Comprehensive molecular characterization of post-COVID condition: Immunoglobulin suppression and persistent SARS-CoV-2 antigens as key pathophysiological drivers
🔥Very, very interesting and impressive Spanish study identifying a DOUBLE molecular pathophysiological LONGCOVID profile!
➡️‘This study provides a comprehensive molecular characterization of post-COVID condition (PCC), defining a consistent global profile marked by two major alterations:’
1. ‘Profound downregulation of immunoglobulins:’
➡️‘One of the most prominent findings from the SWATH analysis of plasma samples (v2024 library) was the significant reduction in immunoglobulin levels, particularly kappa and lambda light chains, in symptomatic PCC patients.’
➡️‘This marked humoral immune dysfunction strongly correlated with disease severity, as revealed by clustering and principal component analyses.’
➡️‘Potential as biomarkers for clinical classification and therapeutic targeting.’
➡️‘The downregulation of immunoglobulins suggests a critical vulnerability in resolving viral remnants and controlling inflammation, aligning with immunodeficiency-like profiles observed in chronic immune disorders.’
2. ‘The persistent presence of SARS-CoV-2 antigens, particularly the spike and nucleocapsid proteins.’
➡️‘MRM/SRM analyses provided definitive evidence of the persistent presence of spike and nucleocapsid proteins in symptomatic PCC patients.’
➡️‘The spike protein's pro-inflammatory and pro-thrombotic properties likely exacerbate systemic symptoms, including cardiovascular and respiratory manifestations.’
➡️‘Nucleocapsid protein, detectable through both SWATH and MRM/SRM, amplifies inflammation via complement activation and interferon suppression, potentially sustaining a chronic immune response.’
➡️‘These findings indicate that residual viral antigens evade immune clearance through mechanisms such as sequestration in cellular compartments or association with extracellular vesicles, thereby perpetuating pathological immune activation.’
‼️‘This molecular characterization of PCC underscores the intertwined roles of immunoglobulin suppression and viral antigen persistence in driving disease progression.’
‼️‘The observed immune dysregulation parallels profiles seen in primary immunodeficiencies, suggesting that symptomatic PCC patients are particularly vulnerable to chronic inflammation and impaired viral clearance.’
‼️‘The results define a global molecular signature of PCC that highlights the suppression of immunoglobulins and the persistence of SARS-CoV-2 antigens as central pathophysiological mechanisms.’
COVID-19, Epstein-Barr virus reactivation and autoimmunity: casual or causal liaisons?
🤔Intriguing review sparking a question, bear with me! 🧵👇
➡️“Evidence is accumulating on the contribution of COVID-19 to the onset or worsening of autoimmune diseases, as well as on EBV reactivation in COVID-19 patients, both early after infection and in those developing long COVID manifestations, the latter including autoimmune conditions.”
➡️“EBV reactivation has been associated with the severity of SARS-CoV-2 infection and its immune-related complications, as those occurring in long COVID.”
➡️“However, data on post-COVID EBV reactivation in the context of new or pre-existing autoimmune conditions are limited, making difficult to establish a direct role for EBV in the development or worsening of these conditions following SARS-CoV-2 infection.”
➡️“The exact relationship among COVID-19, EBV and autoimmunity is still not completely deciphered.”
➡️“It remains debated whether there is a casual or causative association between SARS-Cov-2 infection and EBV reactivation, and between EBV reactivation by SARS-CoV-2 and autoimmune disease relapse or first presentation or long COVID immune-related manifestations.” 1/n sciencedirect.com/science/articl…
So, we don’t have any effective EBV antivirals, a vaccine might prove beneficial here, but why don’t we have one already? Not that easy, but there’s some light emerging at the end of this dark EBV tunnel. 2/n
The development of a vaccine for the Epstein-Barr virus (EBV) has been for some obvious reasons challenging, despite its association with diseases like infectious mononucleosis, certain cancers (e.g., Burkitt lymphoma, nasopharyngeal carcinoma), and its potential role in autoimmune conditions like multiple sclerosis. Here I would like to summarise why to my notion we don’t have an EBV vaccine yet: 3/n
COVID-19: post infection implications in different age groups, mechanism, diagnosis, effective prevention, treatment, and recommendations
Again, Interesting review article, but now with an in-depth and detailed point analysis, worth your time and this 🧵👇
“This review offers a comprehensive understanding of the persistent effects of COVID-19 on individuals of varying ages, along with insights into diagnosis, treatment, vaccination, and future preventative measures against the spread of SARSCoV-2”
Highlights
• COVID-19 induces long-term effects in individuals of both genders of various ages.
• Artificial intelligence-based COVID-19 diagnostic tools are efficient.
• Pharmacological and non-pharmacological treatments reduced the long-term impacts of
COVID-19.
• All vaccines significantly reduced the persistent effects of COVID-19.
• No vaccine provides lifetime protection against COVID-19.
• Protective measures greatly limit SARS-CoV-2 transmission 1/n
Sarscov2 introduction 2/n
Long-term effects of COVID-19 on the human systems
Pulmonary system 3/n
❗️Excellent new CardioVascular Autonomic dysfunction(CVAD) overview:
For one: "As well as global circulatory disturbances, CVAD in post-COVID-19 syndrome(LongCovid) can manifest as microvascular and endothelial dysfunction, with local symptoms such as headache, brain fog, chest pain, dyspnoea and peripheral circulatory symptoms, including skin discolouration, oedema, Raynaud-like phenomena, and heat and cold intolerance"
➡️ Your N. Vagus at work!😰 nature.com/articles/s4156…
➡️ "CVAD arises from a malfunction of the autonomic control of the circulation, and can involve failure or inadequate or excessive activation of the sympathetic and parasympathetic components of the autonomic nervous system" 2/n
➡️"Cardiovascular autonomic dysfunction (CVAD), in particular postural orthostatic tachycardia syndrome and inappropriate sinus tachycardia, are among the most frequent and distinct phenotypes of post-COVID-19 syndrome; one-third of highly symptomatic patients can be affected" 3/n
SARS-CoV-2 reservoir in post-acute sequelae of COVID-19 (PASC)
Lets dig into 1 of the 8 mechanisms that could cause LongCovid in this excellent study illustrating the importance of possible vagus involvement:
“SARS-CoV-2 reservoir may alter vagus nerve signaling”
🧵1/n
“A SARS-CoV-2 reservoir could also contribute to nonspecific PASC symptoms including fatigue, trouble concentrating, muscle and joint pain, sleep dysfunction, anxiety, depression, loss of appetite and autonomic dysfunction. These symptoms overlap with the sickness response (called ‘sickness behavior’ in animal models) that reflects the subjective and behavioral component of innate immunity and is largely mediated by signaling of the vagus nerve” 2/n
“Tens of thousands of afferent vagus nerve branches innervate all major trunk organs with chemoreceptor terminals, which collectively act as a sensitive and diffuse neuroimmune sensory organ for the CNS. These branches can detect highly localized paracrine immune signaling such as cytokine activation even in the absence of a systemic circulating immune response, triggering glial activation and neuroinflammation on the brain side of the blood–brain barrier and the sickness response. The persistence of a SARS-CoV-2 reservoir in body sites densely innervated by the vagus nerve (for example, gut, lung and bronchial tubes)—or direct infection of the vagus nerve as has been shown in autopsy studies—might activate localized paracrine signaling, leading to ongoing sickness response symptoms in infected individuals” 3/n
Why so little attention in #Belgium(=new red zone) for our well performing neighbor, Germany(Green zone)? They certainly seem to have their act together, surely they could be instrumental to learn from! #Thread#covid19 1/n @alexanderdecroo@JanJambon@eliodirupo
Testen:
FREE testing everywhere, with results in 15 minutes , to be stopped Oct 11, to further push unvaccinated to get their shot.
Mandatory tests in schools(2-3x/w) and all employers have to provide them for the employees at work. 2/n
3G rule:
For many places only admittance for vaccinated/post-covid starting 23 Aug
Only to be suspended when incidence reaches a 7D stable below 35! 3/n