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Johan Van Weyenbergh Profile
Johan Van Weyenbergh

@johanvawe

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Researcher in #HTLV #HIV #NTDs respiratory viruses and vaccine response. 'Nothing in #human #immunology makes sense outside the light of #clinical #evolution '

#Leuven #Bahia
Joined June 2013
Don't wanna be here? Send us removal request.
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@johanvawe
Johan Van Weyenbergh
4 years
My personal update on #COVID19 research: no scientific breakthroughs yet... but a revolution in #sciencecommunication as journalists finally accept "We don't know yet" as a valid answer
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@johanvawe
Johan Van Weyenbergh
1 month
#LongCovid is complex to diagnose and treat, so we need #biomarkers ! 1. to confirm viral persistence, and 2. to map the failing/overactive immune response. So we tried to hit two birds with one stone using digital transcriptomics 👇👇 (1/n)
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@johanvawe
Johan Van Weyenbergh
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@johanvawe
Johan Van Weyenbergh
4 months
@laurenancona Actually, the Bomsel lab in Paris found direct evidence of infectious SARSCoV2 in #LongCovid patients' blood, inside their platelets (poster at Madrid conference) =the real smoking gun
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@johanvawe
Johan Van Weyenbergh
6 months
Absolutely loved this #LongCovid conference: great science, impeccable organisation AND extensive patient participation (at all levels)!
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@johanvawe
Johan Van Weyenbergh
1 month
What did we find? 1. viral RNAs were higher in #LongCovid : Nucleocapsid, ORF7a, ORF3a, Mpro (=Paxlovid target), and antisense ORF1ab RNA. Of note, presence of antisense RNA suggests ongoing viral replication 2. #SARSCoV2 -related host RNAs ACE2/TMPRSS2, DPP4/FURIN also higher!
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@johanvawe
Johan Van Weyenbergh
4 months
@laurenancona Hi Lauren, we found small genetic fragments of the virus, which could be dead virus or "leftovers" BUT antisense RNA is only found inside a cell when the virus makes copies (thousands) of itself =circumstantial evidence if this would go to court
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@johanvawe
Johan Van Weyenbergh
1 month
We believe clinically useful #biomarkers should be non-invasive: while it is interesting to know what happens with #SARSCoV2 in muscle or colon/gut, these biopsies are too painful and laborious to integrate in daily care for #LongCOVID patients. Hence a blood test!
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@johanvawe
Johan Van Weyenbergh
4 months
@laurenancona Platelets are responsible for coagulation, also incriminated in the Science paper from @carlo_cervia and the #microclots from the Pretorius lab. So all evidence worldwide seems to point at a central role for platelets and blood clotting
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@johanvawe
Johan Van Weyenbergh
1 month
Looking at viral RNAs above cutoff (red line below) comparing patients and controls: antisense (65% vs 25%), ORF7a (60% vs 25%), Nucleocapsid (50% vs 8%), total blood viral load (60% vs 8%). Remarkably, Spike RNA was low in all cases =infection not vaccine-derived
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@johanvawe
Johan Van Weyenbergh
1 month
4. Yes we can! Viral antisense RNA is a "decent" diagnostic biomarker for #LongCovid but together with immune marker FYN it's even better: 4.1. multivariate logistic regression (corrected for age and sex, table below) 4.2. identify Long COVID with >90% sensitivity and specificity
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@johanvawe
Johan Van Weyenbergh
1 month
3. Looking at the immune response in #LongCovid : memory B-cell genes up (in green below) include IgE (resonates with new onset allergies in patients) and platelets genes up (salmon colored) -> hypercoagulative state @resiapretorius or viral reservoir =Bomsel lab @UParisDescarte
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@johanvawe
Johan Van Weyenbergh
1 month
@resiapretorius Immune status in #LongCovid is neither hyperinflammation nor immunodepression BUT we find lower lymphocyte activation (yellow dots above) and lower #immunometabolism (blue dots) =similar to findings @RobWust team (but we find lower IDO1 not higher IDO2)
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@johanvawe
Johan Van Weyenbergh
1 month
It's a short paper so details are in the Appendix 🤓 Look below at the very homogeneous controls (green) and the wild variation among #LongCovid patients: some are similar to controls but half are "deficient" in lymphocyte activation and immunometabolism -> higher viral load!
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@johanvawe
Johan Van Weyenbergh
1 month
This is a real-world #LongCovid cohort, based on general practice of Marc @jamoulle who has become a beacon of hope for patients in Belgium & beyond. From his practice 48 patients and 12 controls were carefully matched for age, sex, time since COVID, vaccination and comorbidities
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@johanvawe
Johan Van Weyenbergh
2 years
First in-human study to image #HIV replication using a new scanning technique that combines #MRI and antibodies. Viral reservoirs were identified not only in the gut and lymph nodes, but also the nose and bone marrow!
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@johanvawe
Johan Van Weyenbergh
1 month
5. High or low blood viral load in LongCovid does not depend on age or sex. BUT every comorbidity increases the odds of high viral load with 61% AND every #vaccine dose lowers it with 64%, confirming protective effect of vaccination on LongCOVID found in large studies worldwide
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@johanvawe
Johan Van Weyenbergh
1 year
@EricTopol @NatureAging @ElsKeyaerts Thanks Eric for highlighting our study! I was planning a thread on new mucosal immune signatures to predict fatal COVID19 outcome, and its relevance for new nasal vaccines... but the aerosol detection seems to steal the Twitter spotlight! 🤓
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@johanvawe
Johan Van Weyenbergh
1 month
@jamoulle In short, significant associations between persistent viral RNA, immunometabolism, and patient-reported outcomes provide mechanistic insights for addressing the challenges posed by #LongCOVID =>speed up diagnosis and treatment (target virus & restore #metabolism )
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@johanvawe
Johan Van Weyenbergh
3 months
Speed up relief for #LongCovid through grassroots clinical trials @jamoulle @ElenaLouazon @TomasoAntonacci A long 🧵 for a very short paper👇 1/n
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@johanvawe
Johan Van Weyenbergh
1 month
What we don't know (yet): viral RNA in blood originates from reservoir in platelets/megakaryocytes, bone marrow, gut...? are these transcriptomic biomarkers related (upstream/downstream?) to other #LongCOVID biomarkers cortisol, serotonin, complement activation, coagulation...?
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@johanvawe
Johan Van Weyenbergh
2 years
Interessante data ivm #Wintermanifest : grootschalige studie uit Engeland toont met #COVID maatregelen (maskers, lockdown etc) hospitaalopname van kinderen voor griep/longonsteking met 80-94% daalde! Kunnen we dat ook meerekenen?
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@johanvawe
Johan Van Weyenbergh
1 month
What I do know: this study would not have been possible without Marc @Jamoulle taking such excellent care of all patients (and controls), raising the bar for all general practitioners dealing with #LongCovid
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@johanvawe
Johan Van Weyenbergh
1 month
So now some statistics to answer the following: 4. can we use persistent RNA in blood (+/- 2 years after acute COVID in this cohort) as a diagnostic biomarker for #LongCovid ? 5. what predicts high vs. low blood viral load in #LongCovid ?
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@johanvawe
Johan Van Weyenbergh
1 month
And of course patients have the last word: 6. Higher antisense viral RNA and lower immunometabolism score in patients reporting worse anxiety and depression (group 4-5 👇) #MentalHealth Patient-Reported Outcome Measures #PROMs are crucial and @Jamoulle used COOP charts for this
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@johanvawe
Johan Van Weyenbergh
1 year
Following a deadly #COVID19 footprint in frail elderly: does the secret to new vaccines lie in the nose? A 🧵on our nation-wide study, with 3 exceptionally deadly outbreaks in which >20% of infected nursing home residents died, now out @NatureAging :
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@johanvawe
Johan Van Weyenbergh
4 months
How to summarize #LongCovid in a cartoon? 👇
@TrishyLiz74
Tracy Kay
1 year
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Johan Van Weyenbergh
3 years
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@johanvawe
Johan Van Weyenbergh
1 month
@EricTopol @LancetMicrobe @jamoulle @KU_Leuven @leuvenresearch Thanks Eric for highlighting our study! Now we need to validate in independent cohorts (so collaborations are very welcome 🙏)
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@johanvawe
Johan Van Weyenbergh
1 month
Thanks to our #nCounter wizard @SorayaMMenezes , Maria Paula Carletto, Leen Moens, @IsabelleMeyts @MaesPiet for making this happen; @nanostringtech (for allowing femtomolar detection); and especially the continued support from all #LongCOVID patients and advocates!
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@johanvawe
Johan Van Weyenbergh
2 years
The Coronavirus Attacks Fat Tissue, Scientists Find #COVID19
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@johanvawe
Johan Van Weyenbergh
3 months
Once more for the people in the back: it's the virus not the lockdown or pandemic panic 👇 #LongCovid #mentalhealth #brain #neuroinflammation
@ejustin46
Emmanuel
3 months
SARS-CoV-2 INFECTION and MENTAL HEALTH We observed an association of a past SARS-CoV-2 infection on deteriorated mental health related symptoms, whereas no association or interaction with burden of the pandemic occurred.
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@johanvawe
Johan Van Weyenbergh
27 days
@DaniBeckman Thanks Dani for highlighting this! I do hope the link between viral persistence and anxiety/depression will help diminish the #stigma that Long Covid patients frequently report #MentalHealthAwareness
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@johanvawe
Johan Van Weyenbergh
4 years
@HudsonLabRIT Without even the slightest exaggeration: a life-changing book, not just for me but for the whole molecular biology field! This democratized #DNA , #RNA research for tens of thousands students young researchers. #Maniatisforever
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@johanvawe
Johan Van Weyenbergh
4 years
Happy to be a tiny part of a nice story on how #IFN swings both ways in #SARSCoV2 infection: STAT2 signaling restricts viral dissemination but drives severe pneumonia in SARS-CoV-2 infected hamsters @NeytsVirology @NatureComms
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@johanvawe
Johan Van Weyenbergh
14 days
This seems extremely relevant to #coagulation and clotting in #LongCovid patients 👇👇👇
@Lo_Zanzi
Ivan Zanoni
15 days
#LiveForever ! @DPoscablo @Forsberg_Lab &co show @CellCellPress that #aging leads to a shortcut to produce more & more active #platelets based on the emergence of a new megakaryocyte precursor! Age-enriched platelets exacerbate clots & are prothrombotic!!
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Johan Van Weyenbergh
3 years
Good cop AND bad cop? Interferons work in #COVID19 clinical trials, but how, when and for who exactly? IFN-beta but not -alpha or -lambda in nasal mucosa predict clinical outcome in critical COVID-19 patients independent of viral load. #IFN
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@johanvawe
Johan Van Weyenbergh
1 month
@JoshuaPribanic Antisense RNA is only found inside a cell with replicating virus, so yes
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@johanvawe
Johan Van Weyenbergh
2 years
What if, on top of ending up in the ICU with #COVID19 or #flu , you also get #aspergillosis ? Bad news: it doubles your risk of dying! Good news: we found how your immune system fails, revealing clues for faster and probably more effective treatment. 🧵👇
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@johanvawe
Johan Van Weyenbergh
3 years
Nice to see our small piece of the #IFN puzzle in #COVID19 out in @LancetMicrobe ! Thanks to Soraya Maria and Joost Wauters (not on twitter) @mbrazuefs @VeroLlorens , to @UZLeuven and @KU_Leuven for funding, and to #nCounter technology for doing miracles in nasal swabs!
@LancetMicrobe
The Lancet Microbe
3 years
New correspondence> Endogenous IFNβ expression predicts outcome in critical patients with #COVID19
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@johanvawe
Johan Van Weyenbergh
3 months
Diagnostic #biomarkers and effective therapies are urgently needed for the millions of people currently living with #LongCovid . But the administrative burden for designing and conducting clinical trials is too high: currently only large, well-funded academic centers can do this
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@johanvawe
Johan Van Weyenbergh
3 months
This Correspondence @Nature is <200 words but it tells a bigger story, mainly based on the experience of our team of clinicians, researchers and patients over the last years... but also inspired by the pioneers among patients and researchers @elisaperego78 @amyproal 2/n
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@johanvawe
Johan Van Weyenbergh
5 months
Congrats @RobWust and (twitterless?) Brent Appelman! Spectacular data on viral persistence in #LongCovid 👇👇
@RobWust
Rob Wüst
5 months
After a long wait, our longitudinal long COVID study is finally published in @NatureComms : . We find a skeletal muscle alterations in patients with #longcovid , which worsen with exercise. 1/n
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@johanvawe
Johan Van Weyenbergh
3 months
@Nature @elisaperego78 @AmyProal Taking a patient-centered approach "standing on the shoulders of giants" @EricTopol @VirusesImmunity
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@johanvawe
Johan Van Weyenbergh
1 year
@financejonE @EricTopol @NatureAging @ElsKeyaerts Important question indeed! It is important to emphasize that each nursing home followed strict pandemic procedures, including isolation and ventilation measures. Still, SARSCoV2 was detected in aerosol of common spaces (used by either residents or staff) >50 d after 1st case
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@johanvawe
Johan Van Weyenbergh
14 days
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@johanvawe
Johan Van Weyenbergh
3 years
A single–cell type transcriptomics map of human tissues
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@johanvawe
Johan Van Weyenbergh
1 year
Shocking and saddening news... children should be in school, not doing child labour! @EduCannotWait
@TheLancet
The Lancet
1 year
Despite a UN General Assembly resolution declaring 2021 as the International Year for the Elimination of Child Labour, child labour is increasing globally for the first time in two decades. Our latest Editorial:
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@johanvawe
Johan Van Weyenbergh
3 months
Great news for #Covid and especially #LongCovid research: we can speed up by working in level 2 instead of level 3 #biosafety labs! 👇👇👇
@Marc_Veld
Marc Veldhoen
3 months
SARS-CoV-2 was classified at a biological safety level 3, due to the absence of a vaccine, treatment and its causing of a pandemic. We have good working vaccines and the pandemic risk has passed. Hence, the WHO has classified SARS-CoV-2 at BSL-2.
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@johanvawe
Johan Van Weyenbergh
2 months
Thanks Marco @U2Fight_World for the warm invitation!
@U2Fight_World
UniteToFight2024
2 months
📣 Speaker announcement 📣 A warm welcome for our next speaker! Johan Van Weyenbergh ( @johanvawe ) joins #UniteToFight2024 ! We are very happy to have you with us on this journey! 🙏 #longcovid #mecfs
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@johanvawe
Johan Van Weyenbergh
3 months
Using #crowdsourcing and online interactive reviewing (similar to TRiP peer review or Wikipedia), we believe both clinical trial size and scientific rigor will increase. How? A two-way interaction between the clinician-patient pair and researchers through online matchmaking
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@johanvawe
Johan Van Weyenbergh
5 years
Utterly shocked by @jclinicalinvest to allow a visual abstract wrongfully depicting a human body and a human protocol including #leukapheresis which was nowhere in the paper, as all experiments were done in murine models. #justsayinmice
@_cfcd
CFCD
5 years
In @jclinicalinvest vaccination with antigen (Ag)-loaded monocytes is more efficient than vaccination with Ag-loaded DCs in inducing anti-tumor immunity. However, Ag loaded monocyte vaccination efficacy is dependent on the Ag transfert to endogenous cDC1.
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@johanvawe
Johan Van Weyenbergh
2 years
Let's eliminate #HTLV , the silent killer virus! #WorldHTLVDay
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@johanvawe
Johan Van Weyenbergh
6 months
#LongCovid patient representatives Chantal and Pauline on the front stage! @ChantalBritt @Food_reward
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@johanvawe
Johan Van Weyenbergh
3 months
Why is the clinician-patient pair crucial? In our experience, it is a matter of basic #trust . Who do you trust with your body and your #data ? =also why we anticipate a crucial role for general practitioners in this process... @jamoulle takes 2-3 hours for a #LongCOVID consult!
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@johanvawe
Johan Van Weyenbergh
16 days
"...substantial unmet clinical need, in keeping with reports from individuals with #LongCOVID of difficulties accessing #healthcare and suboptimal recognition... when they do. Our data also suggest that unmet needs could be higher among individuals of non-White ethnicity"👇👇👇
@TheLancet
The Lancet
16 days
"Striking discrepancy" between occurrence of #longCOVID as perceived & reported by participants in longitudinal population-based studies vs evidence of long COVID recorded in their electronic health records, suggests new research letter 🔽
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@johanvawe
Johan Van Weyenbergh
4 months
@LongCovidComms @laurenancona Using a combo of 2 biomarkers, viral and immune RNA, we show the combo is high in 92% of the patients and in only 8% of the carefully matched controls (same age, sex, and time since Covid)
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@johanvawe
Johan Van Weyenbergh
3 months
Congrats @keithdurkin and team! Viral persistence for over a year in immunosuppressed individuals underscores its importance in #LongCovid
@keithdurkin
keith durkin
3 months
Our preprint on a recent SARS-CoV-2 prolonged infection. We infer it lasted over a year and see divergent lineages in the upper and lower respiratory tract, that acquired over 20 intrahost SNVs unique to each.
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@johanvawe
Johan Van Weyenbergh
4 months
@laurenancona @RecoveringRacc Very important question (=we don't know yet) My guess: 1. Could be a risk for vulnerable (immunodepressed, cancer) patients or those receiving high quantities of platelets. 2. However, Long Covid patients are in bad shape so probably not donating blood
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@johanvawe
Johan Van Weyenbergh
5 years
Never again insult a gene by calling it #housekeeping !!! #cancer #metabolism
@jer_06200
Jean-Ehrland Ricci
5 years
🤩exited to share our new publication in @Cell_Metabolism Incredible collaboration between researcher & clinician, RT GAPDH Expression Predicts the Response to R-CHOP, the Tumor Metabolic Status, and the Response of DLBCL Patients to Metabolic Inhibitors
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@johanvawe
Johan Van Weyenbergh
4 months
One of the very few positive side effects of the pandemic: "COVID’s #preprint bump set to have lasting effect on research publishing" Let's keep sharing #LongCovid research findings as fast as possible 👇👇
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@johanvawe
Johan Van Weyenbergh
5 years
Great collaboration and a cool story on how bacteria causing #tuberculosis hijack #stemcells to proliferate and cause severe disease, taking advantage of recent human #evolution (yes, including #Neandertal admixture!) #preprint #genomics #transcriptomics
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Johan Van Weyenbergh
3 months
@jamoulle @eLife @EricTopol Finally, an idea that did not end up in the paper: with the considerable unemployment among LC patients, hiring of patient experts as (remote) clinical data coaches in this new model would be an economical win-win situation! @patientled
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@johanvawe
Johan Van Weyenbergh
4 months
Recovery from #LongCovid : "Significant risk factors for cognitive non-recovery were male sex, older age and <12 years of school education. Importantly, #SARSCoV2 reinfection had no significant impact on recovery from #fatigue or cognitive deficits." #brain
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@johanvawe
Johan Van Weyenbergh
2 years
New study of #LongCovid shows persistent inflammation at 8 months after infection, with IFN-beta as best biomarker! #IFN @Natimm
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@johanvawe
Johan Van Weyenbergh
28 days
How I feel today 👇👇👇
@Rainmaker1973
Massimo
29 days
«One accurate measurement is worth a thousand expert opinions» — Grace Hopper
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@johanvawe
Johan Van Weyenbergh
3 months
Patients with #COVID19 may have an increased risk of developing respiratory diseases, increasing with severity of infection and reinfection. At 24-months follow-up, the risk of #asthma and bronchiectasis continued to increase. #LongCOVID
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@johanvawe
Johan Van Weyenbergh
5 years
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@johanvawe
Johan Van Weyenbergh
5 months
21st century has arrived: patients at the center of biomedical research! @patientled
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@johanvawe
Johan Van Weyenbergh
5 months
Excellent review on cardiovascular aspects of #LongCovid 👇
@NaturePortfolio
Nature Portfolio
5 months
A Review in @NatRevCardiol defines the major forms of cardiovascular autonomic dysfunction (CVAD) that are encountered in long COVID and discusses how CVAD, as a component of long COVID, can be diagnosed and managed.
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@johanvawe
Johan Van Weyenbergh
2 months
Most spectacular finding of this trial IMHO: 0% myalgia and 0% cognitive symptoms at 3 months vs. >90% in standard care. Also, these are cheap and safe (repurposed) drugs... but can we trial them after acute Covid to treat #LongCovid ?
@farid__jalali
Farid Jalali, MD
3 months
Lastly, in terms of PASC ( #LongCovid ): The percentage of participants reporting any PASC symptoms was significantly higher in the standard care arm relative to those in the treatment arms.
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@johanvawe
Johan Van Weyenbergh
1 year
Flu still remains a killer... but can we predict #ICU mortality in virus-associated #aspergillosis ? Yes, with #nCounter profiling: another nice collaboration with the #IAPA dreamteam @s_feys @carvalho_ago Joost Wauters' team @UZLeuven ! @nanostringtech
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@johanvawe
Johan Van Weyenbergh
4 months
@doc4care @LongCovidComms @laurenancona Hi John, that is indeed the million dollar (or rather million patient?) question in #LongCovid 👍👍
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Johan Van Weyenbergh
4 months
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@johanvawe
Johan Van Weyenbergh
3 months
If it's true for #Zika , it could be for #SARSCoV2 : "Immune Response May Cause Virus-Induced Neurologic Damage" #LongCovid #brain
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@johanvawe
Johan Van Weyenbergh
4 months
@PatientPersists @laurenancona The paper clearly demonstrates the virus in platelets is infectious: "plasma containing SARSCoV2 -positive platelets added to macrophages resulted in the production of infectious viral particles, using Vero reporter cells" Vero cells are gold standard to detect infectious virus
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@johanvawe
Johan Van Weyenbergh
1 month
@Opinions_Survey Very relevant question Tom! I'm working on a detailed reply in the long thread 🧐🤓
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@johanvawe
Johan Van Weyenbergh
5 years
Another #neglected tropical disease: visceral #leishmaniasis , can we put it on the radar in #2019 ? #NTDs
@MSF
MSF International
5 years
Have you ever heard of #KalaAzar ? This neglected disease cannot be eliminated without addressing its co-infection with #HIV . What you need to know today:
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@johanvawe
Johan Van Weyenbergh
4 years
Maybe there is mathematical evidence for group immunity, but as as an immunologist I must say: all available data point to the contrary: more antibodies means more severe disease, including ICU and fatal cases.
@houterkabouter
houter
4 years
Zoomed in version (as PDF: ). The effect of group immunity is hopelessly entangled with measures taken in October, and it is not (yet) possible to estimate the relative contribution of either.
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@johanvawe
Johan Van Weyenbergh
3 months
@jamoulle @eLife @EricTopol 4. After treatment, we advocate for an open data policy accessible to all ethically compliant researchers, through the same online peer review system. We are hopeful 'grassroots' trials will resolve the current bottlenecks of all clinical trials, not just Long COVID trials 👇
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@johanvawe
Johan Van Weyenbergh
3 months
@jamoulle @eLife @EricTopol General practitioners should be playing a crucial role in this new paradigm. Access to electronic health records and established patient rapport provides an untapped source of accurate data (pre-existing comorbidities, over-the-counter treatments,...)
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@johanvawe
Johan Van Weyenbergh
6 months
Really nice to get our #LongCovid research mentioned, thanks Tomaso and Elena for drawing media attention for this #neglected disease!
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@johanvawe
Johan Van Weyenbergh
7 days
Intriguing findings: the major #IFN producing cells make mice more susceptible to #SARSCOV2 ... not sure how to rhyme this with extremely susceptible TLR7-deficienct humans? As @Lo_Zanzi would say #FriendOrFoe is hard to say in the IFN world! @casanova_lab
@biorxiv_immuno
bioRxiv Immunology
7 days
Plasmacytoid dendritic cells are dispensable or detrimental in murine systemic or respiratory viral infections #biorxiv_immuno
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@johanvawe
Johan Van Weyenbergh
3 years
Finally out: XPO1 inhibitors as a novel therapeutic option in Adult T-cell #Leukemia , looking forward to clinical trials! #HTLV @HTLVnet @Karyopharm @krkksub @ricardo_khouri
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@johanvawe
Johan Van Weyenbergh
1 year
Fan picture: hats off to Living Legend and #Ebola pioneer @JeanMuyembe ! Thanks @MaesPiet and fresh PhD @TonyWawina for the invitation
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@johanvawe
Johan Van Weyenbergh
1 year
Using digital transcriptome technology #nCounter @nanostringtech , we mapped the local immune response in nasal mucosa (swabs in stead of blood samples) and found a new 'fatal' immune and viral footprint in residents who later died
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