pandemic have greatly hindered the ability for many individuals to engage in physical activities, which may worsen dementia risk and progression.
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are cellular messages given off by immune cells and different tissues that can help promote or stop an immune response. These molecules are produced as a part of the normal immune response and are greatly increased due to SARS-CoV-2 infection. However,
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Research has shown that there is a link between prior infection with certain viruses and the development of neurodegenerative diseases later in life. This extends to AD, where infection with viruses such as
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carriers show increased secretion of pro-inflammatory cytokines in response to viral stimulation and show increased BBB permeability, respectively increasing the risk of severe disease and neuroinvasion. In
1572: 1121: 2271:. Mandatory face masking, while essential to prevent viral spread, can further impair facial recognition in AD. This has been proposed to contribute to distress and declining mental health in AD patients. 698: 683: 1208: 4179:
Montazersaheb, Soheila; Hosseiniyan Khatibi, Seyed Mahdi; Hejazi, Mohammad Saeid; Tarhriz, Vahideh; Farjami, Afsaneh; Ghasemian Sorbeni, Faramarz; Farahzadi, Raheleh; Ghasemnejad, Tohid (2022-05-26).
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Ortiz, Genaro Gabriel; Velázquez-Brizuela, Irma E.; Ortiz-Velázquez, Genaro E.; Ocampo-Alfaro, María J.; Salazar-Flores, Joel; Delgado-Lara, Daniela L. C.; Torres-Sanchez, Erandis D. (2022-10-18).
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carriers may show a decreased ability to express key genes involved in the antiviral response, which may compromise the ability to fight the virus in AD patients carrying the allele. Additionally,
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Hardan, Louis; Filtchev, Dimitar; Kassem, Ratiba; Bourgi, Rim; Lukomska-Szymanska, Monika; Tarhini, Hassan; Salloum-Yared, Fouad; Mancino, Davide; Kharouf, Naji; Haikel, Youssef (2021-10-25).
1597: 1409: 678: 1567: 1548: 1227: 1148: 1528: 816: 2102:, all of which are present in the brain. Renin is an enzyme that cleaves angiotensinogen into angiotensin I (Ang I), while ACE converts Ang I into Ang II. Ang II can either bind to the 1131: 892: 774: 1288: 1259: 1153: 823: 784: 1553: 1516: 1486: 1183: 2126:, a protein that supports proper neuron function and is decreased in AD. Additionally, ACE2 has been shown to convert toxic Aβ43 into protective Aβ40, decreasing amyloid burden. 1582: 1451: 1178: 779: 754: 734: 1414: 1323: 1254: 1163: 804: 794: 789: 710: 501: 350: 199: 1639: 1496: 1429: 759: 749: 496: 417: 386: 374: 345: 266: 235: 223: 194: 115: 2267:
Additionally, AD patients often require a sense of familiarity in their surroundings and those they interact with. Despite the need for familiarity, AD patients often have
1577: 1436: 1264: 1239: 769: 764: 639: 525: 520: 513: 412: 405: 381: 369: 362: 261: 254: 230: 218: 211: 110: 103: 2206:, an endogenous molecule that can activate the NLRP3 inflammasome. Consequently, activation of the NLRP3 inflammasome prevents microglia from ingesting Aβ42, creating a 1244: 799: 508: 489: 400: 357: 338: 249: 206: 187: 98: 2564:
Gkouskou, Kalliopi; Vasilogiannakopoulou, Theodora; Andreakos, Evangelos; Davanos, Nikolaos; Gazouli, Maria; Sanoudou, Despina; Eliopoulos, Aristides G. (2021-05-01).
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AD, it is thought to allow increased passage of SARS-CoV-2 particles into the brain, enhancing the risk of severe neurological complications resulting from infection.
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classical RAS. Administration of ACE2 activating drugs can reduce amyloid plaques and prevent cognitive symptoms in mouse models of AD. One of the targets of ACE2 is
1716:. A separate study assessing the contribution of underlying conditions towards death due to COVID-19 found that the three strongest predictors of mortality were age, 1873: 1533: 1476: 1394: 1338: 1318: 1141: 919: 477: 465: 436: 424: 326: 314: 285: 273: 175: 163: 134: 122: 2129:
Binding of SARS-CoV-2 to ACE2 inhibits its function. This is exacerbated in AD, as one of the major toxic species of Aβ, Aβ42, has been shown to interact with the
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Knopman, David S.; Amieva, Helene; Petersen, Ronald C.; Chételat, Gäel; Holtzman, David M.; Hyman, Bradley T.; Nixon, Ralph A.; Jones, David T. (2021-05-13).
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gene variant are at a higher risk of developing AD due to impaired clearance of Aβ from the brain. Approximately 14.8% of AD patients carry two copies of the
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Cosarderelioglu, Caglar; Nidadavolu, Lolita S.; George, Claudene J.; Oh, Esther S.; Bennett, David A.; Walston, Jeremy D.; Abadir, Peter M. (2020).
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Rudnicka-Drożak, Ewa; Drożak, Paulina; Mizerski, Grzegorz; Zaborowski, Tomasz; Ślusarska, Barbara; Nowicki, Grzegorz; Drożak, Martyna (2023-01-25).
1404: 1399: 1110: 978: 2244:. While these cytokines are essential in mounting a response to COVID-19 infection, they may consequently drive neurodegeneration in AD patients. 1696: 1632: 1521: 1461: 904: 882: 739: 634: 1377: 666: 2163: 1725: 1717: 3198:
Piekut, Thomas; Hurła, Mikołaj; Banaszek, Natalia; Szejn, Paulina; Dorszewska, Jolanta; Kozubski, Wojciech; Prendecki, Michał (2022-03-28).
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stress in AD. As such, SARS-CoV-2 infection can accelerate AD progression through both the classic RAS pathway and alternative mechanisms.
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increases the risk of cardiovascular disease, which is associated with mortality and morbidity due to SARS-CoV-2 infection. Furthermore,
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carriers are also at an increased risk of developing severe COVID-19 and dying due to the disease. Aside from its role in Aβ clearance,
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causing and progressing neuroinflammation. Many cytokines involved in AD are also increased due to COVID-19 infection, such as
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Gouveia, Filipa; Camins, Antoni; Ettcheto, Miren; Bicker, Joana; Falcão, Amílcar; Cruz, M. Teresa; Fortuna, Ana (2022-05-01).
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Isolation leads to worsening of psychiatric symptoms in AD, chronic isolation may lead to increased risk of AD later in life
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and other lipids between cells. It is present in the brain, where it is secreted by resident immune cells, as well as in the
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and mandatory face mask use. Social isolation of AD patients due to COVID-related lockdowns has been shown to worsen the
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Müller, Patrick; Achraf, Ammar; Zou, Liye; Apfelbacher, Christian; Erickson, Kirk I.; Müller, Notger G. (January 2020).
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Wang, Haili; Lu, Juan; Zhao, Xia; Qin, Rongyin; Song, Kangping; Xu, Yao; Zhang, Jun; Chen, Yingzhu (December 2021).
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Onyeaka, Helen; Anumudu, Christian K; Al-Sharify, Zainab T; Egele-Godswill, Esther; Mbaegbu, Paul (April 2021).
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Worsen psychiatric symptoms, such as agitation and distress, in AD patients due to impaired facial recognition
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is integral in protecting the brain from external objects, including waste, circulating blood cells, and
3701:"Inflammatory Cytokines and Alzheimer's Disease: A Review from the Perspective of Genetic Polymorphisms" 2189: 1842:
present at baseline is thought to play a role in the poor prognosis observed following viral infection.
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activating the NLRP3 inflammasome. Additionally, Aβ that has been phagocytosed by microglia can damage
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Scientifically accurate atomic model of the external structure of SARS-CoV-2. Each "ball" is an atom.
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The onset of the COVID-19 pandemic brought many public health measures into the spotlight, such as
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and severity of COVID-19. The primary genetic risk factor for late onset AD is the presence of the
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Factors in COVID-19 infection and management that increase risk of developing Alzheimer's disease
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allele, in comparison to 1.9% of the general population. In addition to its role in AD,
4389: 4356: 4277: 4242: 4215: 4180: 4156: 4124:"Recent advances in the mechanisms of NLRP3 inflammasome activation and its inhibitors" 4123: 4039: 4004: 3917: 3882: 3855: 3820: 3793: 3760: 3733: 3700: 3669: 3644: 3617: 3582: 3549: 3514: 3481: 3446: 3417: 3382: 3347: 3314: 3175: 3140: 3056: 3023: 2994: 2961: 2874: 2841: 2806: 2773: 2746: 2711: 2666: 2631: 2598: 2565: 2534: 2501: 2468: 2435: 2411: 2376: 2339: 2304: 2228: 2183: 2090:, plays a unique and important role in the brain. The RAS system involves the proteins 2087: 1946: 4243:"Relationship Between Exercise and Alzheimer's Disease: A Narrative Literature Review" 4412: 4122:
Yang, Yang; Wang, Huanan; Kouadir, Mohammed; Song, Houhui; Shi, Fushan (2019-02-12).
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Factors in Alzheimer's disease that lead to an increased risk of COVID-19 infection
3383:"Brain Renin–Angiotensin System at the Intersect of Physical and Cognitive Frailty" 2175: 1856:
distancing is not possible, thus increasing the risk of infection from caregivers.
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in AD may prevent patients from following proper public health guidelines, such as
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Chen, Feng; Chen, Yanting; Wang, Yongxiang; Ke, Qiongwei; Cui, Lili (2022-09-11).
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Rahman, Mohammad Azizur; Islam, Kamrul; Rahman, Saidur; Alamin, Md (March 2021).
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nucleotide-binding oligomerization domain, leucine-rich repeat-containing protein
3515:"The NLRP3 Inflammasome: An Overview of Mechanisms of Activation and Regulation" 2581: 2566:"COVID-19 enters the expanding network of apolipoprotein E4-related pathologies" 2203: 2091: 1950: 1881: 1838:
negative outcomes in COVID-19 infection. In aged individuals and those with AD,
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Alzheimer's & Dementia: Translational Research & Clinical Interventions
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Alonso-Lana, Silvia; Marquié, Marta; Ruiz, Agustín; Boada, Mercè (2020-10-26).
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is one protein in this family that is involved in the body's response to
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High angiotensin II can increase progression of neurodegeneration in AD
1880:(APOE) 4 allele. APOE is a protein that is responsible for transporting 4372: 3967: 3950: 2171: 2014:
Receptor for SARS-CoV-2 infection, decreased due to COVID-19 infection
1656:(AD) patients are at an increased risk of morbidity and mortality from 948: 3761:"Neurobiochemical Cross-talk Between COVID-19 and Alzheimer's Disease" 2193:
Pathways involved in increased risk of AD following COVID-19 infection
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genotype has been shown to increase the rate of SARS-CoV-2 Infection.
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Kelley, Nathan; Jeltema, Devon; Duan, Yanhui; He, Yuan (2019-07-06).
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International Journal of Environmental Research and Public Health
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Increased risk of AD due to increased deposition of beta-amyloid
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can further lead to neurodegeneration and cognitive impairment.
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to their active forms, which continue to promote inflammation.
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Phillips, M. Ian; de Oliveira, Edilamar Menezes (June 2008).
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Dysfunction of the blood brain barrier in Alzheimer's disease
4357:"COVID-19, physical (in-)activity, and dementia prevention" 2202:, cellular structures containing waste, causing release of 2106:, which promotes inflammation and damages neurons, or the 3951:"Alzheimer's Disease and Face Masks in Times of COVID-19" 3255:
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Increased risk of AD due to accumulation of beta-amyloid
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Meng, Qing; Lin, Muh-Shi; Tzeng, I-Shiang (2020-03-26).
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European Review for Medical and Pharmacological Sciences
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Xia, Xiaohuan; Wang, Yi; Zheng, Jialin (December 2021).
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Required in many care scenarios to prevent viral spread
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Increased activity in COVID-19 infection to fight virus
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Increased levels in COVID-19 infection to fight virus
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Decreased ability to remember public health measures
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Social factors influencing worsening of AD symptoms
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Contribution of COVID-19 to AD risk and progression
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(June 2022). 2164:pathogen-associated molecular patterns (PAMPs) 1824:Increased risk of contacting infected persons 1798:Increased risk of transmission from caretaker 3998: 3996: 3994: 3814: 3812: 3643:Zhao, Ni; Di, Bin; Xu, Li-li (October 2021). 3576: 3574: 3572: 3570: 3568: 2767: 2765: 2625: 2623: 2621: 2619: 2617: 2117:Brain renin-angiotensin pathway and effectors 1633: 8: 4236: 4234: 4117: 4115: 3638: 3636: 2705: 2168:damage-associated molecular patterns (DAMPs) 2001:Increased angiotensin II and AT1R signaling 3944: 3942: 3940: 3938: 3936: 3519:International Journal of Molecular Sciences 3451:International Journal of Molecular Sciences 3200:"Infectious agents and Alzheimer's disease" 2703: 2701: 2699: 2697: 2695: 2693: 2691: 2689: 2687: 2685: 2495: 2493: 2491: 2489: 2487: 3694: 3692: 3690: 3688: 3261:Current Neurology and Neuroscience Reports 2895: 2893: 2298: 2296: 2294: 2292: 2290: 2288: 2286: 2284: 1640: 1626: 15: 4388: 4276: 4258: 4214: 4196: 4155: 4079: 4038: 4020: 3966: 3916: 3898: 3854: 3836: 3792: 3732: 3668: 3616: 3598: 3548: 3530: 3480: 3462: 3416: 3398: 3346: 3215: 3174: 3156: 3115: 3055: 2993: 2902:"COVID-19 and neurodegenerative diseases" 2873: 2805: 2745: 2727: 2665: 2647: 2597: 2533: 2467: 2410: 2392: 2338: 2320: 2188: 2124:brain derived neurotrophic factor (BDNF) 2112: 1990:Contribution to AD risk and progression 1977: 1928: 1863: 1730: 2280: 1668:worldwide and is clinically defined by 1366:Neurological and psychological symptoms 27: 2043:Contribute to neurodegeneration in AD 2104:angiotensin II type 1 receptor (AT1R) 1726:chronic obstructive pulmonary disease 7: 3649:Cytokine & Growth Factor Reviews 3315:"Brain renin angiotensin in disease" 1915:induced pluripotent stem cell (iPSC) 1846:Social factors influencing infection 3204:Journal of Integrative Neuroscience 2242:tumor necrosis factor alpha (TNF-α) 1785:Increased risk of brain infection 1770:Increased risk of severe COVID-19 1757:Increased risk of severe COVID-19 14: 1664:. AD is the most common cause of 1767:Increased risk of developing AD 1754:Increased risk of developing AD 1609: 4306:Current Sports Medicine Reports 4300:Cass, Shane P. (January 2017). 3887:Frontiers in Aging Neuroscience 3257:"Cognitive Aspects of COVID-19" 3141:"Viruses and neurodegeneration" 2772:Mahley, Robert W. (July 2016). 2716:Translational Neurodegeneration 2309:Translational Neurodegeneration 3955:Journal of Alzheimer's Disease 2440:Nature Reviews Disease Primers 2084:renin-angiotensin system (RAS) 1795:Required for many AD patients 1743:Contribution to COVID-19 risk 1: 3661:10.1016/j.cytogfr.2021.06.002 3319:Journal of Molecular Medicine 2778:Journal of Molecular Medicine 2229:uncontrolled cytokine release 4419:Alzheimer's disease research 4318:10.1249/JSR.0000000000000332 2918:10.26355/eurrev_202206_29093 1969:varicella zoster virus (VZV) 1390:Alzheimer's disease patients 915:Misinformation and hesitancy 2582:10.1016/j.redox.2021.101938 1874:genetic risk factors for AD 4440: 4198:10.1186/s12985-022-01814-1 3777:10.1007/s12035-020-02177-w 3273:10.1007/s11910-023-01286-y 3040:10.1038/s41582-020-00450-z 2729:10.1186/s40035-022-00316-y 2518:10.1007/s10072-021-05616-1 2452:10.1038/s41572-021-00269-y 2322:10.1186/s40035-021-00237-2 2258:psychiatric symptoms of AD 1965:herpes simplex virus (HSV) 1792:Requirement for caretaker 4247:Frontiers in Neuroscience 4140:10.1038/s41419-019-1413-8 4081:10.1016/j.arr.2022.101612 3900:10.3389/fnagi.2020.588872 3838:10.3390/healthcare8030286 3717:10.1007/s12264-016-0055-4 3600:10.3389/fphar.2022.845185 3587:Frontiers in Pharmacology 3400:10.3389/fnins.2020.586314 3387:Frontiers in Neuroscience 3331:10.1007/s00109-008-0331-5 3100:10.1177/00368504211019854 2978:10.1038/nrneurol.2017.188 2858:10.1038/s41582-019-0228-7 2790:10.1007/s00109-016-1427-y 2269:trouble recognizing faces 2088:blood pressure regulation 1998:Renin-angiotensin System 699:World Health Organization 4260:10.3389/fnins.2020.00131 4128:Cell Death & Disease 4022:10.3390/brainsci12101405 3158:10.1186/1743-422X-10-172 3028:Nature Reviews Neurology 2966:Nature Reviews Neurology 2846:Nature Reviews Neurology 2649:10.3390/medicina57111159 2131:SARS-CoV-2 spike protein 1973:Epstein-Barr virus (EBV) 1888:. Patients carrying the 1676:, and activation of the 1660:, the virus that causes 1652:Studies have shown that 869:Public health mitigation 553:By country and territory 4068:Ageing Research Reviews 2086:, which is involved in 1714:frontotemporal dementia 1674:neurofibrillary tangles 1371:Post-exertional malaise 711:Undercounting of deaths 3765:Molecular Neurobiology 3094:(2): 003685042110198. 2394:10.3390/ijerph20032146 2208:positive feedback loop 2194: 2180:pro-interleukin(IL)-1β 2162:. Upon recognition of 2118: 1934: 1869: 1529:Science and technology 1405:Death rates by country 619:International response 41: 3705:Neuroscience Bulletin 3217:10.31083/j.jin2102073 2506:Neurological Sciences 2192: 2116: 1932: 1886:cardiovascular system 1867: 1678:brain's immune system 1554:Xenophobia and racism 1420:Emergency evacuations 39: 3532:10.3390/ijms20133328 3464:10.3390/ijms21207777 1840:chronic inflammation 1718:chronic lung disease 1693:Cognitive impairment 1289:Association football 910:Operation Warp Speed 2436:"Alzheimer disease" 2024:NLRP3 inflammasome 1987:Effect of COVID-19 1980: 1939:blood-brain barrier 1925:Blood-brain barrier 1778:Blood-brain barrier 1733: 1654:Alzheimer's disease 1487:Other health issues 1014:Variants of concern 4373:10.1002/trc2.12091 3968:10.3233/JAD-201233 2195: 2138:NLRP3 inflammasome 2119: 1978: 1945:. It is formed by 1935: 1917:-derived neurons, 1870: 1782:Breaks down in AD 1731: 979:Oxford–AstraZeneca 817:federal government 728:National responses 42: 2912:(12): 4535–4544. 2512:(12): 4913–4920. 2075: 2074: 2063:Social isolation 1951:endothelial cells 1943:infectious agents 1830: 1829: 1701:social distancing 1650: 1649: 1415:Domestic violence 1324:Gridiron football 1159:Financial markets 932:Vaccine passports 679:Social distancing 640:International aid 29:COVID-19 pandemic 4431: 4403: 4402: 4392: 4352: 4346: 4345: 4297: 4291: 4290: 4280: 4262: 4238: 4229: 4228: 4218: 4200: 4185:Virology Journal 4176: 4170: 4169: 4159: 4119: 4110: 4109: 4083: 4059: 4053: 4052: 4042: 4024: 4000: 3989: 3988: 3970: 3946: 3931: 3930: 3920: 3902: 3878: 3869: 3868: 3858: 3840: 3816: 3807: 3806: 3796: 3771:(3): 1017–1023. 3756: 3747: 3746: 3736: 3696: 3683: 3682: 3672: 3640: 3631: 3630: 3620: 3602: 3578: 3563: 3562: 3552: 3534: 3510: 3495: 3494: 3484: 3466: 3442: 3431: 3430: 3420: 3402: 3378: 3361: 3360: 3350: 3310: 3301: 3300: 3252: 3246: 3245: 3219: 3195: 3189: 3188: 3178: 3160: 3145:Virology Journal 3136: 3130: 3129: 3119: 3088:Science Progress 3079: 3070: 3069: 3059: 3019: 3008: 3007: 2997: 2957: 2946: 2945: 2897: 2888: 2887: 2877: 2837: 2820: 2819: 2809: 2769: 2760: 2759: 2749: 2731: 2707: 2680: 2679: 2669: 2651: 2627: 2612: 2611: 2601: 2561: 2548: 2547: 2537: 2497: 2482: 2481: 2471: 2431: 2425: 2424: 2414: 2396: 2372: 2353: 2352: 2342: 2324: 2300: 1981: 1878:Apolipoprotein E 1808:Increased in AD 1805:Memory deficits 1734: 1642: 1635: 1628: 1614: 1613: 1122:Arts and culture 938:Current vaccines 864:Drug repurposing 859:Drug development 836:Medical response 16: 4439: 4438: 4434: 4433: 4432: 4430: 4429: 4428: 4409: 4408: 4407: 4406: 4354: 4353: 4349: 4299: 4298: 4294: 4240: 4239: 4232: 4178: 4177: 4173: 4121: 4120: 4113: 4061: 4060: 4056: 4002: 4001: 3992: 3948: 3947: 3934: 3880: 3879: 3872: 3818: 3817: 3810: 3758: 3757: 3750: 3698: 3697: 3686: 3642: 3641: 3634: 3580: 3579: 3566: 3512: 3511: 3498: 3444: 3443: 3434: 3380: 3379: 3364: 3312: 3311: 3304: 3254: 3253: 3249: 3197: 3196: 3192: 3138: 3137: 3133: 3081: 3080: 3073: 3021: 3020: 3011: 2959: 2958: 2949: 2899: 2898: 2891: 2839: 2838: 2823: 2771: 2770: 2763: 2709: 2708: 2683: 2629: 2628: 2615: 2563: 2562: 2551: 2499: 2498: 2485: 2433: 2432: 2428: 2374: 2373: 2356: 2302: 2301: 2282: 2277: 2250: 2221: 2140: 2092:angiotensinogen 2080: 1960: 1947:tight junctions 1927: 1862: 1853:assisted living 1848: 1835: 1764:APOE4 genotype 1709: 1646: 1616:COVID-19 portal 1608: 1603: 1602: 1517:Catholic Church 1492:Popular culture 1354: 1344: 1343: 1184:Performing arts 1117: 1111:Economic impact 1103: 1102: 1098:Lineage B.1.617 1009: 999: 998: 984:Pfizer–BioNTech 842:Disease testing 837: 829: 828: 672:Fake treatments 620: 612: 611: 548: 538: 537: 82: 12: 11: 5: 4437: 4435: 4427: 4426: 4421: 4411: 4410: 4405: 4404: 4347: 4292: 4230: 4171: 4111: 4054: 4009:Brain Sciences 3990: 3932: 3870: 3808: 3748: 3711:(5): 469–480. 3684: 3632: 3564: 3496: 3432: 3362: 3325:(6): 715–722. 3302: 3267:(9): 531–538. 3247: 3190: 3131: 3071: 3009: 2972:(3): 133–150. 2947: 2889: 2852:(9): 501–518. 2821: 2784:(7): 739–746. 2761: 2681: 2613: 2549: 2483: 2426: 2354: 2279: 2278: 2276: 2273: 2249: 2246: 2220: 2217: 2174:, to form the 2139: 2136: 2079: 2076: 2073: 2072: 2070: 2067: 2064: 2060: 2059: 2057: 2054: 2051: 2047: 2046: 2044: 2041: 2038: 2034: 2033: 2031: 2028: 2025: 2021: 2020: 2018: 2015: 2012: 2008: 2007: 2005: 2002: 1999: 1995: 1994: 1991: 1988: 1985: 1959: 1956: 1926: 1923: 1861: 1860:APOE4 genotype 1858: 1847: 1844: 1834: 1831: 1828: 1827: 1825: 1822: 1819: 1815: 1814: 1812: 1809: 1806: 1802: 1801: 1799: 1796: 1793: 1789: 1788: 1786: 1783: 1780: 1774: 1773: 1771: 1768: 1765: 1761: 1760: 1758: 1755: 1752: 1748: 1747: 1744: 1741: 1738: 1708: 1705: 1648: 1647: 1645: 1644: 1637: 1630: 1622: 1619: 1618: 1605: 1604: 1601: 1600: 1595: 1590: 1585: 1580: 1575: 1570: 1564: 1563: 1557: 1556: 1551: 1546: 1541: 1536: 1531: 1526: 1525: 1524: 1519: 1509: 1504: 1499: 1494: 1489: 1484: 1482:Notable deaths 1479: 1474: 1469: 1464: 1462:Media coverage 1459: 1457:Long-term care 1454: 1452:LGBT community 1449: 1444: 1439: 1434: 1433: 1432: 1422: 1417: 1412: 1407: 1402: 1397: 1392: 1387: 1381: 1380: 1374: 1373: 1368: 1362: 1361: 1355: 1350: 1349: 1346: 1345: 1342: 1341: 1336: 1331: 1326: 1321: 1316: 1311: 1306: 1301: 1296: 1291: 1285: 1284: 1278: 1277: 1272: 1267: 1262: 1257: 1252: 1247: 1242: 1236: 1235: 1231: 1230: 1225: 1220: 1219: 1218: 1217: 1216: 1211: 1196: 1191: 1186: 1181: 1176: 1171: 1166: 1161: 1156: 1151: 1146: 1145: 1144: 1134: 1129: 1124: 1118: 1109: 1108: 1105: 1104: 1101: 1100: 1095: 1090: 1085: 1080: 1075: 1070: 1065: 1060: 1055: 1049: 1048: 1047:Other variants 1044: 1043: 1038: 1033: 1028: 1023: 1017: 1016: 1010: 1005: 1004: 1001: 1000: 997: 996: 991: 989:Sinopharm BIBP 986: 981: 976: 971: 966: 961: 956: 951: 946: 940: 939: 935: 934: 929: 924: 923: 922: 912: 907: 905:Authorizations 902: 897: 896: 895: 885: 879: 878: 872: 871: 866: 861: 856: 855: 854: 849: 838: 835: 834: 831: 830: 827: 826: 821: 820: 819: 809: 808: 807: 797: 792: 787: 782: 777: 772: 767: 762: 757: 752: 747: 745:European Union 742: 737: 731: 730: 724: 723: 718: 713: 708: 703: 702: 701: 694:United Nations 691: 686: 681: 676: 675: 674: 669: 667:by governments 662:Misinformation 659: 658: 657: 647: 642: 637: 632: 627: 621: 618: 617: 614: 613: 610: 609: 604: 598: 597: 593: 592: 587: 582: 577: 572: 567: 562: 556: 555: 549: 544: 543: 540: 539: 536: 535: 529: 528: 523: 518: 517: 516: 506: 505: 504: 494: 493: 492: 482: 481: 480: 470: 469: 468: 458: 457: 456: 446: 445: 444: 434: 433: 432: 422: 421: 420: 410: 409: 408: 397: 396: 392: 391: 390: 389: 379: 378: 377: 367: 366: 365: 355: 354: 353: 343: 342: 341: 331: 330: 329: 319: 318: 317: 307: 306: 305: 295: 294: 293: 283: 282: 281: 271: 270: 269: 259: 258: 257: 246: 245: 241: 240: 239: 238: 228: 227: 226: 216: 215: 214: 204: 203: 202: 192: 191: 190: 180: 179: 178: 168: 167: 166: 156: 155: 154: 144: 143: 142: 132: 131: 130: 120: 119: 118: 108: 107: 106: 95: 94: 90: 89: 83: 78: 77: 74: 73: 72: 71: 66: 60: 59: 53: 44: 43: 32: 31: 25: 24: 13: 10: 9: 6: 4: 3: 2: 4436: 4425: 4422: 4420: 4417: 4416: 4414: 4400: 4396: 4391: 4386: 4382: 4378: 4374: 4370: 4367:(1): e12091. 4366: 4362: 4358: 4351: 4348: 4343: 4339: 4335: 4331: 4327: 4323: 4319: 4315: 4311: 4307: 4303: 4296: 4293: 4288: 4284: 4279: 4274: 4270: 4266: 4261: 4256: 4252: 4248: 4244: 4237: 4235: 4231: 4226: 4222: 4217: 4212: 4208: 4204: 4199: 4194: 4190: 4186: 4182: 4175: 4172: 4167: 4163: 4158: 4153: 4149: 4145: 4141: 4137: 4133: 4129: 4125: 4118: 4116: 4112: 4107: 4103: 4099: 4095: 4091: 4087: 4082: 4077: 4073: 4069: 4065: 4058: 4055: 4050: 4046: 4041: 4036: 4032: 4028: 4023: 4018: 4014: 4010: 4006: 3999: 3997: 3995: 3991: 3986: 3982: 3978: 3974: 3969: 3964: 3960: 3956: 3952: 3945: 3943: 3941: 3939: 3937: 3933: 3928: 3924: 3919: 3914: 3910: 3906: 3901: 3896: 3892: 3888: 3884: 3877: 3875: 3871: 3866: 3862: 3857: 3852: 3848: 3844: 3839: 3834: 3830: 3826: 3822: 3815: 3813: 3809: 3804: 3800: 3795: 3790: 3786: 3782: 3778: 3774: 3770: 3766: 3762: 3755: 3753: 3749: 3744: 3740: 3735: 3730: 3726: 3722: 3718: 3714: 3710: 3706: 3702: 3695: 3693: 3691: 3689: 3685: 3680: 3676: 3671: 3666: 3662: 3658: 3654: 3650: 3646: 3639: 3637: 3633: 3628: 3624: 3619: 3614: 3610: 3606: 3601: 3596: 3592: 3588: 3584: 3577: 3575: 3573: 3571: 3569: 3565: 3560: 3556: 3551: 3546: 3542: 3538: 3533: 3528: 3524: 3520: 3516: 3509: 3507: 3505: 3503: 3501: 3497: 3492: 3488: 3483: 3478: 3474: 3470: 3465: 3460: 3456: 3452: 3448: 3441: 3439: 3437: 3433: 3428: 3424: 3419: 3414: 3410: 3406: 3401: 3396: 3392: 3388: 3384: 3377: 3375: 3373: 3371: 3369: 3367: 3363: 3358: 3354: 3349: 3344: 3340: 3336: 3332: 3328: 3324: 3320: 3316: 3309: 3307: 3303: 3298: 3294: 3290: 3286: 3282: 3278: 3274: 3270: 3266: 3262: 3258: 3251: 3248: 3243: 3239: 3235: 3231: 3227: 3223: 3218: 3213: 3209: 3205: 3201: 3194: 3191: 3186: 3182: 3177: 3172: 3168: 3164: 3159: 3154: 3150: 3146: 3142: 3135: 3132: 3127: 3123: 3118: 3113: 3109: 3105: 3101: 3097: 3093: 3089: 3085: 3078: 3076: 3072: 3067: 3063: 3058: 3053: 3049: 3045: 3041: 3037: 3033: 3029: 3025: 3018: 3016: 3014: 3010: 3005: 3001: 2996: 2991: 2987: 2983: 2979: 2975: 2971: 2967: 2963: 2956: 2954: 2952: 2948: 2943: 2939: 2935: 2931: 2927: 2923: 2919: 2915: 2911: 2907: 2903: 2896: 2894: 2890: 2885: 2881: 2876: 2871: 2867: 2863: 2859: 2855: 2851: 2847: 2843: 2836: 2834: 2832: 2830: 2828: 2826: 2822: 2817: 2813: 2808: 2803: 2799: 2795: 2791: 2787: 2783: 2779: 2775: 2768: 2766: 2762: 2757: 2753: 2748: 2743: 2739: 2735: 2730: 2725: 2721: 2717: 2713: 2706: 2704: 2702: 2700: 2698: 2696: 2694: 2692: 2690: 2688: 2686: 2682: 2677: 2673: 2668: 2663: 2659: 2655: 2650: 2645: 2641: 2637: 2633: 2626: 2624: 2622: 2620: 2618: 2614: 2609: 2605: 2600: 2595: 2591: 2587: 2583: 2579: 2575: 2571: 2570:Redox Biology 2567: 2560: 2558: 2556: 2554: 2550: 2545: 2541: 2536: 2531: 2527: 2523: 2519: 2515: 2511: 2507: 2503: 2496: 2494: 2492: 2490: 2488: 2484: 2479: 2475: 2470: 2465: 2461: 2457: 2453: 2449: 2445: 2441: 2437: 2430: 2427: 2422: 2418: 2413: 2408: 2404: 2400: 2395: 2390: 2386: 2382: 2378: 2371: 2369: 2367: 2365: 2363: 2361: 2359: 2355: 2350: 2346: 2341: 2336: 2332: 2328: 2323: 2318: 2314: 2310: 2306: 2299: 2297: 2295: 2293: 2291: 2289: 2287: 2285: 2281: 2274: 2272: 2270: 2265: 2261: 2259: 2255: 2247: 2245: 2243: 2239: 2235: 2230: 2225: 2218: 2216: 2214: 2209: 2205: 2201: 2191: 2187: 2185: 2181: 2177: 2173: 2172:pro-caspase-1 2169: 2165: 2161: 2157: 2153: 2149: 2145: 2137: 2135: 2132: 2127: 2125: 2115: 2111: 2109: 2105: 2101: 2097: 2093: 2089: 2085: 2077: 2071: 2068: 2065: 2062: 2061: 2058: 2055: 2052: 2050:Face masking 2049: 2048: 2045: 2042: 2039: 2036: 2035: 2032: 2029: 2026: 2023: 2022: 2019: 2016: 2013: 2010: 2009: 2006: 2003: 2000: 1997: 1996: 1992: 1989: 1986: 1983: 1982: 1976: 1974: 1970: 1966: 1957: 1955: 1952: 1948: 1944: 1940: 1931: 1924: 1922: 1920: 1916: 1911: 1907: 1903: 1899: 1895: 1891: 1887: 1883: 1879: 1875: 1866: 1859: 1857: 1854: 1845: 1843: 1841: 1832: 1826: 1823: 1820: 1817: 1816: 1813: 1810: 1807: 1804: 1803: 1800: 1797: 1794: 1791: 1790: 1787: 1784: 1781: 1779: 1776: 1775: 1772: 1769: 1766: 1763: 1762: 1759: 1756: 1753: 1750: 1749: 1745: 1742: 1739: 1736: 1735: 1729: 1727: 1723: 1719: 1715: 1706: 1704: 1702: 1698: 1694: 1690: 1688: 1683: 1679: 1675: 1671: 1667: 1663: 1659: 1655: 1643: 1638: 1636: 1631: 1629: 1624: 1623: 1621: 1620: 1617: 1612: 1607: 1606: 1599: 1596: 1594: 1591: 1589: 1586: 1584: 1581: 1579: 1576: 1574: 1571: 1569: 1566: 1565: 1562: 1559: 1558: 1555: 1552: 1550: 1547: 1545: 1542: 1540: 1537: 1535: 1532: 1530: 1527: 1523: 1520: 1518: 1515: 1514: 1513: 1510: 1508: 1505: 1503: 1500: 1498: 1495: 1493: 1490: 1488: 1485: 1483: 1480: 1478: 1475: 1473: 1470: 1468: 1467:Mental health 1465: 1463: 1460: 1458: 1455: 1453: 1450: 1448: 1445: 1443: 1440: 1438: 1435: 1431: 1428: 1427: 1426: 1423: 1421: 1418: 1416: 1413: 1411: 1408: 1406: 1403: 1401: 1398: 1396: 1393: 1391: 1388: 1386: 1383: 1382: 1379: 1376: 1375: 1372: 1369: 1367: 1364: 1363: 1360: 1357: 1356: 1353: 1348: 1347: 1340: 1337: 1335: 1332: 1330: 1327: 1325: 1322: 1320: 1317: 1315: 1312: 1310: 1307: 1305: 1304:Combat sports 1302: 1300: 1297: 1295: 1292: 1290: 1287: 1286: 1283: 1280: 1279: 1276: 1273: 1271: 1268: 1266: 1263: 1261: 1258: 1256: 1253: 1251: 1248: 1246: 1243: 1241: 1238: 1237: 1233: 1232: 1229: 1226: 1224: 1221: 1215: 1212: 1210: 1209:sportscasting 1207: 1206: 1205: 1202: 1201: 1200: 1197: 1195: 1192: 1190: 1187: 1185: 1182: 1180: 1177: 1175: 1172: 1170: 1169:Food security 1167: 1165: 1164:Food industry 1162: 1160: 1157: 1155: 1152: 1150: 1147: 1143: 1140: 1139: 1138: 1135: 1133: 1130: 1128: 1125: 1123: 1120: 1119: 1116: 1112: 1107: 1106: 1099: 1096: 1094: 1091: 1089: 1086: 1084: 1081: 1079: 1076: 1074: 1071: 1069: 1066: 1064: 1061: 1059: 1056: 1054: 1051: 1050: 1046: 1045: 1042: 1039: 1037: 1034: 1032: 1029: 1027: 1024: 1022: 1019: 1018: 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Index

a series
COVID-19 pandemic
Scientifically accurate atomic model of the external structure of SARS-CoV-2. Each "ball" is an atom.
COVID-19
SARS-CoV-2
Cases
Deaths
Timeline
2019
January
responses
February
responses
March
responses
April
responses
May
responses
June
responses
July
responses
August
responses
September
responses
October
responses
November

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