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

Feb 20
A single walk could add over 6 hours of life expectancy.

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These findings are from a study in @BJSM_BMJ which estimated how much low physical activity (PA) reduces life expectancy, and how much life expectancy could be improved by increasing PA levels for both populations and individuals. 2/8 bjsm.bmj.com/content/early/…Image
Low PA levels are associated with an increased incidence of non-communicable disease and premature mortality worldwide; while higher levels of PA reduce the risk of death regardless of intensity and age. 3/8 Image
Read 8 tweets
Feb 18
The metabolic overdrive hypothesis proposes that bipolar mania represents a condition of heightened cerebral energy metabolism facilitated by hyperglycolysis and glutaminolysis.

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These findings are from a paper in @molpsychiatry which describes the experience of mania from a metabolic perspective. 2/9 nature.com/articles/s4138…Image
Evidence from diverse areas of research including chronobiology, metabolomics and magnetic resonance spectroscopy indicate that energy dysregulation is a central feature of bipolar disorder pathophysiology. 3/9
Read 10 tweets
Feb 17
Schizophrenia can be conceptualized as a disorder of broken brain bioenergetics.

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These findings are from a review in @molpsychiatry which discusses the relationship between dysfunction of various metabolic pathways across different brain regions in relation to schizophrenia. 2/11 nature.com/articles/s4138…Image
The core psychotic and cognitive symptoms of schizophrenia may be attributed to abnormal partitioning and processing of energetic substrates. 3/11 Image
Read 12 tweets
Feb 16
There is potential for creatine supplementation as a treatment for Alzheimer's dementia.

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These findings are from a review in @jnutritionorg which discusses the link between creatine (Cr) and Alzheimer's disease (AD) and the potential for Cr supplementation as a treatment for AD. 2/12 cdn.nutrition.org/article/S2475-…Image
The Cr system is integral in supporting both peripheral and brain energy requirements; its role is vital in the brain as it is a highly metabolic organ, demanding approximately 20% of total body energy, and can locally synthesize Cr from its precursors. 3/12 Image
Read 14 tweets
Feb 16
After just one night of sleep deprivation, the brain begins to accumulate β-amyloid - a key protein in Alzhiemer’s dementia.

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These findings are from a study in @PNASNews which used PET and 18F-florbetaben to measure brain Aβ burden (ABB) in 20 healthy controls tested after a night of rested sleep (baseline) and after a night of sleep deprivation. 2/10 pnas.org/doi/10.1073/pn…Image
Beta-amyloid (Aβ) is present in the brain’s interstitial fluid (ISF) and is considered a metabolic “waste product”. 3/10
Read 10 tweets
Feb 15
The energy landscape of neurophysiological activity.

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These findings are from a study in @SciReports which used a maximum entropy model of brain dynamics informed by white matter tractography to determine how anatomical structure impacts the complex functional dynamics of the brain. 2/11 nature.com/articles/s4159…Image
Adaptation to rapidly changing environments depends critically on the brain’s ability to carefully control the time within – and transitions among – different states. 3/11
Read 11 tweets

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