Insights on the neurocognitive mechanisms underlying hippocampus-dependent memory impairment in COVID-19

Abstract COVID-19 has been linked to acute and long-term cognitive impairments, including memory and concentration deficits, as well as neuropsychiatric symptoms such as anxiety and depression. However, the neuropathophysiological mechanisms underlying these cognitive and affective changes remain po...

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Main Authors: Patric Meyer, Ann-Kathrin Zaiser
Format: Article
Language:English
Published: Nature Portfolio 2025-06-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-04166-2
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author Patric Meyer
Ann-Kathrin Zaiser
author_facet Patric Meyer
Ann-Kathrin Zaiser
author_sort Patric Meyer
collection DOAJ
description Abstract COVID-19 has been linked to acute and long-term cognitive impairments, including memory and concentration deficits, as well as neuropsychiatric symptoms such as anxiety and depression. However, the neuropathophysiological mechanisms underlying these cognitive and affective changes remain poorly understood. Accumulating evidence points towards neuroinflammation as a potential driver of most acute and post-acute neurofunctional symptoms. In this study, we aimed to comprehensively characterize cognitive impairment associated with COVID-19 using a large online cohort of over 1400 participants, including individuals reporting a previous SARS-CoV-2 infection and individuals who had never been tested positive. Our cognitive test battery covered alertness, executive functions, and episodic long-term memory. Our results demonstrate a pronounced and selective impairment of individuals previously infected in a mnemonic discrimination task known to engage hippocampus-dependent pattern separation. This impairment remained statistically significant after controlling for potential confounding factors (i.e., age, gender, education, depressiveness, anxiety, and stress). This finding, derived indirectly from behavioral performance, suggests compromised hippocampal neurogenesis following infection, which may contribute to COVID-related memory deficits. Our study has important implications for understanding the neurofunctional consequences of COVID-19 and highlights the potential significance of neuroinflammation in the manifestation of cognitive impairments.
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spelling doaj-art-201e5b9b6acf4ff5ae17ad17c7d389a22025-08-20T03:47:14ZengNature PortfolioScientific Reports2045-23222025-06-0115112610.1038/s41598-025-04166-2Insights on the neurocognitive mechanisms underlying hippocampus-dependent memory impairment in COVID-19Patric Meyer0Ann-Kathrin Zaiser1Cognitive Neuroscience Unit, School of Psychology, SRH University of Applied Sciences HeidelbergCognitive Neuroscience Unit, School of Psychology, SRH University of Applied Sciences HeidelbergAbstract COVID-19 has been linked to acute and long-term cognitive impairments, including memory and concentration deficits, as well as neuropsychiatric symptoms such as anxiety and depression. However, the neuropathophysiological mechanisms underlying these cognitive and affective changes remain poorly understood. Accumulating evidence points towards neuroinflammation as a potential driver of most acute and post-acute neurofunctional symptoms. In this study, we aimed to comprehensively characterize cognitive impairment associated with COVID-19 using a large online cohort of over 1400 participants, including individuals reporting a previous SARS-CoV-2 infection and individuals who had never been tested positive. Our cognitive test battery covered alertness, executive functions, and episodic long-term memory. Our results demonstrate a pronounced and selective impairment of individuals previously infected in a mnemonic discrimination task known to engage hippocampus-dependent pattern separation. This impairment remained statistically significant after controlling for potential confounding factors (i.e., age, gender, education, depressiveness, anxiety, and stress). This finding, derived indirectly from behavioral performance, suggests compromised hippocampal neurogenesis following infection, which may contribute to COVID-related memory deficits. Our study has important implications for understanding the neurofunctional consequences of COVID-19 and highlights the potential significance of neuroinflammation in the manifestation of cognitive impairments.https://doi.org/10.1038/s41598-025-04166-2COVID-19Cognitive impairmentPattern separationNeurogenesisHippocampus
spellingShingle Patric Meyer
Ann-Kathrin Zaiser
Insights on the neurocognitive mechanisms underlying hippocampus-dependent memory impairment in COVID-19
Scientific Reports
COVID-19
Cognitive impairment
Pattern separation
Neurogenesis
Hippocampus
title Insights on the neurocognitive mechanisms underlying hippocampus-dependent memory impairment in COVID-19
title_full Insights on the neurocognitive mechanisms underlying hippocampus-dependent memory impairment in COVID-19
title_fullStr Insights on the neurocognitive mechanisms underlying hippocampus-dependent memory impairment in COVID-19
title_full_unstemmed Insights on the neurocognitive mechanisms underlying hippocampus-dependent memory impairment in COVID-19
title_short Insights on the neurocognitive mechanisms underlying hippocampus-dependent memory impairment in COVID-19
title_sort insights on the neurocognitive mechanisms underlying hippocampus dependent memory impairment in covid 19
topic COVID-19
Cognitive impairment
Pattern separation
Neurogenesis
Hippocampus
url https://doi.org/10.1038/s41598-025-04166-2
work_keys_str_mv AT patricmeyer insightsontheneurocognitivemechanismsunderlyinghippocampusdependentmemoryimpairmentincovid19
AT annkathrinzaiser insightsontheneurocognitivemechanismsunderlyinghippocampusdependentmemoryimpairmentincovid19