Vipin M. Vashishtha Profile picture
Mar 19, 2025 10 tweets 4 min read Read on X
A NEW study finds that H5N1 influenza viral lineages are beginning to evade human immunological defenses. This indicates current and future H5N1 viral lineages pose a greater risk to human health—including the possibility of increased transmission in humans. 1/ Image
This new computational modeling of avian influenza variants' immunoprotein interactions reveals the H5N1 influenza virus is evolving to escape immunological defenses raised by previous infection or vaccination in mammals. 2/ Image
This rapid adaptation means that if one makes an H5N1 vaccine with a previous vaccine candidate virus, the vaccine will have less efficacy, based on the measurements of how much the virus has evolved in recent years. 3/ Image
The continuous transmission of H5N1 from birds to mammals and the increase in strains with immuno-evasive HA in mammals sampled over time suggest that antigenic drift is a source of zoonotic risk. 4/ Image
Using high-performance computational modeling, the researchers documented a trend of weakening binding affinity of a wide variety of existing antibodies, collected from vaccinated and or infected hosts, against H5 viral isolates over time. 5/ Image
In assessing the possible pandemic risk spurred by H5 bird flu spread and mutation, global researchers agree that the avian virus remains high on lists of potential pandemic agents. 6/ Image
As of today, no human-to-human transmission has been reported. However, cattle in at least 17 states have tested positive for H5N1 in addition to millions of cases among wild birds, small mammals, commercial chickens, and other flocks. 7/ Image
Between January 2022 and March 2025, the CDC reported:
-12,510 outbreaks among wild birds in U.S.
-51 jurisdictions w/ bird flu among wild birds.
-166,417,923 poultry affected
-70 human cases of H5N1, one fatal, in the U.S. 8/

cdc.gov/bird-flu/situa…
The H5N1 virus, according to the World Health Organization, has killed 466 people worldwide since January 2003. 9/ Image
Speed important to respond to fast-evolving viral threat!

Vaccines will likely be a crucial tool in controlling a bird flu pandemic, as mutations of viral lineages adapt to new mammal hosts. 10/10

thelancet.com/journals/ebiom…Image

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More from @vipintukur

Mar 13
New research finds that SARS-CoV-2 spike protein can persist in the gut of people with #LongCOVID, even months after infection.

➡️ This persistent viral antigen may drive ongoing immune changes in intestinal tissue.

➡️ Scientists detected viral spike RNA and protein in colon and ileum biopsies from Long COVID patients.

➡️ In these regions, genes linked to inflammation, immune dysfunction, and tissue stress were altered. 1/Image
Persistent spike-positive areas in the colon showed increased immune cell activity, including:

• Macrophages
• Plasma cells
• Regulatory T cells

Suggesting an active local immune response in the gut.

➡️ Researchers also found disrupted expression of key immune-signaling genes, indicating impaired immune coordination and chronic inflammation in gut tissues. 2/Image
SARS-CoV-2 persistence is a proposed driver of Long COVID (LC), but the in-situ relationship between residual viral antigen and immune dysregulation remains poorly defined.

➡️ This NEW study provides robust evidence that persistent SARS-CoV-2 Spike protein detection in the gut is not immunologically inert.

➡️ Instead, it is actively associated with distinct, immune cell composition shifts and a dysfunctional pro-inflammatory transcriptional profile, supporting the hypothesis that retained viral antigen drives chronic immune dysregulation in tissue of LongCOVID subjects. 3/Image
Read 4 tweets
Mar 10
New research suggests that gut bacteria may contribute to neurological symptoms in #LongCOVID.

➡️ Small particles released by gut microbes—called extracellular vesicles—may trigger inflammation affecting both the body and the brain.

➡️ Scientists found that people with Long COVID and neurological symptoms show a persistent imbalance in gut microbiota.

➡️ This altered microbiome may disrupt the intestinal barrier and promote systemic inflammation. 1/Image
In experiments, transferring gut microbes from LongCOVID patients into mice caused intestinal barrier damage and signs of brain inflammation.

➡️ This suggests a biological link between the gut and neurological symptoms. 2/ Image
Gut microbe–derived vesicles were shown to activate inflammatory pathways and immune cells, including microglia in the brain.

➡️ These processes may contribute to symptoms such as brain fog. 3/ Image
Read 4 tweets
Feb 22
Scientists have identified a possible new cause of chronic constipation — called “bacterial constipation.”

➡️ Certain gut bacteria can damage the mucus layer in the colon, making stool dry and hard to pass.

➡️ The researchers found that two bacteria work together to cause this problem:

• Akkermansia muciniphila
• Bacteroides thetaiotaomicron

➡️ They break down intestinal mucus that normally keeps stool moist and easy to pass. 1/Image
This discovery may explain why some people with chronic constipation do not respond to usual treatments.

➡️ The problem may not always be slow bowel movement — it could be changes in gut bacteria. 2/ Image
Researchers also found higher levels of these mucus-destroying bacteria in Parkinson’s disease patients, who often have long-standing constipation.

➡️ Gut bacteria may play a role in symptoms previously blamed only on nerve damage. 3/ Image
Read 4 tweets
Feb 18
New study links #LongCOVID symptoms with mitochondrial dysfunction.

➡️ Patients with PASC had lower levels of circulating mitochondrial DNA and poorer cognitive performance than recovered controls. 1/ Image
Key findings in 228 adults:

• LongCOVID group showed worse cognition
• Higher psychological distress
• More inflammation
• Lower circulating mitochondrial DNA levels

➡️ Suggests energy-production problems may underlie symptoms. 2/ Image
Researchers found:

-Better cognitive function was linked to higher mitochondrial DNA levels in the blood.

-Higher inflammation markers were linked to lower mitochondrial DNA. 3/ Image
Read 5 tweets
Feb 17
A small brain-imaging study found that people with #LongCOVID showed slower thinking and reaction times during a cognitive task.

➡️ Advanced MRI scans revealed changes in how important brain networks communicate with each other, especially those involved in attention, language, and decision-making. 1/Image
Researchers found altered connectivity in key brain networks:

• Salience network
• Language network
• Central executive network
• Sensorimotor and visual networks

➡️ These systems are essential for attention, decision-making, and task control. 2/ Image
The most prominent deficits were seen in the salience network, which helps the brain detect and respond to important stimuli.

➡️ Connectivity problems in this network were more severe with longer illness duration. 3/ Image
Read 5 tweets
Feb 16
New systematic review finds that COVID-19 can be followed by serious liver and bile-duct diseases.

➡️ Some patients developed conditions like hepatitis, cholangitis, and gallbladder inflammation after infection.

➡️ The review analyzed 23 studies and found a wide range of post-COVID liver problems, including:

• Acute hepatitis
• Cholestasis
• Autoimmune liver disease
• Gallbladder disorders. 1/Image
The most common serious complication was post-COVID bile-duct disease (cholangitis or cholangiopathy).

➡️ In some studies, COVID patients were about twice as likely to develop cholangitis compared with controls. 2/ Image
Many affected patients had severe COVID-19, and outcomes could be serious:

• Some developed major complications
• Some required liver transplantation
• Deaths were reported in severe cases

➡️ Possible reasons for liver and bile-duct injury after COVID-19 include:

• Direct viral damage
• Inflammation and immune effects
• Low oxygen levels in severe illness
• Blood-clot–related injury. 3/Image
Read 4 tweets

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