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SARS-CoV-2 Infection Affects Energy Stores in the Body, Causing Organ Failure

194 点作者 michelangelo超过 1 年前

14 条评论

karim79超过 1 年前
As a layman, I find this extremely enlightening. Even now, (anecdotally) a lot&#x2F;most people describe it as primarily a respiratory disease.<p>From the OP article:<p>&gt; &quot;Using nasal swabs and autopsy tissues from affected patients and animal models, researchers found that the virus blocks specific genes that use oxygen to create ATP, forcing the body to deplete finite energy reserves in the body. Without an energy source, cells throughout the body begin to starve, with the cells powering the brain and the heart suffering the most.&quot;<p>This is the first thing I&#x27;ve read which actually makes bloody sense.<p>A 2020 study linked below:<p><a href="https:&#x2F;&#x2F;www.ncbi.nlm.nih.gov&#x2F;pmc&#x2F;articles&#x2F;PMC7443557&#x2F;#:~:text=Of%20the%2084%20COVID%2D19,73.3%25%2C%20respectively)%2C%20circulatory" rel="nofollow noreferrer">https:&#x2F;&#x2F;www.ncbi.nlm.nih.gov&#x2F;pmc&#x2F;articles&#x2F;PMC7443557&#x2F;#:~:tex...</a><p>From the aforementioned 2020 study:<p>&quot;Of the 84 COVID-19 cases with known direct cause of death, the top 3 common direct causes of death were multiple organ failure (67.9%), circulatory failure (20.2%), and respiratory failure (11.9%), and were similar (P = 0.50) for males and females: multiple organ failure (64.8% vs 73.3%, respectively), circulatory failure (24.1% vs 13.4%, respectively), and respiratory failure (11.1% vs 13.3%, respectively).&quot;
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anon84873628超过 1 年前
&gt;Using nasal swabs and autopsy tissues from affected patients and animal models, researchers found that the virus blocks specific genes that use oxygen to create ATP, forcing the body to deplete finite energy reserves in the body.<p>More details from the paper:<p>&gt;In nasopharyngeal samples with declining viral titers, the virus blocked the transcription of a subset of nuclear DNA (nDNA)–encoded mitochondrial OXPHOS genes, induced the expression of microRNA 2392, activated HIF-1α to induce glycolysis, and activated host immune defenses including the integrated stress response.<p>More info about the OXPHOS systems:<p><a href="https:&#x2F;&#x2F;www.sciencedirect.com&#x2F;science&#x2F;article&#x2F;pii&#x2F;S0925443909000921" rel="nofollow noreferrer">https:&#x2F;&#x2F;www.sciencedirect.com&#x2F;science&#x2F;article&#x2F;pii&#x2F;S092544390...</a>
sireat超过 1 年前
&quot;Diet, exercise, natural compounds, or a combination of the three, may be able to stimulate mitochondrial function, but whether or not they are effective for patients with long COVID is yet to be known.&quot;<p>What are those natural compounds? Vitamin D, and so on?<p>This is not a fun read when you&#x27;ve just got Covid for the 2nd time. This as I was about to get vaccinated for the 4th time...<p>The worst is that official doctor&#x27;s advice is just to lay low, drink plenty of liquids and hope for the best.<p>PS Oh I am allowed to lower the temperature by ibuprofen or paracetomol but I figure I&#x27;d rather stay around 37.5 to help the fight than lower it. Then again, maybe the temperature in acute phase does not matter and I am suffering needlessly?
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causi超过 1 年前
I don&#x27;t understand how a virus that evolved to jump species in the last five years could already have this massive swiss army knife of different ways to fuck us up. It&#x27;s like every couple of months we discover some wild new thing it does. They could come out tomorrow and say it makes you go color-blind and I wouldn&#x27;t even be surprised at this point.
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Madmallard超过 1 年前
Can someone far more involved in the research than me comment on the validity of this research and how this compares to other viruses and infections? As far as I understand, basically all infections cause a degree of impairment to energy production. Oxidative stress, which is induced directly and indirectly during infection, has a downregulating effect on energy production as to not result in the body potentiating the negative consequences of runaway stress to the cells. This is due to energy production directly producing reactive oxygen species as a natural waste product.
fghorow超过 1 年前
A great follow-up study would be to estimate any effects on this from Paxlovid treatment on cutting down the viral load.<p>Naively (from a layperson) it make sense that leaving some cells uninfected via a lower load would help ameliorate the problems described in the OP. It is conceivable that even the &quot;rebound&quot; effect from Paxlovid is &quot;simply&quot; an indicator of where in the exponential growth of cell infection the treatment begins. To me, at least, that makes all kinds of mathematical sense.
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pieter_mj超过 1 年前
Anyone a link to the full text? I thought all sars-cov-2 research was freely available?
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t0bia_s超过 1 年前
Article ignore how vaccination affect &quot;long covid&quot;. Like most of articles about this topic. Even though we have plenty studies that monitor vaccine side effect injuries.<p><a href="https:&#x2F;&#x2F;news.ycombinator.com&#x2F;item?id=37999349#38006436">https:&#x2F;&#x2F;news.ycombinator.com&#x2F;item?id=37999349#38006436</a>
clumsysmurf超过 1 年前
Creatine aids in ATP synthesis, wonder if it could help?
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deegles超过 1 年前
Wish I could use this to convince my family to mask.
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GordonS超过 1 年前
Hmm, some of this sounds similar to how CFS&#x2F;ME mechanisms are believed to work.
vario超过 1 年前
what the artic doesnt meantion is long covi from which strain? it would make sense, logically, to assume that long cov from delt is not the same as omic.
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dgreensp超过 1 年前
Well that’s concerning
fulafel超过 1 年前
Source notice: Not UN affiliated despite the UN sounding domain name.<p>From a quick layman glance, the publishing journal, Science Translational Medicine, does not have a very high impact factor but isn&#x27;t bottom barrel either. (<a href="https:&#x2F;&#x2F;journalsearches.com&#x2F;journal.php?title=Science%20Translational%20Medicine" rel="nofollow noreferrer">https:&#x2F;&#x2F;journalsearches.com&#x2F;journal.php?title=Science%20Tran...</a><p>(For anyone wondering, expansion of the term in the journal title: &quot;Translational medicine (often called translational science, of which it is a form) develops the clinical practice applications of the basic science aspects of the biomedical sciences; that is, it translates basic science to applied science in medical practice.&quot;)
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