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

Aug 4
Antidepressant efficacy is inflated by the cumulative impact of publication bias, outcome reporting bias, spin, and citation bias on the evidence base.

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This discussion is from a paper in @CambUP_Psych which analyzed the cumulative impact of biases on apparent efficacy for antidepressants. 2/12 cambridge.org/core/journals/…Image
Publication bias is the failure to publish the results of a study on the basis of the direction or strength of the study findings; oftentimes, studies which have statistically significant positive results get published and the negative studies do not. 3/12
Read 12 tweets
Jul 29
Our paper was just published in the Journal of Psychiatry & Brain Science.

5 grams of creatine per day saturates your muscles, but is likely too low for the brain.

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Given the constant energy supply required by the brain, there has been increasing interest in the potential of creatine for improving brain bioenergetics, health and function. 2/10 Image
Accumulating research indicates that creatine is capable of increasing brain creatine stores which may help explain improvements in cognitive functioning particularly during times of metabolic stress. 3/10
Read 12 tweets
Jul 17
Stronger legs are associated with larger brain volume & slower cognitive decline.

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These findings are from a study in @KargerPublisher which tested whether muscle fitness (measured by leg power) could predict cognitive change in a healthy older population over a 10-year time interval. 2/7 karger.com/ger/article/62…Image
There is consistent evidence from observational studies of a protective association between levels of physical activity and subsequent cognitive ageing within the healthy population. 3/7
Read 7 tweets
Jul 15
A common belief is that cognition arises from the brain.

This paper suggests that cognition is a complex multiscale information processing distributed across every single cell in the body.

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These findings are from a paper in @FrontNeurosci which argues that a promising way forward in understanding the nature of human cognition is to zoom out from the prevailing picture focusing on its neural basis. 2/10 frontiersin.org/journals/integ…Image
The idea that the mind is distinct from the body and somehow at home in the human brain has deep roots in a longstanding philosophical and scientific thinking, stretching from antiquity to the present day. 3/10 Image
Read 10 tweets
Jul 14
People with schizophrenia die 20 years prematurely, largely due to cardiovascular factors.

It’s time we incorporate exercise as a first-line treatment.

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These findings are from our paper in @jpahjournal which outlines practical strategies for exercise professionals and clinicians involved in the treatment of schizophrenia, informed by the latest evidence, to help prescribe exercise effectively. 2/12journals.humankinetics.com/view/journals/…
Schizophrenia is a chronic and disabling psychiatric disorder that affects approximately 1% of people. 3/12
Read 12 tweets
Jul 11
Dark chocolate enhances cognitive function & releases nerve growth factors.

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These findings are from a study in @Nutrients_MDPI which aimed to determine the effects of the subchronic consumption of dark chocolate on cognitive function and neurotrophins. 2/9 mdpi.com/2072-6643/11/1…Image
During the last decade, several studies have demonstrated that cacao-containing foods such as chocolate and cocoa may have beneficial effects on human health. 3/9
Read 10 tweets

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