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# Understanding Why Cold Weather Increases Cold and Flu Incidence

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Chapter 1: The Seasonal Surge of Viral Infections

Why is it that we seem to catch colds more frequently during the winter months? Recent scientific findings provide a clear explanation for this phenomenon. Viral infections tend to peak in late autumn and winter, primarily due to a breakdown in our body's first line of immune defense, as revealed by researchers. This decline is linked to a specific molecular process activated in the nasal region.

Immune Response in Nasal Mucosa

[Photo by Pixabay]

As winter approaches, many of us hesitate to leave our homes without tissues in hand. The days grow shorter and colder, leading to an increase in sneezing and sniffling around us. This time of year is notorious for heightened illness.

But what causes the viruses responsible for common colds, influenza, and, more recently, COVID-19, to thrive during colder months? Until now, no single answer had emerged. Scientists have suggested various reasons, such as reduced vitamin D levels due to less sunlight, the ease with which viruses spread in cold and humid air, and our tendency to spend more time in poorly ventilated indoor spaces during winter.

While these explanations hold some truth, they fail to address a specific biological mechanism linked to immunity that is adversely affected by lower temperatures. Previous assumptions indicated that our immune system might be less effective in winter, but these were largely attributed to indirect factors like reduced sunlight exposure or decreased physical activity.

Recent groundbreaking research published in the Journal of Allergy and Clinical Immunology by a team from the Massachusetts Eye and Ear Center and Northeastern University suggests a different story. They found a distinct molecular process that defends us against viruses, which is highly sensitive to cold temperatures.

Chapter 2: The Body's First Line of Defense

The nasal mucosa serves as the primary entry point for viruses into our respiratory tract. These pathogens can either enter through contaminated hands or be inhaled directly from the air. What follows is an immediate immune response.

The mucous membrane in the nose starts to produce billions of tiny sacs known as extracellular vesicles (EVs). These vesicles, which are filled with fluid and encased in a lipid membrane, feature significantly more receptors than regular cells, allowing viruses to latch onto them more easily.

Dr. Benjamin Bleier, the lead author of the study, explains, “These vesicles, while not dividing like cells, act as mini versions of them, designed specifically to capture and eliminate viruses.” He adds, “They function as decoys; when we inhale viruses, they attach to the EVs instead of our cells.” This process leads to the viruses being expelled through nasal secretions, preventing further penetration into the respiratory system.

As the body detects a pathogen in the nasal cavity, the production of these vesicles ramps up. Bleier likens this to disturbing a hornet's nest, which triggers a swarm of hornets to emerge and protect the nest.

However, this entire defense mechanism operates at about 50% reduced efficiency in colder temperatures.

Cold Weather's Impact on Immune Response

[Photo by Kristin Vogt from Pexels]

Chapter 3: The Effects of Temperature on Immunity

The study demonstrated that when nasal mucosal cells from both patients undergoing treatments and healthy volunteers were exposed to cold, the secretion of EVs dropped by 42% with just a 5-degree Celsius decrease. Dr. Bleier shared with CNN, “Cold air correlates with a greater vulnerability to infections; a minor temperature drop can halve your immunity.”

It’s crucial to note that this 5-degree change refers to the temperature within the nasal cavity, which, while colder than the outside temperature, remains warmer than external conditions.

To assess the internal temperature change, researchers placed healthy volunteers in an environment just above 4 degrees Celsius. After 15 minutes, the temperature inside their noses had decreased by only 5 degrees Celsius, which then guided the temperature adjustments in their experiments.

The researchers emphasize that this preliminary study was conducted in vitro and highlights the need for human trials to validate the findings. Future research on different pathogens and in animal models is required before considering the development of targeted treatments that could enhance our protection against colds, flu, and coronaviruses.

The first video titled "Scientists Finally Know Why People Get More Colds and Flu in Winter" delves into the recent discoveries concerning winter illnesses and the immune system.

The second video titled "Why Do We Get Colds When It's Cold?" provides insights into the relationship between cold weather and increased instances of respiratory infections.

In summary, while many factors contribute to the rise in colds during winter, a critical aspect lies in how temperature affects our immune response. Further research could pave the way for improved treatments and preventive measures.

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