Vipin M. Vashishtha Profile picture
Oct 24, 2024 10 tweets 4 min read Read on X
Repeated COVID vaccinations enhance mucosal immunity against the virus!

A NEW study finds that individuals who received multiple doses of mRNA vaccines exhibited a marked increase in neutralizing antibodies in nasal secretions, which are essential for blocking viral entry. 1/ Image
Not only that, but the immune responses generated by mRNA vaccines may persist longer than previously thought, which provides hope for sustained protection against emerging variants of the virus. 2/ Image
They found that most mucosal neutralizing antibodies were of systemic origin, w/ antibodies circulating in blood migrating to respiratory mucosa in the nose, suggesting that repeated vaccination stimulates systemic antibody production that can reach mucosal membranes. 3/ Image
This study provides compelling evidence that repeated mRNA vaccinations can improve mucosal antibody responses, or stimulate pre-existing infection induced mucosal responses, which are vital for preventing infection at the entry points of the virus. 4/ Image
These findings advance our understanding of mRNA vaccine–induced immunity and have implications for the design of vaccine strategies to combat respiratory infections. 5/

science.org/doi/10.1126/sc…
However, another new study by Lasrado et al. observed no obvious increase in neutralizing antibody titers after XBB.1.5 mRNA booster vaccination. 6/

science.org/doi/10.1126/sc…Image
The researchers show that XBB.1.5 mRNA boosters result in increased serum neutralization to multiple SARS-CoV-2 variants in humans, including the dominant circulating variant JN.1. 7/ Image
In contrast, they found that XBB.1.5 mRNA booster did not augment mucosal NAbs or mucosal IgA responses, although acute SARS-CoV-2 XBB infection substantially increased mucosal antibody responses. 8/ Image
Image
The Lasrado et al. study shows that current XBB.1.5 mRNA boosters substantially enhance peripheral antibody responses but do not robustly increase mucosal antibody responses. 9/ Image
These differing results by two studies may be due to the number of SARS-CoV-2 vaccinations or exposures, time since last exposure, and experimental approaches, but this pair of papers underscores the need to better understand the mucosal immune response in humans. 10/10

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More from @vipintukur

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
Feb 5
Brain Fog after COVID-19: What’s driving it?

➡️ New review highlights that persistent cognitive symptoms in COVID survivors are strongly linked to pro-inflammatory cytokines and blood–brain barrier (BBB) dysfunction.

➡️ Key culprits include IL-6, TNF-α, IL-1β, IL-8, IL-13 and MCP-1 — many remain elevated months after infection.

🔥 COVID-19 is not just a respiratory disease.

➡️ Evidence suggests cognitive impairment can occur due to:

• Systemic inflammation
• Neuroinflammation
• Microvascular injury
• Persistent immune activation
• BBB disruption

➡️ These mechanisms may explain prolonged attention, memory & executive dysfunction. 1/Image
Cytokine signature of cognitive impairment in #LongCOVID:

🔹 Acute phase → IL-6, IL-1β, CXCL10 rise
🔹 Post-acute → Persistent IL-6, TNF-α, MCP-1
🔹 Long phase (>6 months) → IL-6, IL-13, IL-8 linked with “brain fog”

Inflammation clearly outlives the infection.

➡️ Blood–brain barrier disruption appears central in post-COVID cognitive decline.

Markers suggesting BBB injury:
• GFAP
• Neurofilament light chain
• MMP-9
• S100β

➡️ BBB leakage may persist in patients with cognitive symptoms even >1 year. 2/Image
Blood–brain barrier disruption appears central in post-COVID cognitive decline.

➡️ Markers suggesting BBB injury:
• GFAP
• Neurofilament light chain
• MMP-9
• S100β

➡️ BBB leakage may persist in patients with cognitive symptoms even >1 year.

Post-COVID cognitive deficits often affect:

✔ Attention
✔ Working memory
✔ Executive function
✔ Processing speed

➡️ Deficits may start as inflammatory-driven dysfunction but can evolve into persistent neuronal/glial injury.

Early cognitive rehabilitation may be crucial. 3/Image
Read 4 tweets
Jan 24
Post-COVID fatigue isn’t just subjective.
Using advanced MRI, researchers found real changes in brain blood flow and oxygen metabolism in people with Post-COVID-19 Syndrome (PCS) after mild infection.

➡️ Key finding:

PCS patients showed increased oxygen metabolism in the hippocampus (memory hub) but reduced metabolism in the anterior cingulate cortex (ACC) — despite no visible brain atrophy. 1/Image
Why this matters:

➡️ Higher hippocampal metabolism was linked to better cognitive performance, suggesting a compensatory response to maintain thinking and memory in PCS. 2/ Image
In contrast, lower anterior cingulate cortex (ACC) metabolism correlated with:

• depressive symptoms
• reduced motivation
• higher inflammatory & glial markers (TNF-α, GFAP)
➡️ pointing to immune-driven neurovascular uncoupling. 3/ Image
Image
Read 4 tweets
Jan 22
Why do some people feel exhausted long after COVID-19?

➡️ New brain-imaging research shows that even after mild COVID, people with persistent fatigue can have subtle but real changes in brain structure.

➡️ These changes are not large or widespread, but tend to appear in connected brain networks, especially areas involved in attention, decision-making, and sensory processing. 1/Image
Image
Importantly, the brain regions affected overlap with areas that naturally express TMPRSS2, a protein that helps SARS-CoV-2 enter cells — suggesting certain brain circuits may be more vulnerable to the virus. 2/ Image
The study also links these changes to brain chemical systems involved in mood, energy, and cognition (serotonin, acetylcholine, glutamate, and cannabinoids). 3/ Image
Read 4 tweets
Jan 19
COVID-19 doesn’t just affect the lungs — it can disrupt how cells produce energy. New research shows that COVID-19 alters the genetic “switches” that control mitochondria, the structures that power our cells. 1/ Image
By comparing people who died from severe COVID-19, those who recovered, and healthy individuals, researchers found lasting changes in how mitochondrial genes are regulated. These changes were most prominent in genes involved in energy production and metabolism. 2/ Image
Importantly, people with COVID-19 showed abnormally high levels of proteins that control mitochondrial structure and stress responses, suggesting long-term damage to the cell’s energy system. 3/ Image
Read 5 tweets

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