“…Spike protein alone has been shown in one study to induce several damages associated with COVID-19, including damage to the lungs and arteries, inflammation of endothelial cells lining the pulmonary artery walls, together with impairment of mitochondrial function, decrease of ACE2 expression and eNOS activity, and increase of glycolysis as observed in vitro (on endothelial cells treated for 24 h with 4 μg/mL Spike) and in vivo (upon intratracheal administration of a pseudovirus expressing Spike protein to Syrian hamsters) [124] . Spike proteins (S1 and active trimer, 15 and 30 nM) have been found to induce mitochondrial damage in brain endothelial cells [125] , and spike protein epitopes have been shown to interact with human toll-like receptor 8 (TLR 8), brain targeted Vascular Cell adhesion Molecules (VCAM1) proteins, Zonula Occludens (ZO), and some glia specific proteins (i.e., NDRG2 and Apo- S100B), which can lead to neuroinflammation [126] . Moreover, 10 nM SARS-CoV-2 viral spike proteins have been shown to alter BBB functions and induce pro-inflammatory response after 24 h in primary human brain microvascular endothelial cells (hBMVECs) cultured in 2D and 3D [127] .…”