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
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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

Mar 2
A NEW study revealed previously unrecognized complement dysregulation associated with impaired cell death and clearance of damaged cells, which may promote nonresolvable (NR) COVID-19 in patients, ultimately necessitating lung transplantation. 1/ Image
Researchers analyzed complement activation in NR-COVID-19 lungs and its association with aberrant host autophagic response. It is the first study to comprehensively show the local presence of the components of the three pathways and regulators of complement activation 2/ Image
The researchers are also the first to investigate the involvement of autophagic mediators as a potential mechanism underlying dysregulated complement-induced tissue damage leading to end-stage respiratory failure. 3/ Image
Read 12 tweets
Feb 28
How to protect the gut from antibiotics!

Antibiotics save lives, but they also wreak havoc on the beneficial bacteria that inhabit the human gut. Innovative therapies could shield the microbiome from their effects. 1/ Image
Image
Researchers have genetically engineered bacteria and nutritional yeast to carry an enzyme that breaks down amoxicillin in the gut without affecting the antibiotic’s ability to fight infection elsewhere in the body. 2/ Image
Other scientists have found that high- fibre diets allay antibiotics’ effects on the gut by changing how intestinal microbes metabolize nutrients. 3/ Image
Read 23 tweets
Feb 27
A NEW study showed that kids with #LongCOVID had lung injuries that correlated to specific LongCOVID symptoms and overall loss of blood flow in the lungs. In participants with longCOVID, greater lung perfusion correlated with increased chronic fatigue severity. 1/ Image
Children and teens with #LongCOVID have significant lung abnormalities detected with an advanced form of MRI, called free-breathing phase-resolved functional lung (PREFUL) MRI. 2/ Image
Children with post-COVID-19 symptoms are less likely to undergo chest scans for diagnosis and lung function monitoring than adults with LongCOVID. Lung perfusion, or blood flow in and out of the lungs, is difficult to detect in children. 3/ Image
Read 10 tweets
Feb 26
In efforts to comprehend this complex disorder, recent research on #LongCOVID has illuminated its prevalence, causes, and management techniques. Even today, studies are still investigating the long-term effects of SARS-CoV-2 infection on numerous organ systems. 1/ Image
A review of 180 studies suggests that LongCOVID symptoms like memory problems, poor concentration, & brain fog may be driven by self-sustaining feedback loops involving vascular dysfunction, neuroinflammation & gut-brain axis disruption 2/

frontiersin.org/journals/neuro…Image
Recent study shows that patients with long COVID or similar conditions like ME/CFS often exhibit an enlarged hippocampus compared to healthy individuals, potentially linking brain inflammation to cognitive challenges. 3/ Image
Read 13 tweets
Feb 24
Oral Cavity Serves as Long-Term COVID-19 Reservoir with Increased Periodontal and Viral Disease Risk:

-COVID-19 history significantly correlates with severe oral health complications while vaccination reduced but did not eliminate these issues. 1/ Image
A NEW study identified oral associated #LonhCovid primarily manifested as periodontal (gum) disease (COVID +ve: 73.1±18.9% vs COVID -ve: 33.1±14.3%)
Covid19 positive cases correlated w/ higher rates of dry mouth (57.5%), taste disturbance (47%) & smell loss (20%). 2/ Image
Vaccination reduced oral LongCovid (PASC) in COVID-19 positive subjects; however, periodontal disease indicators persisted compared to the COVID-19 negative group. 3/ Image
Read 6 tweets
Feb 24
SARS-CoV-2 triggers the production of the antiviral protein IFN-γ, which is associated with fatigue, muscle ache & depression. Recent study shows that in #LongCOVID, IFN-y production persists until symptoms improve, highlighting a potential biomarker & a target for therapies 1/ Image
The study shows that initial infection with SARS-CoV-2 triggers production of the antiviral protein IFN-γ, which is a normal reaction from the immune system. 2/ Image
For most people, when their infection clears, COVID-19 symptoms cease and production of this protein stops, but the researchers found that high levels of IFN-γpersisted in some Long COVID patients for up to 31 months. 3/ Image
Read 10 tweets

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