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https://s3.us-west-1.wasabisys.com/virusreports/2020/05/cropped-virus-favicon-32x32.png Helping Archives - Virus Reports https://virusreports.net/tag/helping/ 32 32 Mission BBQ helping America’s heroes https://virusreports.net/mission-bbq-helping-americas-heroes/ https://virusreports.net/mission-bbq-helping-americas-heroes/#respond Sat, 18 Jul 2020 13:22:09 +0000 https://virusreports.net/mission-bbq-helping-americas-heroes/ Fox News Back to Top ©2020 FOX News Network, LLC. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed. All market data delayed 20 minutes. New Privacy Policy - New Terms of Use (What's New) - FAQ

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Mutation may be helping the coronavirus spread more readily https://virusreports.net/mutation-may-be-helping-the-coronavirus-spread-more-readily/ https://virusreports.net/mutation-may-be-helping-the-coronavirus-spread-more-readily/#respond Tue, 16 Jun 2020 21:21:03 +0000 https://virusreports.net/mutation-may-be-helping-the-coronavirus-spread-more-readily/ Building evidence — A mutation that's becoming common seems to boost infectivity in cultured cells. John Timmer - Jun 16, 2020 7:35 pm UTC About a month ago, news reports painted a potentially grim picture: a single mutation in SARS-CoV-2 was taking over the world, rapidly displacing earlier forms of the virus in most locations.…

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Building evidence —

A mutation that’s becoming common seems to boost infectivity in cultured cells.


Cartoon image of the virus, showing its spike proteins.

About a month ago, news reports painted a potentially grim picture: a single mutation in SARS-CoV-2 was taking over the world, rapidly displacing earlier forms of the virus in most locations. The researchers behind the finding suggested we were watching in real time as SARS-CoV-2 was evolving into a form that spreads more readily within human populations.

While the evidence was suggestive, it wasn’t decisive, and there were a number of alternative explanations for the pattern of viral spread. As is so often the case in science, we needed more data. Now, some additional data has arrived in the form of a draft paper that suggests that there’s a biochemical reason for why the mutated form of the virus might be more potent.

Scientific back and forth

The idea behind the original results was fairly simple. If we assume that mutations show up at random in the coronavirus genome, then the chance of two identical mutations appearing independently in the virus’s genome is pretty low, given that the genome is over 30,000 bases long. Thus, if we see the same mutation in two different locations, the chances are very good that they got there through common descent from an ancestor that had the mutation.

The researchers found that not only was a single mutation showing up in lots of different places, but it was becoming the dominant form in most of them. Given the assumption of a single origin, this suggests that one mutant form of the virus is not only better than most others in spreading to new locations, but it’s displacing other strains once it gets there. This, to the authors, led to an obvious conclusion: the mutation conveyed some sort of selective advantage to the virus, possibly allowing it to replicate or spread more readily.

But some results that came out shortly after the draft was posted raised questions about the study—not its data, but the key assumption behind it. A study published in Science Advances found that our cells’ RNA-editing system, which chemically alters specific RNA sequences, is active against the genomes of coronaviruses. While we don’t know whether the system will edit the sequence that differs between the mutant form and the ancestral virus, the finding suggests that certain mutations in the viral genome are likely to happen multiple times.

If a mutation is likely to arise multiple times, then common descent can’t be assumed. And without common descent, it’s difficult to say whether the pattern observed in the global data is the result of selection or not.

Biochemistry steps in

But the whole evolutionary argument is a way of trying to identify signs of whether this mutation alters the behavior of the virus. It’s possible to just directly look at whether the mutation changes some aspects of the virus, and that’s what the new results are all about.

The mutation alters the sequence of the spike protein, which sits on the surface of the virus and latches on to a protein on the surface of human cells and then fuses the virus’ membrane with the cell’s, allowing the virus to enter the cell and begin a new infection. So it could very easily alter the dynamics of the pandemic by influencing how readily mutant viruses enter cells. To find out more, the researchers engineered the spike protein—both the ancestral and mutant form—into a harmless virus and tested how well it infected cells in culture. The mutant form got into the cells at a rate that was nine times higher than the ancestral form.

How could that work? The answer depends on some fairly obscure viral biology. To function, the spike protein has to be split into two halves, which continue to associate even after they are no longer chemically linked. In most coronaviruses, the splitting takes place after the virus is on the surface of the cell it will infect and is catalyzed by protein-cutting enzymes made by that cell. SARS-CoV-2 is different in that the split is made in the cell the virus originates in. There’s a specific site in the spike protein of SARS-CoV-2 that’s recognized by a different group of protein-cutting enzymes; as far as we know, this site is distinct to the virus, though it may eventually turn up in viruses from other species.

The result of this is the SARS-CoV-2 spike protein’s halves have to remain associated while the virus travels to new cells and infects them. Since other coronaviruses have spike proteins in which these halves remain chemically linked during this process, it doesn’t matter how tightly the halves associate. But for SARS-CoV-2, the strength of their association is likely to be critical. The researchers therefore hypothesized that the mutation strengthened this association.

To test this, they put tags on both ends of the spike protein and then allowed it to be cut in half. After the cut, the halves of the mutant protein were found to stay together at a much higher rate than the original form—different experiments gave different values, but the difference ranged roughly from twofold to fivefold more. This result also held true for when the protein was incorporated into a harmless virus.

More sticking power

The result of this increased stability is an increase in the virus’s ability to latch onto the protein it targets on the surface of human cells. This is true even though the mutant form of spike doesn’t have an increased affinity for its target protein; there’s simply more of the functional form around.

The study comes with some very important caveats: one, this work wasn’t done with an intact coronavirus. Instead, it was done by putting key coronavirus proteins into a different (and harmless) virus. Second, and more critically, this work wasn’t done in living organisms, but in cells. There’s a lot going on inside the body that makes it a very different environment from the layer of warm liquid that cultured cells live in. And as with all draft papers, keep in mind that peer review may cause the final, published results to look significantly different from the ones here.

Those caveats handled, the evidence does seem to be tending toward this mutation making a difference in the virus’s spread. We’ve gone from having a suggestive pattern of genetics to having a reasonable hypothesis about the mechanism underlying them and some biochemical support for that mechanism. Even if none of these bits of evidence is strong enough to make the case decisive, there’s beginning to be some weight behind the idea.

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Ventilators: Assisting or Hurting COVID-19 Patients? https://virusreports.net/ventilators-assisting-or-hurting-covid-19-patients/ https://virusreports.net/ventilators-assisting-or-hurting-covid-19-patients/#respond Thu, 16 Apr 2020 16:51:33 +0000 http://virusreports.net/ventilators-assisting-or-hurting-covid-19-patients/ By Dennis Thompson HealthDay Reporter WEDNESDAY, April 15, 2020 (HealthDay News) -- Mechanical ventilators have become a symbol of the COVID-19 pandemic, representing the last best hope to survive for people who can no longer draw a life-sustaining breath. But the ventilator also marks a crisis point in a patient's COVID-19 course, and questions are…

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By Dennis Thompson

HealthDay Reporter

WEDNESDAY, April 15, 2020 (HealthDay News)– Mechanical ventilators have ended up being a symbol of the COVID-19 pandemic, representing the last finest wish to make it through for individuals who can no longer draw a life-sustaining breath.

But the ventilator also marks a crisis point in a client’s COVID-19 course, and concerns are now being raised as to whether the devices can trigger harm, too.

Many who go on a ventilator pass away, and those who endure likely will deal with ongoing breathing issues brought on by either the device or the damage done by the infection.

The issue is that the longer individuals are on ventilation, the more likely they are to suffer problems connected to machine-assisted breathing.

Recognizing this, some extensive care units have started to delay putting a COVID-19 client on a ventilator to the last possible minute, when it is truly a life-or-death decision, said Dr. Udit Chaddha, an interventional pulmonologist with Mount Sinai Healthcare Facility in New York City.

” There had actually been a tendency previously on in the crisis for people to put patients on ventilators early, since clients were weakening extremely rapidly,” Chaddha said. “That is something that most of us have stepped away from doing.

” We let these clients tolerate a little bit more hypoxia [oxygen deficiency].

Professionals approximate that in between 40%and 50%of clients pass away after going on ventilation, despite the underlying health problem, Chaddha said.

It’s prematurely to state if this is higher with COVID-19 patients, although some regions like New York report as lots of as 80%of people infected with the virus die after being put on ventilation.

These seriously ill clients pass away because they are so ill from COVID-19 that they needed a ventilator to remain alive, not because the ventilator fatally harms them, said Dr. Hassan Khouli, chair of important care medicine at Cleveland Center.

Continued

” I believe for the many part it’s not related to the ventilator,” Khouli said. “They’re passing away on the ventilator and not always passing away because of being on a ventilator.”

‘ Individuals don’t return from that’

However, mechanical ventilators do trigger a vast array of adverse effects. Those problems, combined with lung damage from COVID-19, can make recovery a long and strenuous process, Chaddha and Khouli stated.

New York City legal representative and legal blogger David Lat invested six days on a ventilator last month, in important condition at NYU Langone Medical Center after he was identified with COVID-19

” This terrified me,” Lat composed in a viewpoint piece in the Washington Post

Lat survived, and he thanks the ventilator– however he also is struggling to recover his capability to breathe.

” I experience shortness of breath from even mild exertion,” Lat wrote. “I used to run marathons; now I can’t stroll across a room or up a flight of stairs without getting winded. I can’t go around the block for fresh air unless my partner pushes me in a wheelchair.”

Mechanical ventilators push air into the lungs of most importantly ill patients. The patients must be sedated and have a tube stuck into their throat.

Due to the fact that a device is breathing for them, patients frequently experience a weakening of their diaphragm and all the other muscles included with drawing breath, Chaddha stated.

” When all these muscles end up being weaker, it becomes more difficult for you to breathe on your own when you’re prepared to be liberated from the ventilator,” Chaddha stated.

Precise measurements needed

These clients likewise are at danger of ventilator-associated acute lung injury, a condition caused by overinflating the lungs throughout mechanical ventilation, Khouli stated.

Medical professionals need to specifically compute the quantity of air to push into an individual’s lungs with every mechanical breath, considering the reality that a large part of the lung might be filled with fluid and incapable of inflation. “The amount of volume you require to provide would be normally less,” Khouli said.

Continued

” If the settings are not managed properly, it can trigger an extra trauma to the lungs,” Khouli stated.

Ventilated clients likewise are at increased threat of infection, and numerous are at risk of psychological complications, Chaddha stated. A quarter develop post-traumatic stress disorder, and as numerous as half may suffer subsequent anxiety.

” It is not a benign thing,” Chaddha stated.

That’s why ICUs are ending up being more mindful in their usage of ventilation, utilizing oxygen and breathing dilators like nitric oxide to keep people drawing their own breath for as long as possible.

” The ventilator is not a drug.

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