Emmanuel Profile picture
Feb 23 11 tweets 5 min read Read on X
AMAZING SCIENCE ARTICLE !

A SPIKING FEVER
Long neglected, LASSA FEVER is surging in West Africa. Researchers want to know why

In September 2023, 13-year-old Ngozu Ofozor was preparing to go home after spending 2 weeks in the Lassa Fever Isolation Ward science.org/content/articl…
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2) Lassa fever has long been concentrated in endemic areas in Nigeria, Guinea ... But in recent years, cases of the deadly hemorrhagic disease have been popping up in other parts of West Africa. With climate change and population growth, the virus is expected to extend its reach Image
3) Scientists isolated the virus from 14 specimens of multimammate mouse, Mastomys natalensis, so-called because of its long rows of nipples for nursing big litters.
science.org/doi/10.1126/sc…
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4) Since 2016, several other rodent species in Nigeria, Guinea, Ghana, and Benin have been shown to harbor the virus. But M. natalensis remains the main driver of deadly outbreaks
pubmed.ncbi.nlm.nih.gov/27140942/
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5) Survivors’ stories
Many of those who recover from Lassa fever have dealt with life-changing consequences. Some are shunned by their communities, and many have permanent hearing loss. Health care workers face a particularly high risk of infection. Image
6) With a large team of African, European, and U.S. researchers, Sabeti and Happi analyzed blood samples collected earlier from Lassa fever patients at ISTH and KGH and sequenced 183 viral genomes, as well as 11 more from M. natalensis field samples.
nature.com/articles/s4156…
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7) Now, 17 years after Sabeti’s initial observation, she, Happi, and colleagues, in their new study, published this month in Nature Microbiology shed light on the long-standing mystery of why some people develop severe disease and some mild
nature.com/articles/s4146…
8) Most attention has focused on ecological factors that favor virus circulation, perhaps by influencing its survival outside the host, or rodent behavior. Rainfall and to a lesser extent temperature seem to be key. Image
9) By 2070, under a “moderate” climate change scenario, areas suitable for Lassa virus circulation could cover most of the region between Guinea and Nigeria. Susceptible regions could also appear for the first time in parts of Central and East Africa. Image
10) CONCLUSION
No one expects the Lassa virus to spark a global pandemic—unlike respiratory viruses such as SARS-CoV-2 that easily spread from one person to another. But for those who study the disease and treat its victims, the steady march of the disease is alarming
11) Lassa fever: NCDC records 84 deaths in seven weeks
punchng.com/lassa-fever-ki…

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More from @ejustin46

Feb 25
6 Possible ROLES of the GUT MICROBIOTA in DYSFUNCTIONAL IMMUNE RESPONSES
(Legend of this graph 👇) Image
2) 1) Invasion of SARS- CoV-2 can activate pattern- recognition receptors, which are recognized by innate immune cells, resulting in the release of various pro-inflammatory cytokines. These activated immune responses could impair gut permeability, disrupt gut ... Image
3) ... microbiota equilibrium and result in an increased abundance of opportunistic pathogens (for example, Enterobacteriaceae and Enterococcus) and decreased abundance of commensal symbionts (for example, Faecalibacterium, Eubacterium and Roseburia).
Read 9 tweets
Feb 25
SARS-COV-2 LASTING MYSTERIES (1)
One of Kei Sato's @SystemsVirology best studies that we haven't talked about enough ...
frontiersin.org/articles/10.33…
Image
2) "Several epidemic variants, including those classified as variants of concern, share mutations"

How "each or combination of these mutations can modify the S protein functions that are strongly associated with viral fitness and enhance the S protein’s ability to evade ... Image
3) ... humoral immunity, which likely contributes to the reduced effectiveness of vaccinations ?

In this study there is an extraordinary graphic which illustrates the evolution of the virus and which we will break down to make it easier to read. Image
Read 8 tweets
Feb 25
CAUSALITY between COVID-19 and MULTIPLE MYELOMA (MM) 😰

"The results of our two-way Mendelian randomization (MR) analysis found that SARS-CoV-2 infection and COVID-19 hospitalization increased the susceptibility of MM." link.springer.com/article/10.100…
Image
2) Mendelian randomization (MR) is based on Mendel’s laws of inheritance, and use single nucleotide polymorphisms (SNPs) as an instrumental variable to assess the causal relationship between exposure factors and related outcomes. Image
3) The results suggested SARS-CoV-2 infection had a positive effect on MM (p = 0.021), and COVID-19 hospitalization also increased the risk of MM (p = 0.017). Image
Read 5 tweets
Feb 25
EPIGENETIC MODULATION of MYELOID CELL functions in HIV and SARS-CoV-2 infection


1. What are MYELOID CELLS ? link.springer.com/article/10.100…
Image
2) Myeloid cells, including monocytes, macrophages, and dendritic cells, are essential components of the innate immune system. They originate from hematopoietic stem cells in the bone marrow. Dysfunction of these cells contributes to infections, autoimmune disorders, and cancer. Image
3) What is EPIGENETIC MODULATION ?

Epigenetic modulation refers to the changes in gene expression involved in antiviral defense, cytokine production, and inflammation. These epigenetic changes may contribute to the dysregulated immune response Image
Read 10 tweets
Feb 24
AVOID REINFECTION 🙏

LONG-TERM RISKS of RESPIRATORY DISEASES in patients INFECTED with SARS-CoV-2

"3 cohorts were included in this study; 112,311 individuals in the COVID-19 group, 359,671 in the contemporary group, and 370,979 in the historical group" thelancet.com/journals/eclin…
Image
2) "Individuals who survived the first 30 days of COVID-19 exhibited an increased risk of asthma HR 1.49; bronchiectasis HR 1.30; interstitial lung disease HR 1.81; lung cancer HR 1.39 ..." Image
3) Fig. Cumulative hazards of incident respiratory outcomes in COVID-19 group (A) Asthma outcome; (B) Bronchiectasis outcome; (C) Chronic obstructive pulmonary disease outcome; (D) Interstitial lung disease outcome; (E) Pulmonary vascular disease outcome; (F) Lung cancer outcome Image
Read 6 tweets
Feb 24
RNA DETECTION and PERSISTENCE in BODY FLUIDS associated with SEXUAL ACTIVITY (saliva, semen, vaginal secretion, urine and faeces/rectal secretion).

INCLUDED STUDIES : A total of 182 studies with 10 023 participants. bmjopen.bmj.com/content/14/2/e…
Image
2) RESULTS
"The combined proportion of individuals with detection of SARS-CoV-2 was 82.6% in saliva, 1.6% in semen, 2.7% in vaginal secretion, 3.8% in urine and 31.8% in faeces/rectal swabs Image
3) The maximum viral persistence for faeces/rectal secretions was 210 days, followed by semen 121 days, saliva 112 days, urine 77 days and vaginal secretions 13 days. Culturable SARS-CoV-2 was positive for saliva and faeces."

Thanks for reading 🙏
Read 5 tweets

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