COVID-19: One in three infected but unvaccinated persons no longer have detectable antibodies one year after the infection

A prospective seroprevalence study in the Catalan population underlines the need to get vaccinated despite having been infected, and confirms that hybrid immunity (vaccination plus infection) is more robust and long-lasting. The study, co-led by the Barcelona Institute for Global supported by the Daniel Bravo Andreu Foundation (FDBA), has been published in BMC Medicine.

Both infection and vaccination against SARS-CoV-2 contribute to building a population’s immunity to the virus — an important factor for deciding when and to whom booster shots should be offered. Although immunity against a pathogen is more than antibodies, the easiest strategy for assessing population immunity is to perform seroepidemiological studies (i.e., quantifying virus-specific antibodies in a given population group).

“Most of the serological studies performed after COVID-19 vaccination focused on specific groups such as healthcare workers, did not distinguish between people with or without previous infection, or did not have clinical and immunological data of the infection,” explains Manolis Kogevinas, ISGlobal researcher and senior co-author of the study together with Carlota Dobaño, also researcher at ISGlobal.

In this study, the research team performed a second measurement in a population-based cohort from Catalonia (COVICAT study — GCAT cohort) six months after the start of the vaccination campaign (the first one was just after the first confinement), to monitor the level and type of antibodies against five viral antigens (the whole Spike (S) protein, the RBD receptor binding domain, the S2 fragment, the full nucleocaspid (N) protein, or the N-terminal fragment). They also used information from a questionnaire and health records to identify potential factors that determine the magnitude and duration of the antibody response in unvaccinated, vaccinated, or vaccinated and infected persons. A total of 1,076 people, aged 43 to 72 years, were included in the analysis.

The results yielded three main conclusions: First, that in 36% of infected but unvaccinated persons, antibodies were no longer detectable almost a year after the infection, particularly in those older than 60 years and smokers.

Second, that vaccination induced significantly higher antibody levels in people who had a prior infection, as compared to those without prior infection; and that these levels were strongly associated with the magnitude of the response during the infection. “Our data underscore the importance of vaccinating people even if they have been previously infected, and confirm that hybrid immunity is superior and more durable. This means that people who have been vaccinated but have not been infected would need a booster earlier than those who have,” points out Marianna Karachaliou, first author of the study together with Gemma Moncunill.

Third, the factor most strongly associated with the level of antibodies is the type of vaccine — Moderna’s Spikevax generated the highest levels of antibodies. Other factors also appear to play a role: people older than 60 or with mental illness had lower antibody levels post-vaccination. “The association between mental health and antibody responses requires further investigation, but it is known that people with disorders such as depression, chronic stress or schizophrenia have a lower response to vaccination in general,” explains Dobaño.

Among those vaccinated, only 2.1% had no antibodies at the time of testing and approximately 1% had a breakthrough infection. “However, it should be noted that this study was done before the Omicron variant became dominant,” warns Kogevinas.

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The physics of the premature lung: Why mechanical ventilation can harm preterm lungs

In Germany, about ten per cent of all children are born before the 37th week of pregnancy and are thus considered premature. Many of these premature babies require help with breathing due to their underdeveloped lungs. However, clinical practice shows that mechanical ventilation can cause irreversible damage to the lungs, although the exact causes are not yet known. In an interdisciplinary study, physicists and physicians at Leipzig University have now shown that increased pressure on the lung tissue, as caused by mechanical ventilation, poses the risk of overstretching the tissue, even with small amounts of air, and disrupting cell function during gas exchange.

They have just published the results of their study in the journal Frontiers in Bioengineering and Biotechnology. During normal breathing, the diaphragm descends below the lungs with each breath. This causes the lungs to expand inside the chest, creating a negative pressure, or vacuum, in the lungs. To compensate for this negative pressure, air automatically flows into the lungs and the person breathes in. Mechanical ventilation involves pumping air into the lungs through a tube. The lungs then expand due to this positive pressure. “We assume that this positive pressure causes a slight compression of the lung tissue, whereas during normal breathing the lung is ‘pulled’ from the outside in order to create the expansion,” explains physicist Professor Mareike Zink, who conducted the interdisciplinary study on the physics of the premature lung together with her colleague Dr Mandy Laube from the neonatology research laboratory at the Faculty of Medicine.

“In our experiments, we studied foetal lung tissue under tensile and compressive stress to explore differences in tissue mechanics in the premature lung,” Mareike Zink reports. The experiments showed that the lung tissue deformed completely elastically under tension, as occurs during normal breathing. When subjected to pressure, however — as occurs with mechanical ventilation — viscoelastic deformation of the lungs was observed. This means that although the tissue returns to its original state after deformation, at the molecular level, there are already structural changes that indicate irreversible tissue damage.

“Furthermore, our results show that lung cell function is impaired under pressure. Even low pressure, as is common in mechanical ventilation, can result in structural units on the cell surface, which are important in the transport of molecules and water, for example, no longer being able to perform their function,” explains Mandy Laube.

The two scientists draw the following conclusion: for some premature infants, mechanical ventilation is the only treatment to ensure survival. Nevertheless, there is a risk of complications due to the altered mechanical properties of premature lungs compared to adults. Future therapeutic strategies should therefore consider the influence of physical forces on tissues and cells, and limit pressure increases in the lungs so as to minimise the risk of damage. “Since it has also been observed in ventilated Covid-19 patients that mechanical ventilation may result in further lung damage, we postulate that here, too, the damaged lung can be more easily overstretched by the positive pressure and that lung cell function stops or changes more quickly under increased pressure,” Mareike Zink concludes.

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Materials provided by Universität Leipzig. Original written by Susann Huster. Note: Content may be edited for style and length.

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Bigger breakfasts better for controlling appetite, study suggests

People in a trial eating nearly half their daily calories at breakfast were less hungry during the day.

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Study predicts whether rapid tests will be able to detect future SARS-CoV-2 variants

The availability of rapid antigen tests has significantly advanced efforts to contain the spread of COVID-19, but every new variant of concern raises questions about whether diagnostic tests will still be effective. A new study published in Cell attempts to address these questions by evaluating how rapid tests will perform when challenged with future SARS-CoV-2 variants.

The research team, led by Emory University and funded by the National Institute of Health’s (NIH) Rapid Acceleration of Diagnostics (RADx) Tech program, developed a novel method for evaluating how mutations to SARS-CoV-2 can affect recognition by antibodies used in rapid antigen tests. Because most rapid antigen tests detect the SARS-CoV-2 nucleocapsid protein (N protein), the team directly measured how mutations to the N protein impacted diagnostic antibodies’ ability to recognize their target.

“Based on our findings, none of the major past and present SARS-CoV-2 variants of concern contain mutations that would affect the capability of current rapid antigen tests to detect antibodies,” says first study author Filipp Frank, Ph.D., an assistant professor in the department of biochemistry at Emory University. “Further, these data allow us to look one step ahead and predict test performance against almost any variant that may arise.”

The study used a method called deep mutational scanning to evaluate all possible mutations in the N protein in a single, high-throughput experiment. Researchers then measured the impact of the mutations on their interaction with antibodies used in 11 commercially available rapid antigen tests and identified mutations that may allow for antibody escape.

“Accurate and efficient identification of infected individuals remains a critically important strategy for COVID-19 mitigation, and our study provides information about future SARS-CoV-2 mutations that may interfere with detection,” says senior study author Eric Ortlund, Ph.D., a professor in the department of biochemistry at Emory University. “The results outlined here can allow us to quickly adapt to the virus as new variants continue to emerge, representing an immediate clinical and public health impact.”

Findings show that it’s relatively rare for variants to have mutations to the N protein that allow them to evade diagnostic tests, but there are a small proportion of sequences that could impact detection. Researchers, public health officials, and test manufacturers can use these data to determine if a diagnostic test needs to be evaluated for its ability to detect these mutations or to inform future test design.

“Considering the endless cycle of new variants, the data from this study will be useful for years to come,” says Bruce J. Tromberg, Ph.D., director of the National Institute of Biomedical Imaging and Bioengineering (NIBIB) and lead for the RADx® Tech program at NIH.

While many variants of concern contain multiple mutations to the N protein, the study authors note that their method does not evaluate how multiple mutations could affect diagnostic antibody recognition, representing a limitation of the study.

The project was supported by NIBIB under award numbers 75N92019P00328, U54EB015408, and U54EB027690 as part of the RADx initiative, launched to speed innovation in the development, commercialization and implementation of technologies for COVID-19 testing.

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Materials provided by Emory Health Sciences. Note: Content may be edited for style and length.

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Nerve healing: Neighboring cells become police force — and could make tumors benign

Schwann cells are known to protect and repair nerve cells. Until now, however, it was not known that they themselves take over functions of certain immune cells during nerve healing. For example, they produce signaling molecules that can activate other immune cells. In particular, however, they are able to stop inflammatory reactions in order to prevent excessive tissue damage and allow the nerve to regenerate.

“This is essential, because inflammation releases free radicals against which nerve fibers cannot protect themselves. Therefore, the inflammation must be cleared quickly, which is precisely what Schwann cells do,” explains Dr. Sabine Taschner-Mandl, who designed the study and heads a research group at St. Anna CCRI. The new results, in which the Medical University of Vienna is also significantly involved, were published in the journal Glia.

Do Schwann cells protect against malignancy?

How are these results related to tumor growth? After nerve injury, Schwann cells adopt a “repair” mode that is also found in benign infantile nerve tumors. There, it causes the tumor cells to mature and thus reach a stage where they lose their aggressive properties and no longer divide unchecked (Weiss T., Taschner-Mandl S., et al., Nat Commun 2021).

“Based on the current results, we now suspect that the immune cell functions of Schwann cells also become effective in childhood nerve tumors. This is because in cancer, there is always a kind of inflammation bubbling away that never comes to a halt. In benign nerve tumors, ganglioneuromas, the accompanying chronic inflammation could be stopped by Schwann cells similar to nerve healing, because unlike malignancies, benign nerve tumors have many Schwann cells in their microenvironment. We also see that a lot of immune cells migrate into these tumors, for which the Schwann cells could also be responsible,” says Sabine Taschner-Mandl.

Healthy Inflammation: First Activate, Then Shut Down

In particular, the current study shows that Schwann cells can influence certain immune cells, so-called T cells, which play an important role in the defense against cancer. Schwann cells — both those in nerve regeneration and those in benign tumors — carry MHC-I and MHC-II molecules on their surface that are important for T-cell regulation. Via these molecules, Schwann cells present recognition features of material they have previously taken up from their environment.

We mimicked an inflammatory response in the laboratory and detected a whole range of additional stimulatory and inhibitory surface molecules that are also necessary for T cell activation,” explains Jakob Berner, MSc, co-first author of the study and interim PhD student in Kaan Boztug’s group at St. Anna CCRI. “Our experiments show that Schwann cells are able to take up large amounts of material via phagocytosis.”

As the first immune response to a nerve cut, Schwann cells secrete substances that attract T cells, macrophages and other immune cells. Now it turned out that not only a reaction between the classical immune cells takes place, but also between Schwann cells and T cells.

While Schwann cells initially fuel the inflammatory response by releasing interferon-gamma, they can later shut it down by up-regulating the T-cell inhibitory PD-L1 molecule.

“First activate, then shut down — that’s the normal process of an inflammatory response. If this were also the case in cancer, then it could curb cancer growth,” comments Sabine Taschner-Mandl. Whether and how these findings can be used for potential cancer therapies is now being researched.

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Discovery of extinct prehistoric reptile that lived among dinosaurs

Smithsonian researchers have discovered a new extinct species of lizard-like reptile that belongs to the same ancient lineage as New Zealand’s living tuatara. A team of scientists, including the National Museum of Natural History’s curator of Dinosauria Matthew Carrano and research associate David DeMar Jr. as well as University College London and Natural History Museum, London scientific associate Marc Jones, describe the new species Opisthiamimus gregori, which once inhabited Jurassic North America about 150 million years ago alongside dinosaurs like Stegosaurus and Allosaurus, in a paper published today in the Journal of Systematic Palaeontology. In life, this prehistoric reptile would have been about 16 centimeters (about 6 inches) from nose to tail — and would fit curled up in the palm of an adult human hand — and likely survived on a diet of insects and other invertebrates.

“What’s important about the tuatara is that it represents this enormous evolutionary story that we are lucky enough to catch in what is likely its closing act,” Carrano said. “Even though it looks like a relatively simple lizard, it embodies an entire evolutionary epic going back more than 200 million years.”

The discovery comes from a handful of specimens including an extraordinarily complete and well-preserved fossil skeleton excavated from a site centered around an Allosaurus nest in northern Wyoming’s Morrison Formation. Further study of the find could help reveal why this animal’s ancient order of reptiles were winnowed down from being diverse and numerous in the Jurassic to just New Zealand’s tuatara surviving today.

The tuatara looks a bit like a particularly stout iguana, but the tuatara and its newly discovered relative are in fact not lizards at all. They are actually rhynchocephalians, an order that diverged from lizards at least 230 million years ago, Carrano said.

In their Jurassic heyday, rhynchocephalians were found nearly worldwide, came in sizes large and small, and filled ecological roles ranging from aquatic fish hunters to bulky plant munchers. But for reasons that still are not fully understood, rhynchocephalians all but disappeared as lizards and snakes grew to be the more common and more diverse reptiles across the globe.

This evolutionary chasm between lizards and rhynchocephalians helps explain the tuatara’s odd features such as teeth fused to the jaw bone, a unique chewing motion that slides the lower jaw back and forth like a saw blade, a 100-year-plus lifespan and a tolerance for colder climates.

Following O. gregori‘s formal description, Carrano said the fossil has been added to the museum’s collections where it will remain available for future study, perhaps one day helping researchers figure out why the tuatara is all that remains of the rhynchocephalians, while lizards are now found across the globe.

“These animals may have disappeared partly because of competition from lizards but perhaps also due to global shifts in climate and changing habitats,” Carrano said. “It’s fascinating when you have the dominance of one group giving way to another group over evolutionary time, and we still need more evidence to explain exactly what happened, but fossils like this one are how we will put it together.”

The researchers named the new species after museum volunteer Joseph Gregor who spent hundreds of hours meticulously scraping and chiseling the bones from a block of stone that first caught museum fossil preparator Pete Kroehler’s eye back in 2010.

“Pete is one of those people who has a kind of X-ray vision for this sort of thing,” Carrano said. “He noticed two tiny specks of bone on the side of this block and marked it to be brought back with no real idea what was in it. As it turns out, he hit the jackpot.”

The fossil is almost entirely complete, with the exception of the tail and parts of the hind legs. Carrano said that such a complete skeleton is rare for small prehistoric creatures like this because their frail bones were often destroyed either before they fossilized or as they emerge from an eroding rock formation in the present day. As a result, rhynchocephalians are mostly known to paleontologists from small fragments of their jaws and teeth.

After Kroehler, Gregor and others had freed as much of the tiny fossil from the rock as was practical given its fragility, the team, led by DeMar, set about scanning the fossil with high-resolution computerized tomography (CT), a method that uses multiple X-ray images from different angles to create a 3D representation of the specimen. The team used three separate CT scanning facilities, including one housed at the National Museum of Natural History, to capture everything they possibly could about the fossil.

Once the fossil’s bones had been digitally rendered with accuracy smaller than a millimeter, DeMar set about reassembling the digitized bones of the skull, some of which were crushed, out of place or missing on one side, using software to eventually create a nearly complete 3D reconstruction. The reconstructed 3D skull now provides researchers an unprecedented look at this Jurassic-age reptile’s head.

Given Opisthiamimus‘s diminutive size, tooth shape and rigid skull, it likely ate insects, said DeMar, adding that prey with harder shells such as beetles or water bugs might have also been on the menu. Broadly speaking, the new species looks quite a bit like a miniaturized version of its only surviving relative (tuataras are about five times longer).

“Such a complete specimen has huge potential for making comparisons with fossils collected in the future and for identifying or reclassifying specimens already sitting in a museum drawer somewhere,” DeMar said. “With the 3D models we have, at some point we could also do studies that use software to look at this critter’s jaw mechanics.”

Funding and support for this research were provided by the Smithsonian and the Australian Research Council.

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Smear tests: Women waiting three times longer than they should for results

It means women are waiting more than three times longer than they should for results.

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Anti-obesity strategy to be reviewed due to cost-of-living crisis

It raises concerns plans including a ban on TV advertising of junk food pre-9pm could be scrapped.

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Moral illusions may alter our behavior

Just as optical illusions can fool the eye to present a distorted image of reality, moral illusions can fool our decision-making ability, making us more selfish. This is the conclusion of a newly presented doctoral thesis from Linköping University. But the results also show that we are more likely to vote for the good of all when taking part in democratic decisions.

“We tend to use what we can call a ‘moral wiggle room’ to justify selfish decisions. This means that we can act selfishly in certain situations, without feeling that our actions are morally wrong,” says Kajsa Hansson, newly promoted doctor in economics at Linköping University, with a thesis entitled Moral Illusions.

In the thesis, she examines several aspects of what she terms ‘moral illusions’, and compares them to optical illusions. She concludes that we can tweak our morals in some situations to increase self-benefit.

“Fairness is in the eye of the beholder. But I have used a broad definition of morality, and I don’t judge whether a certain type of fairness is good or bad. Instead, I use the idea of whether a person experiences that they are not living up to their own notion of good morality,” says Kajsa Hansson.

Moral illusions mainly arise in competitive situations when many people compete for the same rewards. This is a consequence of psychological mechanisms that cause us to assess fairness differently, depending on whether we are successful or not. This is particularly the case when we lack information about the fairness of the situation. When the brain attempts to fill in missing information, it may create an image that does not match reality — in the same way as occurs for an optical illusion.

One example is how we view losing. If we lose, we tend to blame it on that the playing field was not level, or that the game was rigged. When we win, in contrast, we explain this by our excellent playing skills. This tendency may describe why successful people believe that the world is a meritocracy, and that economic inequalities are thus fair.

Kajsa Hansson has also investigated how we react to decisions when we can avoid information that may encourage unselfish behaviour. In this case, again, our morality can be tweaked, since we are reluctant to seek out more information that risks giving us a bad conscience. Such information may force us to act unselfishly.

There is, however, one situation in which moral illusions do not play a role — when decisions are taken democratically. This may be the case for decisions taken by the national parliament, but it also applies in the committees of clubs, companies, etc., where several people are involved and take decisions collectively. This result contradicts the currently accepted theory, which says that we become less moral when the responsibility for a decision is shared among several people. This phenomenon is known as the “diffusion of responsibility.”

“When decisions are taken democratically, there is always someone else we can blame, and previous studies have shown that we become more selfish when the responsibility for a decision is spread among several people. However, our results do not support the idea that people become less moral when taking such decisions. In fact, quite the opposite,” says Kajsa Hansson.

In the study, Kajsa Hansson and her colleagues carried out three experiments in which the participants must choose whether to donate or claim money. In some experiments, the decision was a democratic one between several participants; in others the participants acted individually. The results showed that it was not possible to see any selfish behaviour. Indeed, they showed that people tend to become more generous in this scenario.

“Our results are actually very good news. They suggest that we possess the insight that we take decisions for others, and we act collectively. We can speculate that people realise that we can contribute more to the common good when everyone contributes,” says Kajsa Hansson.

The thesis considers decision-making in a broad perspective, and looks at how morality affects it. Kajsa Hansson believes that it can help us understand each other better.

“We may not always agree with everyone’s interpretations of reality, but we can understand where they come from.”

The thesis has been funded by the Lars Hierta Memorial Foundation and the Helge Ax:son Johnson Foundation.

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Materials provided by Linköping University. Original written by Anders Törneholm. Note: Content may be edited for style and length.

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Queen’s funeral: Routine hospital care being postponed

Appointments, including for surgery and outpatient clinics, rescheduled because of Queen’s funeral.

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