Paul Maidowski Profile picture
Feb 6 28 tweets 21 min read
1. mpox: human monkeypox virus (hMPXV) doesn't enter the nucleus. Genetic recombination with SARS-CoV-2 in the cytoplasm is possible in co-infected patients, eg people living with uncontrolled HIV-1 (PLH). It's the real threat of Covid Denial or Let 'er RIP policy.

#SIDU 230206
2. Covid can have the same effect, causing lymphopenia in perhaps 1 in 3 patients (severe #LongCOVID (#LongSARS) can be compared to HIV/AIDS).

Influenza, SARS, HIV, mpox Protein E8L follow shared evolutionary dynamics for electrostatic surface potential & co-receptor switching.
3. Practical implication for clinicians: Test patients presenting with mpox symptoms for all three diseases.

Practical implications for all else: read science.
sciencedirect.com/science/articl…
mdpi.com/1999-4915/15/2…
mdpi.com/1420-3049/27/1…
mdpi.com/1999-4915/14/1…
Is there a link to Alzheimer's disease?

You bet!
mdpi.com/1422-0067/24/2…
5. Attractive electrostatic forces between the electronegative raft (red) and the electropositive virus protein (blue) control the reaction. The raft adapts its shape to the viral protein surface (see HIV-1 gp120 V3 loop and SARS-CoV-2 BA.5 spike protein).
6. @RealCheckMarker warned we should be more concerned about the origina of Omicron.

I solve:

Delta had perfected its transmissibility (T) index. To outcompete Delta, Omicron "needed outside help".

After getting it, it is now going up the T index again.
@RealCheckMarker 7. Omicron is evolving exceptionally fast, as BA.5, BQ.1.1, XBB.1.5, XBF, DS.1, DN.1.1.1 show. Community transmission in China is driven by BA.5 and BF.7 to date.
@RealCheckMarker All the awards for @RajlabN (here China plus HK, for good measure).
@RealCheckMarker @RajlabN 8. Today is Good News Monday. Something that I think no one else shared, Idk why: the mpox PHEIC was extended for ten years until 2032. (Last year already)

For all poxviruses, so we're good.

Explicit focus on international cooperation and eradication. 👍
@RealCheckMarker @RajlabN 9. Say hi to the new endemic countries for poxviruses, according to our novel SARS-CoV-2 philosophy. 🤡

Why fight viruses if you can just live with them?

The HIV community shows the way (undetectable = untransmittable U=U, or U=U=U for universal access). unaids.org/en/resources/d…
10. Share with all who think we can play stupid games with SARS but NOT win stupid prizes.

Alzheimer's Disease in a teenager. A world first!

This can go incredibly wrong within years. We won't know until years AFTER the transmission event.

Hence: N95+😷
11. Good News Monday: we can stop the madness tomorrow, Tuesday, by the same measures that stopped SARS 2003.

Unmitigated aviation - without quarantine - spreads new VoC around the globe all the time. Greed sustain this pandemic. We can end this any time.
12. How?

Some of us should probably work it out.
We'll just need minimal resources, sustained attention by the highest levels of government (who really just need to get out of the way; this is science, not politics, after all!).
And we need to start ASAP.
Live shot of public health officials right now, in what is arguably the nadir of the SARS pandemic:

The good news is, it's upwards from here!
On the teenage Alzheimer’s case: neurodegenerative disease used to be rare in children and adults - once modern hygiene and pasteurization of milk started in the early 1900s.

Eliminating constant BCoV outbreaks and secondary disease coincided with doubling human life expectancy.
Don’t halve the human lifespan!

This message works even in a society of individuals. Global health is in every country’s national interest.

We all save for retirement (unless you’re millennial or younger lol, then the climate wars are our retirement plan). So do states.

1889:
Every time someone says “COVID-19 is novel”, the sorry souls who lost their bodies in the OC43-1889 pandemic or in SARS-2003 turn over in their graves (or do a flip-flop in heaven—take what you believe):

The name for ‘brain fog’ is SARS-associated neurocognitive disorder (SAND).
14. Why explains the western academic hubris?

Watch this animated SARS-CoV-2 life cycle. This high-quality production by Profs Ravelli/Knoops @maastrichtu was widely shared.

No one noticed it's wrong.

Scissors Reality Check Mark I you spot the error. 😂
@MaastrichtU Entirely worth posting this beautiful animation.

You need to watch the video to the end, where the error is: 2/3
@MaastrichtU I'm curious what explains this western hubris and lack of systems thinking.

A question not just virologists who collectively failed to inform policymakers and the public, but all of us who are potential hosts to the lifecycle of a virus declared 'endemic' and 'to be lived with'.
@MaastrichtU Millions were told they cleared the virus upon seroconversion. Millions of (future) patients, too, will be told LongCOVID is 'in their head'. The latter claim is true, just not in the soothing sense intended.

SARS isn't influenza.

@michaelzlin Damn and this on Good News Monday!
@MaastrichtU @michaelzlin Just so we're clear, here the error I point out: SARS does not kill the host cell.
@MaastrichtU @michaelzlin Does Nsp1 fully take over the epithelial cell's function?

The video suggests it takes over the ribosome, to produce only viral RNA, not the cell's mRNA anymore. @SGinossarLab: this is not for me to explain, but such details matter.
cell.com/cell-reports/f…
@MaastrichtU @michaelzlin @SGinossarLab * I'll add or rewrite if more accurate explanation appears. It is important to know whether hundreds of millions of people live with persistent and/or replicating virus. The malpractice in virology and public health has gone too far.

Scientists who know should not remain silent.
Why are virologists fatally wrong on SARS?

Pathogenesis is immune-mediated. Their software packages don’t ‘see’ many of the subtler tricks this virus has up its sleeve, and clearly they’re not humble enough to work with patients.

It was classified as autoimmune disease already.
15. Why is genetic recombination the real threat of 'Live with Covid' policy?

(1) SARS-CoV-2 reinfections can create recombinants (XBB, XAY, XBF etc.)

(2) It can make *other* viruses more immune evasive.

The #LeonardiEffect @fitterhappierAJ facilitates.
@fitterhappierAJ 16. @BagaiDr kindly introduces this paper on convergent evolution in the SARS-CoV-2 spike. I add the Fantini papers I for more powerful analysis building on 40 years of HIV science.

The authors use 'saltation,' an influenza term. SARS is NOT influenza! 🙏

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More from @_ppmv

Feb 5
1. Congrats us, SARS-CoV-2 mutational fitness is steadily increasing thanks to unmitigated pandemic spread. Genuinely impressive to watch evolution happening live!

#SIDU 230205
2. Direct link: For XAY.2 and XBF, click on the enlarged grey dots on the right (dis/activate search function on top or add your own). nextstrain.org/groups/neherla…
3. Stone Reality Check Mark if you can explain the emerging wave pattern. What we were sold as endemic is no sustainable quasi-equilibrium state.

In reality, we will see three overlapping co-circulating waves every three months, each separated by a month.
Read 7 tweets
Feb 5
Did we do a vulgar thread yet? Sweat words are fantastic political language, essential power move at some times:
Brilliant thread: zero ducks given about what others think; what really bothers me is knowing what awaits those who bought into the bullshit. - Many cannot intellectually evaluate such risk themselves (no value judgement! They have other qualities), hence fall for the grifters.
Read 4 tweets
Feb 5
Quality advice in this thread. 🥰👇 (1) “Most die only once” (Covid acute-phase CFR will decrease); (2) “Most deadly pathogens self-eradicate” (Milder is wilder).

(2) Hence what I call the Unthinkable: pop culture - #TheLastOfUs - trained us to think extreme. Reality is subtler.
never mind the emojis or memes. This is cutting edge science, probably among humanity’s top few causes of death 👇
I have questions, because this is literally every @RealCheckMarker thread.
Read 5 tweets
Feb 4
Fantini 2023 show electrostatic surface potential modulates spike-ganglioside interactions, to control the hemagglutination properties of coronaviruses SARS-CoV/-2, MERS-CoV and the structural dynamics of SARS-CoV-2 evolution. And HIV, influenza, #mpox. 👍 mdpi.com/1999-4915/15/2…
Influenza, mpox. - “We relate the broad-spectrum antiviral activity of repositioned molecules to their ability to disrupt virus-raft interactions, challenging the old concept that an antibiotic or anti-parasitic cannot also be an antiviral.”
“Electrostatic surface potential of an evolving peptide motif. Both ESP and the shape of the motifs are affected by amino acid changes. Blue, positive; red, negative; white, neutral.”

Among the v fascinating 2023 papers. Some scientists may be interested.
Read 20 tweets
Feb 4
Beautiful storytelling. (1) Do people know #TheLastOfUs isn't just about love and zombies? Some viral and many bacterial infections can lead to encephalitis. E patients are walking brain-dead. Happens often in hospitals.

Note masks on set: the SARS pandemic isn't over in Canada. Image
Rabies takes weeks to months to lead to encephalitis. Rapid onset would make outbreaks self-limiting. Long incubation times would allow a global zombie epidemic IF rabies acquired the immune evasion superpower of SARS-CoV-2 (Orf8).

@Neil_Druckmann stretches reality—but not much.
Read 13 tweets
Feb 3
2023 be like:

We: SARS will leave many disabled or dead, and halve human life expectancy

German Justice Minister: *celebrates ending mask mandates, the only remaining public health protection, after mutant XBB.1.5 escapes vaccines AND therapies* Image
@MarcoBuschmann, it's all public data, because it's science. Anyone who cares does or will know soon enough.

People will absolutely care once they understand they + their children are being permanently harmed, without even a fig leaf of a plan or excuse. cov-spectrum.org/explore/German… Image
@MarcoBuschmann Reminder, XBB.1.5 + mysterious pediatric hepatitis.
Read 10 tweets

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