Monoclonal antibody treatment for Covid-19

Monoclonal antibody

They are the lab made protein, mimicking the natural immune system of the human body, to fight any infection like SARS-CoV-2. It is advised as to avoid hospitalization while being found with the positive Covid test.

Restrictions

It is restricted to people of 65 or more years in age. So fairly the Covid-19 patients are always asked to get tested quickly and then get advise for the treatment of monoclonal antibody infusion.

FDA has also now advised for the monoclonal antibody treatment for SARS-CoV-2 in a recent FDA news release. One can see the list of qualification for the Monoclonal antibody treatment on certain website of hospital.

More recommendations

"It's the best treatment we have to keep you out of the hospital. It keeps people out of the hospital 70 percent of the time," said Montgomery-area pulmonologist Dr. David Thrasher. "It's really a great treatment and everybody needs to ask for it."

The fifth nucleobase

Basic ingredient in genetic recipe

Four letter A,T,C,G of genetic alphabet forming three letter words (codon), specifying for 20 amino acids, makes the basic molecular foundation of all life forms. 

But some viruses show a fundamental genomic change, a modified novel fifth base in nucleotide.

Z genome with a noncanonical modified base

In a strategy to escape bacterial restriction enzyme, it was found in the genome of  200 phage virus like one as cyanophage S-2L, out of the four canonical Watson-Crick nucleobases A,T,C,G; A is replaced by the diaminopurine (Z) forming three hydrogen bonds with T, which makes it more stable and rigid from bacterial defenses than double bond A=T. It was first reported in 1977 by soviet researcher. Further study suggest that aminoadenine in place of adenine was included in the phylogeny of these bacteriophage since archaic.

Jordana Cepelewicz in her article further states that: 'Z and other modified DNA bases seem to have evolve to help viruses evade the defenses with which bacteria degrade foreign genetic material. The eternal arms race between bacteriophages and their host cells probably provides enough selection pressure to affect something as seemingly "sacrosanct" as DNA, according to Romesberg.'

Fear memories and neuronal disorders

Rapid gene expression and DSBs

In a research study, it was found that the neuronal activity induced DNA double strand breaks (DSBs) to cause a change in neuronal activity regulated genes, when an organism is exposed to new sensory experience due to change in organism's external environment. That is a process of quick access to store genetic instructions as store memories.

Neuronal damage

But Li-Huei Tsai, the Picower professor of neuroscience found in her lab studies that fear memories induced repeated DSBs causes severe neuronal damage results neurological diseases causing neurodegenerative disorders impacting learning and memories. As routinely repair process of breaks become flawed and fragile with age, as repair mechanism falters.

In a research article Aging brain initiative, Tsai says, "We wanted to understand exactly how widespread and extensive this natural activity is in the brain upon memory formation because that can give us insight into how genomic instability could undermine brain health down the road," "Clearly, memory formation is an urgent priority for healthy brain function, but these new results showing that several types of brain cells (including Glia called astrocytes), break their DNA in so many places to quickly express genes is still striking." It was found that Glia DSBs response to hormone glutocorticoids, secreted in response of stress in fear conditioning, shows robust transcriptional response of glia to stress through hormone.

Brain sites of fear memories 

Author in their study found that creation of fear memories doubled the number of DSBs in variety of cell types in prefrontal cortex and hippocampus regions essential for formation and storage of conditioned fear memories, affecting more than 300 genes in each region for making synaptic connections due increased transcriptionally induced loci, a phenomenon called 'synaptic plasticity'. So such new groups of neurons connected together cause formation of new memories, called engrams. 

 

Damages due to frequent DSBs

The researchers wrote, 'Overall we have identified sites of DSBs at genes important for neuronal and glial functions, suggesting that impaired DNA repair of these recurrent DNA breaks which are generated as part of brain activity could result in genomic instability that contribute to aging and disease in the brain'.

*This blog is inspired by the MIT news from Picower institute for learning and memory. Many more research paper links are also thankfully inserted in blog, from public domain publication for detail study if needs. Graphic is by blog author.

Father of nuclear bomb and Sanskrit scripture Bhagavat-Gita

"I have always been curious to know the inspiration behind those brains of key nuclear physicist, working in the 'Manhattan Project' in 1945, resulting in nuclear bomb then code named 'Gadget'.

And here comes a book, from the 'Hindu' scripture 'Bhagavat-Gita', which 'Oppenheimer' quoted before and after the 'Trinity test', many a time.

Hard it is to conclude if the 'Gita' was/is a book inspiring for a decisive fight against enemy or a truce resulting after the war of such a ferocious magnitude.

What an irony, the war referred in this scripture was finally fought with 'Brahmastra', a name in 'Sanskrit', believed to be a nuclear weapon of that time." 

--Author 

(Storyline: J. Robert Oppenheimer/ Nuclear bomb/ Inspiration/ Bhagavat-Gita/ Indology)

July 16th:

Every year this date reminds us about first nuclear detonation, code named 'Trinity' (assigned by Oppenheimer), tested successfully in 1945 on the culmination of 'Manhattan Project' which later used against humans in shorter than a month time, i.e. 6th August 1945 on Hiroshima, killing 126,000 civilians instantly.

It is recorded that more than 130,000 strong human force were employed in this Nuclear weapon research project, secretly conducted at various sites in US, Canada and UK, in the World War II years ranging from 1942 to 1946.

What an irony:

1. The German chemists were the pioneer scientist namely Otto Hahn and Fritz Strassmann discovering Nuclear fission which theoretically explained by Lise Meitner and Otto Frisch. 

But it was the party opposite to use this technology to win and end the second world war lastly.

2. Those who were involved in the Project may not be knowing the full impact of destruction it was going to cause and whole concept of war and peace was going to change there on.

3. It is said that two days before the 'Trinity' test, Oppenheimer expressed his hope and fear by citing a quote from the Hindu scripture Bhagavat-Gita, as: "In battle, In the forest, at the precipice in the mountains, On the dark great sea, in the midst of javelins and arrows, In sleep, in confusion, in the depths of shame, The good deeds a man has done before defend him."

4. Later in 2016 US President Barack Obama was in Hiroshima, recalled; "Death fell from the sky and the world was changed" where 80,000 lives were lost instantly on 9th August 1945 as the second Nuclear bomb was dropped over Japan.

That reminds the warning wordings of then President Truman saying, "expect a rain of ruin from the air, the like of which has never been seen on this earth."

Julius Robert Oppenheimer: (Physicist and Professor at the University of California Berkeley)
Oppie, as his friends called him, the war time head of the Los Alamos laboratory, was among many who worked in the 'Manhattan Project', he is the one credited as the 'Father of the Atomic bomb.'

While witnessing the 'Trinity' explosion he thought about a verse from a Hindu scripture Bhagvat Gita (XI, 12): "If the radiance of a thousand suns were to burst at once into the sky, that would be like the splendor of the mighty one.."

His Gita connection: 

It was way back in 1933, much before the 'Manhattan Project', Oppenheimer, a Jewish by birth, learned Sanskrit from an Indologist, Professor Arthur W. Ryder at Berkeley, read Gita in Sanskrit. Later he recalled that this was the book that shaped his philosophy of life.

Oppenheimer persuaded to quote again for a television broadcast in 1965:
"We knew the world would not be the same. A few people laughed, a few people cried. Most people were silent. I remembered the line from the Hindu scripture, the Bhagavad-Gita (verse 32 of chapter 11). Vishnu is trying to persuade the Prince that he should do his duty, and, to impress him, takes on his multi-armed form and says, 'Now I am become death, the destroyer of worlds.' I suppose we all thought that, one way or another."

Link for text, translated-audio, Oppenheimer's video:
http://www.bhagavad-gita.org/Gita/verse-11-30.html

'Bhagvat-Gita' scripture showing page with a verse 11-30, with an English translation by Oppenheimer, which is being quoted more often.

Life after: 

As quoted by author Robert Monk in his book, Oppenheimer reportedly told the then President Truman on October 25, 1945: "Mr.President, I feel I have blood on my hands."

Such was the sorrow !

it enveloped everyone !! 

even those who created it !!!

*A related article by the author:

Hiroshima, Nagasaki in ethical perspective of nuclear bomb creator

Hiroshima, Nagasaki in ethical perspective of nuclear bomb creator

"Out of curiosity, I have always thought about the minds of scientists working 76 years back in 'Manhattan project' then in 1948 and whose labor was materialized in less than a month time after 'Trinity' test, into a man hunting arsenal causing massacre at large in Hiroshima and Nagasaki on 6th and 9th August 1945, culminating into the last bloodiest scar for humanity to remember for generations, if they do not learn any lesson from.

From their statements, some being quoted below for easy reference, one can easily conclude their utter frustration from this outcome with a collective sense of regret." 

--Author

(Storyline: Second world war/ Nuclear bomb/ Aesthetic and ethical judgement)

Life is lot more fragile than we think. So you should treat others in a way that leaves no regrets. Fairly, and if possible, sincerely. It's too easy not to make the effort, then weep and wring your hands after the person dies. 

--Haruki Murakami 

J. Robert Oppenheimer: 'We have made a very grave mistake', and 'in some sort of crude sense..the physicist have known sin.'

In a famous quote about his meet with President Henry Truman, he has said then, 'Mr. President, I feel I have blood on my hands.'
Well, then he was referring the future too.

Henry Wallace, then the Vice President, recalls about him in his diary, 'I never saw a man in such an extremely nervous state as Oppenheimer. He seemed to feel that the destruction of the entire human race was imminent.'

Later he vocalize his fear by saying, 'the people of this world must unite or they will perish.'

Reminiscing his earlier days while working in Los Alamos Laboratory, 'To me (the task at hand) is primarily the development in time of war of a military weapon of some consequences,....concern was as if to save the civilization.'

Perhaps when he referred through his famous quote of the Gita after the Trinity test:   'I am become death, the destroyer of the worlds,' ..was perhaps pointing his concern for humanity in posterity.

Albert Einstein: He did not play a direct role but his discoveries did and he was in regret for the letter he wrote to Roosevelt . 'Had I known that the Germans would not succeed in producing Atomic bomb', he said, 'I would have never lifted a finger.'

In 1954, 5 months before his death, he has said, 'I made one great mistake in my life ..when I signed the letter to President Roosevelt recommending that atom bombs be made.'

'Politics is more difficult than physics', was the answer of Albert Einstein when he was asked, why one can discover the atomic power and not to control it.

CRISPR-Cas9 gene editing tool can cause chromothripsis leading to oncogenes

CRISPER-Cas9 an ancient immune system in bacterium
Microbiologist in 1993 identified some unique repetitive, well preserved DNA sequences in Prokaryotes, appearing over and over again. Between repetitive  DNA sequences there are unique sequences that differs. These repetitive sequences are called as 'clustered regularly interspaced short palindromic repeats', abbreviated as CRISPER. Those non repetitive sequences matches with the genome of their pathogenic phage viruses. "So the hypothesis were put forward that bacterium succeeded in surviving from the virus infection by adding a piece of virus genetic code into it's genome as the memory of the infection. Perhaps the mechanism used by bacterium to neutralize a virus is by RNA interference." These were named as trans-activating crispr RNA (tracrRNA). That's an ancient immune system that protects bacterium from the infection of viruses.

Genetic scissor

Emmanuelle Charpentier and Jennifer Doudna, found that apart from CRISPER there are special CRISPER associated (cas9) genes, known for coding of a protein which unwinds and cleaves DNA (perhaps for the virus genetic material). Both scientists realized that the CRISPER-cas9 system could be programmed to cut other pieces of DNA and were awarded Nobel Prize 2020 in Chemistry "for the development of a method for genome editing". This precise molecular tool, like a scissor to make precise incision in DNA , to rewrite the code of life i.e. the genetic material.

Emmanuelle (left) and Jennifer (right)
Thankfully shared from Nobel Media in public domain

It also raises ethical, social and safety concerns as it's controversial use on human cells. This genetic scissor opened a new era of possibilities in the field of life sciences, biochemistry, cell biology, like as a gene editor, knowing the functions of genes and editing them for desired characters in plant breeding or controlling hereditary diseases etc.

CRISPER-Cas9 and genotoxicity

CRISPER-Cas9 based therapies have reported many genotoxic incident causing clinical complications like large scale DNA deletions, p53 tumor suppressor protein, chromosomal truncations, preexisting antibodies and T cells induced problems.

This happens because in clinical applications the possible safety concern and care are not being taken, resulting in break of d-DNA that results in genomic rearrangement, that means individual arrangement of chromosome is shattered which may also result in subsequent rejoining in haphazard order.

It is found that mostly cells do not survive due to these alterations and if they do, then may result in oncogenic fusion proteins or dysregulated expression of a particular gene that may bring more unwanted complications in individual cell.