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Intravenous insulin activates LPL, which increases the clearance of triglycerides from the circulation. Heparin binds to HSPG and releases LPL, leading to a reduction in plasma triglycerides. Heparin also reduces inflammation, oxidative stress, and protects mitochondria in acinar cells of the pancreas. These effects are independent of the triglyceride-lowering effect of heparin. Plasma exchange (plasmapheresis) removes triglycerides directly from circulation. HSPG=heparan sulphate proteoglycan. LPL=lipoprotein lipase.
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Summaries
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Front. Immunol., 26 August 2026

Sec. Viral Immunology

Volume 17 - 2026 | https://doi.org/10.3389/fimmu.2026.1913045

Case Report: Post-mortem analysis of long-term inflammation after mild COVID-19
Yang Wu 
Yang Wu 1†

Yu Kit Chan 
Yu Kit Chan 2,3†

Denise Goh 
Denise Goh 1†

B
Belinda Lee 4†

Felicia Wee 
Felic

Abstract
Persistent inflammation and tissue injury may contribute to post-acute COVID-19 syndrome (PACS). However, direct tissue evidence from mildly-infected individuals sampled long after recovery remains exceptionally limited. Here, we performed post-mortem bulk RNA-seq and GeoMx digital spatial profiling of lung, heart, and brain tissues from four individuals who recovered from mild COVID-19 more than 250 days before death from unrelated causes. Samples were collected during the early phase of the national vaccination program, before widespread vaccine uptake and recurrent infection, providing a rare reference cohort for defining tissue responses to SARS-CoV-2 in the absence of major confounding from vaccination and/or reinfection; such a cohort can no longer be prospectively assembled. We observed residual SARS-CoV-2 nucleocapsid antigen within tissues and revealed organ-specific immune alterations. Lung and heart tissues exhibited a coordinated, self-sustaining inflammatory response, whereas brain tissue showed vascular dysfunction and altered neuroimmune homeostasis. These findings showcase the distinct tissue responses following mild infection and provide a spatially resolved view of sub-clinical long-term tissue sequelae. Collectively, our data establish a unique baseline for persistent viral antigen and tissue-specific immune dysregulation underlying PACS.

Introduction
Post-acute COVID-19 syndrome (PACS) is characterized by prolonged symptoms and multisystem effects after acute SARS-CoV-2 infection.
On Monday, you had an excellent post source Control menu request

on Tuesday, it was time to prepare for another face of against H pylori 
Increased reactive oxygen species (ROS) levels could then loop back and damage the endoplasmic reticulum, creating a vicious circle: high ER stress, possibly caused by an infection, dysregulates WASF3. WASF3 damages the electron transport chain, reducing ATP production and increasing reactive oxygen species. Those reactive oxygen species further damage the ER, causing more WASF3 dysregulation, more mitochondrial damage, and on it goes. Syed and Hwang appear to be the first researchers to explicitly flesh out this process.

Once this self-reinforcing system, or vicious circle, is established, there’s no need for a pathogen to keep disrupting things.

Now we can see, at least in part, why Hwang is so fascinated by ME/CFS – the disease appears to perfectly fit their mitochondrial/major antioxidant thesis. WASF3 damages the core antioxidant process, which they believe gives mitochondria their superpower as the cell’s premier free-radical buster.

That’s not nearly the end of their hypothesis, though. Over time, Hwang and company have really worked this problem…

A Pathogen Fighter as Well?
They propose that this WASF3 upregulation is usually a short-lived adaptive change that helps the body fight off an infection. WASF3 does this by downregulating ATP production and upregulating glycolysis – the primary energy source immune cells use when they ramp up to fight an infection.

The potential problem in ME/CFS and related diseases occurs when this temporary adaptive change becomes chronic, and immune cells get stuck in anaerobic energy-production mode. (More on that below.)
This is figure 1, which shows the hallmarks of skeletal muscle health.
Source Sanofi
Application of Optogenetic Neuromodulation in Regulating Depression
Graphic abstract
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Image showing the sepsis filter in the Transfusion Evidence Library
Military Medical Research
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