We had a fantastic talk from Dr. Andrea (Andi) Levine, an Assistant Professor of Medicine in the division of Pulmonary & Critical Care Medicine at the University of Maryland School of Medicine. She discussed the current definition of Long-COVID syndrome, what we know about who gets it, why they do, and what we can do to try to both treat and prevent this syndrome.
Long-COVID comes by many names, but refers to symptoms that linger 1-3 months after initial infection, according to the CDC and WHO respectively. We are still very much in this pandemic; Dr. Levine highlighted that at-home testing likely led to the underreporting of overall cases. She highlighted that Long-COVID is its own pandemic and could lead to a mass deterioration event.
Long-COVID symptoms impact almost all organ systems and 80% of patients report at least one symptom that persists long-term. Roughly 50% of patients have ongoing symptoms after 1 month, 5 months, and up to 1 year. The majority of Long-COVID patients were female, obese or with underlying conditions, and around the 50-year age mark. The more symptoms you had earlier on made you more likely to experience Long-COVID symptoms.
The likelihood of a patient acquiring Long-COVID is related to their initial disease severity. A study in The Lancet found that even patients who were less sick initially still reported Long-COVID symptoms. However, that same study alluded that the sicker you were, the more likely you are to experience Long-COVID. The 2-dose vaccination series diminished the likelihood of experiencing persistent illness, but not entirely. Dr. Levine stressed the importance of getting boosters and mask-wearing. Getting vaccinated after COVID-19 infection and long-term symptoms have presented themselves may lead to remission of these symptoms as well. Different COVID variants triggered different persistence in whether patients experienced Long-COVID.
Dr. Levine discussed how the virus can persist in “viral reservoirs” within the body (i.e. the virus can be cleared in a nasal sample, but still present itself in the stool for weeks on end). She stressed again that all organ systems in patients reflect ongoing COVID-19 virus, meaning that no organ tissue is spared. The virus can cross the blood-brain barrier and continue to replicate. In these viral reservoirs (particularly the brain), the virus was seen to mutate from what it was at the time of initial infection. Significant areas of the brain maintained SARS-CoV-2 RNA and structural brain abnormalities could have led to neurological symptoms. COVID-19 infection also caused a prolonged inflammatory state in patients, leading to Long-COVID symptoms. Autoimmunity unmasking by COVID-19 infection is also a probable explanation.
Dr. Levine touched on the mental and social effects of Long-COVID. She discussed how many fear that their experiences are not real and all in their head. Long-COVID correlated with mental health diagnoses and the inability to work. Unfortunately, there are still a lot of unknowns on how inpatient and outpatient therapies impact Long-COVID. She highlighted we, as a society, are at a turning point and must begin to focus on persistent COVID symptoms in addition to the initial infections themselves.
The Microbes in Space seminar, co-sponsored by the Maryland Branch of the American Society for Microbiology, highlighted projects conducted in space relating to microbiology. Seminar attendees were joined by Dr. Jennifer Kerr of Notre Dame of Maryland University to present on some key studies happening in space and her own lab’s research.
Kerr first highlighted the many hazards spaceflight has on the human body. These dangers include radiation which damages DNA and lack of gravity which leads to mineral and bone loss. Therefore it is quite astonishing how certain microorganisms can withstand these obstacles, in particular tardigrades. Also known as water bears or moss piglets, tardigrades are tiny and cute invertebrates which prefer to live in water. They are well known for cryptobiosis, Latin for “hidden life”. Cryptobiosis is when there are no signs of metabolic activity, but the organism is still alive. In this state these animals only maintain 0.01% of normal metabolic activity which lets them handle extreme environments. Tardigrades shrivel up and go into what is known as the tun state during this dormancy period. There are also variations of cryptobiosis that tardigrades partake in. For instance, tardigrades in the tun state could survive 125 years without water (anhydrobiosis).
Tardigrade space research began in 2007 with the NASA Foton-M3 Mission studying radiation’s effects on these tiny critters. In a 2019 study, tardigrades in the tun state accidentally crash landed on the moon! Now, is it likely that there is a colony of tardigrades on the moon since there is no water on the moon and those tardigrades arrived in the tun state? Well, a 2021 study investigated tardigrade survival in such high-speed crashes. It was found that moss piglets could survive the impact, but not the shock pressure withstood, so it is unlikely that there is a tardigrade colony on the moon.
Aside from cute water bears, there are also more general microbiome studies happening in space. Specifically, these studies depict how contact surfaces around the International Space Station (ISS) have changed in response to the astronauts who come and go on the Space Station. The microbiomes of crewmembers may influence the microbial composition of ISS habitable surfaces. This is important in managing disease control and preventing contaminants from breaking certain hardware on the ISS. It was found that an astronaut’s microbiome contributes to roughly 55% of the environmental surface microbiome. These findings were not startling, yet it was importantly confirmed that the majority of these were safe and typical bacteria that already exists on the skin. However some were classified as opportunistic pathogens. Opportunistic pathogens have the potential to cause disease, but are unlikely to do so when kept in check by other bacteria or if the person’s immune system is properly functioning. Furthermore, this microbiome snapshot was maintained for a few weeks even after the particular astronaut had left. However this micro-diversity encountered turnover when a new astronaut arrived at the space station and was in constant interplay.
Not only did the microbiomes on ISS surfaces change, even the astronauts who lived there had notable shifts in their own microbial environments. In particular there were 347 bacterial species identified. This varied based on sample sites from the saliva, ears, skin, and nostrils. There were 12 top genera with the highest relative abundance identified across these astronaut samples. Mainly differences were seen in skin samples when astronauts were in flight to and from the Space Station. In the mouth, there were some key, but minimal changes. For instance, saliva had the largest change in composition of bacteria but relative abundance (which is the overall number of bacterial species) stayed the same. One potentially concerning finding with the saliva organisms was that some of them sampled displayed antimicrobial resistant gene markers. The reasoning is unknown, but further research is ongoing.
The NASA Biomedical Engineering for Exploration Space Tech (BEEST) lab is researching health care for exploration. Their goal is to train astronauts in non-invasive treatment of dental cavities. Seminar attendees were also shown a light-hearted video on how astronauts brush their teeth in space. Something as simple as brushing their teeth is even more important in space. There has never been an astronaut who is a dentist, so having preventative care and training is important. Astronauts are even taught techniques up to tooth extraction.
A healthy microbiome is known to be in eubiosis while an unbalanced one is in dysbiosis. For example, the reason that too much sugar leads to tooth decay is because bacteria in the mouth feed on this excess sugar. It causes them to grow more and create more acid. This excess acid leads to a pH shift in which creates a habitable environment for more hardy bacteria to in turn create more acid. This acid also destroys tooth enamel. This leads to cavities and even more body-based diseases. For instance, the dangerous bacteria from the mouth can move through blood to other bodily systems and clog arteries. Maintaining oral hygiene is of utmost priority in space.
This human-microbial research ties back to Dr. Jennifer Kerr’s research at Notre Dame. She is an oral microbiologist and studies teeth in space. Her work centers around Streptococcus mutans. Her lab hopes to help astronauts identify a cavity and use a handheld microwave device to kill the bacteria. Astonighly when this gadget is held to the mouth for only a minute, 99% of the S. mutans are killed. However, in the case of a cavity, demineralization still remains. In order to remineralize it, the astronaut’s body needs to be given the appropriate starting material and the pH has to come back to neutral. This research is still ongoing, but it could have profound impacts, not only on human health in space but even on Earth. According to the Global Burden of Disease Study “oral diseases affect close to 3.5 billion people worldwide” which is why this research and its findings will be so consequential to the world of dentistry and the science and medical communities as a whole.
Co-sponsored by the Maryland Branch of the American Society for Microbiology.
Last fall, with the promise of historic federal and state investments for community recovery, among other important initiatives, Baltimore City announced its Digital Equity Framework – a plan to permanently close its digital divide within the next eight years. Free public Wi-Fi in outdoor community gathering places has been announced as part of the plan, as has connecting our Rec Centers. The grand vision is a municipally owned fiber infrastructure serving all locations in the city. But this ambitious goal won’t be met by technology solutions alone.
Chris Ritzo presented to us about how the city is beginning this work and we discussed the Internet, Wi-Fi, and the power of human networks and community based solutions to combat inequities.
The seminar began with some background information and definitions. The Digital Divide is the gap between those with access to engage online and it disproportionately affects minorities and prevents equal technological access Digital Equity, on the other hand, differs from equality in that it acknowledges systemic barriers in place to hinder others. Lastly Digital Inclusion aims to involve all communities even those most disadvantaged. In order to achieve Digital Inclusion, there are five pillars which must be fulfilled. These include: affordable internet services, access to digital training, quality tech support, access to internet devices, and participation collaboration in the internet sphere. With online school and the overall shift online due to the COVID-19 pandemic, the Divide Divide problem has been further exacerbated and solutions for it become even more pressing.
Throughout the seminar there was active discussion from participants. A question was raised by one attendee on why internet within the City is worse than outside of it, even from the same provider. Another proposed this is because it is harder to lay underground lines in the City. Furthermore, Chris spoke to the disconnect between marketing and engineering sides at companies which also contributes to these problems. Another person highlighted the recent news of a sexual assault that occurred in the Facebook Metaverse. The victim had received responses along the lines of “if you don’t like it then don’t join”. Chris mentioned how this current event ties back to the definition of Digital Inclusion and how moderating community norms is important in addition to creating these novel tools. He also suggested a book, Behind the Screen by Sarah Roberts, identifying the problematic issues of social media. Around the ongoing purchase of Twitter by Elon Musk, Ritzo highlighted Twitter and other social media networks’ claims to support free speech, but how they can never be truly utopian since the judgment lies within the corporation with an end goal of data mining and advertising to its users.
The seminar moved on to discuss technical aspects of getting access to the Internet. For instance, a router helps us connect wired/wirelessly to a laptop onto the Internet. This router also protects us and our data to some extent via firewall. First Mile is the idea of democratizing internet setup. In this concept, individuals can also set up Wi-Fi services, not just big corporations. The seminar also touched upon running speed tests. Chris said speed is important, but not the only thing that matters. It was recommended to survey nearby Wi-Fi channels, buy an extender, and understand the channel overlaps of your current network and where it should be. There were also online sites provided to see how crowded the channels are in your neighborhood. In the same vein, conduct basic latency tests, in particular latency under load also known as bufferbloat, to determine where your internet stands as it buffers in the case there is too much data.
Overall, data mechanics surrounding internet accessibility maintains a key driver in creating a community based solution to this problem. Science and technology will benefit greatly when there is contribution and inclusion in which there is equitable and diverse representation across the Internet.
Go with your guts, and the billions of bacteria that are in them!
Test your own personal microbiome (or your pet’s) –
In this class you will be able to investigate your own gut microbiome, or the microbes of your pets, roommates, or family members. Our microbiome (the microbes living in and on our bodies) are believed to have profound effects on our immune systems, health, and susceptibility to disease. Find out what you can learn about your own health and wellness. In this class you’ll perform lab work to isolate the microbes present, sequence and identify those microbes, and then learn what the results mean for YOU personally.
In this 3 Saturday class you’ll be able to design your own experiment to compare any two samples! What samples do you want to compare? How many gut microbes you share with your dog? What about with another human? Does your gut microbiome change with your diet? What if you ate pizza for two weeks straight? (We do not endorse pizza as a sole source of nutrition!)
Isolate and process DNA from your samples. Use the polymerase chain reaction (PCR) to amplify the DNA of the microbes. Determine the different species of in your two samples. For those interested in programming and computational biology, the entire class will learn how to analyze the sequencing data and perform comparative analysis to uncover further information (don’t worry, this class is appropriate for beginners!).
Everyone gets two biological samples to test, here are some experimental suggestions. If none of these interest you, just ask us if you have another idea.
Some experimental suggestions:
1) Test your microbiome vs. your roommate (or friend, or family member)’s microbiome *
2) Test your microbiome vs. your pet **
3) Test your microbiome before and after a lifestyle change such as a change in diet, exercise or sleep habits
4) Test your pet microbiome before and after a change in your pet’s lifestyle
In the pursuit of knowledge in any field, a well-crafted introduction is a key element for eventual mastery of the subject matter. Unfortunately, when it comes to learning a new computer language, this element is missing from all too many first encounters. A failed initial coding experience, bedeviled by cryptic error messages for which no help is at hand, and perhaps accompanied by doubts that any useful application can be mastered in the near term, may be all that it takes to dash a beginner’s hopes and engender resistance to ever trying again. Happily for all concerned, BUGSS’s recent three-day course “Computational Modeling in Biology” followed a trajectory designed to ensure a successful learning experience.
Led by Johns Hopkins Ph.D.
candidate Wangui Mbuguiro and offered on three consecutive Saturdays, the
course was structured as an introduction to building mathematical models in the
R programming language for the analysis of biological data. In keeping with
this design, the focus was not on an exhaustive study of R and all of its
resources, but rather on how to employ some of the most powerful features of
this versatile language to accomplish common tasks in biological research.
Week 1: Deterministic Modeling
In the opening session March 2,
after guiding class members through the installation of R and the RStudio
integrated development environment on their laptops, Ms. Mbuguiro presented an
introduction to deterministic modeling. Each model considered was a mathematical
explanation of a biological process of interest. “Deterministic” means that the
output of the model depends solely on the precise values and conditions used as
input for the model, and not on any variables that may have a random or other
probabilistic distribution. The class
recreated deterministic models – expressed in R – for drug delivery via nanoparticles
and for bacteria grown in culture. We also explored fitting functions to our
data – that is, optimizing a model to best account for our data – using the
least squares method.
Rather than writing code from
scratch, we began by modifying short segments of existing code provided in the
development environment. This enabled us to avoid trivial mistakes and permitted
the focus to remain on gaining experience using mathematical concepts expressed
in R to study a biological system.
Week 2: Modeling growth rates
On the second Saturday, March 9, we
explored using R for a common laboratory task: calculating the varying rate of
change over time for a biological process involving a material of interest, and
using the results to obtain a close estimate of the quantity of that material which
is present at various time intervals. The
varying rates of change are values of an ordinary differential equation. Using these values to obtain numerical
approximations of the concentration of the material of interest at
different points in time can be
especially useful when direct analytic evaluation is difficult. In particular,
the class focused on modeling the growth rate of bacterial colonies. We started with the essential relationship
between the concentration of bacterial cells present and the growth rate of
that cell concentration when there are no external constraints, such as limits
on food supply.
By calculating the rate of change
in cell growth over very small changes in time using a species-specific growth
rate constant and the concentration at the start of the time period, we were
able to estimate the cell concentration at each incremental time point. When
plotted, these cell concentration calculations formed a smooth curve that
revealed exponential growth over the time sequence.
Next we altered the model to be
more reflective of real-world conditions. Relying on an equation developed by
Nobel-Prize-winning French biochemist Jacques Monod, we created in R the code
to calculate and chart both bacterial colony growth and the depletion of
nutritive media over time. As in the previous model, the colony growth rate is
dependent on the concentration of cells present at a given moment in time, but
in this model the natural increase in cell concentration is tempered by the
gradual depletion of the cells’ nutritional medium, or substrate, at a variable
rate which also depends on the concentration of cells present. We again used
R’s plotting package to graphically display the cell concentration N and for
the substrate concentration S over time.
Week 3: Sensitivity Analysis
On the third Saturday, March 16, we
conducted a sensitivity analysis on the Monod model of cell concentration
increase and substrate depletion. Creating code in R for changing – one at a
time –each relevant initial condition of the system and each rate-governing
parameter, we explored the effect on the final outputs – cell concentration and
substrate concentration – of a 10% change in each of the initial conditions and
Looking at the effect of a 10%
increase in the growth constant, we learned how to get a close estimate of the
time required to reach half of the maximum cell concentration. As an
illustration of how easily R can accommodate new functions to meet special
needs, Ms. Mbuguiro wrote a “helper function” to find the position number
within a sequence of time values of the particular value associated with a cell
concentration that had reached 50% of the maximum.
The calculation of all output
changes driven by an incremental change of one input parameter is called a
univariate sensitivity analysis. Extending
our exploration of R for standard statistical manipulations, we normalized the
outputs of the entire sensitivity analysis – that is, we converted the change
in each output from an absolute measure into a measure that is relative to the
10% change of the growth constant.
As a last step, the class wrote the R code to create a graphical representation of the normalized output for multiple univariate sensitivity analyses, showing the effect of 10% changes in various parameters, considered one at a time, upon properties associated with cell concentration (N) and with substrate concentration (S). These properties include: Cmax, the maximum cell or substrate concentration; Thmax, the time required to arrive at one half of Cmax; and the Area under Curve (AUC), a measure of concentration over time that can be used to calculate average concentration during the time period. The area under the curve for the substrate concentration is often used in drug development research as a measure of “exposure” to the substrate. As an aid to visualization, the class made use of another R “helper function” contributed by Ms. Mbuguiro called output_calculator2, which works in concert with other R functions to produce the final output.
Although each Saturday session was
four hours long, the time passed quickly as we alternated between discussion of
applications and the production of error-free code. The classes were further
enriched by discussion of work by Birgit Schoeberl
and Iraj Hosseini
demonstrating how synthetic biology techniques such as model optimization and
sensitivity analysis can be used to design and implement drug therapies to
treat cancer and HIV, respectively. We
also benefited from review of a textbook chapter by Raina Maier
that explains the utility of the Monod model and the mathematical tools of
synthetic biology for the large-scale production of microbial products including
antibiotics, yeast, and alcohol.
By the end of the last day, we
realized that we had been equipped with a powerful tool for setting up and
running our own models. Yet we also knew that we had barely scratched the
surface of the potential for using R to gain insight into biological data. We
departed with gratitude for the collective learning experience, and eager to
– Mark V.
About the Instructor
Wangui Mbuguiro is a Ph.D. candidate in the Biomedical
Engineering Program at Johns Hopkins. Her research and passions center on
engineering tools to better understand and treat menstrual disorders as part of
the Computational Design of Therapeutics Lab. Outside of
lab, Wangui enjoys encouraging scientific inquisition as an instructor and
mentor at the Baltimore Underground Science Space, as well as building
opportunities and community for underrepresented students in STEM at Johns
Hopkins. Lastly, Wangui is a MIT alumna (B.S., Bioengineering, 2017), National
Science Foundation Fellow, and friendly neighborhood scientist. You can connect
with her on twitter (@WanguiMbuguiro)
Schoeberl, B. et al., Systems biology driving drug development: from design to
the clinical testing of the anti-ErbB3 antibody seribantumab (MM-121). npj Systems Biology and Applications
(2017) 3, 16034; doi:10.1038/npjsba.2016.34; published online 5 January 2017.
 Hosseini, I. and Mac Gabhann, F., Mechanistic Models Predict Efficacy of CCR5-Deficient Stem Cell Transplants in HIV Patient Populations. CPT Pharmacometrics Syst. Pharmacol. (2016) 5, 82–90; doi:10.1002/psp4.12059; published online 16 February 2016.
 Maier, R.M., Bacterial Growth. In Environmental Microbiology (Maier, R.M., Pepper, I.L., and Gerba, C.P., eds., 2nd ed., Academic Press, 2009), Ch. 3, p. 37-54. https://doi.org/10.1016/B978-0-12-370519-8.00003-1. (http://www.sciencedirect.com/science/article/pii/B9780123705198000031)
We’re thrilled to be part of the annual City Nature Challenge. Help us explore and catalog wildlife right here in Charm City!
CNC is a platform that brings together nature enthusiasts from around the globe. It provides a unique opportunity to bring out the curious scientist in you and explore the biodiversity in your backyard.
Have you ever wondered-
What is that peculiar bug chilling out on my plant called?
I planted tomatoes, but not this other plant. What is that?
A colorful bird loves to stop by my bird feeder. I wonder what my new friend’s name is?
This little animal visited my backyard searching for food. Is that a, hmmmm?
If you answered yes to any (or all) of these questions, here’s your chance to find some answers. Even cooler, contribute to science while doing that.
Next time get your cameras out, CLICK a picture & take part in the challenge. It’s an excellent way to get your kids involved in the science while having fun ! The data collected from the challenge helps scientists around the globe to tabulate biodiversity found across the globe and make informed decisions to conserve the ever-evolving flora and fauna.
A plant geneticist’s discussion on alternative methods of bioengineering.
Sebastion Cocioba discussed using sugars as a means of selection in molecular cloning and plant genetic engineering, removing antibiotics and herbicides from the equation entirely.
Sebastian Cocioba is a plant biotechnology researcher with a focus on the production of commercially and industrially valuable plant species. He is an owner of New York Botanics, LLC, a plant biotech R&D laboratory with a specialization in orchid micropropagation, a founder of Binomica Labs (https://binomicalabs.org/), and a leader in the open science movement. Follow him at: https://twitter.com/atinygreencell
This class taught the fundamental techniques of molecular biology (PCR, restriction digest, ligation, and transformation) by cloning a regulated version of the holin gene which can then be activated to destroy bacteria.
This class taught the fundamental techniques of molecular biology (PCR, restriction digest, ligation, and transformation) by cloning a regulated version of the holin gene which can then be activated to destroy bacteria.
This week we performed PCR and gel electrophoresis and discussed what kill switches are.
This week we performed Gibson Assembly and bacterial transformation and discussed bacterial toxin/antitoxin systems.
Ever wonder where shrimp come from? Shrimp farming is harder than you might think! Agriculture and aquaculture farmers need to understand how many plants and animals they are growing on land or in the water to make decisions on their farm. For aqua-farmers counting shrimp is a major challenge because their animals are grown in murky water and the farmers are blindfolded to how many shrimp they have. Minnowtech aims to help the farmers by counting their shrimp using sonar and the math behind their behavior, providing aqua-farmers with the information they need to manage their farm efficiently. In this seminar, Suzan Shahrestani of Minnowtech tells us how shrimp and other seafood get to your dinner plate, and how Minnowtech is striving to make that process easier for farmers.