1/🧵 Our cell’s genes are rewired in MILD COVID 🧬
Stunning data in @Nature
White Cells (monocytes) switch gene expression from an established innate immune profile to a pro-clotting signature in COVID.
We’re immunocompromised.
Let’s unpack this…
go.nature.com/3GeDygW
2/ These data explain how the COVID virus places our bodies at risk for macro (large) blood clots in acute dz (which we see often), brain disease due to down-stream micro-clotting, and possibly later cardiovascular dz.
What did these London investigators find?
3/ Taking blood from 2 UK SARS CoV2 studies…
📍They compared COVID🩸(N=62 mild/mod dz) to normal controls
📍Then conducted genetic, metabolic & functional assays
👀 Look how different gene expression was (color difference) in COVID vs. HC (healthy control) pts
What’s it mean?
4/ Monocytes of COVID pts display abnormal markers of inflammation & clotting that drives us to immuno-thrombosis & vascular platelet+cell aggregates.
Very scary stuff if you want a body & brain to get blood, food & oxygen normally.
I highlighted excellent discussion points👇
5/ Let’s pose some Important Questions:
✔️Are these findings COVID-specific?
✔️How long do these genetic/cell function changes last?
✔️Do they contribute to #LongCOVID?
✔️What’s the cost of repeat infections?
6/fin
Our innate immunity is being re-wired by COVID‼️
📌These systems protect us from severe disease & secondary infections
📌My spidey-senses tell me to stay as protected as possible
📌COVID XBB variant is spreading fast
📌Het your Bivalent Vaxx
go.nature.com/3GeDygW
Clotting isn’t specific to #COVID, it’s just more profound & longer lasting w this 🦠
I’ve been shocked in COVID by my patients clotting on full heparin drips.
In🧵👇I give examples & discuss data - it can happen w bacteria, but the pathology persists in #LongCOVID
See tweets 12-14 in this 🧵 for specifics.
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