This is so encouraging! A recent study demonstrates detection and longitudinal persistence of SARS-CoV-2 IgG antibodies in the upper respiratory tract following COVID-19 vaccination. What does this mean? Prevention of SARS-CoV-2 infection AND transmission! Let’s discuss!
Researchers enrolled 114 individuals who had received their first dose of Moderna’s vaccine within 3-7 days and collected oral mucosal fluid samples on days 5, 10, 15, and 20 after each vaccine dose. Of those who were naive (no history of previous infection) to SARS-CoV-2
(n = 89), 79 (85.4%) tested positive for SARS-CoV-2 IgG antibodies by time point 2 (10 days +/-2 days after first vaccine dose), and 100% tested positive for SARS-CoV-2 IgG by time point 3 (15 days +/-2 days after first vaccine dose). And that’s with just one dose!
Additionally, researchers collected paired oral mucosal fluid and anterior nares samples from 10 individuals who received both doses of vaccine. They found that participants had an average SARS-CoV-2 IgG antibody concentration of 2496.0 +/-2698.0ng/mL in nasal mucosal fluid
versus 153.4 +/-141.0ng/mL in oral mucosal fluid. So, let’s break this down. First off, IgM antibodies are the largest antibody. They are found in blood and lymph fluid and are the first type of antibody made in response to an infection. These guys are important. Secondly, this
is the one of the first studies of persistent IgG antibody presence in oral and nasal mucosa following COVID-19 vaccination with a COVID-19 mRNA vaccine. High antibody concentration at the sites of the primary infection may play a direct role in preventing viral transmission AND
of course additional in-vitro experiments to study the effects of treating SARS-CoV-2 viral cultures with oral mucosal samples from vaccinated individuals would be required to test this hypothesis and provide further evidence demonstrating such but this is HUGE. Knowing that
just one dose of Moderna’s vaccine can produce coronavirus-fighting antibodies in the oral and nasal fluid is encouraging. “Since this is where SARS-CoV-2 makes its entry, antibodies in the mouth and nose should block the virus from getting into the body, effectively providing
‘sterilizing immunity.’ This would also mean vaccinated individuals probably wouldn’t spread the virus through respiratory droplets,” per: pbs.org/newshour/healt…
In conclusion, the vaccines may elicit a strong antibody response in the upper respiratory tract at the sites where primary infection occurs and propagates, thereby preventing SARS-CoV-2 infection and transmission. If you are interested in this study see: medrxiv.org/content/10.110…
If you’re interested in other studies concerning a variety of vaccines (Pfizer, Moderna, AstraZeneca, etc.) reducing SARS-CoV-2 transmission please see: hividgm.ucsf.edu/sites/hiv.ucsf…
Another study I’d like to add onto this. Researchers here estimate that ONE dose of Moderna’s vaccine reduces the potential for transmission by AT LEAST 61%, possibly considerably more. You can find that study here: medrxiv.org/content/10.110…
Note/Edit: I meant IgG not IgM (on one part of this thread). IgG antibodies are found in ALL body fluids. They are indeed the most common antibodies found in the body and are vital in fighting viral infections.

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More from @sailorrooscout

26 May
Immunological memory for the win! Two new studies show immunity to Coronavirus lasts AT LEAST a year, possibly a lifetime, AND improves over time, ESPECIALLY when paired with vaccination!
The first study shows those who had been previously had an infection have cells that retain a memory of the virus persist in their bone marrow and produce antibodies whenever needed, demonstrating a SARS-CoV-2 infection induces a robust antigen-specific,
long-lived humoral immune response in humans. Find that study here: nytimes.com/2021/05/26/hea…. The second study is still being reviewed before publication in Nature but found memory B-cells continue to mature and strengthen for at least 12 months after initial infection!
Read 4 tweets
26 May
A study from Indraprastha Apollo Hospital in Delhi on 69 HCWs vaccinated with Covishield (AZ) who tested positive post vaccination shows:
•Vaccines helped prevent severe illness and hospitalization
•NO deaths, NO ICU admissions
•B.1.617.2 was sequenced in 48% of cases
Amongst the 69 HCWs, 51 were fully vaccinated with two doses (74%) and the remaining 18 (26%) were partially immunized with a single dose, prior to being infected. The predominant infections occurred from B.1.617.2 lineage (48%), followed by B.1 and B.1.1.7 strains.
There were only two hospital admissions (2.9%) for minor symptoms, but NO ICU admissions and NO deaths, from this group. These findings are significant because more than half of the cohort were found infected with B.1.617.2 and were still protected from severe illness,
Read 7 tweets
23 May
Let’s clear up some confusion. Concerning AstraZeneca against B.1.617.2 and those reporting it is only 60% effective, let’s stop. It’s ONLY 60% at 21 days post-second dose follow-up. At the 11-12 week follow up, one would expect it to be closer to 80-90% range. Why? See here.
Also, NO, it doesn’t take AstraZeneca 12 weeks post-second dose to achieve efficacy either. So don’t get confused. Remember that rollout of second doses of AstraZeneca was later than Pfizer in the UK. In this PHE analysis from last night, most (74%) people had only just recently
(past 28 days) had their 2nd AZ doses, vs. less than half (46%) of Pfizer, and half of them had it more than 28 days ago. So for example, B.1.1.7, when you’re looking at this chart. AstraZeneca 2 doses after 28 days is 66%. AstraZeneca second dose AFTER 12 weeks is 85-90%.
Read 13 tweets
18 May
I honestly never thought I would see the day I was shamed by other academics for only having a Masters degree. I have hit a roadblock saving to be able to even pursue a PhD while I have been helping my family during COVID. Not having one doesn’t mean I am unqualified to speak.
Those who know me know how much I went through to make it through school with what I had and what my family had. I didn’t grow up with money. I am still paying off my student loans but I’m still trying and will continue to do so. I am proud of how far I have gotten.
Some have asked who and I shouldn’t be worried about shielding these people. I’m tired. I do the best I can with what I have right now. Getting a PhD is a luxury that I cannot meet the needs for yet. Image
Read 5 tweets
18 May
This is wonderful! Real-world study data out of UCL based on 8,517 people in England and Wales shows 96% of people, who had either Pfizer’s or AstraZeneca’s vaccine developed antibodies 28 to 34 days after their 1st dose. This rose to 99% within 7 to 14 days of their second dose!
Over 9 out of 10 adults in the UK who had either the Pfizer or AstraZeneca vaccine produced antibodies against the virus within a month of their first dose. None of the participants of the study had antibodies prior to their first dose of the vaccine. The study found antibody
rates initially increase quicker among those who have had the Pfizer/BioNTech vaccine than those with the Oxford/AstraZeneca. However, after one month the recipients showed almost identical antibody positivity rates.
Read 6 tweets
15 May
Extremely welcome news today! A new study from the Indraprastha Apollo Hospital in Delhi, India shows 97.38% of a total of 3,235 HCWs vaccinated with Covishield (AstraZeneca) were protected from COVID-19 infection and the chances of hospitalization after vaccination were 0.06%.
The study was designed to evaluate the frequency of breakthrough infections, and was carried out on healthcare workers who reported to Delhi's Indraprastha Apollo Hospital with symptomatic COVID-19, during the first 100 days of the vaccination drive using the Covishield vaccine.
The results of the study show that break-through infections occur only in a small percentage and these are primarily minor infections that do not lead to severe disease. There were no ICU admissions or deaths reported!
Read 5 tweets

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