Focus on Infectious Disease
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Ongoing 'immune injuries' might cause persistent breathlessness after COVID-19 | Imperial News | Imperial College London

Ongoing 'immune injuries' might cause persistent breathlessness after COVID-19 | Imperial News | Imperial College London

Source : https://www.imperial.ac.uk/news/234518/ongoing-immune-injuries-might-cause-persistent/

Long-lasting immune activity in the airways might be the cause of persistent breathlessness following COVID-19. This is according to a new study of 38 people who were previously hospitalised with...



“Our study found that many months after SARS-CoV-2 infection, there were still abnormal immune cells in the airways of patients with persistent breathlessness. We also identified a protein ‘signature’ in the lungs indicating ongoing injury to the airways.”

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Conclusions: Our data suggest that patients with severe asthma or atopic dermatitis on biologic therapies have lower antibody levels after SARS-CoV-2 mRNA vaccination compared to healthy adults. It is unclear if these differences are due to the biologic therapies or confounding factors commonly seen in these patients. Nevertheless, as there is...

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Characteristics associated with poor COVID-19 outcomes in individuals with systemic lupus erythematosus: data from the COVID-19 Global Rheumatology Alliance

Characteristics associated with poor COVID-19 outcomes in individuals with systemic lupus erythematosus: data from the COVID-19 Global Rheumatology Alliance

Source : https://ard.bmj.com/content/early/2022/02/15/annrheumdis-2021-221636

Aim To determine characteristics associated with more severe outcomes in a global registry of people with systemic lupus erythematosus (SLE) and COVID-19. Methods People with SLE and COVID-19 reported in...



Conclusions: More severe COVID-19 outcomes in individuals with SLE are largely driven by demographic factors, comorbidities and untreated or active SLE. Patients using glucocorticoids also experienced more severe outcomes.

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Interpretation: We found progressively waning vaccine effectiveness against SARS-CoV-2 infection of any severity across all subgroups, but the rate of waning differed according to vaccine type. With respect to severe COVID-19, vaccine effectiveness seemed to be better maintained, although some waning became evident after 4 months. The results...

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Whole genome sequencing reveals host factors underlying critical Covid-19 - Nature

Whole genome sequencing reveals host factors underlying critical Covid-19 - Nature

Source : https://www.nature.com/articles/s41586-022-04576-6

Critical Covid-19 is caused by immune-mediated inflammatory lung injury. Host genetic variation influences the development of illness requiring critical care1 or hospitalisation2-4 following SARS-CoV-2 infection.



Our results are broadly consistent with a multi-component model of Covid-19 pathophysiology, in which at least two distinct mechanisms can predispose to life-threatening disease: failure to control viral replication, or an enhanced tendency towards pulmonary inflammation and intravascular coagulation. We show that comparison between...