I don’t think the second is not being discussed. I think epithelial alarmins could definitely be relevant. We collect RNA levels of epithelial alarmins in our research and I’d like to do more research into it.
The question for the epithelial alarmin however is what’s driving it.
Possibly covid induced vascular damage through red blood cell issues and NETs.
Or mast cells themselves can release epithelial alarmins, hence the reactivity not stemming from the epithelial themselves, but from reactive priming now furthering priming.
I’d love to see some clinical trials into mast cell depletion, TSLP inhibition, and IL33 inhibition
Mainly because I’m unsure you can actually escape all triggers. I have triggers to airborne particles that cause narcolepsy, but, when I go to a HEPA filtered room for days, the narcolepsy disappears, but I remain extremely ill still. So either part of the illness is not a reaction to environment, or there’s something in all environments (or in the body) that you can’t escape and have to biological tackle the increased alarm signals