Bengaluru, Mar 28: Sun Tsu, in 'The Art of War' speaks of a skilful general who can subdue his enemy without any fighting. This constitutes the ultimate triumph which is referred to as stratagem. Today, we would need one such when we are faced with the '21-day corona challenge' for India.
Nearly four weeks back, Dr Jyothsna Rao, Dr Gururaj Rao and I sat across the OPD in the afternoon at HCG Bengaluru discussing our ongoing cancer immunology research. While on this topic, we drifted into the discussion on the coronavirus. During this engaging discussion, we wondered the similarity of the enigma between the virus and cancer. I paused to ask Dr Jyothsna and Dr Guru - how we wish we could do something against this virus.
Dr Jyothsna is a PhD from NCBS and had worked under Dr Ralph Steinman, physician and researcher from Rockefeller University, who won the Nobel Prize for his discovery of the dendritic cell and its role in adaptive immunity in 2011. Dr Gururaj is a molecular and cell biologist who did his PhD at the Chapel Hill, University of North Carolina and is the Director of iCrest.
Jyothsna while hearing our perplexing conversation on the covid intervened, "Yes, surely. I think we should take a break from cancer and focus on the innate and adaptive immunity role in COVID-19."
Thus began this sincere attempt to relook the human immune system from the eyes of the COVID-19.
We have 10 types of immune cells at the least which are widely dispersed in millions across the body. When our body is invaded by a foreign organism (bacteria, fungi or virus), these cells work with each other to destroy the invader.
Now, the question is - how do the immune cells talk to each other? They use small-molecule substances called cytokines (cyto means cells; kine means movement). There are many cytokines that are involved in work on the immune system. The most relevant for viruses are interferons.
Interferons (IFN) as the name reflects have an ability to interfere with the viral activity and stop their multiplication. These specialised signal proteins are released by our cells in response to a viral attack to forewarn other cells. They help build the antiviral proteins within the cells to kill the virus as it tries to invade the new cells.
Historically, interferons are a group of cytokines known to be potent antiviral agents against viruses and a hallmark cytokine induced by the host upon viral infections. Interferons possess unique immunoregulatory activities and are signature cytokines released by (TH1) T immune cells, which are crucial in viral infections.
As the outbreak of COVID-19 grapples us, an urgent need for finding strategies to combat the virus is growing. Coronaviruses (CoVs) are a group of RNA viruses. In patients infected with coronavirus, it was indicated that the activation of the IFN does not occur until 48 hours post-infection. Thus the delayed IFN-related antiviral response by the healthy cells leads to coronavirus evade the immune response.
Numerous studies have presented the success in defeating CoVs by the direct administration of IFNs. In a combination as a concoction, it was shown to synergistically inhibit the virus replication in vitro.
Moreover, it is understood that the earlier induction of IFNs in children although they have a less developed immune system could be the reason behind the children being least affected.
The key to success in reducing the disease fatality might be the stimulation of the immune responses to trigger IFN production at the very early stages of the disease, which might be done through the administration of IFN. Despite the evidence for the efficacy of IFNs in treating CoV-induced infections, the proper dosing and ideal timing for such interventions needs to be verified in clinical trials.
For the later stages of the diseases in advance stages where patients are on ventilator and have developed respiratory distress, we propose to utilise the mesenchymal cells derived from donor bone marrow that have been known to treat acute respiratory syndrome. Mesenchymal cells are known to possess anti-inflammatory activity and thus used often in autoimmune diseases.
With this scientific background, we have activated T cells from healthy donors, in a cGMP facility at iCrest - HCG hospital with an enriched cocktail of cytokines rich in Interferons. Injections of this cocktail we believe will result in a surge of cytokines in the body of the infected person and will boost his ability to fight the virus in the early phases. We are in the initial phases of this study and hope to be ready in the coming weeks with meaningful data on its potential utility.
Currently, it awaits government approvals (Union and state) and we have applied to central drugs authority for their initial evaluation and further directions.
As my Guru often expounded the philosophy of 'Seva' - the goal of education is knowledge, the end goal of knowledge is service. In this attempt to serve our fellow humans at this brink of unprecedented crisis, medical fraternity stands with you and promises to do our best for your safety.
We assure to exhaust every bit of our spirit in this fight against coronavirus. We have lost the sight of shores and travelled thus far, but that is the mandatory first step to cross the ocean. Are we going to succeed in this battle, is something only time will answer.
Comments
Shame on Indian police for registering this kind of cases as even they know this has no basis in constitution.
they supported a cricket or sports team... even I supported UAE Team..I have my right to support any sports team..
PLEASE SEND SRI SRI RAVI SHANKER TO PAKISTANN PLEASEEEEEEEEEEEE
IF HINDHU SAY THAT IS NABOUR CONUTY
IF MUSLIM SAYS HE IS TERROR ACCHE DIN WHA WHA /.
Hope all have gone through below news about shouting slogan in favor of pakistan by Sri Sri ravi shankar ... why you people have not commented on that ....
Pakistan Zindabad....india belong to muslim they ruled for 1000 years, we will take back glory soon.
Mohan; Sharvan, Preethi, Meghana...
Please open your mind and dont fall trap over & over on cheddi media... if You try to accept whatever said in the media again & again even after knowing their LIES ... What should we call U guys...
Dont just make Howdu basava howdu ... for everything which is said in the media ...Use your God given intellectual and stop supporting the aggressor ... cos a day will come when the one who gave this life will account for our deeds done in this LIFE... So stop supporting the aggressor without true knowledge which U might regret later ... as many regretted after becoming voilence with a false statement from the cheddi leaders
Yes these students does not know about what they are talking.
They should be kept behind the bar.
By the way what happened to SRI SRI art of living Swamy who said Pakistan Zindabad??? is he arrested.??
Indians can support any country in any game but when any match is having indian team they should support only india.
@ MEHHNA , PREETHI ,SHARAVAN, MOHAN, KARTHIK ,,
YES WE NEED TO PUNISH THEM HARD , SEND THEM TO PAKISTAN.. EVERYTHING WE WILL DO WT U SAID
SRI SRI SRI RAVI SHANKER SHOULD GO TOGETHER WITH THEM, WE WIL BOOK 3 SEATS IN FLIGHT L
Constitution did not tell citizens to support only Indian team. There is no law saying that, then why on the hell police arrested those innocent people and under which law. In a democracy you have right to chose or support any one you want. Its not a big deal. Pakistan is not our enemy at all, Modiji without informing anyone met Nawaz Sharief, Pakistani PM. It happened because of our friendliness with that country.
I am a good supporter of our Indian team but it does not mean that I impose same on other fellow Indians too.
Grow up guys.
When SRI SRI Shankar said Pakistan Zindabad no action, no arrest,
when a muslim said he is arrested.
INCRIDIBLE INDIA ! WHERE SRI SRI CAN CALL PUBLIC MEETS ! STUDENT JUST TYPED IN WHATSAPP THEY ARE ARRESTED !!
WHEN IS SRI SRI ARREST ! ??????????????/////
if they raised slogans in favor of our arch rival, than take strict action against them. But Please don't touch Desh Bhakt like Ravi shanker !
Send Sri Ravishanker along with Two students from puttur to Pakisthan...Law should be equal for all.Do not bring religion in between.
there is no muslim commentors now ... these two terrorists must be kicked out of india along with their families ... soole maklige they want all benefits here and loyalty to pakistan ... no mercy for these animals .muslims here give big lecturer about religion , but they dont teach manners and basics for their community members .
Yes Mohan should send them pakistan with Ravi sankar...
DEAR PRO-CHADDIS.....
WILL YOU SEND ME SOUTH AFRICA AND ENGLAND IF I SUPPORT HASHIM AMLA AND MOEEN ALI?????
WHEN YOU WILL SEND SRI SRI RAVISHANKAR PAKISTAN FOR CHANTING PAKISTAN ZINDABAD???? WHY NO ACTION ON HIM????
serious action must be taken against them. india the country of peace loving and this type of people misunderstood us for being soft, one thing always should be on head that how much soft we are double to that we could be hard rock.
Pakistan zindabad is slogan of owaisi chaddis. not Bharath matha ki Jai
Now a days its common, need to give proper punishment next time they have to think hundred times before calling this.
both student must be sent to the pakistan, the two dogs of pakistan
me before india started batting: hahahaha we got this wtf pakistAN ZINDABAD
me now: we are brothers and sisters we both win in 1947.....
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