Frontiers in cellular and infection microbiology

How immune response networks and viral inflammation linked to aging and long COVID relate to cytomegalovirus

Updated

Abstract

Aging and long COVID may disrupt host homeostasis, increasing susceptibility to persistent viral reactivation, notably Cytomegalovirus (CMV).

  • Chronic inflammation, immune remodeling, and metabolic dysfunction are key factors associated with aging and long COVID.
  • Latent viral reactivation may reflect a decline in organismal resilience rather than merely a viral event.
  • Host-virus resilience networks include immune, metabolic, epigenetic, and cellular stress-response pathways that help maintain CMV latency.
  • Age-related changes such as immunosenescence and mitochondrial dysfunction can destabilize these resilience networks.
  • Viral reactivation may create feedback loops that enhance chronic inflammation and further disrupt immune regulation.
  • Long COVID might exemplify a convergence of resilience failures, combining persistent immune disturbances with latent herpesvirus dynamics.

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