3 research outputs found

    Large-scale phenotyping of patients with long COVID post-hospitalization reveals mechanistic subtypes of disease

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    One in ten severe acute respiratory syndrome coronavirus 2 infections result in prolonged symptoms termed long coronavirus disease (COVID), yet disease phenotypes and mechanisms are poorly understood1. Here we profiled 368 plasma proteins in 657 participants ≥3 months following hospitalization. Of these, 426 had at least one long COVID symptom and 233 had fully recovered. Elevated markers of myeloid inflammation and complement activation were associated with long COVID. IL-1R2, MATN2 and COLEC12 were associated with cardiorespiratory symptoms, fatigue and anxiety/depression; MATN2, CSF3 and C1QA were elevated in gastrointestinal symptoms and C1QA was elevated in cognitive impairment. Additional markers of alterations in nerve tissue repair (SPON-1 and NFASC) were elevated in those with cognitive impairment and SCG3, suggestive of brain–gut axis disturbance, was elevated in gastrointestinal symptoms. Severe acute respiratory syndrome coronavirus 2-specific immunoglobulin G (IgG) was persistently elevated in some individuals with long COVID, but virus was not detected in sputum. Analysis of inflammatory markers in nasal fluids showed no association with symptoms. Our study aimed to understand inflammatory processes that underlie long COVID and was not designed for biomarker discovery. Our findings suggest that specific inflammatory pathways related to tissue damage are implicated in subtypes of long COVID, which might be targeted in future therapeutic trials

    Restoring India's Terrestrial Ecosystems: Needs, Challenges, and Policy Recommendations

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    <p>This document is a product of the preparatory phase project of the National Mission on Biodiversity and Human Well-Being which was catalysed and supported by the Office of the Principal Scientific Advisor to the Government of India. It is the outcome of a series of stakeholder consultation meetings on ecological restoration of terrestrial landscapes and climate change in India. The insights from these meetings have been used to develop this document which highlights the challenges and best-practices in the restoration of terrestrial ecosystems, can serve as a guide for successful restoration of landscapes across different biomes of the Indian subcontinent, and help achieve India’s commitments to the Bonn Challenge and the goals set by India for biodiversity conservation, land restoration, climate mitigation and adaptation.</p&gt
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