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Sputnik V vaccine-neutralization escape by SARS-CoV-2 Spike variants

65 点作者 pabo大约 4 年前

10 条评论

codeulike大约 4 年前
Most of these studies just look at antibodies (because they are easiest to study) but all the indications are that T-cells from all vaccines will continue to work well (thus preventing serious disease) because T-cells are much more comprehensive in their recognition abilities.<p>So covid will try and evolve to keep spreading but it will become less deadly as vaccination and natural immunity increase. So its destiny is to become a cold virus like the other human coronaviruses.<p><a href="https:&#x2F;&#x2F;twitter.com&#x2F;Coronavirusgoo1&#x2F;status&#x2F;1376928691473813512" rel="nofollow">https:&#x2F;&#x2F;twitter.com&#x2F;Coronavirusgoo1&#x2F;status&#x2F;13769286914738135...</a><p><a href="https:&#x2F;&#x2F;twitter.com&#x2F;Coronavirusgoo1&#x2F;status&#x2F;1366708675679764481" rel="nofollow">https:&#x2F;&#x2F;twitter.com&#x2F;Coronavirusgoo1&#x2F;status&#x2F;13667086756797644...</a><p><a href="https:&#x2F;&#x2F;twitter.com&#x2F;profshanecrotty&#x2F;status&#x2F;1355262019562209282" rel="nofollow">https:&#x2F;&#x2F;twitter.com&#x2F;profshanecrotty&#x2F;status&#x2F;13552620195622092...</a>
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ainar-g大约 4 年前
&gt; […], we determined that 8 out of 12 (75%) of serum samples from 12 recipients […] showed dose response curve slopes indicative of failure to neutralize rcVSV-CoV2-S: B.1.351.<p>I may be misreading this, as English is not my native language, but 8&#x2F;12 is 66 % and not 75 %, no? Or does the “(75 %)” refer to something else?
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Kliment大约 4 年前
This study is not particularly interesting as a measurement of vaccine effectiveness (because of the extremely low sample count of 12 patients). So don&#x27;t read too much into the particular numbers. Instead, there&#x27;s two useful and valuable results in it:<p>1. It gives us information on the mechanism that the variants are using for vaccine evasion - the E484K substitution which was the suspected mechanism for B.1.351 (&quot;south african variant&quot;) was tested on its own and did not evade the vaccine-induced antibodies as effectively as the full B.1.351 mutation set. This tells us that there is some other mechanism in B.1.351 that makes it more successful at evading antibodies. This is important and valuable information.<p>2. It demonstrates a really fast, safe, and clever method of testing vaccine effectiveness against a new variant - what they did was to take an entirely unrelated virus, graft a modified S protein on it, expose it to blood serum from vaccinated patients, and then try to infect a cell culture with it. By counting infected cells compared to the same count without the serum exposure, you can measure how effective the neutralization is, without having to measure infection counts in a large population. This is awesome and can easily be done with other vaccines and any new variant that shows up, as long as it&#x27;s sequenced, even if it doesn&#x27;t have much prevalence in the population. In fact, you can use this method to test hypothetical variants that only exist in animal viruses or not at all, and be able to redeploy vaccines that are particularly effective against those in regions where they happen to emerge. This, to me, is the absolute highlight of this paper, and I suspect it will be extremely useful.
randomopining大约 4 年前
So essentially Sputnik is most likely useless against the South African variant?
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rediguanayum大约 4 年前
More commentary on reddit: <a href="https:&#x2F;&#x2F;www.reddit.com&#x2F;r&#x2F;COVID19&#x2F;comments&#x2F;milxvy&#x2F;qualitatively_distinct_modes_of_sputnik_v&#x2F;" rel="nofollow">https:&#x2F;&#x2F;www.reddit.com&#x2F;r&#x2F;COVID19&#x2F;comments&#x2F;milxvy&#x2F;qualitative...</a> It basically echoes comments here, that there&#x27;s a significant reduction in neutralization (and paper says several instances of no neutralization in some sera). Comments also says that the pre-fusion spike stabilization used on the mRNA vaccine and J&amp;J (which otherwise similar to Sputnik as both use Adenovirus vector) seems to be the difference.
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abdullahkhalids大约 4 年前
What is the effect of taking multiple vaccines, with a few months of gap? Sputnik is available to me starting yesterday. If I take it now, will taking a different vaccine that is effective against the variants later on, give me immunity? Or will the new vaccines not do anything because the immune response has already happened?
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devit大约 4 年前
How bad is this result and the similar result on the AstraZeneca vaccine?<p>Does it mean that the South African variant will almost certainly cause another pandemic in countries vaccinated with those (thus requiring a revaccination with an mRNA vaccine) or is there somehow a chance that the variant won&#x27;t be prevalent?
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amluto大约 4 年前
Someone needs to do exactly the same study (same methods, ideally same lab) on sera from people vaccinated with all the major vaccines. The lack of a valid comparison study is ridiculous.
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nerdponx大约 4 年前
At this point, what is the cost-benefit of further vaccine development versus heavier investment in drugs and other therapies to reduce the severity of disease?<p>There are a couple doctors in the US (particularly Peter McCullough) who make a case that we haven&#x27;t invested enough in the latter and too much in the former. Naturally the anti-vax people seem to love these guys, so it&#x27;s hard to find any kind of balanced analysis on it.<p>Or do the numbers still work out to be &quot;more pandemic, more full hospitals, many more dead&quot; no matter how good the drug treatment gets?
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phreack大约 4 年前
The president of Argentina has just been diagnosed with Covid, with mild symptoms, after being vaccinated with both doses of Sputnik for over a month or two.
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