Nicholas Fabiano, MD Profile picture
Feb 19 9 tweets 3 min read Read on X
COVID-19 can cause brain cells to fuse.

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These findings are from a study in @ScienceAdvances which explored how viruses alter the function of the nervous system. 2/9 science.org/doi/10.1126/sc…Image
Numerous viruses use specialized surface molecules called fusogens to enter host cells. 3/9
Many of these viruses, including the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), can infect the brain and are associated with severe neurological symptoms through poorly understood mechanisms. 4/9
In this study, it was demonstrated that SARS-CoV-2 infection induces fusion between neurons and between neurons and glia in mouse and human brain organoids. 5/9 Image
This was caused by the viral fusogen, as it is fully mimicked by the expression of the SARS-CoV-2 spike (S) protein or the unrelated fusogen p15 from the baboon orthoreovirus. 6/9 Image
It was demonstrated that neuronal fusion is a progressive event, leading to the formation of multicellular syncytia, and causing the spread of large molecules and organelles. 7/9 Image
Using Ca2+ imaging, it was shown that fusion severely compromises neuronal activity. 8/9 Image
Overall, these results provide mechanistic insights into how SARS-CoV-2 and other viruses affect the nervous system, alter its function, and cause neuropathology. 9/9

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More from @NTFabiano

Apr 18
I just filmed a 1.5 hour podcast on creatine for mental health.

Here are the highlights.

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While creatine's role in muscle energetics is well-established, its equally crucial function in brain metabolism has recently gained scientific attention. 2/10
Depression, a state of increased metabolic demand, can be conceptualized through the lens of altered brain bioenergetics; here, creatine is able to quickly replenish ATP (energy) levels in the brain. 3/10
Read 11 tweets
Apr 17
Our paper was just published in European Neuropsychopharmacology.

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Creatine, a nitrogenous organic composed of the amino acids arginine, glycine and methionine, is a common and well-researched supplement used among athletes and bodybuilders to improve physical performance. 2/18
Through interaction with the enzyme creatine kinase, it gains a phosphate group, where it is stored as phosphocreatine largely in the muscles (approximately 95%) with the remaining in the kidneys, liver and brain. 3/18 Image
Read 20 tweets
Apr 15
Sleep onset between 10-11 PM is associated with the lowest incidence of cardiovascular disease.

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These findings are from a study in @OUPAcademic which examined the association between wrist-worn accelerometer-derived sleep onset timing and cardiovascular disease (CVD). 2/10 academic.oup.com/ehjdh/article/…Image
Growing evidence suggests that poor sleep health is associated with cardiovascular risk. 3/10
Read 10 tweets
Apr 13
Daily use & high-potency cannabis are strong predictors of developing a psychotic disorder - such as schizophrenia.

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These findings are from a study in @thelancet which aimed to identify patterns of cannabis use with the strongest effect on odds of psychotic disorder. 2/8 thelancet.com/article/S2215-…Image
Many countries have legalized or decriminalized cannabis use, leading to concerns that this might result in an increase in cannabis use and associated harm, even if the latter only affects a minority of the population. 3/8
Read 8 tweets
Apr 11
Our paper was just published in The European Journal of Psychiatry.

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The role of animals has garnered increasing attention within the mental health field due to their potential therapeutic benefits. 2/10
Studies have highlighted the positive effects of animal interactions on various psychological outcomes, including stress reduction, improved mood, and enhanced social interactions. 3/10
Read 11 tweets
Apr 10
A ketogenic diet led to remission of both OCD and inflammatory bowel disease.

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These findings are from a case report in @FrontPsychiatry which described the first clinical application of a ketogenic diet in adult OCD with ulcerative colitis (UC). 2/12 frontiersin.org/journals/psych…Image
It is proposed that remission of OCD and UC may arise because bidirectional inflammation can begin with gut dysbiosis and disruption of epithelial cell tight junctions in UC, triggering the overproduction of lipopolysaccharides (LPS) and short-chain fatty acids (SCFA). 3/12 Image
Read 13 tweets

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