allodynia and hyperalgesia; autoantibody; long Covid; pain; post-acute sequela of COVID-19 (PASC); preclinical (in vivo) studies; Immunology and Allergy; Immunology
The author(s) declared that financial support was received for this work and/or its publication. This research program benefited from funding granted to Charles Nicaise (FNRS CDR J.0147.22).
1 National Academies of Sciences, Engineering, and Medicine . A Long COVID Definition: A Chronic, Systemic Disease State With Profound Consequences. Washington, DC: The National Academies Press (2024).
2 Chen HJ, Appelman B, Willemen HLDM, Bos A, Prado J, Mak WA, et al. Transfer of IgG from long COVID patients induces symptomology in mice. Cell Rep Med. (2026) 7:102693. doi: 10.1016/j.xcrm.2026.102693, 41881023.
3 de Sá KSG, Silva J, Bayarri-Olmos R, Baker CA, Lu Z, Gipson W, et al. A causal link between autoantibodies and neurological symptoms in long COVID. Cell. (2026) 189:3214–3235.e37. doi: 10.1016/j.cell.2026.04.042, 42208499.
4 Mignolet M, Deroux C, Florkin T, Bielarz V, De Swert K, Halloin N, et al. Pathogenic IgG from long COVID patients with neurological sequelae triggers sensitive but not cognitive impairments upon transfer into mice. Acta Neuropathol. (2026) 151:50. doi: 10.1007/s00401-026-03019-0, 42053865.
5 Javed H, Lang L, Israel M, Vastani N, Ribiero A, Primicheru L, et al. Autoantibodies mediate pain and sensory dysfunction in post-COVID syndrome. In: Research Square Durham, NC: Spring Nature (2025). Available online at: https://assets-eu.researchsquare.com/files/rs-7989936/v1_covered_8653eeda-184a-4443-bfbb-b3c802e8a064.pdf (Accessed March 25, 2026).
6 Merton RK. Singletons and multiples in scientific discovery: a chapter in the sociology of science. In: Proc am Philos Soc, Philadelphia, PA: University of Pennsylvania Press vol. 105. (1961). p. 470–86. doi: 10.2307/2089193.
7 Ranque B, Cogan E. Internal medicine at the crossroads of long COVID diagnosis and management. Front Med. (2025) 12:1521472. doi: 10.3389/fmed.2025.1521472.
8 Thompson JS, Thornton AC, Ainger T, Garvy BA. Long-term high-dose immunoglobulin successfully treats long COVID patients with pulmonary, neurologic, and cardiologic symptoms. Front Immunol. (2023) 13:1033651. doi: 10.3389/fimmu.2022.1033651, 36818469.