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| Meta Title | Long-term brain effects of COVID-19 vs. flu: Study reveals key differences |
| Meta Description | Even a mild case of COVID-19 or the flu can impact the body long after the fever and cough fade, according to new Tulane University research that may help explain why some people struggle to feel fully recovered weeks or months later. Tulane researchers found that while both viruses can leave lasting lung damage, only SARS-CoV-2 infection caused persistent brain inflammation and small blood vessel injury, even after the virus was no longer detectable. |
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| Boilerpipe Text | Credit: Unsplash/CC0 Public Domain
Even a mild case of COVID-19 or the flu can impact the body long after the fever and cough fade, according to new Tulane University research that may help explain why some people struggle to feel fully recovered weeks or months later. Tulane researchers found that while both viruses can leave lasting lung damage, only SARS-CoV-2 infection caused persistent brain inflammation and small blood vessel injury, even after the virus was no longer detectable.
The findings, published in
Frontiers in Immunology
, help explain why
long COVID
often includes neurological symptoms such as brain fog, fatigue and mood changes, while influenza is more commonly associated with respiratory complications.
"Influenza and COVID-19 affect large populations worldwide and carry a significant public health toll, yet the mechanisms behind their long-term effects remain poorly understood," said Dr. Xuebin Qin, lead author and professor of microbiology and immunology at the Tulane National Biomedical Research Center.
Comparing long-term impacts in mice
To separate effects common to severe respiratory infections from those unique to COVID-19, researchers used a mouse model to examine lung and brain tissue after infection had cleared.
In the lungs, both viruses left behind a similar picture: immune cells that failed to fully stand down and increased
buildup of collagen
, a protein associated with scarring. Those changes can stiffen lung tissue and make breathing feel more labored—a possible biological explanation for why some people report lingering shortness of breath after respiratory infections.
But when the researchers looked more closely, they found a key difference. After the flu, the lungs appeared to switch into
repair mode
, sending specialized cells into damaged areas to help rebuild the lining of the airways. That repair response was largely missing after COVID-19 infection, suggesting the virus may interfere with the lung's natural healing process.
COVID's unique footprint in the brain
The most striking differences appeared in the brain.
Although neither virus was found in brain tissue, mice that had COVID-19 showed signs of persistent brain inflammation weeks later, along with tiny areas of bleeding.
Gene expression analysis
revealed ongoing inflammatory signaling and disruption of pathways involved in serotonin and dopamine regulation, systems closely tied to mood, cognition and energy levels. These persistent changes were largely absent in influenza-infected animals.
"In both infections, we observed lasting lung injury," Qin said. "But long-term effects on the brain were unique to SARS-CoV-2. That distinction is critical to understanding long COVID."
What the findings could mean for patients
The study findings shed new light on how vascular and immune changes may contribute to persistent neurological symptoms.
By defining these biological changes, the research offers a clearer foundation for monitoring patients and developing treatments aimed at preventing lasting damage. As lingering symptoms continue to complicate recovery for some, understanding what is driving them is essential to reducing long-term health consequences.
Publication details
Characterization of Subchronic Lung and Brain Consequences Caused by Mouse-Adapted SARS-CoV-2 and Influenza A Infection of C57BL6 mice,
Frontiers in Immunology
(2026).
DOI: 10.3389/fimmu.2026.1755141
Journal information:
Frontiers in Immunology
Citation
:
Long-term brain effects of COVID-19 vs. flu: Study reveals key differences (2026, February 25)
retrieved 9 April 2026
from https://medicalxpress.com/news/2026-02-term-brain-effects-covid-flu.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no
part may be reproduced without the written permission. The content is provided for information purposes only. |
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***
# Long-term brain effects of COVID-19 vs. flu: Study reveals key differences
by [Tulane University](http://www.tulane.edu/)
edited by [Sadie Harley](https://sciencex.com/help/editorial-team/), reviewed by [Robert Egan](https://sciencex.com/help/editorial-team/)
[Editors' notes]()
This article has been reviewed according to Science X's [editorial process](https://sciencex.com/help/editorial-process/) and [policies](https://sciencex.com/help/editorial-standards/). [Editors](https://sciencex.com/help/editorial-team/) have highlighted the following attributes while ensuring the content's credibility:
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Credit: Unsplash/CC0 Public Domain
Even a mild case of COVID-19 or the flu can impact the body long after the fever and cough fade, according to new Tulane University research that may help explain why some people struggle to feel fully recovered weeks or months later. Tulane researchers found that while both viruses can leave lasting lung damage, only SARS-CoV-2 infection caused persistent brain inflammation and small blood vessel injury, even after the virus was no longer detectable.
The findings, published in [*Frontiers in Immunology*](https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2026.1755141), help explain why [long COVID](https://medicalxpress.com/news/2023-03-covid-linked-brain-oxygen-cognitive.html?utm_source=embeddings&utm_medium=related&utm_campaign=internal) often includes neurological symptoms such as brain fog, fatigue and mood changes, while influenza is more commonly associated with respiratory complications.
"Influenza and COVID-19 affect large populations worldwide and carry a significant public health toll, yet the mechanisms behind their long-term effects remain poorly understood," said Dr. Xuebin Qin, lead author and professor of microbiology and immunology at the Tulane National Biomedical Research Center.
## Comparing long-term impacts in mice
To separate effects common to severe respiratory infections from those unique to COVID-19, researchers used a mouse model to examine lung and brain tissue after infection had cleared.
In the lungs, both viruses left behind a similar picture: immune cells that failed to fully stand down and increased [buildup of collagen](https://medicalxpress.com/news/2024-07-lung-complications-worsen-years-hospitalization.html?utm_source=embeddings&utm_medium=related&utm_campaign=internal), a protein associated with scarring. Those changes can stiffen lung tissue and make breathing feel more labored—a possible biological explanation for why some people report lingering shortness of breath after respiratory infections.
But when the researchers looked more closely, they found a key difference. After the flu, the lungs appeared to switch into [repair mode](https://medicalxpress.com/news/2022-03-covid.html?utm_source=embeddings&utm_medium=related&utm_campaign=internal), sending specialized cells into damaged areas to help rebuild the lining of the airways. That repair response was largely missing after COVID-19 infection, suggesting the virus may interfere with the lung's natural healing process.
## COVID's unique footprint in the brain
The most striking differences appeared in the brain.
Although neither virus was found in brain tissue, mice that had COVID-19 showed signs of persistent brain inflammation weeks later, along with tiny areas of bleeding.
[Gene expression analysis](https://medicalxpress.com/news/2023-08-severe-covid-long-term-innate-immune.html?utm_source=embeddings&utm_medium=related&utm_campaign=internal) revealed ongoing inflammatory signaling and disruption of pathways involved in serotonin and dopamine regulation, systems closely tied to mood, cognition and energy levels. These persistent changes were largely absent in influenza-infected animals.
"In both infections, we observed lasting lung injury," Qin said. "But long-term effects on the brain were unique to SARS-CoV-2. That distinction is critical to understanding long COVID."
## What the findings could mean for patients
The study findings shed new light on how vascular and immune changes may contribute to persistent neurological symptoms.
By defining these biological changes, the research offers a clearer foundation for monitoring patients and developing treatments aimed at preventing lasting damage. As lingering symptoms continue to complicate recovery for some, understanding what is driving them is essential to reducing long-term health consequences.
###### Publication details
Characterization of Subchronic Lung and Brain Consequences Caused by Mouse-Adapted SARS-CoV-2 and Influenza A Infection of C57BL6 mice, *Frontiers in Immunology* (2026). [DOI: 10.3389/fimmu.2026.1755141](https://dx.doi.org/10.3389/fimmu.2026.1755141)
**Journal information:** [Frontiers in Immunology](https://medicalxpress.com/journals/frontiers-in-immunology/)
###### Key medical concepts
[**COVID-19 (Coronavirus Disease 2019)**](https://medicalxpress.com/concepts/disease-syndrome/covid-19-coronavirus-disease-2019/)[**Post-Acute COVID-19 Syndrome**](https://medicalxpress.com/concepts/disease-syndrome/post-acute-covid-19-syndrome/)
###### Clinical categories
[**Infectious diseases**](https://medicalxpress.com/infectious-diseases-news/)[**Common illnesses & Prevention**](https://medicalxpress.com/common-illnesses-prevention-news/)[**Neurology**](https://medicalxpress.com/neurology-news/)[**Pulmonary medicine**](https://medicalxpress.com/pulmonary-medicine-news/)
Provided by [Tulane University](https://medicalxpress.com/partners/tulane-university/)
**Citation**: Long-term brain effects of COVID-19 vs. flu: Study reveals key differences (2026, February 25) retrieved 9 April 2026 from https://medicalxpress.com/news/2026-02-term-brain-effects-covid-flu.html
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##### Get Instant Summarized Text (Gist)
Both COVID-19 and influenza can cause lasting lung damage, but only SARS-CoV-2 leads to persistent brain inflammation and small blood vessel injury after infection clears. These brain changes, absent in flu, are linked to ongoing neurological symptoms such as brain fog and mood disturbances, highlighting a unique long-term impact of COVID-19 compared to influenza.
This summary was automatically generated using LLM. [Full disclaimer](https://sciencex.com/help/ai-disclaimer/)
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##### Long-term brain effects of COVID-19 vs. flu: Study reveals key differences
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| Readable Markdown | 
Credit: Unsplash/CC0 Public Domain
Even a mild case of COVID-19 or the flu can impact the body long after the fever and cough fade, according to new Tulane University research that may help explain why some people struggle to feel fully recovered weeks or months later. Tulane researchers found that while both viruses can leave lasting lung damage, only SARS-CoV-2 infection caused persistent brain inflammation and small blood vessel injury, even after the virus was no longer detectable.
The findings, published in [*Frontiers in Immunology*](https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2026.1755141), help explain why [long COVID](https://medicalxpress.com/news/2023-03-covid-linked-brain-oxygen-cognitive.html?utm_source=embeddings&utm_medium=related&utm_campaign=internal) often includes neurological symptoms such as brain fog, fatigue and mood changes, while influenza is more commonly associated with respiratory complications.
"Influenza and COVID-19 affect large populations worldwide and carry a significant public health toll, yet the mechanisms behind their long-term effects remain poorly understood," said Dr. Xuebin Qin, lead author and professor of microbiology and immunology at the Tulane National Biomedical Research Center.
## Comparing long-term impacts in mice
To separate effects common to severe respiratory infections from those unique to COVID-19, researchers used a mouse model to examine lung and brain tissue after infection had cleared.
In the lungs, both viruses left behind a similar picture: immune cells that failed to fully stand down and increased [buildup of collagen](https://medicalxpress.com/news/2024-07-lung-complications-worsen-years-hospitalization.html?utm_source=embeddings&utm_medium=related&utm_campaign=internal), a protein associated with scarring. Those changes can stiffen lung tissue and make breathing feel more labored—a possible biological explanation for why some people report lingering shortness of breath after respiratory infections.
But when the researchers looked more closely, they found a key difference. After the flu, the lungs appeared to switch into [repair mode](https://medicalxpress.com/news/2022-03-covid.html?utm_source=embeddings&utm_medium=related&utm_campaign=internal), sending specialized cells into damaged areas to help rebuild the lining of the airways. That repair response was largely missing after COVID-19 infection, suggesting the virus may interfere with the lung's natural healing process.
## COVID's unique footprint in the brain
The most striking differences appeared in the brain.
Although neither virus was found in brain tissue, mice that had COVID-19 showed signs of persistent brain inflammation weeks later, along with tiny areas of bleeding.
[Gene expression analysis](https://medicalxpress.com/news/2023-08-severe-covid-long-term-innate-immune.html?utm_source=embeddings&utm_medium=related&utm_campaign=internal) revealed ongoing inflammatory signaling and disruption of pathways involved in serotonin and dopamine regulation, systems closely tied to mood, cognition and energy levels. These persistent changes were largely absent in influenza-infected animals.
"In both infections, we observed lasting lung injury," Qin said. "But long-term effects on the brain were unique to SARS-CoV-2. That distinction is critical to understanding long COVID."
## What the findings could mean for patients
The study findings shed new light on how vascular and immune changes may contribute to persistent neurological symptoms.
By defining these biological changes, the research offers a clearer foundation for monitoring patients and developing treatments aimed at preventing lasting damage. As lingering symptoms continue to complicate recovery for some, understanding what is driving them is essential to reducing long-term health consequences.
###### Publication details
Characterization of Subchronic Lung and Brain Consequences Caused by Mouse-Adapted SARS-CoV-2 and Influenza A Infection of C57BL6 mice, *Frontiers in Immunology* (2026). [DOI: 10.3389/fimmu.2026.1755141](https://dx.doi.org/10.3389/fimmu.2026.1755141)
**Journal information:** [Frontiers in Immunology](https://medicalxpress.com/journals/frontiers-in-immunology/)
**Citation**: Long-term brain effects of COVID-19 vs. flu: Study reveals key differences (2026, February 25) retrieved 9 April 2026 from https://medicalxpress.com/news/2026-02-term-brain-effects-covid-flu.html
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