This is curious. People I respect were saying immunologists do not believe reinfections or breakthroughs could devolve into long covid or harm immunity, and that my statements are too wild.
I think breakthroughs and reinfections are inconvenient truths to "Covid is over™"
There is a group of economically-prioritizing neoliberals that are strong-arming immunology to claim that these tempered statements of immunity to SARS being insufficient are false
People will get harmed in the coming waves friends, I promise you
Dropping masks and the status quo to do so is M.A.D.
Mutually Assured Destruction
Now is the time to be careful because BA.2 is out and Omicron has rapid mutagenesis compared to previous variants
There are two theories and then my own, which is under review: 1/🧵
2/ The first theory is from de Candia. They claimed that 1) young t cells act more precisely on cov2's epitopes thanks to a broad repertoire 2) memory t cells in older people contribute to inflammation pubmed.ncbi.nlm.nih.gov/33277181/
The second theory is Petter Brodin's theory regarding energy allocation.
A fact then a bit of speculation as my contribution:
fact: Naive T cells are a correlate of protection independent of age (but it correlates)
Speculation: As sars cov 2 infections greatly deplete Naive T cells, there may be a point where decompensation occurs (less protection)
Of course this is a dynamic relationship where other elements of the immune system can contribute to protection like antibodies and primed memory
But there is a natural sloughing and aging of the immune system
More to come on this
In cases where there is antibody escape the T cell dynamics are weighed more heavily, which is what we see often with these sera-evading variants and with titer waning
I have been delivering this message of the differentiating and dying T cells in the news since October 2020, have a read agenciasinc.es/Reportajes/Los…