Emmanuel Profile picture
Jul 27 6 tweets 3 min read Read on X
IMMUNITY CANNOT BE EXPLAINED by NEUTRALIZING ANTIBODIES (nAbs) ALONE !

Great thanks to @DavidJoffe64
for this study
nature.com/articles/s4159…
Image
2) The study looked at what immune responses protect people from getting infected with different variants of the COVID-19 virus. It focused on antibodies that can neutralize the virus (called neutralizing antibodies or nAbs). Image
3) For the Delta variant, the researchers found that nAbs against the original COVID-19 strain (called D614G) accounted for 37% of the protection people had from prior infection. But this protection decreased over time as the antibodies weakened. Image
4) For the Omicron variant, nAbs against the Omicron BA.1 subvariant only accounted for 11% of the protection. This is because Omicron is much better at evading antibodies compared to earlier variants. Image
5) The study shows that the immune responses that protect against different COVID-19 variants can be very different. Boosting antibodies against the current variants may help restore protection that is lost over time or due to immune evasion by new variants. Image
6) However, antibodies alone don't fully explain the protection people have. Other immune responses, like those from immune cells, are also likely important for preventing COVID-19 infection.

Thanks for reading 🙏 Image

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More from @ejustin46

Jul 26
EVEN MILD COVID CAN CAUSE PROLONGED COGNITIVE IMPAIRMENT ! 😨

Cognitive Difficulties in COVID-19 patients with varying levels of disease severity - mild (not hospitalized), moderate (hospitalized), and severe (ICU admission) ? bmcpsychology.biomedcentral.com/articles/10.11…
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2) The results showed that cognitive difficulties were present across all three groups, but were more prevalent in the moderate and severe cases.

Specifically:

▶️ 11.7% of the mild group
▶️ 39.2% of the moderate group
▶️ 48.9% of the severe group exhibited cognitive deficits.
3) - Poorer performance was observed in domains like sustained attention, visual memory, and working memory, with the severe group showing the greatest impairments.

- Factors like age, depressive symptoms, and disease severity were predictive of cognitive outcomes.
Read 5 tweets
Jul 26
H5N1 : "DÉJÀ VU ALL OVER AGAIN — REFUSING to LEARN the LESSONS of COVID-19"

H/t @falsel_net

The article warns that the US response to a potential H5N1 pandemic risks repeating the mistakes of COVID-19, with inadequate testing, coordination ...nejm.org/doi/full/10.10…
2) ... and political/legal constraints limiting public health measures.

Despite pandemic preparedness plans, the US struggled with COVID-19 due to overconfidence, fractured jurisdiction, and political polarization.
3) Similar issues now threaten the response to H5N1, as antivaccine sentiment, legal challenges, and congressional unwillingness to invest could impair the ability to rapidly scale countermeasures. The article urges health professionals to advocate for evidence-based policies ...
Read 4 tweets
Jul 26
LESSONS from the COVID-19 PANDEMIC for VENTILATION and INDOOR AIR QUALITY

"With frequent outbreaks in elder care facilities and school classrooms, it became clear that it was a fatal mistake to largely neglect the recommendations of scientists ...
science.org/doi/10.1126/sc…
Image
2) ...and engineers regarding minimum standards for ventilation and indoor air quality."

KEY LESSONS include:
▶️ Experts beyond just public health authorities are needed to guide effective policies.
▶️ Simply opening windows is often not enough - mechanical ventilation ... Image
3) ... is necessary but must be monitored.
▶️ Ventilation is often neglected in building design, so regulations are needed.
▶️ Air filtration and disinfection can supplement but not replace good ventilation Image
Read 5 tweets
Jul 26
SPILLOVER of HIGHLY PATHOGENIC AVIAN INFLUENZA H5N1 virus to DAIRY CATTLE

Another key study 💯 - Accelerated article preview
nature.com/articles/s4158…
Image
2) The study reports the spillover of a highly pathogenic avian influenza (HPAI) H5N1 virus, clade 2.3.4.4b, into dairy cattle herds across multiple U.S. states. Affected cows displayed clinical signs including decreased feed intake, respiratory distress, and ...
3) ...reduced milk production with abnormal milk.

Infectious virus and viral RNA were consistently detected in milk from affected cows. Histological analysis revealed a distinct tropism of the virus for the epithelial cells lining the mammary gland alveoli. Image
Read 10 tweets
Jul 26
H5N1 avian influenza, INFECTED BIRDS / COWS, MILK, STRAIN-DEPENDANT variations

A key study 💯 - H/t @Crof
eurosurveillance.org/content/10.280…

Image
Image
2) The study looked at how well different strains of the H5N1 bird flu virus can survive in milk and infect cow cells. The researchers found:
- The viruses had varying levels of resistance to heat treatment in milk. Heating the milk to 56°C for 2 hours was needed ... Image
3) ...to completely kill all the viruses, regardless of the milk fat content.

- Some virus strains, like H5N1-Swan and H5N1-Chicken, were better able to grow and spread in cow kidney and lung cells compared to other strains like H5N1-Knot and H5N1-Pigeon.
Image
Image
Read 5 tweets
Jul 25
Deep mutational scanning of SARS-CoV-2 Omicron BA.2.86 and EPISTATIC EMERGENCE of the KP.3 variant

biorxiv.org/content/10.110…
Image
2) The text reports deep mutational scanning experiments on the SARS-CoV-2 Omicron BA.2.86 variant's receptor-binding domain (RBD). These experiments comprehensively measure the impacts of all single amino acid mutations on ACE2-binding affinity and protein folding/expression.
3) The results show that BA.2.86, like other SARS-CoV-2 variants, has a plastic and evolvable basis for receptor binding, with many mutations maintaining or improving ACE2 affinity. However, the authors identify strong positive epistasis ... Image
Read 6 tweets

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