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BumRushDaShow

(169,562 posts)
42. Welcome to DU
Fri Apr 22, 2022, 02:57 PM
Apr 2022

and am so sorry to hear of your nightmare with this disease.

I know I have posted over and over and over here that the mechanism for how this virus attaches to cells and then replicates is unique in terms of WHERE it can attach - i.e., places that have what are called "ACE2 receptors". These are located not just in the respiratory system but also in the renal system (kidneys) in the gastric system (including intestines), in the circulatory system including on the heart, and the neural system including the brain.

If you have a high enough load where some manage to get to those organs, you can be screwed.

I did read an article last week with some research that has uncovered some things about what might be happening with the inflammation responses that can cause more severe impacts. I had posted the below (in part) in a different thread last week - https://www.democraticunderground.com/?com=view_post&forum=1014&pid=2903945

The problem though is that we haven't had a virus like this in over a century and as you have now witnessed over the past 2 years (and I say this as a retired chemist who used to work for one of the health agencies), there is a lot of stumbling around going on because "past practices" that they have been accustomed to, have NOT panned out for predicting the behavior of SARS CoV-2.

And regarding "inflammation" - I literally read an article today based on a recent study done by Harvard with a fascinating discovery about what might be happening with the disparate inflammatory responses -

Inflammatory Insights
Study reveals how COVID-19 triggers severe immune response

By NANCY FLIESLER | Boston Children’s April 6, 2022 Research


Illustration of a macrophage battling bacteria. Image: urfingus/iStock/Getty Images Plus


This article is part of Harvard Medical School’s continuing coverage of COVID-19.

A study led by researchers at Harvard Medical School and Boston Children’s Hospital explains for the first time why COVID-19 causes severe inflammation in some people, leading to acute respiratory distress and multi-organ damage. Surprisingly, the study also finds that antibodies that people develop when they contract COVID-19 sometimes lead to more inflammation, while antibodies generated by mRNA COVID-19 vaccines seem not to. Findings were published April 6 in Nature. The team was led by Judy Lieberman, HMS professor of pediatrics at Boston Children’s; Caroline Junqueira, HMS research associate in pediatrics at Boston Children’s; and Michael Filbin, HMS assistant professor of emergency medicine at Massachusetts General Hospital.

“We wanted to understand what distinguishes patients with mild versus severe COVID-19,” said Lieberman. “We know that many inflammatory markers are elevated in people with severe disease, and that inflammation is at the root of disease severity, but we hadn’t known what triggers the inflammation.”

Fiery death of immune cells

The investigators analyzed fresh blood samples from patients with COVID-19 coming to the emergency department at Mass General. They compared these with samples from healthy people and from patients with other respiratory conditions. They also looked at lung autopsy tissue from people who had died from COVID-19. They found that SARS-CoV-2 can infect monocytes—immune cells in the blood that act as sentinels or early responders to infection—as well as macrophages, similar immune cells in the lungs. Once infected, the team found, both types of cells die a fiery death called pyroptosis that releases an explosion of powerful inflammatory alarm signals. “In the infected patients, about 6 percent of blood monocytes were dying an inflammatory death,” said Lieberman. “That’s a large number to find, because dying cells are rapidly eliminated from the body.”

Examining the lung tissue from people who died from COVID-19, they found that about a quarter of the macrophages in the tissue were dying. When the researchers studied the cells for signs of SARS-CoV-2, they found that about 10 percent of monocytes and 8 percent of lung macrophages were infected. The fact that monocytes and macrophages can be infected with SARS-CoV-2 was a surprise, since monocytes don’t carry ACE2 receptors, the classic entry portal for the virus, and macrophages have low amounts of ACE2. Lieberman thinks SARS-CoV-2 infection of monocytes might have previously been missed in part because researchers often study frozen blood samples, in which dead cells do not show up.


More: https://hms.harvard.edu/news/inflammatory-insights


Here's a link to the "Nature" mag publication - https://www.nature.com/articles/s41586-022-04702-4

Basically what they discovered is that COVID-19 obviously "attaches" and replicates in specific areas of the body that have what they call ACE2-receptors (which appear all over the body - not just the respiraratory system but also on the kidneys, in the digestive system, in the circulatory and neural systems - which helped to explain all the different symptoms that people might present with). But this latest research found that the virus can ALSO attach to certain "canary in the coal mine" immune cells that have none of those receptors, and although the virus can use those types of cells to replicate with, the attachment is weak and not optimal, so instead, if it does attach, it basically sets up a near-catastrophic set of processes that just destroys those cells, and doing so releases chemicals in the body that cause inflammation.

They said that they hadn't discovered this phenomena earlier because the samples that they were testing were often stored frozen and thus any traces of the now-destroyed monocytes or macrophages, would not be picked up.

Recommendations

0 members have recommended this reply (displayed in chronological order):

Hospitalizations so far not picking up which is great though. Lucky Luciano Apr 2022 #1
This is incorrect. Hospital rates are up AntivaxHunters Apr 2022 #18
Fair enough, but I don't count the eligible unvaccinated. They deserve what they get. Lucky Luciano Apr 2022 #21
That's not right of you to do though AntivaxHunters Apr 2022 #23
Some people have limited access to vaccinations nitpicker Apr 2022 #43
Also, carriers infect others. Right. We shouldn't copy antivaxxers Hortensis Apr 2022 #57
Genesse/Flint may be good at testing the water. May provide some advance clues empedocles Apr 2022 #2
Masks are quite effective even if only one person wearing one SheltieLover Apr 2022 #3
BA.2 (BA.2.1 & BA.2.2) . . .. Lovie777 Apr 2022 #4
Apparently BA.2.12.1 (for places that actually do subtyping, like in NY, but sadly not many others ) BumRushDaShow Apr 2022 #10
Isn't it possible that there might be an advantage wnylib Apr 2022 #37
The vaccine makers have been working on ones that would try to deal with Omicron BumRushDaShow Apr 2022 #39
I had the Asian flu in the 1957-58 pandemic. wnylib Apr 2022 #41
Well the influenza viruses are configured and act differently than SARS CoV2 BumRushDaShow Apr 2022 #48
Yes, I'm aware that the Plague was caused by bacteria, not a virus. wnylib Apr 2022 #49
If you think about it BumRushDaShow Apr 2022 #59
Thanks. Very interesting. My childhood wnylib Apr 2022 #64
It definitely sounds like quirks in the immune system BumRushDaShow Apr 2022 #78
Sure looks like there is a connection between covid and wnylib Apr 2022 #83
That should hopefully be something for to really need to dive into BumRushDaShow Apr 2022 #84
I heard about MIS-C in children soon after wnylib Apr 2022 #85
I have a small stash... 2naSalit Apr 2022 #5
I'm not surprised. llmart Apr 2022 #6
Case counts are meaningless. SoonerPride Apr 2022 #7
How does that work for infants and children? phylny Apr 2022 #11
It works just fine. SoonerPride Apr 2022 #24
Okay. phylny Apr 2022 #27
In "rare cases." SoonerPride Apr 2022 #29
"Infants and children are not the demographic threatened by Covid." phylny Apr 2022 #31
I guess we can disagree on what constitutues acceptable risk. SoonerPride Apr 2022 #32
It said that deaths were rare, not that wnylib Apr 2022 #35
Thank you. Ms. Toad Apr 2022 #54
Alas, my doctor is among those people, wnylib Apr 2022 #68
Polio and chicken pox are my main examples. Ms. Toad Apr 2022 #73
A very painful, crippling aftereffect of wnylib Apr 2022 #75
I keep talking about it, Ms. Toad Apr 2022 #77
We will pay the price down the road. wnylib Apr 2022 #82
Permenant? Zeitghost Apr 2022 #58
"Permenant? How could that even be known at this point?" BumRushDaShow Apr 2022 #60
Is that really a serious question? wnylib Apr 2022 #70
Regarding long term heart disease wnylib Apr 2022 #71
Because of how BA.1 & BA.2.x is configured as a variant BumRushDaShow Apr 2022 #33
Exactly correct! beaglelover Apr 2022 #14
Covid is just too tricky of a virus for me to treat lightly Siwsan Apr 2022 #15
"Case counts are meaningless." BumRushDaShow Apr 2022 #25
OK, add the word "essentially" SoonerPride Apr 2022 #28
Sorry to have dropped that load on you BumRushDaShow Apr 2022 #30
I think that's easy to say if you live in an area with low spread, but some of us aren't that lucky liberal_mama Apr 2022 #36
Oklahoma has averaged 75 cases a day for the two weeks. SoonerPride Apr 2022 #38
So people who wear masks aren't living? Who knew. Ms. Toad Apr 2022 #55
+1 gulliver Apr 2022 #88
Post removed Post removed Apr 2022 #8
Buh-bye! demmiblue Apr 2022 #12
I keep missing the comments of the trolls who attack my Covid posts!! Siwsan Apr 2022 #13
Would you like me to... AntivaxHunters Apr 2022 #19
Sure! Siwsan Apr 2022 #22
Post removed Post removed Apr 2022 #50
Yer gonna go bye bye Sugarcoated Apr 2022 #51
Enjoy your stay. ancianita Apr 2022 #52
lol what did that person say? AntivaxHunters Apr 2022 #65
It was blasting right wing talking points about COVID. ancianita Apr 2022 #67
Of course! AntivaxHunters Apr 2022 #69
Yes, keep on masking! Quakerfriend Apr 2022 #9
There was not one Covid patient in the Hospital where hubs had his surgery...big hospital. Demsrule86 Apr 2022 #16
Funny thing - I haven't had a cold in over 2 years. Siwsan Apr 2022 #17
No colds or anything else for me since June 2013! Knock wood! Lucky Luciano Apr 2022 #26
COVID is not the cold, or a flu. Ms. Toad Apr 2022 #56
we also jumped up this week in my state bigtree Apr 2022 #20
Adding one (my) data point. Precipice_dweller Apr 2022 #34
Welcome to DU BumRushDaShow Apr 2022 #42
I'm glad you recovered. Welcome to DU. NNadir Apr 2022 #79
I got you beat. We're up 138% over 2 weeks ago. Ms. Toad Apr 2022 #40
Another 303 have died in Kansas since April 1st Bengus81 Apr 2022 #44
Arlington County VA just upticked to 100 cases a day nitpicker Apr 2022 #45
Spring break ended Monday. Got a notice from the school today there was a positive case. haele Apr 2022 #46
10 new cases in the past 2 wks here in my home county in Upper Michigan Kaleva Apr 2022 #47
This number can be very deceiving. When counts are low, even a few more people can make Quixote1818 Apr 2022 #53
This is why both metrics need to be looked at BumRushDaShow Apr 2022 #61
Surely the coalmine canaries are exhausted by now? BSdetect Apr 2022 #62
I'm hoping TheFarseer Apr 2022 #63
You can't do this again? AntivaxHunters Apr 2022 #66
If masks limit the spread, then why aren't they working in S. Korea, Germany, and Vietnam? Yavin4 Apr 2022 #74
Masks limit the spread AntivaxHunters Apr 2022 #76
The virus is seasonal. Yavin4 Apr 2022 #72
seasonal, meaning any occasion where large numbers of numbskulls gather unprotected bigtree Apr 2022 #80
The virus spreads in places where people don't crowd as well. Yavin4 Apr 2022 #86
Antartica wasn't responsible for spreading it into my state bigtree Apr 2022 #87
We cannot stop the virus from spreading no matter what we do. Yavin4 Apr 2022 #89
"There's nothing that we can do about the spread." False. bigtree Apr 2022 #90
Two years of rising cases across the country and the planet Yavin4 Apr 2022 #92
I'm working up my own anecdotal report bigtree Apr 2022 #93
"The only control we have is to get vaccinated and boosted regularly." BumRushDaShow Apr 2022 #81
130% Here, But... ProfessorGAC Apr 2022 #91
On the way back from the Big Island to Germany DFW Apr 2022 #94
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