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World Bank works to redirect frozen funds to Afghanistan for humanitarian aid only

Afghanistan/November 30, 2021/By Reuters/Source: https://www.khaleejtimes.com/

The money will go mainly to addressing urgent health care needs

The World Bank is finalising a proposal to deliver up to $500 million from a frozen Afghanistan aid fund to humanitarian agencies, people familiar with the...

La educación transformadora en el pensamiento de Paulo Freire

La educación transformadora en el pensamiento de Paulo Freire

Por Eliseo  Cruz Aguilar

Colegio Nacional de Capacitación Intensiva
Oaxaca de Juárez ,  México

Resumen: En este artículo se expone la práctica y el pensamiento político pedagógico de Paulo Freire, destacando sus principales categorías acerca de la educación liberadora como respuesta...


Diccionario de términos críticos de la literatura y la cultura en América Latina

Coordinadora: Beatriz Colombi.
La propuesta de compendiar este diccionario de autoría colectiva surgió del interés y la necesidad de reflexionar sobre el léxico especializado en el área de los estudios de la cultura y literatura latinoamericanas. Los términos seleccionados remiten a problemas...

Ángel Martín: «Escribir ha sido un ejercicio muy agotador, pero muy terapéutico»

Ángel Martín: «Escribir ha sido un ejercicio muy agotador, pero muy terapéutico»


Ángel Martín (Barcelona, 1977) ingresó en el ala de psiquiatría del madrileño Hospital Puerta de Hierro el 4 de junio de 2017. Acudió a urgencias manifestando, entre otras “ideas extrañas”, que Chris Pratt y Jennifer Lawrence le enviaban mensajes desde la película Pass

Luto por Almudena Grandes en las redes

Luto por Almudena Grandes en las redes

Por Zenda Libros.com

Amigos y escritores se despiden de Almudena Grandes en las redes sociales. Numerosas muestras de cariño a su persona y reconocimientos a su importante obra literaria han aparecido en Twitter desde que se conoció la triste noticia de su fallecimiento. Hacemos a continuaci...

Mesa de Análisis “Violencia de género en la academia y en la ciencia patriarcal: reflexiones en voz alta”

Mesa de Análisis “Violencia de género en la academia y en la ciencia patriarcal: reflexiones en voz alta”

Te invitamos a participar en la Mesa de Análisis "Violencia de género en la academia y en la ciencia patriarcal: reflexiones en voz alta" que es parte de la Jornada #25N - 2021 Conmemoración del Día Internacional de la Eliminación de la Violencia contra la Mujer, que se realizará el día viernes, 26

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Nature: COVID and the brain: researchers zero in on how damage occurs

Nature/  11 July, 2021/ Source/ https://www.nature.com/articles/d41586-021-01693-6

Growing evidence suggests that the coronavirus causes ‘brain fog’ and other neurological symptoms through multiple mechanisms.

By Michael Marshall

A person in a face mask looks at brain scans on two computer monitors

Since the beginning of the pandemic, researchers have been trying to understand how the coronavirus SARS-CoV-2 affects the brain.Credit: Stanislav Krasilnikov/TASS/Getty

How COVID-19 damages the brain is becoming clearer. New evidence suggests that the coronavirus’s assault on the brain could be multipronged: it might attack certain brain cells directly, reduce blood flow to brain tissue or trigger production of immune molecules that can harm brain cells.

Infection with the coronavirus SARS-CoV-2 can cause memory loss, strokes and other effects on the brain. The question, says Serena Spudich, a neurologist at Yale University in New Haven, Connecticut, is: “Can we intervene early to address these abnormalities so that people don’t have long-term problems?”

With so many people affected — neurological symptoms appeared in 80% of the people hospitalized with COVID-19 who were surveyed in one study1 — researchers hope that the growing evidence base will point the way to better treatments.

Breaking into the brain

SARS-CoV-2 can have severe effects: a preprint posted last month2 compared images of people’s brains from before and after they had COVID-19, and found loss of grey matter in several areas of the cerebral cortex. (Preprints are published without peer review.)

Early in the pandemic, researchers speculated that the virus might cause damage by somehow entering the brain and infecting neurons, the cells responsible for transmitting and processing information. But studies have since indicated3 that the virus has difficulty getting past the brain’s defence system — the blood–brain barrier — and that it doesn’t necessarily attack neurons in any significant way.


One way in which SARS-CoV-2 might be accessing the brain, experts say, is by passing through the olfactory mucosa, the lining of the nasal cavity, which borders the brain. The virus is often found in the nasal cavity — one reason that health-care workers test for COVID-19 by swabbing the nose.

Even so, “there’s not a tonne of virus in the brain”, says Spudich, who co-authored a review of autopsies and other evidence that was published online in April4.

But that doesn’t mean it is not infecting any brain cells at all.

Studies now suggest that SARS-CoV-2 can infect astrocytes, a type of cell that’s abundant in the brain and has many functions. “Astrocytes do quite a lot that supports normal brain function,” including providing nutrients to neurons to keep them working, says Arnold Kriegstein, a neurologist at the University of California, San Francisco.

Confocal light micrograph showing bright green cells with many fronds, and blue nuclei.

Astrocytes are star-shaped cells in the central nervous system that perform many functions, including providing nutrients to neurons.Credit: David Robertson, ICR/SPL

In a preprint posted in January, Kriegstein and his colleagues reported5 that SARS-CoV-2 preferentially infects astrocytes over other brain cells. The researchers exposed brain organoids — miniature brain-like structures grown from stem cells in the lab — to the virus. SARS-CoV-2 almost exclusively infected astrocytes over all other cells present.

Bolstering these lab studies, a group including Daniel Martins-de-Souza, head of proteomics at the University of Campinas in Brazil, reported6 in a February preprint that it had analysed brain samples from 26 people who died with COVID-19. In the five whose brain cells showed evidence of SARS-CoV-2 infection, 66% of the affected cells were astrocytes.

Infected astrocytes could explain some of the neurological symptoms associated with COVID-19, especially fatigue, depression and ‘brain fog’, which includes confusion and forgetfulness, argues Kriegstein. “Those kinds of symptoms may not be reflective of neuronal damage, but could be reflective of dysfunctions of some sort. That could be consistent with astrocyte vulnerability.”


Astrocytes might be vulnerable even if they are not infected by the virus. A study published on 21 June7 compared the brains of 8 deceased people who had COVID-19 with the brains of 14 controls. The researchers found no trace of SARS-CoV-2 in the brains of the infected people, but they did find that gene expression had been affected in some astrocytes, which were not working properly.

Given all these findings, researchers want to know how many brain cells need to be either infected or damaged to cause neurological symptoms, says Ricardo Costa, a physiologist at Louisiana State University Health in Shreveport whose team is studying SARS-CoV-2’s effects on brain cells.

Unfortunately, there probably isn’t a simple answer, says Kriegstein, pointing out that cells, including neurons, in some regions of the brain will cause more dysfunction than others, if damaged.

Blocking blood flow

Evidence has also accumulated that SARS-CoV-2 can affect the brain by reducing blood flow to it — impairing neurons’ function and ultimately killing them.

Pericytes are cells found on small blood vessels called capillaries throughout the body — including in the brain. A February preprint reported that SARS-CoV-2 could infect pericyte-like cells in brain organoids8.


In April, David Attwell, a neuroscientist at University College London, and his colleagues published a preprint showing evidence that SARS-CoV-2 can affect pericytes’ behaviour9. The researchers observed that, in slices of hamster brain, SARS-CoV-2 blocks the functioning of receptors on pericytes, causing capillaries in the tissue to constrict. “It turns out this is a big effect,” says Attwell.

It’s a “really cool” study, says Spudich. “It could be something that is determining some of the permanent injury we see — some of these small-vessel strokes.”

Attwell suggests that drugs used to treat high blood pressure, which involves blood-vessel restriction, might be useful in some cases of COVID-19. Two clinical trials are currently investigating the effect of the blood-pressure drug losartan to treat the disease.

Immune malfunction

There is also growing evidence that some neurological symptoms and damage are the result of the body’s own immune system overreacting and even misfiring after encountering the coronavirus.

In the past 15 years, it has become clear that in response to infection, some people’s immune systems inadvertently make ‘autoantibodies’ that attack their own tissue, says Harald Prüss, a neuroimmunologist at the German Center for Neurodegenerative Diseases in Berlin. This can cause long-term conditions such as neuromyelitis optica, in which people experience symptoms such as loss of vision, and weakness in their limbs. In a review published in May10, Prüss summarized evidence that these autoantibodies can pass through the blood–brain barrier, and contribute to neurological disorders ranging from memory impairment to psychosis.


This pathway might also operate in COVID-19. In a study published last year11, Prüss and his colleagues isolated antibodies against SARS-CoV-2 from people, and found one that was able to protect hamsters from infection and lung damage. The aim was to create new treatments. But the researchers also found that some of the antibodies could bind to brain tissue, suggesting that they might damage it. “We’re currently trying to prove that clinically and experimentally,” says Prüss.

In a second paper, published online last December, a team including Prüss studied the blood and cerebrospinal fluid of 11 people critically ill with COVID-19, all of whom had neurological symptoms12. All produced autoantibodies capable of binding neurons. And there is evidence that giving patients intravenous immunoglobulin, another type of antibody, to suppress the harmful autoantibodies’ action is “quite successful”, says Prüss.

These pathways — astrocytes, pericytes and autoantibodies — are not mutually exclusive, and are probably not the only ones: it is likely that people with COVID-19 experience neurological symptoms for a range of reasons. Prüss says a key question is what proportion of cases is caused by each of the pathways. “That will determine treatment,” he says.

doi: https://doi.org/10.1038/d41586-021-01693-6

  1. 1.

    Chou, S. H.-Y. et al. JAMA Netw. Open 4, e2112131 (2021).

    PubMed Article Google Scholar

  2. 2.

    Douaud, G. et al. Preprint at medRxiv https://doi.org/10.1101/2021.06.11.21258690 (2021).

  3. 3.

    Serrano, G. E. et al. Preprint at medRxiv https://doi.org/10.1101/2021.02.15.21251511 (2021).

  4. 4.

    Farhadian S. F., Seilhean, D. & Spudich, S. Curr. Opin. Neurol. 34, 417–422 (2021).

    PubMed Article Google Scholar

  5. 5.

    Andrews, M. G. et al. Preprint at bioRxiv https://doi.org/10.1101/2021.01.17.427024 (2021).

  6. 6.

    Crunfli, F. et al. Preprint at medRxiv https://doi.org/10.1101/2020.10.09.20207464 (2021).

  7. 7.

    Yang, A. C. et al. Nature https://doi.org/10.1038/s41586-021-03710-0 (2021).

    Article Google Scholar

  8. 8.

    Wang, L. et al. Preprint at bioRxiv https://doi.org/10.1101/2021.02.09.430349 (2021).

  9. 9.

    Hirunpattarasilp, C. et al. Preprint at bioRxiv https://doi.org/10.1101/2021.04.01.438122 (2021).

  10. 10.

    Prüss, H. Nature Rev. Immunol. https://doi.org/10.1038/s41577-021-00543-w (2021).

    PubMed Article Google Scholar

  11. 11.

    Kreye, J. et al. Cell 183, 1058–1069.e19 (2020).

    PubMed Article Google Scholar

  12. 12.

    Franke, C. et al. Brain Behav. Immun. 93, 415–419 (2021).

    PubMed Article Google Scholar

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Nature: COVID and the brain: researchers zero in on how damage occurs – Sarraute Educación María Magdalena

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