Can COVID-19 vaccines turn the tide on long-haul symptoms?

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Can COVID-19 vaccines turn the tide on long-haul symptoms?
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The study finds that COVID-19 vaccination can significantly reduce symptoms and improve well-being in patients suffering from post-COVID-19 conditions (PCC). Vaccination also lowered systemic markers of inflammation but did not entirely eliminate persistent SARS-CoV-2 antigens, which may continue to contribute to inflammation.

By Neha MathurSep 22 2023Reviewed by Susha Cheriyedath, M.Sc. In a recent article published in the International Journal of Infectious Diseases, researchers evaluated a cohort of post-COVID-19 conditions patients before and after coronavirus disease 2019 vaccination to determine its potential role in PCC management.

Clinically, PCC is heterogeneous, with over 200 symptoms, but its precise underpinnings remain unclear. The World Health Organization defines PCC as the persistence of symptoms beyond 12 weeks from diagnosis for at least two months. Studies have demonstrated that vaccination, received before or after acute SARS-CoV-2 infection, protects against severe COVID-19. However, there is a lack of evidence that COVID-19 vaccines confer protective and therapeutic effects on PCC.

The study cohort comprised 83 individuals infected with SARS-CoV-2 and diagnosed with PCC per the WHO PCC case definition. Of these, 44 had not received a COVID-19 vaccine at baseline , while 39 had received one to two vaccine doses. Furthermore, the team quantified soluble SARS-CoV-2 spike and nucleocapsid proteins and immunoglobulins G and IgM levels elicited in response to these antigens.

Although inflammation impaired the immunocompetence of PCC patients, post-PCC vaccination promoted anti-S IgG responses, which likely lowered persistent viral burden and reduced autoantibody titers.

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