Evidence map›Paper›PMID 41965729›Full record

ArticleJournal of translational medicine2026

Immune dysregulation in prolonged Long-COVID: lymphocytes emerge as key mediators of persistent inflammation, exhaustion and cytotoxicity.

Marta Liva Springe, Kristīne Vaivode, Rihards Saksis, Nineļa Miriama Vainšeļbauma, Laura Ansone, Monta Brīvība, Helvijs Niedra, Vita Rovite

Abstract read
In one paragraph

Article in Journal of translational medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

8 authors.

Marta Liva Springe *Latvian Biomedical Research and Study Centre, Riga, LV-1067, Latvia.
Kristīne Vaivode *Latvian Biomedical Research and Study Centre, Riga, LV-1067, Latvia.
Rihards SaksisLatvian Biomedical Research and Study Centre, Riga, LV-1067, Latvia.
Nineļa Miriama VainšeļbaumaLatvian Biomedical Research and Study Centre, Riga, LV-1067, Latvia.
Laura AnsoneLatvian Biomedical Research and Study Centre, Riga, LV-1067, Latvia.
Monta BrīvībaLatvian Biomedical Research and Study Centre, Riga, LV-1067, Latvia.
Helvijs NiedraLatvian Biomedical Research and Study Centre, Riga, LV-1067, Latvia.
Vita RoviteLatvian Biomedical Research and Study Centre, Riga, LV-1067, Latvia. vita.rovite@biomed.lu.lv.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-COVID affects at least 10% of COVID-19 survivors, displaying debilitating symptoms across multiple organ systems. Despite the widespread prevalence, Long-COVID aetiology remains poorly understood, but emerging evidence points to immune dysregulation as a potential mechanism involved in its development or persistence.

methodsThis study presents a unique analysis of the peripheral blood mononuclear cell transcriptomic profile of COVID-19 and Long-COVID patients at single-cell resolution. We reconstructed the cell state and intercellular communication using differentially expressed gene profiling and ligand-receptor interaction analyses.

resultsOur results reveal altered T and natural killer cell subset proportions, diminished proliferating lymphocyte and B cell signalling capacity, and the expression of exhaustion and cytotoxicity associated genes 1.5-2 years post-infection, suggesting incomplete immune recovery. Distinct interferon responses in these cell populations at the acute phase for patients who go on to develop Long-COVID indicate early disease mediator potential.

conclusionsCollectively, these findings provide insight into the immune processes underlying the progression of COVID-19 into a chronic Long-COVID state. The observed changes in immune cell subsets at the acute phase of the infection may be predictive of Long-COVID progression and could be useful in understanding disease aetiology while the observed long-term effects are crucial to developing therapeutic and diagnostic tools.

Indexed as

COVID-19Cytotoxicity, ImmunologicInflammationLymphocytesGene Expression ProfilingHumansImmune System ExhaustionKiller Cells, NaturalLeukocytes, MononuclearPost-Acute COVID-19 SyndromeSARS-CoV-2T-Cell ExhaustionTranscriptomeCOVID-19CytotoxicityExhaustionImmune landscapeIntercellular communicationInterferonLong-COVIDLymphocyteSingle-cell RNA sequencing

Identifiers

PMID41965729
PMCPMC13088835

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.