
Research Square (Research Square), Journal Year: 2021, Volume and Issue: unknown
Published: April 27, 2021
Language: Английский
Research Square (Research Square), Journal Year: 2021, Volume and Issue: unknown
Published: April 27, 2021
Language: Английский
medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2021, Volume and Issue: unknown
Published: March 28, 2021
Abstract Health officials warn that SARS-CoV-2 vaccines must be uniformly distributed within and among countries if we are to quell the ongoing pandemic. Yet there has been little critical assessment of underlying reasons for this warning. Here, explicitly show why vaccine equity is necessary. Perhaps counter-intuitively, find escape mutants less likely come from highly vaccinated regions where strong selection pressure favoring more neighboring unvaccinated no escape. Unvaccinated geographic thus provide evolutionary reservoirs which new strains can arise cause epidemics beyond. Our findings have timely implications rollout strategies public health policy.
Language: Английский
Citations
10medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2021, Volume and Issue: unknown
Published: Jan. 29, 2021
Abstract As the COVID-19 pandemic drags into its second year, there is hope on horizon, in form of SARS-CoV-2 vaccines which promise disease elimination and a return to pre-pandemic normalcy. In this study we critically examine basis for that hope, using an epidemiological modeling framework establish link between vaccine characteristics effectiveness bringing end unprecedented public health crisis. Our findings suggest do not prevent infection will allow extensive endemic spread upon social economic conditions. Vaccines only reduce symptomatic or mortality fail mitigate serious risks, particularly over-65 population, likely resulting hundreds thousands US deaths yearly basis. points possibility complete with high population-level compliance highly effective at reducing infection. Notably, vaccine-mediated reduction transmission critical elimination, order partially-effective play positive role other stackable (complementary) interventions must be deployed simultaneously.
Language: Английский
Citations
9Research Square (Research Square), Journal Year: 2021, Volume and Issue: unknown
Published: April 9, 2021
Abstract Health officials warn that SARS-CoV-2 vaccines must be uniformly distributed within and among countries if we are to quell the ongoing pandemic. Yet there has been little critical assessment of underlying reasons for this warning. Here, explicitly show why vaccine equity is necessary. Perhaps counter-intuitively, find escape mutants less likely come from highly vaccinated regions where strong selection pressure favoring more neighboring unvaccinated no escape. Unvaccinated geographic thus provide evolutionary reservoirs which new strains can arise cause epidemics beyond. Our findings have timely implications rollout strategies public health policy.
Language: Английский
Citations
8Rhinology online, Journal Year: 2022, Volume and Issue: 5(5), P. 10 - 18
Published: Jan. 27, 2022
Background: While the nasopharynx is initially dominant upper airway infection site for SARS-CoV-2, physiologic mechanism launching at lower still not well-understood. Based on rapidity of progression to lungs, it has been hypothesized that may be acting as primary seeding zone subsequent contamination via aspiration virus-laden boluses nasopharyngeal fluids. Methodology: To examine plausibility aspiration-driven mechanism, we have computationally tracked inhalation process in three anatomic reconstructions and quantified liquid volume transmitted airspace during each aspiration. Results: Extending numerical trends earlier records frequencies indicates a total aspirated 0.3 – 0.76 ml/day. Subsequently, mean sputum viral load, our modeling projects number virions reaching will range over 2.1×106 5.3×106 /day; peak corresponding hovers between 7.1×108 1.8×109. Conclusions: The virion transmission findings fill key piece mechanistic puzzle systemic subjectively point health conditions like dysphagia, with proclivity increased aspiration, some potential underlying risk factors aggressive lung infections.
Language: Английский
Citations
5bioRxiv (Cold Spring Harbor Laboratory), Journal Year: 2021, Volume and Issue: unknown
Published: Feb. 12, 2021
Coronaviruses have caused several epidemics and pandemics including the ongoing coronavirus disease 2019 (COVID-19). Some prophylactic vaccines therapeutic antibodies already showed striking effectiveness against COVID-19. Nevertheless, concerns remain about antigenic drift in SARS-CoV-2 as well threats from other sarbecoviruses. Cross-neutralizing to SARS-related viruses provide opportunities address such concerns. Here, we report on crystal structures of a cross-neutralizing antibody CV38-142 complex with receptor binding domains SARS-CoV. Our structural findings mechanistic insights into how this can accommodate variation these viruses. synergizes antibodies, particular COVA1-16, enhance neutralization Overall, study provides valuable information for vaccine design current future protect zoonotic coronaviruses.
Language: Английский
Citations
6Elsevier eBooks, Journal Year: 2023, Volume and Issue: unknown, P. 93 - 108
Published: Jan. 1, 2023
Language: Английский
Citations
2medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2020, Volume and Issue: unknown
Published: Dec. 22, 2020
ABSTRACT While the nasopharynx in upper respiratory airway is dominant initial infection site for SARS-CoV-2, physiologic mechanism that launches lower still not well-understood. Based on rapidity with which SARS-CoV-2 progresses to lungs, it has been conjectured acts as seeding zone subsequent contamination of via aspiration virus-laden boluses nasopharyngeal fluids. In this study, we examine plausibility proposed mechanism. To end, have developed computational fluid mechanics models inhalation process two medical imaging based reconstructions and quantified liquid volume ingested into airspace during each aspiration. The numerical predictions are validated by comparing number projected aspirations (approximately 2 – 4) an eight-hour sleep cycle prior observational findings 3 human subjects. Extending trends earlier records frequency entire day indicates a total aspirated 0.3 0.76 ml per day. We then used sputum assessment data from hospitalized COVID-19 patients estimate virions transmitted daily lungs boluses. For mean viral load, our modeling projects penetrating will range over 2.1 × 10 6 5.3 ; peak corresponding hovers between 7.1 8 17.9 . These fill key piece mechanistic puzzle progression development disease within patient, point dysphagia potential underlying risk factor COVID-19. also significant practical implications design prophylactics therapeutics aim constrain pathogenic progress limits airway.
Language: Английский
Citations
5medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2021, Volume and Issue: unknown
Published: May 25, 2021
ABSTRACT Reverse vaccinology is an evolving approach for improving vaccine effectiveness and minimizing adverse responses by limiting immunizations to critical epitopes. Towards this goal, we sought identify immunogenic amino acid motifs linear epitopes of the SARS-CoV-2 spike protein that elicit IgG in COVID-19 mRNA recipients. Paired pre/post vaccination samples from N=20 healthy adults, post-vaccine additional N=13 individuals were used immunoprecipitate targets expressed a bacterial display random peptide library, preferentially recognized peptides mapped primary sequence. The data several distinct vaccine-induced IgG, subset those targeted natural infection, which may mimic 3-dimensional conformation (mimotopes). Dominant identified C-terminal domains S1 S2 subunits (aa 558-569, 627-638, 1148-1159) have been previously associated with neutralization vitro demonstrate identity bat coronavirus SARS-CoV, but limited homology non-pathogenic human coronavirus. should be considered context variants, immune escape therapy design moving forward.
Language: Английский
Citations
4medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2023, Volume and Issue: unknown
Published: March 1, 2023
Abstract In the fourth year of COVID-19 pandemic, public health authorities worldwide have adopted a strategy learning to live with SARS-CoV-2. This has involved removal measures for limiting viral spread, resulting in large burden recurrent SARS-CoV-2 infections. Crucial managing this is concept so-called wall hybrid immunity, through repeated reinfections and vaccine boosters, reduce risk severe disease death. Protection against both infection provided by induction neutralizing antibodies (nAbs) However, pharmacokinetic (PK) waning rapid evolution degrade nAb binding titers. The recent emergence variants strongly immune evasive potential vaccinal natural responses raises question whether population-level immunity can be maintained face jumps potency. Here we use an agent-based simulation address question. Our findings suggest may cause failure population sudden increases mortality. As rise mortality will only become apparent weeks following wave disease, reactive strategies not able provide meaningful mitigation. Learning virus could thus lead death tolls very little warning. work points importance proactive management ongoing need multifactorial approaches control.
Language: Английский
Citations
1bioRxiv (Cold Spring Harbor Laboratory), Journal Year: 2021, Volume and Issue: unknown
Published: March 8, 2021
ABSTRACT The COVID-19 pandemic has claimed the lives of millions people worldwide and threatens to become an endemic problem, therefore need for as many types vaccines possible is high importance. Because doses required, it desirable that are not only safe effective, but also easy administer, store, inexpensive produce. Newcastle Disease Virus (NDV) responsible a respiratory disease in chickens. It no pathogenic homologue humans. NDV recognized oncolytic virus, its use humans oncological treatment being evaluated. In present work, we have developed two NDV-vectored candidate vaccines, which carry surface-exposed RBD S1 antigens SARS-CoV-2, respectively. These vaccine candidates were produced specific-pathogen-free embryonating chicken eggs, purified from allantoic fluid before lyophilization. administered intranasally three different animal models: mice, rats hamsters, evaluated safety, toxicity, immunogenicity, stability efficacy. Efficacy was challenge assay against active SARS-CoV-2 virus Golden Syrian hamster model. based on antigen shown be highly immunogenic, with ability neutralize in-vitro , even extreme dilution 1/640. Our results reveal this protects lungs animals, preventing cellular damage tissue. addition, reduces viral load lungs, suggesting may significantly reduce likelihood transmission. Being lyophilized, very stable can stored several months at 4-8⁰C. conclusion, our NDV-based favorable performance pre-clinical study, serving evidence future evaluation Phase-I human clinical trial. This represents promising tool fight COVID-19.
Language: Английский
Citations
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