Publications

Explore peer-reviewed publications, clinical reports, mechanistic reviews, and emerging scientific frameworks connected to Vedicinals® research, post-viral biology, spike protein persistence, immune regulation, and systems-based recovery.
19 publications
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1

Spikeopathy—Spike Protein-Associated Pathobiology: A Series I: Definition and Scope

Published · 2025

2

Reduction of Persistent Spike Protein and Improvement in COVID-19 Symptoms Following Therapy with Vedicinals-9 (Case Report)

Published · 2025

3

Strategic Inhibition of CHRM Autoantibodies: Molecular Insights and Therapeutic Potentials in Long COVID

Published · 2025

4

Potent phytoceuticals cocktail exhibits anti-inflammatory and antioxidant activity on LPS-triggered RAW264.7 macrophages in vitro

Published · 2024

5

Unraveling the enigma of long COVID: novel aspects in pathogenesis, diagnosis, and treatment protocols

Published · 2024

6

A retrospective cohort study on early antibiotic use in vaccinated and unvaccinated COVID-19 patients

Published · 2024

7

Sequence similarities in SARS-CoV-2 Spike Protein and Human Muscarinic receptors as the basis of Autoimmunity and Symptomology in Post-Acute Sequelae COVID-19

Published · 2024

8

In vitro anti-cancer activity of a polyherbal preparation, VEDICINALS®9, against A549 human lung adenocarcinoma cells

Published · 2023

9

Intranasal Route: A Nasocerebral Approach against SARS-CoV-2 in NeuroCOVID

Published · 2023

10

Management of mild to moderate COVID-19 patients supplemented with “Vedicinals-9” as an adjuvant phyto-nutraceutical to prevent disease progression and improve clinical conditions

Published · 2023

11

Series of Organ Effects of Vedicinals-9: Vedicinals-9 and Cardioprotection

Published · 2023

12

Effects of COVID-19 and vaccination on the human immune system: cases of lymphopenia and autoimmunity

Published · 2023

13

COVID-19 Post Vaccination Neuronal Adverse Events: Probable Mechanisms and Treatment Possibilities

Published · 2023

14

Long-COVID and its Physical and Neurological Symptoms in Adults: A Systematic Review

Published · 2022

15

The immune paradox of SARS-CoV-2: Lymphocytopenia and autoimmunity evoking features in COVID-19 and possible treatment modalities

Published · 2022

16

Underlying Causes and Treatment Modalities for Neurological Deficits in COVID-19 and Long-COVID

Published · 2022

17

Persistent Spike Protein Production and Progressive Tissue Saturation in Long COVID: Novel Hypothesis for a Senescence Cascade

Published · 2025

18

Antibody Escape and the Drastic Elevation of Circulating Spike Protein Since 2024: A Mechanistic Framework for Accelerated Long COVID Pathology

Published · 2025

19

A Proposed Mechanism for Reduced COVID-19 Severity with Omicron: Could Systematic NTD Loop Deletions Have Eliminated Allergenic Determinants in SARS-CoV-2 Spike Protein?

Research Proposal · 2026

Spikeopathy—Spike Protein-Associated Pathobiology: A Series I: Definition and Scope

Authors: Abdul Mannan Baig; Beate Jaeger; Brigitte König; Joachim Gerlach; Philip Mavberg; Sandy Rosko; Ivan Belynov; Usman Ali.
Published: 2025

This paper proposes “Spikeopathy” as a testable framework to explain a subset of Long COVID and post–SARS-CoV-2 conditions by focusing on the persistent presence and compartmentalization of spike protein rather than symptoms alone.

It argues that spike protein may persist beyond acute infection in distinct biological compartments—free in serum, sequestered within peripheral blood mononuclear cells (PBMCs), or packaged into extracellular vesicles (EVs)—with each location driving different pathological mechanisms and symptom clusters, such as systemic inflammation, immune dysregulation, neurocognitive impairment, dysautonomia, and microvascular dysfunction.

The paper emphasizes that spike-related pathology does not require continuous high-level plasma detection, allowing for low-abundance or tissue-protected reservoirs that evade standard assays. It outlines a biomarker-driven research and diagnostic strategy to stratify patients into mechanistically distinct subtypes and guide more precise investigation.

Reduction of Persistent Spike Protein and Improvement in COVID-19 Symptoms Following Therapy with Vedicinals-9 (Case Report)

Authors: Joachim Gerlach; Philip Mavberg; Brigitte König; Abdul Mannan Baig; Beate Jaeger; Anne Mucke; Inbar A. Tofan.
Published: 2025

The report describes two individuals suffering prolonged post-COVID symptoms associated with persistent SARS-CoV-2 spike protein presence despite a range of conventional treatments.

In Patient X, high intracellular spike protein levels and cognitive difficulties persisted two years after infection. After initiating daily oral therapy with Vedicinals-9, intracellular spike levels dropped substantially over time and neurological symptoms improved. Patient Y also showed reduced exosomal spike burden and some symptomatic relief.

The authors propose that the combined natural compounds in Vedicinals-9 may act synergistically to enhance clearance of persistent spike protein and resolve downstream pathophysiological contributors, while emphasizing the need for controlled clinical trials.

Strategic Inhibition of CHRM Autoantibodies: Molecular Insights and Therapeutic Potentials in Long COVID

Authors: Joachim Gerlach; Abdul Mannan Baig; Sandy Rosko.
Published: 2025

This article explores emerging evidence that autoantibodies targeting human muscarinic cholinergic receptors may play a meaningful role in the pathophysiology of long COVID, particularly neurological and autonomic symptoms.

These anti-CHRM autoantibodies may disrupt cholinergic signaling pathways involved in cognition, autonomic balance, and broader physiological regulation. The paper argues that neutralizing or inhibiting these autoantibodies could represent a promising therapeutic direction.

Potent phytoceuticals cocktail exhibits anti-inflammatory and antioxidant activity on LPS-triggered RAW264.7 macrophages in vitro

Authors: Gabrielle De Rubis; Keshav Raj Paudel; Sofia Kokkinis; Tammam El-Sherkawi; Jessica Katrine Datsyuk; Prakash Salunke; Joachim Gerlach; Kamal Dua.
Published: 2024

This in-vitro study evaluated a phytoceutical cocktail in LPS-stimulated RAW264.7 macrophages and found significant reductions in nitric oxide, reactive oxygen species, and inflammatory signaling.

The findings support a synergistic anti-inflammatory and antioxidant effect of the combined plant compounds and provide mechanistic support for broader translational and clinical investigation.

Unraveling the enigma of long COVID: novel aspects in pathogenesis, diagnosis, and treatment protocols

Authors: Joachim Gerlach; Abdul Mannan Baig; Sandy Rosko; Beate Jaeger; Hans Rausch.
Published: 2024

This review frames long COVID as a complex, multi-system syndrome involving persistent viral components, immune dysregulation, chronic inflammation, endothelial dysfunction, and impaired viral clearance.

It argues for a shift away from symptom-only classification toward mechanism-driven diagnostics, biomarker development, and individualized treatment strategies targeting immune modulation, viral persistence, and systemic repair.

A retrospective cohort study on early antibiotic use in vaccinated and unvaccinated COVID-19 patients

Authors: Carlo Brogna; Luigi Montano; Maria Elisabetta Zanolin; Domenico Rocco Bisaccia; Gianluca Ciammetti; Valentina Viduto; Mark Fabrowski; Abdul Mannan Baig; Joachim Gerlach; Iapicca Gennar; Elio Bignardi; Barbara Brogna; Aquilino Frongillo; Simone Cristoni; Marina Piscopo.
Published: 2024

This retrospective study found that early antibiotic use during acute COVID-19 was associated with shorter recovery time, better oxygen saturation, and fewer prolonged post-COVID symptoms, regardless of vaccination status.

The authors suggest that early antibiotics may influence disease progression through anti-inflammatory, microbiome-modulating, or indirect antiviral effects, while also noting that the findings are observational and require prospective validation.

Sequence similarities in SARS-CoV-2 Spike Protein and Human Muscarinic receptors as the basis of Autoimmunity and Symptomology in Post-Acute Sequelae COVID-19

Authors: Sandy Rosko; Abdul Mannan Baig; Beate Jaeger; Joachim Gerlach.
Published: 2024

This study examines sequence and structural homology between SARS-CoV-2 spike protein and human muscarinic acetylcholine receptors as a potential basis for molecular mimicry in post-acute sequelae of COVID-19.

The proposed framework offers a mechanistic explanation for dysautonomia, fatigue, cognitive impairment, sleep disturbance, and cardiovascular instability through cross-reactive antibody responses that may disrupt cholinergic signaling in multiple tissues.

In vitro anti-cancer activity of a polyherbal preparation, VEDICINALS®9, against A549 human lung adenocarcinoma cells

Authors: Keshav Raj Paudel; Rashi Rajput; Gabriele De Rubis; Venkata Sita Rama Raju Allam; Kylie Anne Williams; Sachin Kumar Singh; Gaurav Gupta; Prakash Salunke; Phil Hansbro; Joachim Gerlach; Kamal Dua.
Published: 2023

This in-vitro study found that VEDICINALS®9 inhibited proliferation and migration in A549 human lung adenocarcinoma cells and modulated a wide range of cancer-related proteins.

The findings suggest multi-target activity across pathways associated with growth, invasion, survival, and angiogenesis, supporting further investigation of the formulation in cancer research models.

Intranasal Route: A Nasocerebral Approach against SARS-CoV-2 in NeuroCOVID

Authors: Joachim Gerlach; Abdul Mannan Baig.
Published: 2023

This perspective highlights the nasal cavity and cribriform region as a biologically important route for SARS-CoV-2 access to the central nervous system.

It argues that intranasal therapeutic strategies may help reduce respiratory disease burden while also limiting neuroinvasive complications associated with NeuroCOVID.

Management of mild to moderate COVID-19 patients supplemented with “Vedicinals-9” as an adjuvant phyto-nutraceutical to prevent disease progression and improve clinical conditions

Authors: Yogendra Kumar Choudhary; Joachim Gerlach; Prakash Salunke.
Published: 2023

This randomized multi-center exploratory study evaluated VEDICINALS-9 as an adjunct to standard care in mild to moderate COVID-19.

The authors reported earlier RT-PCR negativity, reductions in inflammatory biomarkers, and faster symptom recovery in the supplemented group, supporting further clinical study of the formulation as an adjunctive strategy.

Series of Organ Effects of Vedicinals-9: Vedicinals-9 and Cardioprotection

Authors: Joachim Gerlach; Pralhad Wangikar; Abdul Mannan Baig; Prakash Salunke.
Published: 2023

This publication reviews organ-level effects associated with Vedicinals-9, with emphasis on cardioprotection, endothelial integrity, redox support, and inflammatory modulation.

Rather than positioning the formulation as a single-target intervention, the paper presents it as a systems-level supportive strategy with potential relevance to cardiovascular preservation under inflammatory stress.

Effects of COVID-19 and vaccination on the human immune system: cases of lymphopenia and autoimmunity

Authors: Joachim Gerlach; Abdul Mannan Baig.
Published: 2023

This paper reviews immune alterations associated with both SARS-CoV-2 infection and COVID-19 vaccination, focusing on lymphopenia and autoimmune phenomena.

It emphasizes the importance of understanding susceptibility, immune recovery trajectories, and long-term immune remodeling in the setting of chronic inflammation and post-acute sequelae.

COVID-19 Post Vaccination Neuronal Adverse Events: Probable Mechanisms and Treatment Possibilities

Authors: Joachim Gerlach; Rachel Jessey; Abdul Mannan Baig; Prakash Salunke.
Published: 2023

This review surveys reported neurological adverse events after COVID-19 vaccination and discusses mechanisms such as molecular mimicry, neuroinflammation, endothelial dysfunction, and blood–brain barrier disturbance.

It emphasizes early recognition, individualized assessment, and continued post-vaccination surveillance to better understand and manage rare but clinically significant neurological effects.

Long-COVID and its Physical and Neurological Symptoms in Adults: A Systematic Review

Authors: Joachim Gerlach; Sameera Rizvi; Abdul Mannan Baig; Shahia Pardhan.
Published: 2022

This systematic review synthesizes persistent physical and neurological symptom patterns in adults with Long-COVID, including fatigue, dyspnea, muscle weakness, brain fog, headache, and sleep disturbance.

It underscores the heterogeneous and multisystem nature of post-acute sequelae and highlights the need for multidisciplinary evaluation and targeted recovery strategies.

The immune paradox of SARS-CoV-2: Lymphocytopenia and autoimmunity evoking features in COVID-19 and possible treatment modalities

Authors: Joachim Gerlach; Mark Fabrowski; Abdul Mannan Baig; Valentina Viduto.
Published: 2022

This paper explores the coexistence of lymphocytopenia and autoimmune-like responses in COVID-19, framing the disease as one of immune disorganization.

It reviews restorative treatment concepts aimed at immune rebalance rather than simple suppression, including strategies that address oxidative stress, inflammatory signaling, and lymphocyte function.

Underlying Causes and Treatment Modalities for Neurological Deficits in COVID-19 and Long-COVID

Authors: Joachim Gerlach; Nigel Greig; Abdul Mannan Baig; Prakash Salunke.
Published: 2022

This review analyzes overlapping mechanisms driving neurological deficits in acute COVID-19 and Long-COVID, including neuroinflammation, endothelial injury, mitochondrial dysfunction, hypoxia, and autoimmunity.

It argues for individualized, systems-level treatment strategies that address vascular, immune, and neurocognitive dysfunction together rather than in isolation.

Persistent Spike Protein Production and Progressive Tissue Saturation in Long COVID: Novel Hypothesis for a Senescence Cascade

Authors: Joachim Gerlach; Abdul Mannan Baig; Beate Jaeger; Brigitte König; Kevin McCairn; Charles Rixey; Philip Mavberg; Phillip Triantos; Ursula Ehrhorn; Sandy Rosko; Usman Ali.
Published: 2025

This paper proposes a mechanistic framework in which persistent spike production and tissue saturation drive a senescence-associated cascade in Long COVID.

It distinguishes early spike-linked pathology from later senescence-dominant disease states and offers a structured model for extracellular vesicle profiling, biomarker development, and senescence-targeted therapeutic investigation.

Antibody Escape and the Drastic Elevation of Circulating Spike Protein Since 2024: A Mechanistic Framework for Accelerated Long COVID Pathology

Authors: Joachim Gerlach; Abdul Mannan Baig; Beate Jaeger; Brigitte König; Kevin McCairn; Charles Rixey; Philip Mavberg; Phillip Triantos; Ursula Ehrhorn; Dietmar Schuermann; Sandy Rosko; Usman Ali.
Published: 2025

This publication presents a four-pathway framework explaining elevated circulating spike levels since 2024 and their relationship to accelerated Long COVID pathology.

It connects antibody escape, impaired neutralization, increased viral reservoir formation, tissue senescence cascades, and fibrinolysis-resistant microclot formation into a unified model for worsening symptom severity and progressive tissue burden.

A Proposed Mechanism for Reduced COVID-19 Severity with Omicron: Could Systematic NTD Loop Deletions Have Eliminated Allergenic Determinants in SARS-CoV-2 Spike Protein?

Authors: Joachim Gerlach; Abdul Mannan Baig; Beate Jaeger; Stephanie Seneff; et al.
Published: Research Proposal · May 2026

This research proposal explores a structural hypothesis for why severe COVID-19 outcomes appeared to decline after Omicron emerged, despite high transmission. The authors focus on whether systematic deletions in surface-exposed N-terminal domain loops of the spike protein may have removed putative allergenic determinants present in earlier SARS-CoV-2 variants.

The paper compares ancestral and Omicron spike NTD loop regions, including H69–V70, V143–Y144–Y145, and N211, and proposes that these regions may have contributed to hypersensitivity-driven inflammatory patterns observed in some pre-Omicron infections.

The authors emphasize that this is a testable hypothesis rather than a definitive conclusion, calling for peptide allergenicity assays, mast-cell activation studies, patient immunophenotyping, and structural-functional comparisons between ancestral and Omicron spike constructs.