T Cell Dynamics in COVID-19, Long COVID and Successful Recovery
🔥Long COVID involves a complex and PERSISTENT IMMUNE DYSREGULATION. #LeonardiEffect
Interesting Russian study:
➡️"While most clinical studies of COVID-19 immunity focus on major T-cell populations, this study represents the comprehensive immune profiling of COVID-19 patients not only in the acute stage of the disease, but also across mid-convalescence (1–3 months since the infection) and long COVID phases."
➡️"Our findings reveal significant alterations in T-cell subsets, particularly in helper (Th) and cytotoxic (CTL) populations, which persist beyond the acute phase of infection and may contribute to the pathogenesis of LC."
➡️"Acute COVID-19 patients exhibited a certain defect in naïve Th cells and an increase in CM Th cells, a pattern that persisted in convalescents but normalized in LC patients."
➡️"This suggests that while Th cell homeostasis may eventually stabilize, the prolonged dysregulation during recovery could play a role in persistent symptoms."
➡️"LC patients displayed elevated Th1 and Th2 responses alongside reduced Tfh cells, indicating potential disruptions in antibodies formation and germinal center function."
➡️"These imbalances may contribute to chronic inflammation and autoantibody production, which are hallmarks of LC."
➡️"Acute infection was marked by an expansion of CM CTLs, while LC patients showed elevated naïve and TEMRA CTLs with reduced effector memory (EM) subsets."
➡️"This shift suggests either impaired viral clearance or ongoing immune dysregulation, possibly driven by persistent antigen exposure or tissue migration of effector cells.
➡️"The positive correlation between TREC levels and naïve T-cell frequencies in LC patients points to residual thymic activity, possibly compensating for peripheral losses during acute infection."
➡️"The observed Th2/Th17 bias supports the hypothesis that LC involves autoimmune mechanisms, potentially driven by molecular mimicry or loss of immune tolerance."
➡️"Our findings underscore the complexity of immune dysregulation in LC, highlighting the potential need for targeted therapeutic strategies."
Conclusion(Layman): Long COVID involves a complex and persistent immune dysregulation, particularly in T-cell subsets, potentially driving chronic inflammation and autoimmunity. mdpi.com/1422-0067/26/1…
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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