Evidence mapPaperPMID 36077138Full record

ReviewInternational journal of molecular sciences2022

Post-COVID-19 Parkinsonism and Parkinson's Disease Pathogenesis: The Exosomal Cargo Hypothesis.

Dimitrios S Mysiris, George D Vavougios, Eirini Karamichali, Stamatia Papoutsopoulou, Vasileios T Stavrou, Eirini Papayianni, Stylianos Boutlas, Theodoros Mavridis, Pelagia Foka, Sotirios G Zarogiannis and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 22 citations in OpenAlex.

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  8. Neurological, psychological, psychosocial complications of long-COVID and their management.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  9. The Role of Extracellular Vesicles in Pandemic Viral Infections.Journal of microbiology (Seoul, Korea) · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Dimitrios S MysirisFaculty of Medicine, University of Thessaly, 41110 Larissa, Greece.
George D VavougiosDepartment of Neurology, Faculty of Medicine, University of Cyprus, Lefkosia 1678, Cyprus.ORCID 0000-0002-0413-4028
Eirini KaramichaliMolecular Virology Laboratory, Hellenic Pasteur Institute, 11521 Athens, Greece.
Stamatia PapoutsopoulouDepartment of Biochemistry and Biotechnology, Faculty of Life Sciences, University of Thessaly, Mezourlo, 41500 Larissa, Greece.ORCID 0000-0001-6665-8508
Vasileios T StavrouLaboratory of Pulmonary Testing and Rehabilitation, Department of Respiratory Medicine, Faculty of Medicine, University of Thessaly, 41110 Larissa, Greece.ORCID 0000-0002-2437-5339
Eirini PapayianniLaboratory of Pulmonary Testing and Rehabilitation, Department of Respiratory Medicine, Faculty of Medicine, University of Thessaly, 41110 Larissa, Greece.
Stylianos BoutlasLaboratory of Pulmonary Testing and Rehabilitation, Department of Respiratory Medicine, Faculty of Medicine, University of Thessaly, 41110 Larissa, Greece.ORCID 0000-0003-0373-9479
Theodoros Mavridis1st Neurology Department, Eginition Hospital, Medical School, National & Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0002-5952-5106
Pelagia FokaMolecular Virology Laboratory, Hellenic Pasteur Institute, 11521 Athens, Greece.ORCID 0000-0002-6888-7678
Sotirios G ZarogiannisDepartment of Physiology, Faculty of Medicine, University of Thessaly, Biopolis, 41500 Larissa, Greece.ORCID 0000-0002-3083-3244
Konstantinos GourgoulianisLaboratory of Pulmonary Testing and Rehabilitation, Department of Respiratory Medicine, Faculty of Medicine, University of Thessaly, 41110 Larissa, Greece.
Georgia XiromerisiouDepartment of Neurology, University Hospital of Larissa, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41110 Larissa, Greece.
University of Thessaly · GRPasteur Hellenic Institute · GRNational and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Parkinson's disease (PD) is the second most prevalent neurodegenerative disease after Alzheimer's disease, globally. Dopaminergic neuron degeneration in substantia nigra pars compacta and aggregation of misfolded alpha-synuclein are the PD hallmarks, accompanied by motor and non-motor symptoms. Several viruses have been linked to the appearance of a post-infection parkinsonian phenotype. Coronavirus disease 2019 (COVID-19), caused by emerging severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection, has evolved from a novel pneumonia to a multifaceted syndrome with multiple clinical manifestations, among which neurological sequalae appear insidious and potentially long-lasting. Exosomes are extracellular nanovesicles bearing a complex cargo of active biomolecules and playing crucial roles in intercellular communication under pathophysiological conditions. Exosomes constitute a reliable route for misfolded protein transmission, contributing to PD pathogenesis and diagnosis. Herein, we summarize recent evidence suggesting that SARS-CoV-2 infection shares numerous clinical manifestations and inflammatory and molecular pathways with PD. We carry on hypothesizing that these similarities may be reflected in exosomal cargo modulated by the virus in correlation with disease severity. Travelling from the periphery to the brain, SARS-CoV-2-related exosomal cargo contains SARS-CoV-2 RNA, viral proteins, inflammatory mediators, and modified host proteins that could operate as promoters of neurodegenerative and neuroinflammatory cascades, potentially leading to a future parkinsonism and PD development.

Indexed as

COVID-19Neurodegenerative DiseasesParkinson DiseaseParkinsonian Disordersalpha-SynucleinCell CommunicationHumansRNA, ViralSARS-CoV-2alpha-SynucleinRNA, Viralalpha-synucleinexosomesinflammationneurodegenerationneuroinflammationparkinsonismParkinson’s diseasepost-COVID-19SARS-CoV-2virus

Identifiers

PMID36077138
PMCPMC9456372
OpenAlexW4293536938

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.