Just tuned into @polybiorf fall symposium on #LongCovid and #MEcfs research. Talks are 10-15 minutes and they are a bit behind schedule.

Polybio is a small outfit run by Amy Proal, who has long thought that viral persistence is a driving factor in these chronic illnesses.

Free to watch w/ registration.

#research #medicine

https://polybio.org/fall-2024-symposium-schedule/

Fall 2024 PolyBio Symposium Schedule - PolyBio Research Foundation

PolyBio Research Foundation

Will post a bit about Matthew Frank's talk on 'multiple hit model of long covid."

He's at U of Colorado.

#SARSCoV2 can directly enter brain and produce inflammatory cytokines there. This molecules can produce fatigue, cognitive issues.
You see initial neuroinflammation that produces long-term effects that persist after initial inflammation calms down. But leaves brain cells susceptible to quicker easier inflammation down the road. This is from mouse work, Franks says.
They gave the mice a 'bacterial mimetic' after the SARSCoV2 infection. Those mice have a worse brain response than mice that didn't get infected with the virus. He calls this 'priming '

He thinks this priming mechanism makes the brain more vulnerable to subsequent insults - such as other infections, brain trauma etc. he thinks reduced glucocorticoids may be a key to this priming that makes the brain more susceptible to neuroinflammation after SARSCoV2 infection.

That's the end of his talk.

I'll post from Nadia Roan's talk. She's at UCSF and is talking about a biopsy study of female reproductive track in #LongCovid looking for #SARSCoV2 persistence & immune dysregulation there.
They found many immune perturbations in blood in earlier work. But as some evidence of viral persistence in tissues emerged she began to get interested in looking for origin of male/female susceptibility to long covid.
Pre-menopausal women are more likely to experience long covid than men. Women have stronger innate immune responses to infections and vaccines and more risk of autoimmune disorders.

Small biopsy study - 5 long covid patients, 5 control volunteers.

Obtained biopsies from reproductive tract (endometrium) & gut.

Then looked at T cell responses to SARSCoV2 & other viruses.

Side note: Asking scientists to limit their talks to 10 minutes is so... aspirational. Many seem completely incapable of not giving tons of background....
Oh she doesn't have the biopsy data yet. No results.
Alessio Fasano of Harvard now talking about a clinical trial of a failed Celiac Disease medicine, lorazatide, in children with long covid.
He says multiple studies show leaky gut occurs in MIS-C and long covid in children.
They used lorazatide w/ compassionate use exemption in a small # of children with MIS-C early in the pandemic. Then they went to FDA and got approval for double-blind study.

Small # of patients and controls to date, 6 and 6.

Bottom line: Drug seems to speed up recovery from GI symptoms.

Lorazatide works by inhibiting a molecule that seems to cause leaky gut.

"The more spike protein you have, the more GI symptoms."

Clearance of spike seems to be driving force of resolution of GI symptoms.

So that small study was in MIS-C and he is expanding it now to children with long covid & GI symptoms.
Gonna stop the posting from the symposium for now. May resume later.

Just a mention here that Amy Proal is now talking about a clinical trial of rapamycin in long covid.

Rapamycin comes from a bacterium found in Rapa Nui in the 1960s. One of the coolest story in all of biology as rapamycin has many fascinating positive effects on the body.

In high doses it's an immunosuppressant and used in transplants.

But in low doses it may support the immune system, she says.

Rapamycin also extends lifespan of animals in lab studies.

@brianvastag Thank you for sharing this. If there's any mention of sleep disruption, especially among people who had only mild covid cases and no other long-term effects, please consider posting. Asking for a friend.