64 research outputs found

    Vaccine breakthrough hypoxemic COVID-19 pneumonia in patients with auto-Abs neutralizing type I IFNs

    Full text link
    Life-threatening `breakthrough' cases of critical COVID-19 are attributed to poor or waning antibody response to the SARS- CoV-2 vaccine in individuals already at risk. Pre-existing autoantibodies (auto-Abs) neutralizing type I IFNs underlie at least 15% of critical COVID-19 pneumonia cases in unvaccinated individuals; however, their contribution to hypoxemic breakthrough cases in vaccinated people remains unknown. Here, we studied a cohort of 48 individuals ( age 20-86 years) who received 2 doses of an mRNA vaccine and developed a breakthrough infection with hypoxemic COVID-19 pneumonia 2 weeks to 4 months later. Antibody levels to the vaccine, neutralization of the virus, and auto- Abs to type I IFNs were measured in the plasma. Forty-two individuals had no known deficiency of B cell immunity and a normal antibody response to the vaccine. Among them, ten (24%) had auto-Abs neutralizing type I IFNs (aged 43-86 years). Eight of these ten patients had auto-Abs neutralizing both IFN-a2 and IFN-., while two neutralized IFN-omega only. No patient neutralized IFN-ss. Seven neutralized 10 ng/mL of type I IFNs, and three 100 pg/mL only. Seven patients neutralized SARS-CoV-2 D614G and the Delta variant (B.1.617.2) efficiently, while one patient neutralized Delta slightly less efficiently. Two of the three patients neutralizing only 100 pg/mL of type I IFNs neutralized both D61G and Delta less efficiently. Despite two mRNA vaccine inoculations and the presence of circulating antibodies capable of neutralizing SARS-CoV-2, auto-Abs neutralizing type I IFNs may underlie a significant proportion of hypoxemic COVID-19 pneumonia cases, highlighting the importance of this particularly vulnerable population

    Monitoring of species’ genetic diversity in Europe varies greatly and overlooks potential climate change impacts

    Get PDF
    Genetic monitoring of populations currently attracts interest in the context of the Convention on Biological Diversity but needs long-term planning and investments. However, genetic diversity has been largely neglected in biodiversity monitoring, and when addressed, it is treated separately, detached from other conservation issues, such as habitat alteration due to climate change. We report an accounting of efforts to monitor population genetic diversity in Europe (genetic monitoring effort, GME), the evaluation of which can help guide future capacity building and collaboration towards areas most in need of expanded monitoring. Overlaying GME with areas where the ranges of selected species of conservation interest approach current and future climate niche limits helps identify whether GME coincides with anticipated climate change effects on biodiversity. Our analysis suggests that country area, financial resources and conservation policy influence GME, high values of which only partially match species’ joint patterns of limits to suitable climatic conditions. Populations at trailing climatic niche margins probably hold genetic diversity that is important for adaptation to changing climate. Our results illuminate the need in Europe for expanded investment in genetic monitoring across climate gradients occupied by focal species, a need arguably greatest in southeastern European countries. This need could be met in part by expanding the European Union’s Birds and Habitats Directives to fully address the conservation and monitoring of genetic diversity

    COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

    Get PDF
    Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≀ 18 years: 69, 48, 23; 85%), older adults (≄ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P < 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

    Acoustic interaction between 3D fabricated cubic bubbles

    No full text
    International audienceSpherical bubbles are notoriously difficult to hold in specific arrangements in water and tend to dissolve over time. Here, using stereolithographic printing, we built an assembly of millimetric cubic frames overcoming these limitations. Indeed, each of these open frames holds an air bubble when immersed into water, resulting in bubbles that are stable for long times and still able to oscillate acoustically. Several bubbles can be placed in any wanted spatial arrangement thanks to the fabrication process. We show that bubbles are coupled acoustically when disposed along lines, planes or 3D arrangement, and that their collective resonance frequency is shifted to much lower values, especially for 3D arrangements where bubbles have higher number of close neighbours. Considering that these cubic bubbles behave acoustically as spherical bubbles of the same volume , we develop a theory allowing to predict the acoustical emission of any arbitrary group of bubbles, in agreement with experiments

    Diagnosis of planktonic trophic network dynamics with sharp qualitative changes

    No full text
    Trophic interaction networks are notoriously difficult to understand and to diagnose (i.e., to identify contrasted network functioning regimes). Such ecological networks have many direct and indirect connections between species, and these connections are not static but often vary over time. These topological changes, as opposed to a dynamic on a static (frozen) network, can be triggered by natural forcings (e.g., seasons) and/or by human influences (e.g., nutrient or pollution inputs). Aquatic trophic networks are especially dynamic and versatile, thus suggesting new approaches for identifying network structures and functioning in a comprehensive manner. In this study, a qualitative model was devised for this purpose. Applying discrete-event models from theoretical computer science, a mechanistic and qualitative model was developed that allowed computation of the exhaustive dynamics of a given trophic network and its environment. Once the model definition is assumed, it provides all possible trajectories of the network from a chosen initial state. In a rigorous and analytical approach, for the first time, we validated the model on one theoretical and two observed trajectories recorded at freshwater stations in the La Rochelle region (Western France). The model appears to be easy to build and intuitive, and it provides additional relevant trajectories to the expert community. We hope this formal approach will open a new avenue in identifying and predicting trophic (and non-trophic) ecological networks

    The role of gender in the perception of autism symptom severity and future behavioral development

    No full text
    Background: Increasing attention is being paid to the higher prevalence of boys with Autism Spectrum Disorder (ASD) and to the implications of this ratio discrepancy on our understanding of autism in girls. One recent avenue of research has focused on caregiver's concern, suggesting that autism might present differently in boys and girls. One unexplored factor related to concerns on child development is whether socio-cultural factors such as gender-related expectations influence the evaluation of symptom severity and predictions about future behavioral development. Methods: The latter concerns were the focus of the present study and were explored by investigating laypeople's judgment of the severity of autism symptoms using an online parent role-playing paradigm, in which participants were asked to rate vignettes depicting the behaviors of a child in different everyday life scenarios. The child's gender and the severity of ASD symptoms were manipulated to examine the effect of gender on the perception of symptom severity. Results: Results suggest that there are no gender differences in perceived symptom severity and associated degree of concern for 5-year-old boys and girls but that there is a gender difference in perceived future atypicality at 15 years old, with boys being rated as more likely to be perceived as atypical by their peers at that age than girls. Conclusions: Investigating parent's cognition about their child's future behavioral development can provide additional information regarding delayed diagnosis of autistic girls.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

    Sedimentary response to sea ice and atmospheric variability over the instrumental period off Adélie Land, East Antarctica

    No full text
    International audienceDiatoms account for a large proportion of primary productivity in Antarctic coastal and continental shelf zones. Diatoms, which have been used for a long time to infer past sea surface conditions in the Southern Ocean, have recently been associated with diatom-specific biomark-ers (highly branched isoprenoids, HBI). Our study is one of the few sedimentary research projects on diatom ecology and associated biomarkers in the Antarctic seasonal sea ice zone. To date, the AdĂ©lie Land region has received little attention, despite evidence for the presence of high accumulation of laminated sediment, allowing for finer climate reconstructions and sedimentary process studies. Here we provide a sequence of seasonally to annually laminated diatomaceous sediment from a 72.5 cm interface core retrieved on the continental shelf off AdĂ©lie Land, covering the 1970–2010 CE period. Investigations through statistical analyses of diatom communities, diatom-specific biomarkers and major element abundances document the relationships between these proxies at an unprecedented resolution. Additionally, comparison of sedimentary records to meteorological data monitored by automatic weather station and satellite derived sea ice concentrations help to refine the relationships between our proxies and environmental conditions over the last decades. Our results suggest a coupled interaction of the atmospheric and sea surface variability on sea ice seasonality, which acts as the proximal forcing of siliceous productivity at that scale
    • 

    corecore