Cancer Medicine,
Год журнала:
2023,
Номер
12(22), С. 20838 - 20846
Опубликована: Ноя. 1, 2023
Abstract
Background
Little
was
known
on
infection
and
mortality
rates,
still
less
the
risk
factors
of
severe
acute
respiratory
syndrome
coronavirus
2
(SARS‐CoV‐2)
omicron
variant
in
B‐cell
lymphoma
patients
following
CD19
targeted
chimeric
antigen
receptor
T
cell
(CAR‐T).
Aims
We
performed
a
retrospective
multicenter
study
analyzed
details
relapsed/refractory
(R/R)
who
received
CAR‐T
heretofore
five
cellular
immunotherapy
centers
China
during
wave.
Materials
&
Methods
One
hundred
fifty‐four
were
enrolled
this
study.
Results
Among
them,
52
(33.8%)
uninfected,
74
(48.1)
had
ambulatory
mild
disease
(including
nine
asymptomatic
infection),
22
(14.3%)
moderate
six
(3.9%)
when
data
collected
up.
Three
with
died
from
COVID‐19,
death
rate
1.9%
for
all
patients,
2.9%
infected
patients.
also
found
that
over
60
years
old
or
diabetes
mellitus
(DM)
tend
to
develop
(
p
=
0.0057
0.0497,
respectively).
Patients
infusion
within
6
months
have
0.0011).
In
multivariate
logistic
regression
model,
(relative
(RR)
40.92;
confidence
interval
(CI)
4.03–415.89;
0.002)
associated
significantly
higher
disease.
Conclusion
Through
study,
we
conclude
outcome
therapy
facing
improved,
but
aggressive
precautionary
measures
particularly
crucial
high
factors.
Vaccines,
Год журнала:
2024,
Номер
12(2), С. 118 - 118
Опубликована: Янв. 24, 2024
Vaccination
remains
an
important
mitigation
tool
against
COVID-19.
We
report
1-month
safety
and
preliminary
immunogenicity
data
from
a
substudy
of
ongoing,
open-label,
phase
2/3
study
monovalent
Omicron
XBB.1.5-adapted
BNT162b2
(single
30-μg
dose).
Healthy
participants
≥12
years
old
(N
=
412
(12–17
years,
N
30;
18–55
174;
>55
208))
who
previously
received
≥3
doses
US-authorized
mRNA
vaccine,
the
most
recent
being
BA.4/BA.5-adapted
bivalent
vaccine
≥150
days
before
vaccination,
were
vaccinated.
Serum
50%
neutralizing
titers
XBB.1.5,
EG.5.1,
BA.2.86
measured
7
1
month
after
vaccination
in
subset
≥18-year-olds
40)
positive
for
SARS-CoV-2
at
baseline.
Seven-day
was
also
evaluated
matched
group
previous
(ClinicalTrials.gov
Identifier:
NCT05472038).
There
no
new
signals;
local
reactions
systemic
events
mostly
mild
to
moderate
severity,
adverse
infrequent,
none
led
withdrawal.
The
induced
numerically
higher
than
robust
responses
all
three
sublineages
month.
These
support
favorable
benefit-risk
profile
30
μg.
ClinicalTrials.gov
NCT05997290
Vaccination
remains
an
important
mitigation
tool
against
COVID-19.
We
report
1-month
safety
and
preliminary
immunogenicity
data
from
a
substudy
of
ongoing,
open-label,
phase
2/3
study
monovalent
Omicron
XBB.1.5-adapted
BNT162b2
(single
30-μg
dose).
Healthy,
participants
≥12
years
old
(N=412
[12‒17
years,
N=30;
18‒55
N=174;
>55
N=208])
who
previously
received
≥3
doses
US-authorized
mRNA
vaccine,
the
most
recent
being
BA.4/BA.5-adapted
bivalent
vaccine
≥150
days
before
vaccination,
were
vaccinated.
Serum
50%
neutralizing
titers
XBB.1.5,
EG.5.1,
BA.2.86
measured
7
1
month
after
vaccination
in
subset
≥18-year-olds
(N=40)
positive
for
SARS-CoV-2
at
baseline.
Seven-day
was
also
evaluated
matched
group
previous
(NCT05472038).
There
no
new
signals;
local
reactions
systemic
events
mostly
mild
to
moderate
severity,
adverse
infrequent,
none
led
withdrawal.
The
induced
numerically
higher
than
robust
responses
all
3
sublineages
month.
These
support
favorable
benefit-risk
profile
30
μg.
NCT05997290
PLoS ONE,
Год журнала:
2025,
Номер
20(1), С. e0312402 - e0312402
Опубликована: Янв. 3, 2025
SARS-CoV-2
has
continued
spreading
around
the
world
in
recent
years
since
initial
outbreak
2019,
frequently
developing
into
new
variants
with
greater
human
infectious
capacity.
and
its
mutants
use
angiotensin-converting
enzyme
2
(ACE2)
as
a
cellular
entry
receptor,
which
triggered
several
therapeutic
strategies
against
COVID-19
relying
on
of
ACE2
recombinant
proteins
decoy
receptors.
In
this
work,
we
propose
an
silent
Fc
fusion
protein
(ACE2-hFcLALA)
candidate
therapy
COVID-19.
This
was
able
to
block
binding
RBD
receptor
measured
by
ELISA
flow
cytometry
inhibition
assays.
Moreover,
used
classical
neutralization
assays
progeny
assay
show
that
ACE2-hFcLALA
is
capable
neutralizing
authentic
virus.
Additionally,
found
more
effective
preventing
vitro
infection
different
interest
(
alpha
,
beta
delta
omicron
)
compared
D614G
strain.
Our
results
suggest
potential
molecule
be
both
preventive
settings
current
emerging
gateway
cells.
Health Science Reports,
Год журнала:
2024,
Номер
7(4)
Опубликована: Апрель 1, 2024
COVID-19
has
caused
severe
morbidity
and
mortality
worldwide.
After
the
end
of
dynamic
zero-COVID
policy
in
China
December,
2022,
concerns
regarding
reinfection
were
raised
while
little
was
known
due
to
lack
surveillance
data
this
country.
Microorganisms,
Год журнала:
2024,
Номер
12(5), С. 908 - 908
Опубликована: Апрель 30, 2024
In
this
work,
we
studied
the
selective
pressure
and
evolutionary
analysis
on
SARS-CoV-2
BF.7
BQ.1.1
lineages
circulating
in
Italy
from
July
to
December
2022.
Two
different
datasets
were
constructed:
first
comprised
694
lineage
sequences
second
734
sequences,
available
Italian
COVID-19
Genomic
(I-Co-Gen)
platform
GISAID
(last
access
date
15
2022).
Alignments
performed
with
MAFFT
v.7
under
Galaxy
platform.
The
HYPHY
software
was
used
study
pressure.
Four
positively
selected
sites
(two
nsp3
two
spike)
identified
dataset,
(one
ORF8
one
spike
gene)
dataset.
Mutation
revealed
that
R408S
N440K
are
very
common
of
genomes,
as
well
L452R
among
BQ.1.1.
N1329D
Q180H
found,
respectively,
at
low
rare
frequencies
BF.7,
while
I121L
I121T
found
be
for
may
have
been
driven
by
selection
increased
viral
fitness,
circumstances
defined
pressure,
host
genetic
factors.
Microbiology Spectrum,
Год журнала:
2024,
Номер
12(3)
Опубликована: Фев. 5, 2024
ABSTRACT
The
SARS-CoV-2
XBB
is
a
group
of
highly
immune-evasive
lineages
the
Omicron
variant
concern
that
emerged
by
recombining
BA.2-descendent
and
spread
worldwide
during
2023.
In
this
study,
we
combine
genomic
data
(
n
=
11,065
sequences)
with
epidemiological
severe
acute
respiratory
infection
(SARI)
cases
collected
in
Brazil
between
October
2022
July
2023
to
reconstruct
space-time
dynamics
epidemiologic
impact
dissemination
country.
Our
analyses
revealed
introduction
local
emergence
carrying
convergent
mutations
within
Spike
protein,
especially
F486P,
F456L,
L455F,
propelled
XBB*
Brazil.
average
relative
instantaneous
reproduction
numbers
+
F486P
F456L
L455F
were
estimated
be
1.24,
1.33,
1.48
higher
than
other
co-circulating
(mainly
BQ.1*/BE*),
respectively.
Despite
such
growth
advantage,
these
had
reduced
on
Brazil’s
scenario
concerning
previous
subvariants.
peak
number
SARI
from
wave
was
approximately
90%,
80%,
70%
lower
observed
BA.1*,
BA.5*,
BQ.1*
waves,
These
findings
multiple
progressively
increasing
yet
relatively
limited
throughout
stand
out
for
their
heightened
transmissibility,
warranting
close
monitoring
months
ahead.
IMPORTANCE
one
most
affected
countries
pandemic,
more
700,000
deaths
mid-2023.
This
study
reconstructs
virus
country
first
half
2023,
period
characterized
descendants
XBB.1,
recombinant
BA.2
evolved
late
2022.
analysis
supports
marked
continuous
indigenous
bearing
similar
key
sites
process
followed
increments
without
repercussions
incidence
cases.
Thus,
results
suggest
influenced
an
intricate
interplay
factors
extend
beyond
virus's
transmissibility
alone.
also
underlines
need
surveillance
allows
its
ever-shifting
composition.
ACS Central Science,
Год журнала:
2023,
Номер
9(4), С. 602 - 613
Опубликована: Март 20, 2023
As
the
world
struggles
with
ongoing
COVID-19
pandemic,
unprecedented
obstacles
have
continuously
been
traversed
as
new
SARS-CoV-2
variants
continually
emerge.
Infectious
disease
outbreaks
are
unavoidable,
but
knowledge
gained
from
successes
and
failures
will
help
create
a
robust
health
management
system
to
deal
such
pandemics.
Previously,
scientists
required
years
develop
diagnostics,
therapeutics,
or
vaccines;
however,
we
seen
that,
rapid
deployment
of
high-throughput
technologies
scientific
collaboration
worldwide,
breakthrough
discoveries
can
be
accelerated
insights
broadened.
Computational
protein
design
(CPD)
is
game-changing
technology
that
has
provided
alternative
therapeutic
strategies
for
pandemic
management.
In
addition
development
peptide-based
inhibitors,
miniprotein
binders,
decoys,
biosensors,
nanobodies,
monoclonal
antibodies,
CPD
also
used
redesign
native
proteins
human
ACE2
receptors.
We
discuss
how
novel
exploited
rationally
designed
treatment
strategies.
American Journal of Hematology,
Год журнала:
2023,
Номер
98(5)
Опубликована: Фев. 22, 2023
The
COVID-19
virus
has
evolved
significantly
from
the
ancestral
WA1/2020
strain
over
past
3
years
with
new
sublineages,
subvariants,
and
recombinant
strains
emerging
causing
waves
of
infections.1
During
2022,
Omicron
B.1.1.529
sublineages
have
been
spreading
world-wide
a
recent
rapidly
XBB.1.5
variant
reported
(www.gisaid.org).
This
prompted
analysis
vaccine
induced
neutralizing
antibody
(NAb)
to
evaluate
protective
efficacy
newly
circulating
variants.
Our
results
show
lower
but
detectable
activity
newer
variants
including
XBB.1.5,
suggesting
continuing
benefit
current
bivalent
(WA1/BA.5)
vaccine.
Because
anti-Spike
immunity
is
known
decline
overtime,
booster
vaccinations
in
previously
boosted
individuals
or
after
BA.5
breakthrough
infection
are
justified
because
they
increase
enhance
probability
neutralize
further
evolving
Due
erosion
by
variants,
timely
updating
future
vaccines
remains
one
most
important
issues
fight
against
COVID.
Although
different
proteins
contribute
SARS-CoV-2
pathogenesis,
Spike
particular
interest
facilitate
cell
entry
via
ACE2
receptor
protein,
an
interaction
that
directly
affects
transmissibility
impacts
on
efficacy.
first
generation
used
protein.
We
others
vaccine-induced
provided
reduced
neutralization
BA.1.529.1
subvariants
BA.4
BA.5,
which
share
identical
(Supplemental
Methods).
BA.4/5
differs
WA1
at
18
amino
acids
(AA)
located
within
Receptor
Binding
Domain
(RBD)
mutations
L452R,
F486V,
R493Q
(Figure
1A).
second
comprising
mRNA
both
proteins,
improved
BA.4/5.
However,
emergence
additional
raised
concerns
about
breadth
strength
NAb.
Of
concern
multiple
changes
RBD
key
sites
receptor.
BQ.1
sublineage
positions
R346T,
K444T,
N460K.
RBDs
XBB
XBB1.5
L368I,
V445P,
N460K,
F490S
differ
mutation
F486S
(XBB)
F486P
(XBB.1.5),
rarely
seen
AA
change
emerged
late
2022.2,
alerted
medical
community
possible
impact
NAb
In
this
part
NCT04743388
study,
we
evaluated
magnitude
targeting
WA1,
recently
SARS
CoV-2
vaccinated
(monovalent
bivalent)
cohorts
cohort
Greece.
Major
inclusion
criteria
included:
(i)
age
above
years;
(II)
ability
sign
informed
consent
form
(iii)
eligibility
for
vaccination,
according
national
program
vaccination.
exclusion
included
presence
of:
autoimmune
disorder
under
immunosuppressive
therapy;
(ii)
active
malignant
disease
end-stage
renal
disease,
as
described.4
BA.1/BA.2
during
spring
2022
Greece
were
largely
replaced
summer5
1B).
more
include
BQ.1.1
introduced
XBB.1.5.5
median
participants
(n
=
79)
was
56.5
(range
22–100),
whereas
28
(35.4%)
males
body
mass
index
25.6
kg/m2
17.6–35.9).
Ten
(12.6%)
had
hypercholesterolemia
21
(26.5%)
hypertension.
history
monovalent
vaccination
lack
thereof
1C).
21)
received
prior
three
doses
BNT162b2
(Pfizer/BioNTech)
(Table
S1).
Fourteen
also
infected
(likely
BA.1/BA.2,
2022;
www.gisaid.org)
October
3–7
months
post-infection.
37)
manufacturers
did
not
receive
S2).
occurred
July
August
when
dominant
analyzed
cross-neutralizing
1
month
last
3–5
post-COVID
(BA.5)
infection.
Sera
tested
their
pseudotyped
viruses
carrying
panel
XBB,
well
Information).
assay
D614G
mutation,
shared
all
other
All
showed
robust
WA1.
Both
~3-5-fold
higher
titers
than
1D,
E).
contrast,
1F)
(>10-fold)
levels
described
patients
myeloma
Waldenstrom's
Macroglobulinemia.6
agreement
others,
these
data
greatly
augmented
level
strain-specific
limited
WA1-induced
BA.5.
To
address
cross-neutralization
capability
compared
BQ.1.1,
divergent
BA.2
recombinant,
infectious
XBB.1.5.
similar
readouts
being
marked
significant
reductions
(~5-fold)
(~10-fold),
demonstrating
escape
host
immune
responses.
No
difference
relative
decreases
found
comparing
two
cohorts.
Importantly,
great
finding
20–30%
very
low
no
NAb,
below
threshold
Prior
outcome.
suggested
need
there
demonstrated
superiority
wane
time
and/or
namely
There
decrease
Interestingly,
between
found,
indicating
F480S
P
effect
antigenic
escape.
Thus,
despite
rapid
majority
variant,
albeit
level.
note,
~30%
detection.
real-life
overall
be
evaluated.
light
observed
waning
upon
vaccinations,
relate
evolutionary
leaps,
raises
makes
development
urgent
matter.
contrast
cohort,
dramatically
BQ1.1
~50%
~80%
recipients.
Together,
WA-1
corroborate
importance
As
expansion
previous
reports
effectiveness
mono-
addressing
XBB2,
3,
7-10
report,
provide
insights
showing
mutants,
enhanced
evasive
properties
sublineages.
spread
likely
associated
increased
rather
evasion.
response
rate
BQ
concern.
continuous
evolution
diminishing
breadth,
supports
using
Evangelos
Terpos,
Meletios-Athanasios
Dimopoulos,
George
N.
Pavlakis,
Barbara
K.
Felber
conceived
designed
study.
Ioannis
Ntanasis-Stathopoulos,
Stamatia
Skourti,
Panagiotis
Malandrakis,
Trougakos,
Dimopoulos
resources,
supervised,
collected,
processed
patient
samples;
Santhi
Devasundaram,
Margherita
Rosati,
Jenifer
Bear,
Robert
Burns,
Felber,
Pavlakis
performed
experiments
analysis;
Terpos
drafted
manuscript.
authors
reviewed
edited
manuscript
gave
final
approval
submitted
version.
thank
members
labs
discussions,
T.
Jones
assistance.
Bagratuni,
A.
Papadimou,
C-I.
Liacos
technical
work
supported
funding
Intramural
Research
Program,
National
Institutes
Health,
Cancer
Institute,
Center
Felber.
content
publication
does
necessarily
reflect
views
policies
Department
Health
Human
Services,
nor
mention
trade
names,
commercial
products,
organizations
imply
endorsement
U.S.
Government.
honoraria
Astra/Zeneca
Pfizer.
declared
conflicts.
support
findings
study
available
corresponding
reasonable
request.
Table
S1.
Bivalent
S2.
Breakthrough
Please
note:
publisher
responsible
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authors.
Any
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directed
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