CORONA Main Coronavirus thread

rob0126

Veteran Member
I want to drop this important article from india about digestive issues from covid.

Because I am dealing with them right now.
My gut inflammation has improved a bit but still have a ways to go.
Been taking a decent strong yogurt with food but am going to start on some strong probiotics today.

With prayer, I can come out of this.

How to improve your gut health after recovering from COVID-19


(I cant copy the article for some reason. Im also on my phone.)
 

psychgirl

Has No Life - Lives on TB
Gut issues with Covid have been there all along but rarely mentioned. When I went to minute clinic two weeks ago I was asked if I had any GI going on.
They always ask for anything illness related at the Dr office too.
Thank you for posting!

***I think when DH had Covid pneumonia probiotics may have been mentioned?
 

Heliobas Disciple

TB Fanatic
I want to drop this important article from india about digestive issues from covid.

Because I am dealing with them right now.
My gut inflammation has improved a bit but still have a ways to go.
Been taking a decent strong yogurt with food but am going to start on some strong probiotics today.

With prayer, I can come out of this.

How to improve your gut health after recovering from COVID-19


(I cant copy the article for some reason. Im also on my phone.)

Here's the article:

(fair use applies)


How to improve your gut health after recovering from COVID-19
By - TNN
Debarati S Sen
Created: Jul 1, 2021, 01:00 IST

How to improve your gut health after recovering from COVID-19

Most healthcare professionals have reported a rising incidence of post-COVID digestive issues among patients. What’s important to note is that while there were such cases in the first wave too, the second wave has certainly seen more number of patients experiencing digestive issues.

Researchers and healthcare providers are still gathering data to understand the actual cause of the problem, but there is considerable evidence that indicates how the virus impacts one’s gut health.

EXPERTS SPEAK

Dr Rakesh Patel, consultant gastroenterologist, says, “Most studies show the SARS-CoV-2 virus enters intestinal cells and respiratory cells using the Angiotensin-Converting Enzyme 2 (ACE-2) protein as a receptor. When SARS-CoV-2 particles leave an infected cell, it triggers the release of cytokines, small proteins that play a role in inflammation. This process may cause gastrointestinal symptoms.”

Therefore, it is significant to take care, state experts, as the virus disrupts the functioning of the GI and renders it unable to perform its duties. He adds, “Patients can even end up with bleeding in the gastrointestinal tract or have blood clots in the blood vessels, leading to ischemia and gangrene. The disease may also destroy bowel tissues and reduce intestinal movement.” These issues can become more serious if left untreated, state doctors.

Dr Richa Lal explains, “The infection and inflammation due to the immune response in COVID-19 patients tend to cause an imbalance in the intestinal flora or helpful bacteria present in our intestines. This is further aggravated due to the medications, especially the antivirals, steroids, etc. given as part of the treatment process. This imbalance tends to persist even after the virus is cleared out from the body. There are various factors like age, diet, environment and genetics that act as key drivers in shaping gut microbiota, which can influence immunity and that’s why gut bacteria plays an important role in overall health and wellness.”

TIPS TO IMPROVE YOUR GUT HEALTH

Experts say that following a healthy diet and taking precautions are vital for recovery. Special care must be taken to avoid oily and excessively spicy food. Doctors state that it is important to control sugar intake and try not to order food from outside very often. Clinical nutritionist Rasika Parab, Dr Patel and Dr Lal share the following points that every patient who recovers from COVID-19 should keep in mind...

* Maintain a healthy and nutritious diet. A diet rich in Omega-3 fatty acids not only helps to improve immune health
but also has an anti-inflammatory property that aids in post-COVID recovery. Flax seeds, almonds, walnuts, chia seeds, and seafood are good sources of Omega-3 fatty acids.

* Nuts and seafood are good sources of zinc and selenium that have been effective for post-COVID recovery.

* Ensure adequate intake of protein for a speedy recovery. Including milk, milk products, dal, pulses, legumes, soya and soya products, chicken, fish and eggs in the diet will be helpful.

* You should be extra cautious about the quantity of salt and sugar in your daily meals. Many researchers suggest that excessive consumption of salt and sugar impairs our immune response, and hence, increases the risk of infections.

* Ensure you incorporate adequate fiber in the diet.

* Eat on time and avoid late-night meals.

* Try to avoid overeating and excessive snacking, and refrain from smoking and consuming alcohol.

* Include salads, fruits and curd in the diet regularly.

* Practice mindful eating. Have small meals at frequent intervals.

* The intake of supplements and immune booster medicines should be in control.

* Probiotics and vitamin supplements should be taken as prescribed by a doctor.

* Do not self-medicate as there can be various interactions between different medicines.

* Stay hydrated and drink at least two to three litres of water daily. This aids in the absorption of nutrients, helping you maintain good gut health.

* Avoid spicy and fatty food as that might adversely affect the digestive process in many ways.

* Go for freshly prepared meals. Avoid junk food or canned and processed meals.

* Ensure timely consultations with your doctor to maintain good health, especially in the case of any pre-existing health conditions like diabetes, hypertension, heart diseases, etc.

* Keep stress under control with yoga, meditation and physical exercises.

Watch out for these symptoms:

* Acid reflux, especially when you consume unhealthy food
* Loss of appetite or increased appetite
* Abdominal bloating
* Upper abdominal pain
* Constipation
* Diarrhea
* Vomiting
* GI bleeding
* Intestinal inflammation

HOW PROBIOTICS HELP

Including prebiotics and probiotics in daily meals help to keep the gut healthy. Probiotics are good bacteria that improve gut health by boosting immunity and enhancing nutrient absorption. Rasika adds, “Curd or yogurt is the best-known probiotic. Prebiotics are the complex carbohydrates which are not digested by our body, and they promote the growth of good bacteria inside the gut. This again promotes the digestion of the food that we eat. Prebiotics are present in fruits, vegetables and whole grains like oats, jowar, etc. Eating adequate amounts of prebiotics and probiotics keeps us away from acidity and other digestion-related problems.”
 

Heliobas Disciple

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Won't let me copy it:


Here you go:


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A new Covid variant known as XBB.1.5 that can evade vaccines is spreading throughout the United Kingdom – UKNIP
January 3, 2023

In the last week, the highly infectious strain has spread throughout the United States, accounting for four out of every ten cases.

According to the Mail Online, it is a variant of Omicron that can infect people even if they have received the Covid vaccine.

While many public health experts are concerned about the rising number of COVID cases in China, infectious disease experts are increasingly concerned about the XBB.1.5 variant.

One in every 25 cases of Covid in the UK is now thought to be caused by the XBB.

“Ironically, the worst variant that the world is currently facing is actually XBB,” said Dr. Michael Osterholm, an infectious disease expert at the University of Minnesota.

Osterholm added that seven of the ten U.S. states where cases and hospitalisations are increasing are in the Northeast, which is also experiencing an increase in XBB cases.

Experts in infectious disease have become increasingly concerned about the XBB.1.5 variant.

Recombinants of the BA.2 variant, XBB and XBB.1.5, accounted for 44.1% of all cases in the country during the last week of December. XBB.1.5 accounted for 21.7 percent of all cases.

Experts believe the new strain does not cause more severe illness.

The chairman of the Commons Health and Social Care Committee defended the Government’s decision to require Chinese visitors to produce a negative Covid test before flying to the UK earlier this week.

The announcement on Friday brings the UK in line with a growing number of countries imposing new controls as Beijing reopens its borders, including the US, Italy, India, and Japan.

According to some scientists, such measures are unlikely to prevent new variants from entering the UK.
 

Heliobas Disciple

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EU, Beijing heading for collision over China’s COVID crisis
By RAF CASERT
Jan 3 2023

BRUSSELS (AP) — The European Union and China on Tuesday moved closer to a political standoff over the COVID-19 crisis, with Beijing vehemently rejecting travel restrictions some EU nations have started to impose that could be expanded in coming days.

An EU offer of help, including vaccine donations, was also as good as slapped down, with Beijing insisting the situation was “under control” and medical provisions “in adequate supply,” government spokesperson Mao Ning said.

And as the 27-nation bloc moved closer to imposing some sort of restrictions on travelers from China, Beijing threatened countermeasures.

“We are firmly opposed to attempts to manipulate the COVID measures for political purposes and will take countermeasures based on the principle of reciprocity,” Mao said.

Still, the EU seemed bent on taking some sort of joint action to ensure incoming passengers from China would not transmit any potential new variants to the continent.

A special EU health security committee joining representatives from the EU member nations discussed potential measures Tuesday, and EU spokesman Tim McPhie said that “the overwhelming majority of countries are in favor of pre-departure testing” in China.

Sweden, which holds the EU presidency, also said in a statement that “travelers from China need to be prepared for decisions being taken at short notice.”

Fearful of being caught unawares like at the outset of the global pandemic in early 2020, the EU Integrated Political Crisis Response group is now set on Wednesday to decide whether to impose EU-wide entry requirements from China.

Several member nations announced individual efforts over the past week. At the same time, the EU’s European Centre for Disease Prevention and Control insisted that the situation in China didn’t pose an immediate overall health threat.

“The variants circulating in China are already circulating in the EU, and as such are not challenging for the immune response” of EU citizens, it said in its latest impact study published Tuesday. Other scientists have also said limits on travel would have little impact on containing the disease, but they also insisted on the value of looking for potential variants not in Europe at the moment.

Over the past week, EU nations reacted in a chaotic cascade of national measures to the crisis in China, disregarding an earlier commitment to act in unity before anything else.

Italy was the first EU member in requiring coronavirus tests for airline passengers coming from China, but several others have said such measures might not be the best option to protect local populations since new variants now coming from China have already been around in Europe, often for many months.

France, Spain and Italy have already announced independent measures to implement tougher COVID-19 rules for passengers arriving from China.

France’s government is requiring negative tests, and is urging French citizens to avoid nonessential travel to China. France is also reintroducing mask requirements on flights from China to France.

Spain’s government said it would require all air passengers coming from China to have negative tests or proof of vaccination.

The United States has announced new testing requirements for all travelers from China, joining some Asian nations that had imposed restrictions because of a surge of infections.

White House press secretary Karine Jean-Pierre said Tuesday that “there’s no cause for retaliation” by Beijing for countries “taking prudent health measures to protect their citizens” with COVID related travel restrictions on travelers coming from China. She said restrictions were “based on public health and science.”
 

Heliobas Disciple

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Most EU countries back COVID pre-departure testing for flights from China
by Jan Strupczewski and Benoit Van Overstraeten
Tue, January 3, 2023, 12:20 PM

BRUSSELS (Reuters) -Most European Union countries favour introducing pre-departure COVID testing for travellers from China, the European Commission said on Tuesday, as Beijing plans to lift travel restrictions on its citizens despite a wave of COVID infections.

The common EU approach emerged after a meeting on Tuesday of the Health Security Committee, an EU advisory body of national health experts from the EU-s 27 countries and chaired by the Commission.

"The overwhelming majority of countries are in favour of pre-departure testing," a Commission spokesman said.

"These measures would need to be targeted at the most appropriate flights and airports and carried out in a coordinated way to ensure their effectiveness," he said.

The Commission on Tuesday prepared a draft proposal for the talks, which included a recommendation for mask wearing on flights from China, wastewater monitoring for aircraft arriving from China, genomic surveillance at airports and increased monitoring and sequencing and increased EU vigilance on testing and vaccination.

"This will now be revised and adopted based on the input of (EU) Member States," the Commission spokesman said, adding more talks on the measures would take place at another meeting of EU health officials on Wednesday afternoon.

The spokesman said all EU countries agreed they needed a coordinated approach to the changing situation in China and to deal with implications of increased travel from China to Europe after China lifts its stringent pandemic polices on Jan 8th.

The European Centre for Disease Prevention and Control said last week it did not currently recommend measures on travellers from China.

It said the variants circulating in China were already in the European Union, that EU citizens had relatively high vaccination levels and the potential for imported infections was low compared to daily infections in the EU, with healthcare systems currently coping.
 

Heliobas Disciple

TB Fanatic
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Morocco Bans All Arrivals From China Until Further Notice Amid Soaring COVID Cases
by Tyler Durden
Tuesday, Jan 03, 2023 - 02:45 AM

Authored by Aldgra Fredly via The Epoch Times

Morocco has imposed an entry ban on all travelers from China due to the soaring COVID-19 infection rate in the country following Beijing’s abrupt u-turn on its strict zero-COVID policy.

Morocco’s Foreign Affairs Ministry said in a statement that the entry ban would apply to all arrivals from China, regardless of their nationality, and will take effect from Jan. 3 until further notice.

“This exceptional measure in no way affects the sincere friendship between the two peoples nor the strategic partnership between the two countries to which the Kingdom remains firmly attached,” the ministry said.

The ban aims to prevent a new wave of contamination in the country, it stated, adding that Morocco “closely followed” the virus situation in China through regular and direct contact with the Chinese side.

Morocco also extended its state of emergency until Jan. 31 to allow local authorities to impose measures to tackle the virus spread. The African nation has continued to renew its state of emergency since adopting it in March 2020.

Morocco became the first nation to ban arrivals from China after the Chinese Communist Party (CCP) lifted its zero-COVID policy last month.

Other countries, including the United States, Australia, Canada, Japan, South Korea, and Malaysia, have only imposed entry curbs on travelers arriving from China, such as requiring them to take COVID-19 tests before departure.

The Centers for Disease Control and Prevention (CDC) on Dec. 28 mandated COVID testing for all visitors flying from China to the United States, citing the Chinese regime’s failure to provide “adequate and transparent epidemiological and viral genomic sequence data.”

The United States was among the first nations to bar entry of foreign nationals from China under the former Trump administration in January 2020 when the novel coronavirus began to emerge from China.

China’s COVID-19 Outbreak


The CCP abruptly eased its strict COVID-19 restrictions in December after historic discontent over the draconian curbs. But without adequate planning and measures for a graduated retreat from the policy, the health system was left ill-equipped for a rapid rise in cases among a population that had little natural immunity to the virus.

Frontline services in China quickly became overcrowded, pharmacy shelves stripped bare, and hospitals stretched. Law enforcement facilities and judiciary shuttered.

As many as 37 million people per day were estimated to be contracting the virus in China, according to leaked minutes from a meeting of the country’s top health body confirmed by multiple news outlets.

The cumulative number of infections in the first 20 days of December likely reached 248 million—nearly 18 percent of the population—officials said during the National Health Commission’s internal meeting on Dec. 21, only 13 days after the regime rolled back some of its toughest anti-COVID measures.

The figure is exponentially higher than the regime’s official virus tally, and if accurate, it would mean that China’s outbreak is the largest in the world.
 

Heliobas Disciple

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Beijing threatens response to ‘unacceptable’ virus measures
By KEN MORITSUGU
Jan 4 2023

BEIJING (AP) — The Chinese government sharply criticized COVID-19 testing requirements imposed on visitors from China and threatened countermeasures against countries involved, which include the U.S. and several European nations.

“We believe that the entry restrictions adopted by some countries targeting China lack scientific basis, and some excessive practices are even more unacceptable,” Foreign Ministry spokesperson Mao Ning said at a daily briefing Tuesday.

“We are firmly opposed to attempts to manipulate the COVID measures for political purposes and will take countermeasures based on the principle of reciprocity,” she said. Mao did not specify what steps China might take.

The comments were China’s sharpest to date on the issue. Australia and Canada this week joined a growing list of countries requiring travelers from China to take a COVID-19 test prior to boarding their flight, as China battles a nationwide outbreak of the coronavirus after abruptly easing restrictions that were in place for much of the pandemic.

Other countries including the U.S., India, Japan, South Korea and several European nations have announced tougher COVID-19 measures on travelers from China amid concerns over a lack of data on infections in China and fears that new variants may emerge.

China has had some of the toughest entry requirements for people arriving from abroad. It is about to drop a mandatory five-day quarantine for all arrivals but will still require a negative COVID-19 test within 48 hours of the flight.

White House press secretary Karine Jean-Pierre said “there’s no cause for retaliation” by Beijing for countries “taking prudent health measures to protect their citizens” with COVID-related restrictions on travelers coming from China. She added that restrictions were “based on public health and science.”

“This is something that all of us, (and) other countries are doing to make sure that we are protecting our citizens here,” Jean-Pierre said.

French Prime Minister Elisabeth Borne defended the tests. Starting Wednesday, anyone flying from China to France will have to present a negative virus test taken within the previous 48 hours and be subject to random testing on arrival.

“We are in our role, my government is in its role, protecting the French,” Borne said Tuesday on France-Info radio.

The U.K. will require that passengers from China take a COVID test before boarding the plane from Thursday. Transport Secretary Mark Harper said the requirement is for “collecting information” because Beijing isn’t sharing coronavirus data.

Health officials will test a sample of passengers when they arrive in the U.K., but no quarantine is required for those who test positive, he said.

“The policy for arrivals from China is primarily about collecting information that the Chinese government is not sharing with the international community,” Harper told the LBC radio station on Tuesday.

Sweden’s Public Health Agency said Tuesday that it had urged the government to require travelers from China to present a recent negative COVID-19 test.

The statement from the agency comes as Sweden, which has taken over EU’s rotating presidency, has called a meeting of the EU’s crisis management mechanism for Wednesday to try to agree on a common European line.

The Swedish government “is preparing to be able to introduce travel restrictions. At the same time, we are conducting a dialogue with our European colleagues to get the same rules as possible in the EU,” Justice Minister Gunnar Strömmer said in a statement.

Austria, too, plans to test the wastewater of all planes arriving from China for new variants of the coronavirus, the Austria Press Agency reported Tuesday, following a similar announcement by Belgium a day earlier.

Chinese health officials said last week that they had submitted data to GISAID, a global platform for sharing coronavirus data.

The versions of the virus fueling infections in China “closely resemble” those that have been seen in different parts of the world between July and December, GISAID said Monday.

Dr. Gagandeep Kang, who studies viruses in the Christian Medical College of Vellore in India, said that the information from China, albeit limited, seemed to suggest that “the pattern was holding” and that there wasn’t any sign of a worrisome variant emerging.

Mi Feng, the spokesperson for China’s National Health Commission, said authorities have been open and transparent since the start of the pandemic three years ago. China held technical exchange meetings twice with the WHO last month on the overall situation, medical treatment, vaccination and other issues, he said Tuesday.

A senior Hong Kong official also criticized the steps taken by some other countries. Some have applied the requirements to passengers from Hong Kong and Macao, both semiautonomous Chinese territories, as well as mainland China.

Hong Kong Chief Secretary Eric Chan said in a Facebook post that the government had written to various consulates on Monday to express its concerns over the “unnecessary and inappropriate” rules.

Some experts have questioned the effectiveness of the testing. Kerry Bowman, assistant professor at the University of Toronto’s Temerty Faculty of Medicine, said that people can test positive long after entering the country.

The requirement is “not based on science at this point,” he said after Canada announced measures last weekend.

China, which for most of the pandemic adopted a “zero-COVID” strategy that imposed harsh restrictions aimed at stamping out the virus, abruptly eased those measures in December.

Chinese authorities previously said that from Jan. 8, overseas travelers would no longer need to quarantine upon arriving in China, paving the way for Chinese residents to travel.
 

Heliobas Disciple

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New Zealand won't require Chinese arrivals to show COVID-19 test

Lucy Craymer
Tue, January 3, 2023, 10:47 PM EST

WELLINGTON (Reuters) - The New Zealand government said on Wednesday it would not require travellers from China to produce a negative COVID-19 test, bucking a trend that has seen a number of nations implement such measures as cases surge in China.

New Zealand's COVID-19 minister, Ayesha Verrall, said in a statement that a public health risk assessment had concluded visitors from China would not contribute significantly to the number of cases in the country.

"There is minimal public health risk to New Zealand," she said.

A number of countries including Britain, the United States and Australia have demanded that travellers from China produce a negative COVID-19 test over concerns about the scale of the country's outbreak and scepticism over Beijing's health statistics. The move has been criticised by Chinese state-media as discrimatory.

Infections in China have spiked after the country dropped its strict zero-cases policy on Dec 7, allowing the virus to spread.

All international arrivals in New Zealand are asked to test if they become symptomatic and the country provides free tests at the airport.

Officials will be asking some travellers from China to do voluntary tests to gather more information, which Verrall said reflected New Zealand's concern alongside that of the World Health Organization about China's lack of information sharing.

New Zealand is also planning to trial testing waste water on international flights to see if this can replace targetted and voluntary testing of individuals.
 

Heliobas Disciple

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Accounts of ‘White Lung’ Flood Chinese Social Media Amid COVID Spike
By Eva Fu
January 3, 2023

When the father of Fan Deng, a prominent former anchor of Chinese state broadcaster CCTV, started dozing off more frequently during the day, the family didn’t worry.

This wasn’t uncommon, after all, for someone in their 80s. The man’s mind was clear and his appetite was as good as ever. But when the family used a pulse oximeter out of caution, they found his blood oxygen level dangerously low at 88 percent, 4 percent below the threshold requiring medical attention. By the time the family got him to the hospital, his blood oxygen levels had plunged to the 60s.

Only after a series of X-ray scans at the hospital did the family realize the gravity of the situation: His lungs appeared mostly white. Healthy lungs, by contrast, would normally appear as dark regions in an X-ray or CT scan.

He died after three nights at the hospital.

Fan shared this account on Chinese social media, which has been flooded with similar stories by family and friends of victims who allegedly presented the same symptoms in their lungs.

“White lung,” once a little-known phrase, has been a top trending word on Chinese social media amid an expansive COVID outbreak sweeping China, before censors swooped in to scrub discussion of the phenomenon. The white patches indicate areas of inflammation, which causes excessive fluid accumulation in the lungs.

The phenomenon has sparked fears that the virus has mutated or that earlier strains of COVID are driving the latest outbreak. The Chinese regime, which has been sharply criticized by the international community for refusing to share data on the outbreak, insists that Omicron is behind the surge, that no new variants have emerged, and no earlier strains have reemerged.

Official Explanation and Concerns

The elderly weren’t the only group who reportedly presented with white lung syndrome. Recent Chinese media reports and social media posts have described patients from as young as 12 years old to some in their 30s.

The death rate is around 40 percent for those with serious cases of a white lung; and even for people who do recover, fibrous scars will likely remain, Zhang Li, deputy director of neurosurgery at the China-Japan Friendship Hospital in Shanghai, told state-run media.

He and multiple other top Chinese experts said that white lung patients—who by their definition have around three-quarters of their lungs showing as white on X-rays—make up only a small portion of COVID patients.

“All serious pneumonia will cause white lungs,” said Zhang Wenhong, director of the infectious diseases department at Huashan Hospital of Fudan University as well as its Chinese Communist Party Party secretary, in an op-ed for Chinese media outlet Caixin.

“Even though the proportion of ‘white lung’ patients is not high, because of the significant cardinal number, the number of ‘white lung’ cases we observe clinically will increase.”

Asked whether Omicron can lead to the syndrome, China’s top health authority, the National Health Commission, didn’t directly answer the question but stressed that white lung has nothing to do with the original COVID variants or inoculation by Chinese vaccines. Rather, many pathogens can lead to such inflammation of the lungs, and “a considerable number” of the patients can return back to health, an official with the commission said at a press conference last week.

The official statements, though, haven’t reassured many Chinese.

An unnamed doctor donning a medical plastic shield over his surgical mask said he diagnosed 120 COVID patients over a span of eight hours, among which, a third were seriously ill and up to 20, around 16 percent, had white lung symptoms.

“The white lungs are not just seen in the elderly,” he said in a video shared on the Chinese microblogging site Weibo, which displays a document listing details of patients affected.

“There are people in their 20s, 40s, and 60s. I’m feeling a little panicky.”

Anecdotes From the Ground


Like the former CCTV anchor’s father, some of these patients exhibited little outward signs such as fever or coughing which is more typical in a COVID infection. Doctors describe this as “silent hypoxia”: a condition where oxygen in the body is alarmingly low.

In recent interviews, people from multiple areas across China said they have seen such cases in those close to them. Most of the interviewees requested anonymity for fear of reprisals.

A blogger in the southwestern megacity of Chongqing mentioned a former schoolmate who developed white lung symptoms while recovering from a mild COVID infection.

“The doctor said it would have been dangerous had they waited a bit longer,” he told The Epoch Times.

Zhang, the Shanghai-based infectious disease expert, said the prime window for treating “serious pneumonia cases” is 72 hours. But for many, this is not possible due to the extreme difficulty in obtaining medical care. Hospitals and health clinics across China have been overwhelmed in the past weeks since the surge in cases.

A white lung patient from Suzhou, a city near Shanghai, said he couldn’t get a hospital placement after being diagnosed with double lung inflammation and viral pneumonia.

“There was no bed,” he told The Epoch Times.

A man from Wuhan, China’s first virus hotspot in 2020, is sick with the virus, along with his wife and mother. His mother fared the worst and was barely eating. After a round of visits to major hospitals that are all packed with the infected, they got her into a small local hospital, where she was given anti-inflammatory drugs for two days.

“The examination shows that she has a lung infection. The doctor didn’t say much, but my hunch is that it’s also a ‘white lung,’” he told The Epoch Times on Dec. 30, 2022.

“Every day, there are deaths in my residential compound, nonstop,” he said, adding that most of them are seniors. “Around me, if one person gets sick in a household, all the rest will become infected. There’s no one spared.” He added that his friend lost his mother two days after chest imaging detected a white lung.

For now, his solution is using immune globulin to treat certain infections, a treatment that has seen its price soar by eightfold in some areas, after some people online credited it for helping to relieve COVID. He has managed to get 10 packs through his connections.

It’s unclear how many such deaths are attributed to COVID. China’s official tally has so far been so low that a leading scientist with the World Health Organization on Jan. 3 called for a “more realistic picture of what is actually going on.”

The regime’s infection numbers, which it has recently stopped publishing on a daily basis, have also drawn widespread skepticism, but health officials have said the infection rate in many large cities has exceeded 50 percent, and may be as high as 80 percent in Beijing. A leaked memo from the National Health Commission revealed that the regime estimated 250 million infections in the first 20 days of December 2022.

A Beijing resident who gave his surname as Wang said he had to book an appointment up to 25 days in advance to cremate his brother, who died three days after being diagnosed with respiratory failure.

He recently visited a friend with white lung symptoms at the hospital and was startled to find a pile of bodies in the hallways.

“They asked me to get out shortly after we started talking, telling me that their wards had to handle the dead. Someone dies there every day,” Wang told The Epoch Times.

“You won’t know anything,” he said. “And they won’t tell you. All they say is there’s lung inflammation.”

Hong Ning and Yi Ru contributed to this report.
 

Heliobas Disciple

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COVID-19 News: Media Now Reporting That XBB.1.5 Is Mild! Focus Should Be Not Be On Variants But To Simply Avoid SARS-CoV-2 Exposure Or Reinfections
Thailand Medical News
Jan 3 2023

We now have media and so called ‘experts’ claiming that the XBB.1.5 variant is mild or that even the BF.7 variant and its various emerging sub-lineages from China are mild and there is no cause for worry.
(Also Google: Experts Urge End To COVID Fear As Gates Swing Open)

Not only are such COVID-19 News coverages and statements misleading and irresponsible, but they can cause the public to let their guard down and stray away from taking the necessary precautions while risking their lives!

To begin with, the masses must first understand that there is at the moment more than 740 SARS-CoV-2 variants, sub-lineages and recombinant variants in circulation globally.







When any of the various variants or sub-lineages affects a human host, so many factors are at play as to what can determine as to whether or not a person will develop disease severity and not just the nature of the variant itself! A person’s age, the state of their immunity system and whether they are immunocompromised in any way, whether they are obese or not, whether they have any existing comorbidities and the current state of their health, their genetic makeup as certain mutated host genes can also be a factor and even their current diets and supplementation or medication regimens.

Furthermore more studies are showing that geolocation factors such as vaccination rates and even ‘geolocation genetic makeups’ plays a role… hence an arising variant that emerged in a particular community or geolocation that shares a particular mutated host gene might for instance might only exhibit mild infections there but should that variant spread in a different country or geolocation that have different genetic makeups, the variant could exhibit disease severity among the population of that new geolocation.


In the last few two years we have been bombarded with words like enhanced transmissibility, growth rate and immune evasiveness by so called ‘experts’, ‘variant trackers’ and ‘virologist’ famous now on twitter and mastodon but who in the first six months of the pandemic made statements that the SARS-CoV-2 virus was not mutating or that even if the virus was mutating, it would die down!

We should take note that increased transmissibility or even increased immune evasiveness has nothing to do with increased pathogenicity, enhanced tropism or increased virulence let alone disease severity as what we have seen with the XBB variant in Singapore.

The degree of transmissibility, infectivity and growth rate might be useful metrics in developing preventive measures and lockdowns etc but unfortunately, we are in a state where no one is bothered with such measures anymore.

The data about immune evasiveness might have been useful in knowing what therapeutic protocols to follow and to assess as to whether reinfections can occur in the vaccinated, boostered or those previously infected but with literally no existing effective monoclonal drugs left and the fact that with no preventive measures in place and reinfections becoming the new norm, all such data is really not useful to the general public.

In some cases, due to much exaggeration by certain researchers from China and some so called independent researchers claiming that increased immune evasiveness might lead to increased disease severity, even we at Thailand Medical News fell for the ‘crap’ and panicked and being what some call us as the “gossip medical news tabloid”, unsuspectingly wrote about the possible catastrophic disaster that the XBB variant could unleash!..we have since learnt our lesson.

That lesson being…..most of these so called virologist, biostatisticians, variant trackers, independent researchers and molecular scientist etc are all no better than gossip mongers themselves! In reality most know less than 3 percent about the SARS-CoV-2 virus or exact details about particular variants and sub-lineages and whatever they claim to know about the specific mutations and the roles these mutations play in pathogenesis etc are simply mere assumptions!

No studies have ever been conducted in detail to fully comprehend the pathogenesis of each variant or sub-lineage so far and to make accurate comparisons.

A recent analyst by a virologist and other contributors online that everyone is sharing, ourselves included, claimed that the F486P mutation found on the XBB.15 variant is what contributed to its enhanced binding capacity to the human ACE2 receptor…increasing its transmissibility while slightly reducing its immune evasiveness. However, the same F486 mutations was found in the XBF variant that was circulating in Australia and it did not seem to enhance its transmissibility that much and the same for other variants that carry the same mutation such as CJ.1, XAY and XBC.


Hence this demonstrates that a lot that what is claimed about mutations and variants are but mere speculations even by the experts.

We are really living in an uncharted territory as far as the SARS-Cov-2 virus is concerned!

What we really have to be more worried about is to ensure that we are not exposed to the SARS-CoV02 virus and do not to get reinfected as Long COVID is a documented health issue and we have seen from numerous peer reviewed studies that irrespective of the variants or sub-lineages, the SARS-CoV-2 virus as a whole can cause long term damage to the immune system, the heart and vascular tissues, the brain and CNS, the kidneys, the male reproductive organs, the liver and also cause damage or dysregulation to numerous cellular pathways and genes.

Viral persistence is also another issue that is being ignored and one thing that many experts have failed to acknowledge is that increased immune evasiveness leads to increased potency for viral persistence!

We should be aware that even mild symptomatic at initial infection can still be a concern as we are unaware of the long-term damages that these variants can cause.

It is shocking that a recent news coverage in its commentary section was glorifying how it is better to get infected now so that one can move on! Getting infected does not guarantee future immunity!

Getting infected with a so-called mild variant provides no future protection and worse could actually cause long term issues.

A recent study showed that the BA.5 variant and its sub-lineages which were deemed as mild by many is actually more neurovirulent!


Till we have detailed studies about the pathogenesis, tropisms and virulence of each variant and sub-lineage, we should stop treating one variant as being particularly dangerous or another as mild, rather we should treat all as being a health hazard and find ways to either avoid getting infected or having proper treatments protocols and drugs that can effectively lead to total viral clearance.

Read Also:
 

Heliobas Disciple

TB Fanatic
(fair use applies)


COVID-19 News: Yale Study Shows That Omicron Subvariants Are Evolving Further Through Mutations On ORF8 Proteins To Escape From MHC-I Recognition
Thailand Medical News
Jan 3 2023

COVID-19 News: Yale Study Shows That Omicron Subvariants Are Evolving Further Through Mutations On ORF8 Proteins To Escape From MHC-I Recognition

A new study conducted by researchers from the Department of Immunobiology and the Department of Molecular Cellular and Developmental Biology at Yale School of Medicine-USA has found that the Omicron subvariants are evolving to further escape the human host immune system by sprouting new mutations on the ORF8 proteins to help the virus escape from MHC-1 recognition.

Various past COVID-19 News coverages have shown that SARS-CoV-2 variants of concern (VOCs) possess mutations that confer resistance to neutralizing antibodies within the Spike protein and are associated with breakthrough infection and reinfection.

CD8+ T cell-mediated elimination of infected cells plays an important role in the antiviral adaptive immune response.

While it is known that numerous pathogenic viruses have developed strategies to evade host CD8+ T cell-mediated clearance not much is known about the escape from CD8+ T cell-mediated immunity by SARS-CoV-2 VOCs.

The study team demonstrated that all SARS-CoV-2 VOCs possess the ability to suppress MHC I expression.

The study team identified several viral genes that contribute to the suppression of MHC I expression. Notably, MHC-I upregulation was strongly inhibited after SARS-CoV-2 infection in vivo.

Although earlier VOCs possess similar capacity as the ancestral strain to suppress MHC I, Omicron subvariants exhibit a greater ability to suppress surface MHC-I expressions.

The study findings suggest that, in addition to escape from neutralizing antibodies, the success of Omicron subvariants to cause breakthrough infection and reinfection may in part be due to its optimized evasion from CD 8 T cell recognition.

The study findings were published on a preprint server and are currently being peer reviewed.


Increasing breakthrough infection and reinfection events are associated with the emergence of various new Omicron variants and sub-lineages. Breakthrough infections and reinfections are likely driven by significant increases in transmissibility, evasion from innate immunity, and escape from neutralization by vaccine/infection-induced antibodies.

It has been noted that the outstanding features of the Omicron variant are the considerably enhanced escape from the antibody neutralization and increased infectivity than the earlier VOCs, due to its heavily mutated Spike protein.

Though the Omicron variant and its subvariants harbor a far greater number of mutations in its genome compared to those in previous VOCs, T cell epitopes remain generally intact.


Typically, the CD8+ cytotoxic T lymphocyte (CTL) recognizes and kills infected cells and eliminates the source of replicating viruses. Antigen presentation by major histocompatibility complex class I (MHC-I) is a critical step for the activation of antigen-specific CD8+ T c ells and the subsequent killing of infected cells. Viral peptides processed by the cellular proteasome complex are loaded on MHC-I molecule in the endoplasmic reticulum and translocate to the cell surface to be recognized by antigen-specific CD8+ T cells. To successfully establish infection and replicate in the host, many viruses have acquired the ability to inhibit MHC-I processing and presentation of viral antigens.

Similarly, the SARS-CoV-2 virus utilizes its viral proteins to interfere with the MHC-I pathway.

SARS-CoV-2 ORF8 protein induces autophagic degradation of MHC-I and confers resistance to CTL surveillance.


Research from the first 3 months of the pandemic showed a rapid evolution of the SARS-CoV-2 ORF8 gene including isolates with 382nt deletion spanning ORF7b-ORF8 gene region, which is associated with robust T cell response and milder clinical outcome.





All these previous findings collectively raised a question of whether Omicron and its ORF8 protein have evolved to further enhance the ability to shut down MHC-I, thereby evading from antigen-specific memory CD8+ T cells established by previous infection or vaccination.

The study team performed a systematic analysis of the capacity of SARS-CoV-2variants to downregulate MHC-I presentation. Our data demonstrated vigorous suppression of MHC-I surface expression by the ancestral SARS-CoV-2 and minimal evolution in modulating MHC-I pathway by earlier VOCs.

The findings remarkably showed that the latest Omicron subvariants have acquired an enhanced ability in modulating MHC-I pathway.

The study uncovered the intrinsically potent ability of SARS-CoV-2 to shut down the host MHC-I system by using live, authentic SARS-CoV-2 variants as well as the functional analysis of variant-specific mutations in ORF8 gene, a key viral protein for both MHC-I evasion and adaptation to the host.

The study further identified multiple other viral genes that confer redundant function in MHC I suppression.

The study team showed that respiratory epithelial cells infected in vivo with SARS-CoV-2 failed to upregulate MHC-I, whereas those infected with influenza virus robustly elevated MHC-I expression.

Importantly the study findings revealed that the most recent Omicron subvariants have superior capacity to suppress MHC-I compared to the earlier isolates.

The study findings demonstrated that most variants of concern/interest possess unique mutations within ORF8 gene. However, none of these ORF8 mutations led to further reduction of MHC-I in cells expressing these molecules. Notably, the Omicron variant and its descendants lacked in non-synonymous mutations in their ORF8 gene, indicating that the mechanisms for superior MHC-I suppression by the Omicron sub-lineages must be located outside the ORF8 protein.

The study data showed that the ORF8 mutation in the B.1.1.7/Alpha lineage abrogated its function in MHC I modulation. Given the truncation mutation likely rendering ORF8 in the Alpha variant non-functional, this raises a question as to how such mutations might be tolerated.

Multiple functions beyond MHC-I downregulation are documented for SARS-CoV-2 ORF8, which include inhibition of type I IFN, ISGs, or NF-kB signaling, epigenetic modulation through histone mimicry and induction of proinflammatory cytokines from macrophages and monocytes via IL-17RA.

Numerous studies interestingly showed that SARS-CoV-2 ORF8 is actively secreted into the cell culture media in a signal peptide-dependent manner when it is overexpressed in vitro.




Also, ORF8 peptides and anti-ORF8 antibodies can be detected abundantly in serum of patients, suggesting the relevance of the active secretion of ORF8 to actual infection in humans.


The Alpha variant likely acquired compensatory mechanisms that enabled its successful transmission until the next variant came along. ORF8 is implicated in adaptation to the human host during the SARS-CoV outbreak and it is known that ORF8 is the hypervariable genomic region among the SARS-CoV and bat SARS related coronaviruses.

Studies from early in the COVID-19 pandemic observed the variability and rapid evolution of SARS-CoV-2 ORF8 gene. Notably, SARS-CoV-2 isolates with 382nt deletion spanning ORF7b-ORF8 gene region were observed in Singapore which correlated with robust T cell response and mild clinical outcome.

Hence, mutations in ORF8 gene may play a key role in modulating viral pathogenesis and adaptation to the host by regulating MHC-I levels and ISGs.

The enhanced immune evasion by VOCs has been well documented for escape from neutralizing antibodies and from innate immune responses.

The study findings demonstrated that the ability to reduce MHC-I expression remained unchanged throughout the pre-Omicron VOC evolution.

These study findings suggested three important perspectives on the MHC-I evasion strategy of SARSCoV-2:

1) SARS-CoV-2 utilizes multiple redundant strategies to suppress MHC-I expression. For example, considering B.1.1.7 retained an intact ability to shut down MHC-I, the impaired MHC-I evasion by B.1.1.7 ORF8 is likely compensated by the redundant and/or compensatory functions of other viral proteins including E, M, and ORF7a. In addition, B.1.1.7 lineage has been shown to express an increased sub-genomic RNA and protein abundance of ORF6, which suppresses MHC-I at the transcriptional level by interfering with STAT1- IRF1-NLRC5 axis. The multi-tiered MHC-I evasion mechanisms thus work redundantly to ensure escape from CTL killing.

2) MHC-I downregulation may not only impair CTL recognition of infected cells for killing but may also impair priming of CD8 T cells. Indeed, the frequency of circulating SARS-CoV-2 specific memory CD8+ T cells in SARS-CoV-2 infected individuals are ~10 fold lower than for influenza or Epstein-Barr virus-specific T cell populations, which indicates the suboptimal induction of memory CD8+ T cells following SARS-CoV-2 infection in human.

3) Given that the variants of concern had not further evolved to downregulate MHC-I more strongly than the original strain except for the Omicron subvariants, SARS-CoV-2 ancestral virus was already fully equipped to escape from CD8+ T cell-mediated immunity with respect to downregulation of MHC-I expression and is under less evolutionary pressure to further optimize the evasion strategy than those from type I IFNs or antibodies.

However, mutations and evasion from particular HLA-restricted CTL epitopes have been observed in circulating SARS-CoV-2 and VOCs.

Genome-wide screening of epitopes suggested the CD8+ T and CD4+ T cell epitopes are broadly distributed throughout SARS-CoV-2 genome, and the estimated numbers of epitopes per individual are at least 17 for CD8+ T and 19 for CD4+ T cells, respectively, and thus functional T cell evasion by VOCs is very limited.

This implies that MHC-I downregulation may be a more efficient way for viruses to avoid CTL surveillance than introducing mutations in epitopes.

The importance of MHC-I evasion by SARS-CoV-2 is also highlighted by the fact that no genetic mutations or variations in the MHC-I pathway has thus far been identified as a risk factor for severe COVID, unlike innate immune pathways involving TLRs and type I IFNs.

SARS-CoV-2 infection in both human and preclinical models have shown to induce antigen-specific CD8+ T cell responses and the early CTL response correlated with a milder disease outcome in human.




Adoptive transfer of serum or IgG from convalescent animals alone, however, is enough to reduce viral load in recipients after SARS-CoV-2 challenge in mice and nonhuman primates and neutralizing antibody is shown to be a strong correlate of protection.

The protective roles of CD8+ T cell-mediated immunity appear to be more important in the absence of the optimal humoral responses/neutralizing antibody.



Blood anti-ORF8 antibodies can be used as the highly sensitive clinical marker for SARS-CoV-2 infection early (~14 days) after symptom onset, which suggests the role of ORF8 in the very early stage of the disease.



Hence, ORF8-mediated MHC-I downregulation can therefore precede antigen presentation and hinder priming of viral antigen-specific CD8+ T cell immune responses.

Robust MHC-I shutdown by SARS-CoV-2 may explain in part the less effective protection by CD8+ T cells and the less impact of CD8+ T cell absence compared with humoral immunity.

The study findings shed light on the intrinsically potent ability of SARSCoV-2 to avoid the MHC-I mediated antigen presentation to CD8+ T cells. Importantly, the study findings showed a complete inhibition of MHC-I upregulation in lung epithelial cells infected with SARS-CoV-2 at the early stage of infection in a mouse model. Since the ability of ORF8 to downregulate MHC-I is a newly acquired feature in SARS-CoV-2 ORF8 and is absent in SARS-CoV ORF8, it is possible that ORF8 played a role in the efficient replication and transmission of SARS-CoV-2 in human and contributed to its pandemic potential.

The study findings provide insights into SARS-CoV-2 pathogenesis and evolution and predicts difficulty for CD8 T cell-based therapeutic approaches to COVID-19.
 

rob0126

Veteran Member
(fair use applies)


COVID-19 News: Yale Study Shows That Omicron Subvariants Are Evolving Further Through Mutations On ORF8 Proteins To Escape From MHC-I Recognition
Thailand Medical News
Jan 3 2023

COVID-19 News: Yale Study Shows That Omicron Subvariants Are Evolving Further Through Mutations On ORF8 Proteins To Escape From MHC-I Recognition

A new study conducted by researchers from the Department of Immunobiology and the Department of Molecular Cellular and Developmental Biology at Yale School of Medicine-USA has found that the Omicron subvariants are evolving to further escape the human host immune system by sprouting new mutations on the ORF8 proteins to help the virus escape from MHC-1 recognition.

Various past COVID-19 News coverages have shown that SARS-CoV-2 variants of concern (VOCs) possess mutations that confer resistance to neutralizing antibodies within the Spike protein and are associated with breakthrough infection and reinfection.

CD8+ T cell-mediated elimination of infected cells plays an important role in the antiviral adaptive immune response.

While it is known that numerous pathogenic viruses have developed strategies to evade host CD8+ T cell-mediated clearance not much is known about the escape from CD8+ T cell-mediated immunity by SARS-CoV-2 VOCs.

The study team demonstrated that all SARS-CoV-2 VOCs possess the ability to suppress MHC I expression.

The study team identified several viral genes that contribute to the suppression of MHC I expression. Notably, MHC-I upregulation was strongly inhibited after SARS-CoV-2 infection in vivo.

Although earlier VOCs possess similar capacity as the ancestral strain to suppress MHC I, Omicron subvariants exhibit a greater ability to suppress surface MHC-I expressions.

The study findings suggest that, in addition to escape from neutralizing antibodies, the success of Omicron subvariants to cause breakthrough infection and reinfection may in part be due to its optimized evasion from CD 8 T cell recognition.

The study findings were published on a preprint server and are currently being peer reviewed.


Increasing breakthrough infection and reinfection events are associated with the emergence of various new Omicron variants and sub-lineages. Breakthrough infections and reinfections are likely driven by significant increases in transmissibility, evasion from innate immunity, and escape from neutralization by vaccine/infection-induced antibodies.

It has been noted that the outstanding features of the Omicron variant are the considerably enhanced escape from the antibody neutralization and increased infectivity than the earlier VOCs, due to its heavily mutated Spike protein.

Though the Omicron variant and its subvariants harbor a far greater number of mutations in its genome compared to those in previous VOCs, T cell epitopes remain generally intact.


Typically, the CD8+ cytotoxic T lymphocyte (CTL) recognizes and kills infected cells and eliminates the source of replicating viruses. Antigen presentation by major histocompatibility complex class I (MHC-I) is a critical step for the activation of antigen-specific CD8+ T c ells and the subsequent killing of infected cells. Viral peptides processed by the cellular proteasome complex are loaded on MHC-I molecule in the endoplasmic reticulum and translocate to the cell surface to be recognized by antigen-specific CD8+ T cells. To successfully establish infection and replicate in the host, many viruses have acquired the ability to inhibit MHC-I processing and presentation of viral antigens.

Similarly, the SARS-CoV-2 virus utilizes its viral proteins to interfere with the MHC-I pathway.

SARS-CoV-2 ORF8 protein induces autophagic degradation of MHC-I and confers resistance to CTL surveillance.


Research from the first 3 months of the pandemic showed a rapid evolution of the SARS-CoV-2 ORF8 gene including isolates with 382nt deletion spanning ORF7b-ORF8 gene region, which is associated with robust T cell response and milder clinical outcome.





All these previous findings collectively raised a question of whether Omicron and its ORF8 protein have evolved to further enhance the ability to shut down MHC-I, thereby evading from antigen-specific memory CD8+ T cells established by previous infection or vaccination.

The study team performed a systematic analysis of the capacity of SARS-CoV-2variants to downregulate MHC-I presentation. Our data demonstrated vigorous suppression of MHC-I surface expression by the ancestral SARS-CoV-2 and minimal evolution in modulating MHC-I pathway by earlier VOCs.

The findings remarkably showed that the latest Omicron subvariants have acquired an enhanced ability in modulating MHC-I pathway.

The study uncovered the intrinsically potent ability of SARS-CoV-2 to shut down the host MHC-I system by using live, authentic SARS-CoV-2 variants as well as the functional analysis of variant-specific mutations in ORF8 gene, a key viral protein for both MHC-I evasion and adaptation to the host.

The study further identified multiple other viral genes that confer redundant function in MHC I suppression.

The study team showed that respiratory epithelial cells infected in vivo with SARS-CoV-2 failed to upregulate MHC-I, whereas those infected with influenza virus robustly elevated MHC-I expression.

Importantly the study findings revealed that the most recent Omicron subvariants have superior capacity to suppress MHC-I compared to the earlier isolates.

The study findings demonstrated that most variants of concern/interest possess unique mutations within ORF8 gene. However, none of these ORF8 mutations led to further reduction of MHC-I in cells expressing these molecules. Notably, the Omicron variant and its descendants lacked in non-synonymous mutations in their ORF8 gene, indicating that the mechanisms for superior MHC-I suppression by the Omicron sub-lineages must be located outside the ORF8 protein.

The study data showed that the ORF8 mutation in the B.1.1.7/Alpha lineage abrogated its function in MHC I modulation. Given the truncation mutation likely rendering ORF8 in the Alpha variant non-functional, this raises a question as to how such mutations might be tolerated.

Multiple functions beyond MHC-I downregulation are documented for SARS-CoV-2 ORF8, which include inhibition of type I IFN, ISGs, or NF-kB signaling, epigenetic modulation through histone mimicry and induction of proinflammatory cytokines from macrophages and monocytes via IL-17RA.

Numerous studies interestingly showed that SARS-CoV-2 ORF8 is actively secreted into the cell culture media in a signal peptide-dependent manner when it is overexpressed in vitro.




Also, ORF8 peptides and anti-ORF8 antibodies can be detected abundantly in serum of patients, suggesting the relevance of the active secretion of ORF8 to actual infection in humans.


The Alpha variant likely acquired compensatory mechanisms that enabled its successful transmission until the next variant came along. ORF8 is implicated in adaptation to the human host during the SARS-CoV outbreak and it is known that ORF8 is the hypervariable genomic region among the SARS-CoV and bat SARS related coronaviruses.

Studies from early in the COVID-19 pandemic observed the variability and rapid evolution of SARS-CoV-2 ORF8 gene. Notably, SARS-CoV-2 isolates with 382nt deletion spanning ORF7b-ORF8 gene region were observed in Singapore which correlated with robust T cell response and mild clinical outcome.

Hence, mutations in ORF8 gene may play a key role in modulating viral pathogenesis and adaptation to the host by regulating MHC-I levels and ISGs.

The enhanced immune evasion by VOCs has been well documented for escape from neutralizing antibodies and from innate immune responses.

The study findings demonstrated that the ability to reduce MHC-I expression remained unchanged throughout the pre-Omicron VOC evolution.

These study findings suggested three important perspectives on the MHC-I evasion strategy of SARSCoV-2:

1) SARS-CoV-2 utilizes multiple redundant strategies to suppress MHC-I expression. For example, considering B.1.1.7 retained an intact ability to shut down MHC-I, the impaired MHC-I evasion by B.1.1.7 ORF8 is likely compensated by the redundant and/or compensatory functions of other viral proteins including E, M, and ORF7a. In addition, B.1.1.7 lineage has been shown to express an increased sub-genomic RNA and protein abundance of ORF6, which suppresses MHC-I at the transcriptional level by interfering with STAT1- IRF1-NLRC5 axis. The multi-tiered MHC-I evasion mechanisms thus work redundantly to ensure escape from CTL killing.

2) MHC-I downregulation may not only impair CTL recognition of infected cells for killing but may also impair priming of CD8 T cells. Indeed, the frequency of circulating SARS-CoV-2 specific memory CD8+ T cells in SARS-CoV-2 infected individuals are ~10 fold lower than for influenza or Epstein-Barr virus-specific T cell populations, which indicates the suboptimal induction of memory CD8+ T cells following SARS-CoV-2 infection in human.

3) Given that the variants of concern had not further evolved to downregulate MHC-I more strongly than the original strain except for the Omicron subvariants, SARS-CoV-2 ancestral virus was already fully equipped to escape from CD8+ T cell-mediated immunity with respect to downregulation of MHC-I expression and is under less evolutionary pressure to further optimize the evasion strategy than those from type I IFNs or antibodies.

However, mutations and evasion from particular HLA-restricted CTL epitopes have been observed in circulating SARS-CoV-2 and VOCs.

Genome-wide screening of epitopes suggested the CD8+ T and CD4+ T cell epitopes are broadly distributed throughout SARS-CoV-2 genome, and the estimated numbers of epitopes per individual are at least 17 for CD8+ T and 19 for CD4+ T cells, respectively, and thus functional T cell evasion by VOCs is very limited.

This implies that MHC-I downregulation may be a more efficient way for viruses to avoid CTL surveillance than introducing mutations in epitopes.

The importance of MHC-I evasion by SARS-CoV-2 is also highlighted by the fact that no genetic mutations or variations in the MHC-I pathway has thus far been identified as a risk factor for severe COVID, unlike innate immune pathways involving TLRs and type I IFNs.

SARS-CoV-2 infection in both human and preclinical models have shown to induce antigen-specific CD8+ T cell responses and the early CTL response correlated with a milder disease outcome in human.




Adoptive transfer of serum or IgG from convalescent animals alone, however, is enough to reduce viral load in recipients after SARS-CoV-2 challenge in mice and nonhuman primates and neutralizing antibody is shown to be a strong correlate of protection.

The protective roles of CD8+ T cell-mediated immunity appear to be more important in the absence of the optimal humoral responses/neutralizing antibody.



Blood anti-ORF8 antibodies can be used as the highly sensitive clinical marker for SARS-CoV-2 infection early (~14 days) after symptom onset, which suggests the role of ORF8 in the very early stage of the disease.



Hence, ORF8-mediated MHC-I downregulation can therefore precede antigen presentation and hinder priming of viral antigen-specific CD8+ T cell immune responses.

Robust MHC-I shutdown by SARS-CoV-2 may explain in part the less effective protection by CD8+ T cells and the less impact of CD8+ T cell absence compared with humoral immunity.

The study findings shed light on the intrinsically potent ability of SARSCoV-2 to avoid the MHC-I mediated antigen presentation to CD8+ T cells. Importantly, the study findings showed a complete inhibition of MHC-I upregulation in lung epithelial cells infected with SARS-CoV-2 at the early stage of infection in a mouse model. Since the ability of ORF8 to downregulate MHC-I is a newly acquired feature in SARS-CoV-2 ORF8 and is absent in SARS-CoV ORF8, it is possible that ORF8 played a role in the efficient replication and transmission of SARS-CoV-2 in human and contributed to its pandemic potential.

The study findings provide insights into SARS-CoV-2 pathogenesis and evolution and predicts difficulty for CD8 T cell-based therapeutic approaches to COVID-19.

If I am reading this right, the ability of the variants to evade your immune systems ability to stop them, is horrible.

Personally, I believe everyone who helped to create the bioweapon, are devil possessed.

What rational person would create such an evil thing?
 

Zoner

Veteran Member
If I am reading this right, the ability of the variants to evade your immune systems ability to stop them, is horrible.

Personally, I believe everyone who helped to create the bio-weapon, are devil possessed.

What rational person would create such an evil thing?
Satan is behind all the evil, he "deceives the whole world." -Rev. 12:9
 

ChicagoMan74

ULTRA MAGA
What is the mortality and hospitalization data for XBB.1.5 thus far? And in what kinds of populations?

If its anything like omnicron...then...MEH.
 

ChicagoMan74

ULTRA MAGA
Way worse than omnicron. Go read on Chris Turnbull's twitter feed linked above.
Damn...I can't imagine another round of March 2020 and forward.

I can handle it and I'm blessed to have a job immune to it...but I know a lot of people that simply will not have the mental stamina to handle another round of something like that.

There are some acquaintances of mine that are FIRST NOW "coming back" to "regular" life as it was pre-COVID-19.
 

Zoner

Veteran Member
Damn...I can't imagine another round of March 2020 and forward.

I can handle it and I'm blessed to have a job immune to it...but I know a lot of people that simply will not have the mental stamina to handle another round of something like that.

There are some acquaintances of mine that are FIRST NOW "coming back" to "regular" life as it was pre-COVID-19.
I know right? Folks are tired and weary of it all. I've ordered extra virals vitamins and ivermectin to help them. But it's the mental strain caused by so many things only faith can help imho.
 

Zoner

Veteran Member

momma_soapmaker

Disgusted
Sounds high to me. But it could explain why this variant is exploding on the globe.
If it's truly that high, it will spread through everybody like wildfire. There's very few who haven't had some version of Covid at this point with an R0 WAY lower than that.

I'm waiting to see what the hospitalization and mortality rates are before I bar the door. I sure don't want this crap going through my family again.
 

Displaced hillbilly

Veteran Member
We are in NH. Great. Hubby and I have been not feeling well since Saturday. Started in the bathroom, still queasy, now sneezing and snotty. My chest feels tight but no congestion. We both had Covid almost exactly a year ago. Really would love to avoid this new variant. Was at rite aid today, cold and flu aisle just about wiped out. Thank goodness I’ve been slowly acquiring cold and flu meds. Got the last bottle of nose spray in the store. Of ppl don’t have the meds, they will have a really tough go of it. Hoping our hospitals don’t go the way of the UK’s.
 

Zoner

Veteran Member
We are in NH. Great. Hubby and I have been not feeling well since Saturday. Started in the bathroom, still queasy, now sneezing and snotty. My chest feels tight but no congestion. We both had Covid almost exactly a year ago. Really would love to avoid this new variant. Was at rite aid today, cold and flu aisle just about wiped out. Thank goodness I’ve been slowly acquiring cold and flu meds. Got the last bottle of nose spray in the store. Of ppl don’t have the meds, they will have a really tough go of it. Hoping our hospitals don’t go the way of the UK’s.
You guys take care of yourselves. I would be doing major doses of D3/Zinc/Quercitin/ and Vit C. and Ivermectin if possible. The first 72 hours are important to attack the viral load. I'm near Cape May, N.J. and this variant is here already.
 

rob0126

Veteran Member
If it's truly that high, it will spread through everybody like wildfire. There's very few who haven't had some version of Covid at this point with an R0 WAY lower than that.

I'm waiting to see what the hospitalization and mortality rates are before I bar the door. I sure don't want this crap going through my family again.

At the rate and way covid and its variants spread, Id swear its being sprayed in the air.

Or else its being put into the food supply somehow.
 
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