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Paul Traynor BSc's avatar

Thanks for sharing this important information Dr McMillan much appreciated

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Janis's avatar

It is well established that CD4+ T cells are the main effector cells in myocarditis, and frequent self-antigen of CD4+ T is alpha-myosin heavy chain (α-MyHC). Predominance of myocarditis in young males after C-19 vaccination can be explained by autoreactive, negative selection impaired CD4+ T cells released by thymus glands that are not familiar to the α-MyHC during their early development. The risk of young males is higher because prolonged exposure to testosterone (during puberty and young age) increases newly expressed α-MyHC proteins on heart muscle and therefore increases potential self-antigen expression on the heart.

But what is antigen of those autoreactive, negative selection impaired CD4+ T cells in adult women after mRNA booster vaccination – has to be determine. My guess is that it is not viral S protein, but α-MyHC or other endogenously produced protein, where actually the problem starts - both self-antigen and newly generated self-proteins lacking MHC-II molecules can't be distinguished by those negative selection impaired CD4+ T cells.

I guess the risk of myocarditis after C-19 vaccination might be reduced by administering vaccine in anterolateral thigh muscle, instead of deltoid muscle.

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