Evidence map›Paper›PMID 40920586›Full record

ArticleThe Journal of infectious diseases2026

Cerebrospinal Fluid Immune Cell Alterations in Women With Neuropsychiatric Long COVID.

Benjamin Orlinick, Sameet Mehta, Lindsay McAlpine, Saba Khoshbakht, Sofia Fertuzinhos, Allison Nelson, Jennifer Chiarella, Bibhuprasad Das, Vansh Patel, Paraskevas Filippidis and 3 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Benjamin OrlinickSection of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0009-0001-6870-4835
Sameet MehtaSection of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut, USA.
Lindsay McAlpineDivision of Neurological Infections, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0003-3652-5645
Saba KhoshbakhtDepartment of Cellular and Molecular Medicine, KOC University, Istanbul, Turkey.
Sofia FertuzinhosCenter for Bioinformatics, Cushing Medical Library, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-3045-4201
Allison NelsonDivision of Neurological Infections, Yale School of Medicine, New Haven, Connecticut, USA.
Jennifer ChiarellaDivision of Neurological Infections, Yale School of Medicine, New Haven, Connecticut, USA.
Bibhuprasad DasSection of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut, USA.
Vansh PatelSection of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut, USA.
Paraskevas FilippidisDepartment of Pathology, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-6784-7420
Michael J CorleyDepartment of Medicine, University of California San Diego, San Diego, California, USA.
Serena S SpudichDivision of Neurological Infections, Yale School of Medicine, New Haven, Connecticut, USA.
Shelli F FarhadianSection of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0001-7230-1409

Funding

CNS Viral Persistence and Neuropsychiatric Perturbations in HIV: Single cell and Molecular InterrogationR01MH125737 · NIMH · YALE UNIVERSITY · PI CYKTOR, JOSHUA CHARLES, SPUDICH, SERENA S · 2021 to 2025
$5.4M
Viral and immune-mediated CNS pathology during SARS-CoV-2 infectionR01AI157488 · NIAID · YALE UNIVERSITY · PI FARHADIAN, SHELLI, IWASAKI, AKIKO · 2020 to 2024
$4.7M
Decoding epigenetic scars of smoldering neuroinflammation and CNS complications in people with HIVR01MH134391 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI Michael Jay Corley, Shelli Farhadian · 2023 to 2026
$3.8M
High Performance Computing Instrumentation for the Yale Center for Genome AnalysisS10OD030363 · OD · YALE UNIVERSITY · PI MANE, SHRIKANT M · 2022 to 2022
$1.2M
Magnetic Resonance Imaging Biomarkers of Post-COVID-19 Cerebral Microvascular DysfunctionK23NS133488 · NINDS · YALE UNIVERSITY · PI Lindsay Sarah McAlpine · 2024 to 2026
$695k
NIAID NIH HHS R01 AI157488NIH HHS 1S10OD030363-01A1.NIH HHS R01AI157488NIH HHS R01MH125737-SNIH HHS S10 OD030363NIMH NIH HHS R01 MH125737NIMH NIH HHS R01 MH134391NINDS NIH HHS K23 NS133488NINDS NIH HHS L30 NS139301
6 · The paper itself

Abstract

backgroundWomen are disproportionately affected by neuropsychiatric symptoms following recovery from acute COVID-19. However, whether there are central nervous system-specific changes in gene expression in women with neuropsychiatric Long COVID (NP-Long COVID) remains unknown.

methodsTwenty-two women with and 10 women without NP-Long COVID were enrolled from New Haven, Connecticut, and the surrounding region and consented to a blood draw and large volume lumbar puncture. Total RNA was extracted from cerebrospinal fluid (CSF) cells and peripheral blood mononuclear cells (PBMC). Polyadenylated RNA was sequenced, and differential expression analyses were performed.

resultsBoth CSF and PBMC samples showed differential gene expression associated with Long COVID status. There were CSF-specific differentially expressed genes in people with Long COVID, including in genes related to oxidative stress, reactive oxygen species, and P53 response, indicating compartment-specific immune responses. Some pathways were dysregulated in both the CSF and PBMC of Long COVID compared with controls, including those related to androgen response, MTORC1 signaling, and lipid metabolism.

conclusionsWomen with NP-long COVID show compartment-specific, transcriptional profiles in the CSF with evidence of enrichment in cellular stress pathways. These results underscore the importance of examining CSF-specific molecular profiles to better understand post-viral neurological syndromes.

Indexed as

Cerebrospinal FluidCOVID-19AdultAgedFemaleHumansLeukocytes, MononuclearMiddle AgedSARS-CoV-2cerebrospinal fluidlong COVIDneuropsychiatric symptomspost-viral syndromeRNA sequencing

Identifiers

PMID40920586
PMCPMC12811860

What Socratic holds

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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.