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COVID-19 and Flu: Lasting Effects on Lungs and Brain — Level B1 — a tree covered in snow next to a forest

COVID-19 and Flu: Lasting Effects on Lungs and BrainCEFR B1

27 Feb 2026

Adapted from Leslie Tate-Tulane, Futurity CC BY 4.0

Photo by Danny Rienecker, Unsplash

Level B1 – Intermediate
4 min
221 words

Tulane University scientists used a mouse model to examine tissue after infection had cleared. The work, reported in a scientific journal, compared lungs and brains to separate effects common to severe respiratory infections from those unique to SARS-CoV-2 (the virus that causes COVID-19).

In the lungs, both viruses produced similar signs of lasting injury. Researchers found immune cells that failed to fully stand down and an increased buildup of collagen, a protein linked to scarring. Those changes can stiffen lung tissue and help explain continued shortness of breath. After influenza, the lungs showed a repair response: specialized cells appeared in damaged areas and began rebuilding the airway lining. That repair response was largely missing after COVID-19.

The largest differences were in the brain. Although neither virus was detected in brain tissue, mice that had COVID-19 showed persistent brain inflammation weeks later and tiny areas of bleeding. Gene analysis showed ongoing inflammatory signaling and disruption of pathways for serotonin and dopamine, systems linked to mood, thinking and energy. These persistent brain changes were largely absent after influenza.

The findings point to vascular and immune changes that may contribute to neurological symptoms such as brain fog, fatigue and mood changes. The research aims to provide a clearer basis for monitoring patients and developing treatments to prevent lasting damage.

Difficult words

  • tissuepart of the body with similar cells
  • collagenprotein linked to scarring in tissues
  • scarringformation of fibrous tissue after injury
  • inflammationbody's immune response causing redness or swelling
  • persistentcontinuing for a long time without stopping
  • pathwayseries of steps or signals in the body
    pathways
  • serotoninchemical in brain that affects mood
  • dopaminebrain chemical important for movement and reward

Tip: hover, focus or tap highlighted words in the article to see quick definitions while you read or listen.

Discussion questions

  • How might missing the lung repair response after COVID-19 affect a person’s daily life?
  • Which of the brain symptoms mentioned (brain fog, fatigue, mood changes) would worry you most, and why?
  • What kinds of monitoring or treatments would you expect doctors to consider to prevent lasting damage after a serious respiratory infection?

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