Exp Neurobiol
. 2021 Jun 30;30(3):256-261.
doi: 10.5607/en21009.
High Levels of IL-8 and MCP-1 in Cerebrospinal Fluid of COVID-19 Patients with Cerebrovascular Disease
Sebastián Guartazaca-Guerrero 1 2 , Jahir Rodríguez-Morales 1 2 , Salma A Rizo-Téllez 3 4 , Helena Solleiro-Villavicencio 5 , Aldo F Hernández-Valencia 2 , José Damián Carrillo-Ruiz 2 6 , Galileo Escobedo 3 , Lucía A Méndez-García 3
Affiliations
- PMID: 34230225
- DOI: 10.5607/en21009
Abstract
The coronavirus family has tropism for the Central Nervous System (CNS), however, there is no solid evidence demonstrating that the neurological effects of COVID-19 result from direct viral infection or systemic inflammation. The goals of this study were to examine the cytokine profile and the presence of SARS-CoV-2 messenger ribonucleic acid (mRNA) in cerebrospinal fluids (CSF) from two patients with cerebrovascular disease and COVID-19. Although the SARS-CoV-2 mRNA was not detected in CSF of both patients, we found abnormally high levels of numerous proinflammatory cytokines and chemokines, especially IL-8 and MCP-1. Since these chemokines mediate activation and recruitment of neutrophils, monocytes, and macrophages, it is feasible that cerebrovascular disease related-neuroinflammation found in both patients results from an exacerbated inflammatory response instead of SARS-CoV-2 direct invasion to CNS. These results suggest that neuroinflammation plays a key role in cerebrovascular disease and COVID-19.
Keywords: COVID-19; Cerebrospinal fluid; Cerebrovascular disease; IL-8; MCP-1; SARS-CoV-2.