Please don't panic too much about these new variants of SARS-CoV-2. Taking a step back, RNA viruses (viruses that use RNA as their genetic material rather than DNA; SARS-CoV is an RNA virus) have higher mutation rates than DNA viruses (like chickenpox).
jvi.asm.org/content/92/14/…
Their RNA-dependent RNA polymerases (which replicate the genetic material) do not "proofread" assiduously like DNA polymerases so random mutations occur and those that confer a "fitness advantage" (helps them replicate more efficiently) take off. See this:
biorxiv.org/content/10.110…
Mutations that lead to an enhancement of the ability of the spike protein to bind to the host's receptor (the ACE receptor) may be advantageous to the virus. Of 295,507 full-length genome sequences of SARS-CoV-2 worldwide, authors looked at mutations affecting that interface and
found a handful affecting that interface. But vaccines (all of them to date - Moderna; Pfizer; AZ) have genetic material that code for the entire spike protein & the RBD (receptor binding protein) and generate multiple antibodies to that region, even though papers show us only 2
So, with the generation of multiple antibodies (not all measured in the papers), B cell and T cell response, immunity to the variants with vaccines should be retained. And "tweaks' can be made to the genetic material in future if needed in vaccines to boost response even more

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More from @MonicaGandhi9

30 Jan
Know very tempting to feel nervous about variants. Please don't: 1) RNA viruses do mutate and those more fit spread more readily; 2) SARS-CoV-2 has much lower mutational rate than influenza A - we are seeing more because transmission high, want to tamp down (& now sequencing);
3) Vaccines do not generate just antibody response, but T cell responses (measured in all 3 trials published) and B cell responses). So if neutralizing antibodies slightly lower in vaccinated blood to a variant (and not yet lower in clinically significant way), remember T cells. Image
4) So far, all of these vaccines involve genetic material that code for the spike protein/RBD- mRNA in mRNA vaccines and double-stranded DNA in adenovector vaccines. Sequences of genetic material can be "tweaked" to respond to variants as needed; 5) As tweeted before, efficacy
Read 4 tweets
29 Jan
Wonderful news about the Johnson&Johnson vaccine! Let me explain (and also let me tell you I was just on an interview with Dr. Paul Offit, who believes - like me- that control is nigh). J&J vaccine press release here:
jnj.com/johnson-johnso…
J&J vaccine is a modified cold virus adenovirus (this vector doesn't replicate or cause illness in humans) with double stranded DNA coding the spike protein of SARS-CoV-2 inside. Nice explanation of NYT of how it works. The adenovirus "vector" (carrier)
nytimes.com/interactive/20…
gets the DNA inside host cell nucleus where it is "transcribed" into mRNA and then you make the spike protein of the virus % raise immune response against it. Initial phase I/II data from NEJM showed high immunogenicity of 1st dose that went up over time.
nejm.org/doi/10.1056/NE…
Read 7 tweets
29 Jan
At risk of upsetting people, I need to address why I think teachers should feel very safe going to in-person learning after vaccination. Let's start with why COVID-19 was a bad virus and how vaccines defang this virus and then let me address transmission one more time. As said
many times, Moderna and Pfizer phase 3 trials were meant to assess the risk of COVID-19 infection with symptoms as they were designed for expediency. So, 1st outcome was 1) do you have any symptoms suggestive of COVID-19, we will swab and see if you have COVID-19? 2nd outcome was
did you get severe disease from COVID-19?. In terms of 1st outcome to look at, 95% of COVID-19 cases with symptoms occurred in people who got placebo, not vaccine. Vaccine massively reduced chance of getting COVID-19 with symptoms. In 2nd outcome, all of the severe COVID-19
Read 14 tweets
18 Jan
What about COVID-19 vaccines in pregnancy? A question asked often. I think safe but wanted to discuss. I have worked in women & HIV for long time & drugs/vaccines/etc. not studied in pregnant & breastfeeding women despite FDA saying they should
fda.gov/media/90160/do…
Similarly, pregnant & breastfeeding women included in Pfizer/Moderna trials (at start) so can't specifically comment on this group. However, these are not "live" vaccines (weakened live virus) which we don't use in pregnant women. mRNA in these vaccines is inert and
degrades very quickly after being "translated" (made) into the spike protein and doesn't stick around. Therefore, this genetic material does NOT stay in your body and should not harm fetus in any way. The spike protein and the immune response you make against it should not harm
Read 4 tweets
17 Jan
Oh dear. I didn't read the post that had incited such confusion on here from a fellow scientist because I think polemics against fellow scientists is unmerited but I am beginning to get a hint that she slandered me (which happened before on a hypothesis our group had that reduced
viral #inoculum reduces severity of disease). I will take a small break from Twitter now as I have so much work. But please remember this. Scientists usually write academically and their "fame" is very circumscribed within academic circles & they usually don't get listened to
by anyone else! So, it is tempting and exciting to become "famous" in a pandemic and be listened to by so many. And any scientist right now is as lonely and miserable as anyone else during COVID-19 because we are all human and connection is a part of human existence. So, that
Read 6 tweets
17 Jan
I am confused by twitter flurry. Let me message very clearly. Only healthcare workers and residents of long-term care facilities (and not all) will be mass vaccinated soon. After vaccination (3-4 weeks after 2nd dose), what two vaccinated people do around each other
is unlikely to be dictated by public health (safe). The vaccinated person (e.g. a health care worker) should mask/distance from their unvaccinated patients and out in public until mass vaccination is achieved for those unvaccinated. This is why getting more and more vaccinated
is the more important thing we can do right now. Nothing else is this important. Yes, the Moderna phase 3 trial data (Table S18, NEJM paper) and the Aztrazeneca/U of Oxford data (LD/SD group, Lancet paper) shows decrease in asymptomatic transmission, as does Israel real-world
Read 5 tweets

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