BioQuakes

AP Biology class blog for discussing current research in Biology

Tag: symptoms

Long Term Health Risks From COVID-19 Infection

A recent study examining the health records of 140,000 U.S. veterans suggests that risks of health issues such as diabetes, fatigue, or blood clots may persist for at least two years after a COVID-19 infection. 

As learned in AP Biology, the fundamental method in which SARS-CoV-2 virus enters the cells involves the interaction between its spike protein (S-protein) and the angiotensin-converting enzyme 2 (ACE2) receptor present on the surface of human cells. Upon initial contact, the S-protein of the virus binds to the ACE2 receptor. This binding triggers a series of events that hijacks the host cell’s machinery to release viral RNA and replicate itself, finally generating new viral components. COVID-19 can also trigger an excessive immune response known as a cytokine storm, which might lead to T cell obliteration.

The study compared veterans who had been infected with the virus to nearly 6 million others who did not contract COVID-19, analyzing new diagnoses, lab results, and prescription records. The research identified health problems that emerged from a month after individuals contracted the virus.

The research team discovered that patients hospitalized during their initial COVID-19 cases had a higher likelihood of facing subsequent health problems. But those with milder initial infections showed a higher risk for approximately one-third of the medical issues analyzed compared to those who didn’t test positive for the virus. This group, comprising mostly milder COVID-19 cases, could potentially strain the healthcare system more, according to Ziyad Al-Aly, a clinical epidemiologist at the Veterans Affairs Saint Louis Health Care System.

The most prevalent issues observed align with commonly known long COVID symptoms found in other studies. These include fatigue, memory problems, loss of smell, blood clots, metabolic issues, and gastrointestinal problems. Furthermore, patients initially hospitalized were approximately 1.88 times more likely to experience acute gastritis (stomach inflammation) two years after infection compared to those without a COVID-19 record, while non-hospitalized patients had a risk factor of 1.44 times.

Finally, Al-Aly and colleagues determined that among every 1,000 individuals infected with the virus, there was a collective loss of 150 years of healthy life due to persistent symptoms in these patients. This stark revelation underscores the severe impact of long COVID, highlighting its destructiveness, as noted by McCorkell. Other studies, such as the U.S. Census’ Household Pulse Survey, have similarly noted how COVID disrupts the day-to-day lives of many patients.

Ultimately, with recent increases in COVID-19 transmissions, I strongly advocate for maintaining our vigilance and adhering to health guidelines, such as practicing good hand hygiene, and staying updated on vaccination recommendations. As a fellow germaphobe myself, I will certainly take heed of these practices. These measures remain crucial in curbing the spread of the virus and safeguarding both individual and community health. As the article mentions, even a mild COVID-19 infection could potentially lead to health issues in the months or years following the initial illness.

Let’s all do our part to keep our communities safe and healthy!

SARS-CoV-2 without background

Got a weird COVID-19 symptom? You’re not alone

COVID-19 is one of the most commonly known diseases of the decade, for most people today are familiar with its many symptoms, including chills, cough, difficulty breathing, etc. Rarely, SARS-CoV-2 will affect people in ways not expected by a respiratory virus; however, people are starting to see it cause odd symptoms. Peter Chin-Hong, an infectious diseases physician at the University of California, San Francisco said that people have developed patchy tongues, puffy digits, and hair loss as a result of SARS-CoV-2.  Chin-Hong still notes that these symptoms may be less dangerous because they are capable of going away on their own.

It is not always confirmed that COVID tongue, COVID toe, COVID eye, or other strange symptoms are due to COVID-19, but the large scale of coronavirus infections means that SARS-CoV-2 has many chances to show the public how it affects people differently. The U.S. announced they already have had 98 million cases confirmed, and Chin-Hong informed Science New that “statistically speaking, you’re going to find people with more and more weird things.” 

In October, the  Journal of Medical Case Reports released a study done by Saira Chaughtai, an Internal medicine doctor, after a patient obtained unbelievable symptoms after ten days of testing positive for COVID-19. Their tongues swell up and eventually erupted in white-ringed lesions. Chaughtai told Science News “I was like, ‘Oh my god, COVID can do anything.'”

Chin-Hong has also seen patients with unusual tongues; however, they had that looked “as if they’d chewed a mouthful of tortilla chips.”  

Changhai was perplexed about how she was going to treat her patients with COVID tongue. She began by researching scientific literature while giving her patients various types of mouthwash to help in the meantime. She even went to such great lengths in teaming up with a sports medicine doctor who shined a low-level laser light on patients’ tongues, a photobiomodulation therapy normally used to treat muscle injury. Chaughtai thought laser light therapy could heal swollen tongues because it increases blood flow. It showed good results as her patient’s tongue lesions healed even though she still feels some sensitivity. 

Another abnormal effect of COVID-19 is COVID finger or toe which causes swelling in peoples’ fingers or toes. The symptoms also included toes or fingers turning a pink, red, or purplish color. It is know to be very painful. Michael Nirenberg of Friendly Foot Care has seen at least 40 people with this symptom who have been exposed to the coronavirus. He found that fingers or toes will normally heal within a couple of months. Nirenberg told his patient to apply nitroglycerin ointment which he thinks increases blood flow to their fingers or toes. 

“We can’t predict who’s going to get what,” Chin-Hong states, for he feels people should be aware that COVID-19 is capable of causing a wide variety of symptoms. He noted that strange symptoms occur mainly with unvaccinated people. “If this is a reason why some people might get vaccinated,” Chin-Hong says, “I think that would be great,” for these symptoms may seem less severe and harmful as symptoms involving the heart or lungs, but they still can be alarming to see. 

In AP Biology this year, we discussed how there are specific receptor proteins integrated into the plasma membrane. The binding between the receptor protein and a ligand, or signaling molecule, is highly specific. Recent studies found that SARS-CoV-2 enters the cell through a specific receptor protein called ACE2. SARS-CoV-2 spike binds to its receptor human ACE2 (hACE2) and an enzyme called proteases activates it. We also talked about enzymes in AP Biology; they are proteins that function and set off reactions or processes. It is important to understand how the unfamiliar virus enters into cells to learn more about its influence on the human body; this can help scientists discover more information on how and why these strange symptoms occur.

MRIs Catch Autism Prior to Symptoms

Mark Lythgoe & Chloe Hutton / Wellcome Images Image Link

Research

By using magnetic resonance imaging (MRI), researchers are now able to accurately study and predict which infants, among those with older autistic siblings, will be diagnosed by the age of 2. According to an article on Science daily, in the past couple of years, researchers have correctly predicted 80 percent of these infants who would later meet criteria for autism at 24 months of age.

A study published in Nature, shows how early brain biomarkers can be very beneficial in identifying infants at the highest risk for autism prior to any symptoms. Joseph Piven, professor of Psychiatry at the University of North Carolina-Chapel Hill, explains how typically autism cannot be detected in infants until they ages 2-4, but for infants with autistic siblings, it can be determined at an earlier age.

People diagnosed with Autism Spectrum Disorder (ASD), experience social deficits and  demonstrate very specific stereotypical behaviors. According to this study, it is estimated that one out of 68 children develop autism in the United States and that  for infants with older siblings with autism, the risk may be as high as 20 out of every 100 births. Despite these high numbers, it remains a difficult task to detect behavioral symptoms prior to 24 months of age.

Piven, along with a couple of other researchers, conducted MRI scans of infants at six, 12, and 24 months of age. They discovered that increased growth rate of surface area in the first year of life was linked to increased growth rate of overall brain volume in the second year of life. This meant that brain overgrowth was tied to the emergence of autistic social deficits in the second year. The researchers then took the information they had and used a computer program that classified babies most likely to meet criteria for autism at 24 months of age, and developed an algorithm that they applied to a separate set of study participants.

The researchers found that there were brain differences at 6 and 12 months of age in infants with older siblings with autism and infants with older ASD siblings who did not meet criteria for autism at 24 months.

Plans for the Future

This research and test would be very beneficial to a family who already has a child with autism and has a second child who may or may not be affected. The ideal goal would be to intervene and provide as much assistance to the infant and family prior to the emergence of symptoms. By intervening at early stages and when the brain is most susceptible, researchers hope to improve the outcomes of treatment.

In the nature study, Piven describes how Parkinson’s and Autism are similar in that when the person is diagnosed, they’ve already lost a substantial portion of the dopamine receptors in their brain, making treatment less effective.

One mother who has benefitted from this discovery and is extremely grateful is Rachel O’Connor. When interviewed by News12, she shared how early intervention “has brought out some language in [her] daughter,” and how her daughter “can now say what she wants and she desires. She makes better eye contact.”

 

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