Vipin M. Vashishtha Profile picture
Jan 21, 2022 7 tweets 3 min read Read on X
This study from #Singapore compares the immune characteristics of 55 patients with vaccine breakthrough #SARSCoV2 infection and 86 uninfected vaccinated close contacts. 1/
Antibody levels, including neutralizing antibodies, were similar in vaccine breakthrough patients and close contacts. 2/
Memory B cell levels, as assessed by B cell ELISpot, were lower in vaccine breakthrough patients than close contacts. 3/
T cell profiles were broadly similar across vaccine breakthrough patients and close contacts. 4/
The cytokine profile of vaccine breakthrough patients was similar to uninfected vaccinated individuals, with lower inflammatory profile compared to unvaccinated individuals with primary infection. 5/
Conclusions:

1-These results highlight the potential role of memory B cells in protection from Delta vaccine breakthrough infection.

2-The results suggest that memory B cell levels may be a correlate of protection against Delta variant infection in vaccinated populations 6/
3-If so, this will be useful for determining the level of susceptibility in a population. It will also be useful in the design of future vaccines or vaccine boosters. 7/

embopress.org/doi/full/10.15…

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More from @vipintukur

Feb 22
Scientists have identified a possible new cause of chronic constipation — called “bacterial constipation.”

➡️ Certain gut bacteria can damage the mucus layer in the colon, making stool dry and hard to pass.

➡️ The researchers found that two bacteria work together to cause this problem:

• Akkermansia muciniphila
• Bacteroides thetaiotaomicron

➡️ They break down intestinal mucus that normally keeps stool moist and easy to pass. 1/Image
This discovery may explain why some people with chronic constipation do not respond to usual treatments.

➡️ The problem may not always be slow bowel movement — it could be changes in gut bacteria. 2/ Image
Researchers also found higher levels of these mucus-destroying bacteria in Parkinson’s disease patients, who often have long-standing constipation.

➡️ Gut bacteria may play a role in symptoms previously blamed only on nerve damage. 3/ Image
Read 4 tweets
Feb 18
New study links #LongCOVID symptoms with mitochondrial dysfunction.

➡️ Patients with PASC had lower levels of circulating mitochondrial DNA and poorer cognitive performance than recovered controls. 1/ Image
Key findings in 228 adults:

• LongCOVID group showed worse cognition
• Higher psychological distress
• More inflammation
• Lower circulating mitochondrial DNA levels

➡️ Suggests energy-production problems may underlie symptoms. 2/ Image
Researchers found:

-Better cognitive function was linked to higher mitochondrial DNA levels in the blood.

-Higher inflammation markers were linked to lower mitochondrial DNA. 3/ Image
Read 5 tweets
Feb 17
A small brain-imaging study found that people with #LongCOVID showed slower thinking and reaction times during a cognitive task.

➡️ Advanced MRI scans revealed changes in how important brain networks communicate with each other, especially those involved in attention, language, and decision-making. 1/Image
Researchers found altered connectivity in key brain networks:

• Salience network
• Language network
• Central executive network
• Sensorimotor and visual networks

➡️ These systems are essential for attention, decision-making, and task control. 2/ Image
The most prominent deficits were seen in the salience network, which helps the brain detect and respond to important stimuli.

➡️ Connectivity problems in this network were more severe with longer illness duration. 3/ Image
Read 5 tweets
Feb 16
New systematic review finds that COVID-19 can be followed by serious liver and bile-duct diseases.

➡️ Some patients developed conditions like hepatitis, cholangitis, and gallbladder inflammation after infection.

➡️ The review analyzed 23 studies and found a wide range of post-COVID liver problems, including:

• Acute hepatitis
• Cholestasis
• Autoimmune liver disease
• Gallbladder disorders. 1/Image
The most common serious complication was post-COVID bile-duct disease (cholangitis or cholangiopathy).

➡️ In some studies, COVID patients were about twice as likely to develop cholangitis compared with controls. 2/ Image
Many affected patients had severe COVID-19, and outcomes could be serious:

• Some developed major complications
• Some required liver transplantation
• Deaths were reported in severe cases

➡️ Possible reasons for liver and bile-duct injury after COVID-19 include:

• Direct viral damage
• Inflammation and immune effects
• Low oxygen levels in severe illness
• Blood-clot–related injury. 3/Image
Read 4 tweets
Feb 10
🔥 New research shows that sleep disturbance directly harms intestinal stem cells.

➡️ Acute sleep deprivation impaired stem-cell function in the gut, disrupting normal tissue renewal.

👉 Mechanism uncovered:

➡️ Sleep loss triggered aberrant vagus-nerve signaling from brain to gut, leading to intestinal stem-cell dysfunction.

➡️ This disrupted the gut’s ability to repair itself. 1/Image
Key cellular changes after sleep deprivation:

• Shortened crypt-villus architecture
• Loss of Paneth cells
• Impaired intestinal stem-cell activity

All critical for maintaining gut health. 2/ Image
👉 Important implication:

➡️ Sleep disorders may contribute to chronic gastrointestinal diseases by altering brain-to-gut neural signaling and stem-cell function.

⚠️ Sleep is not just rest—it is essential for tissue regeneration. 3/ Image
Read 5 tweets
Feb 6
New study suggests #LongCOVID may involve disrupted cortisol rhythms, not just inflammation.

Patients showed:
• Reduced morning cortisol
• Elevated evening levels
• Flattened daily cortisol cycle

➡️ Indicating hypothalamic–pituitary–adrenal (HPA) axis dysfunction. 1/ Image
Prospective study of post-COVID patients:

➡️ Compared with healthy controls,
✔ Long COVID patients had blunted morning cortisol peaks
✔ Higher evening cortisol
✔ Loss of normal circadian pattern

Blood cortisol alone failed to detect these changes. 2/ Image
Key insight:

➡️ Salivary cortisol profiling may be a more sensitive marker of stress-system dysfunction in LongCOVID than standard blood tests.

➡️ HPA axis disruption could underlie:
• Fatigue
• Brain fog
• Sleep disturbance
• Dysautonomia. 3/ Image
Read 5 tweets

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