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COLLECTINS AND                            vascular disease and hypertension, both of which are also strong risk
            THE INNATE IMMUNE SYSTEM                  factors for bad outcomes with Covid-19.
                The researchers who studied the vaping-  Another striking feature of the lungs of the vaping-exposed mice
            exposed mice found a very specific defect in the  was the accumulation of lipids (fats) within invasive macrophages. This
            mouse lungs, namely, suppressed production of  is reminiscent of the observations from another paper, which exposed
            opsonins in the lung surfactants. An opsonin is  rats orally to low-dose glyphosate. Despite the fact that the exposure level
            “an antibody or other substance which binds to  was below regulatory limits, the rats developed fatty liver disease, with
            foreign microorganisms or cells making them  both native and invasive macrophages within the liver accumulating fatty
            more susceptible to phagocytosis.” In other  deposits.  A study on humans with fatty liver disease revealed that those
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            words, it acts like a vacuum cleaner or tar paper  with the disease had statistically significantly higher glyphosate levels in
            to bind to pathogens or cellular debris and assist  their urine compared to controls with a healthy liver, and, furthermore,
            the immune system in clearing them. The lung  those with more advanced liver disease (including liver fibrosis) had on
            cells produce four opsonins, logically named as  average higher urinary glyphosate levels than those with milder disease.
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            SP-A, SP-B, SP-C and SP-D, where “SP” stands   Liver disease is one of the preconditions associated with increased
            for “surfactant protein.”                 risk for an acute response to Covid-19. A review of data from Covid-19
                Notably, SP-A and SP-D, but not the other  patients in China reported that 14-53 percent of cases described in vari-
            two, are members of a larger class of a dozen or  ous studies had abnormal levels of alanine aminotransferase (ALT) and
            so proteins called collectins, which are produced  aspartate aminotransferase (AST), which are commonly used indicators
            by immune cells and which are all involved in  of liver disease.
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            clearing pathogens and cellular debris. Col-
            lectins all have a unique feature, a “collagen-  DISEASE PROCESS: KEY ROLE OF NITROGEN OXIDES
            like stalk,” which is a section of the protein   The human immune system consists of an innate component that is
            that folds into a triple-helix structure that then  very general and always on alert, and an adaptive component that kicks
            binds together with other collectins to form the  in when an infection gets out of hand. A weak innate system necessitates
            characteristic stalk. The vaping study found that  a strong adaptive response.
            SP-A and SP-D (but not SP-B and SP-C) were   The disease process of Covid-19 is beginning to be well characterized
            significantly reduced in the lungs of the mice  by clinicians around the world who are struggling to treat those with a
            exposed to vaping fumes.                  severe case of the disease. The process begins with an infection in the
                The sequence motif associated with colla-  lungs and an overactive response by the adaptive immune system. The
            gen and collagen-like proteins is a long pattern  invading neutrophils release inflammatory cytokines and chemokines.
            of “GxyGxyGxyGxy. . . ” where glycine occurs  Inducible nitric oxide synthase is sharply upregulated, and it produces
            in a regular pattern interspersed with two other  nitric oxide that reacts with superoxide to produce the highly reactive
            “wild-card” amino acids. Collagen is by far the  product, peroxynitrite. Free iron released from heme catalyzes destruc-
            most common protein in the body, constituting  tive reactions with the oxidizing agents, superoxide and peroxynitrite.
            up to a quarter of all the protein mass. I believe  Insufficient antioxidant defenses lead to extensive local tissue damage
            that glyphosate substitution for glycine—spe-  and severe oxygen shortages.
            cifically within collagen—is responsible for the   A key aspect of the ensuing disease process is the breakdown of
            alarming increase in multiple joint problems that  hemoglobin in the red blood cells, which results in a sharp reduction in
            are necessitating shoulder surgery, hip and knee  oxygen supplies to the tissues. Various derivative nitrogen oxides—par-
            replacement surgery, lower back and neck sur-  ticularly nitrogen dioxide (NO )—result in the conversion of hemoglobin
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            gery and many issues with foot pain. It may even  to methemoglobin. Methemoglobin releases its heme and induces the
            be a major driver behind the opioid drug crisis.  expression of heme oxygenase, an enzyme that breaks heme down into
                The collectin SP-D has been implicated in  biliverdin and produces carbon monoxide as a reaction product. Carbon
            multiple respiratory diseases, including respi-  monoxide binds to heme in the red blood cells, preventing it from bind-
            ratory distress syndrome, bronchopulmonary  ing to oxygen, and this induces systemic oxygen deficiency, resulting in
            dysplasia, allergic asthma and COPD.  As I  the characteristic features of low blood oxygen and shortness of breath.
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            mentioned previously, patients with COPD in   A new paper analyzing a possible relationship between nitrogen
            China had an eighteen-fold increased risk of  dioxide levels in the troposphere and Covid-19 in Europe obtained re-
            ending up in the ICU with Covid-19.  Smoking  markable results. To quote from the abstract: “Results show that out of
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            increases the likelihood of developing cardio-  the 4443 fatality cases, 3487 (78 percent) were in five regions located in

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