Mathew Dyors Profile picture
Oct 14 14 tweets 3 min read
1/ 🧵 on China’s oral vaccine

#ConvideciaAir

by CanSino Inc.

that received an emergency authorization in China.
2/ Booster vaccination with Convidecia Air (Ad5-nCoV) induced a superior T-cell response and neutralizing antibody responses compared to those induced by the homologous inactivated vaccine booster or heterologous recombinant protein vaccine booster.
3/ At day 7 after booster vaccination, intramuscular Ad5-nCoV induced an obvious IgG antibody response, but no IgG antibody response was found in the aerosolized Ad5-nCoV group, indicating that aerosolized Ad5-nCoV stimulated a slower systemic immune response .
4/ At day 14 after booster vaccination, the systemic immune advantage of aerosolized Ad5-nCoV was demonstrated. Only 1/5 of the dose given by intramuscular injection produced a T-cell immune response higher than that of intramuscular Ad5-nCoV.
5/ The neutralizing antibodies against Omicron induced by aerosolized Ad5-nCoV were higher compared to those induced by intramuscular injection.
6/ The neutralizing antibodies from most intramuscular COVID-19 vaccines peak at day 14 after booster vaccination and then decline.
7/ At day 28 after booster vaccination, the neutralizing antibodies induced by aerosolized Ad5-nCoV still tended to be increased compared to those at day 14, showing different kinetics from other intramuscular booster vaccination regimens examined.
8/ T-cell immunity is required for viral clearance and supports the generation and maintenance of high-affinity antibodies.
9/ Adenovirus-vectored COVID-19 vaccines are advantageous as they induce a strong T-cell response, and, aerosolized Ad5-nCoV at a lower dose induced a more substantial systemic IFNγ cellular response than intramuscular Ad5-nCoV.
10/ The resident cellular responses may be stronger in the airway and lung than in the blood, since a stronger cellular response in the lungs than in the spleen of mice via intranasal vaccination with Ad5-nCoV was observed.
11/ Viral mutations have a less pronounced impact on T-cell immunity than on neutralizing antibody responses, which can limit the impact of individual viral mutations and potentially enhance protection against severe disease from SARS-CoV-2 variants.
12/ Link to the study:

medrxiv.org/content/10.110…
13/ Moreover, clinical trial phase I study

thelancet.com/journals/lanin…

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More from @DyorsMathew

Oct 14
1/ 🧵Jetzt beginnt eine neue Welle.

Dass @Karl_Lauterbach am 8. Oktober 2022 nicht wusste, dass im November eine Welle (BQ1.1, XBB, ...) Deutschland treffen wird, darf man wohl getrost als unmöglich erachten.

2/ Es am 8.10 als eine zunehmende Unwahrscheinlichkeit zu bezeichnen, dass BA.5 die einzige Variante in der Zeit bis zum nächsten Sommer bleibt, war nicht ein scherzhafter Euphemismus.
3/ Damit bleiben zwei Optionen:

Es war
a) eine absichtliche Verzerrung der Realität; oder
b) die Frucht einer Selbsttäuschung.
Read 17 tweets
Oct 11
1/ Should you worry about MediumCovid or about #LongCovid?

As a young, healthy, bivalently boosted physician, you may not need to worry about being strapped to a ventilator. The primary worry is thus not ShortCovid.
theatlantic.com/health/archive…
2/ However, even a mild case of the disease could shorten your life, or leave you with chronic fatigue, breathing trouble, and brain fog. Devastating symptoms can persist for months.
3/ For the majority of vaccinated people, however, the worst complications will not surface in the early phase of disease, when you’re first feeling feverish and stuffy, nor can the gravest risks be said to be “long term.”
Read 7 tweets
Oct 11
1/ 🧵 Reality Check:

Ist es jetzt ein guter Zeitpunkt, um die Maske endlich abzulegen und wieder Indoorevents wie 2019 durchzführen?

Zunächst kann man ja mal einen Blick auf den
Pandemieradar des @rki_de werfen.

Die 7-Tagesinzidenz wächst. Wie wir wissen ist das noch BA.5.2. Image
2/ Knapp jeder zweite Test ist positiv. Das heißt, je mehr man testet, desto mehr Infizierte findet man.

Das bedeutet, dass die Dunkelziffer sehr hoch ist. Das tatsächliche Ausmaß des Infektionsgeschehens lässt sich aber an den Abwasserdaten gut erkennen. Image
3/ Aha. Nach knapp drei Jahren der Pandemie sind wir noch nicht so weit. Ist ja egal, wieviel Infektionsgeschehen es gibt. Whatever. Image
Read 15 tweets
Sep 30
1/ 🧵Die Pandemie sei laut @stohr_klaus vorbei, wenn die gesundheitlichen Auswirkungen von #Covid19 denen von anderen Atemwegserkrankungen gleichen.

Das klingt ansprechend. Das ist was wir wollen.

Aber hier verbirgt sich noch ein Missverständnis.

2/ Zunächst nur am Rande:

Eine Pandemie ist dadurch gekennzeichnet, dass ein Erreger in globalen Wellen auftritt.

Es geht in diesem Kontext um die gesundheitlichen Auswirkungen von #SARSCov2, also in erster Linie um #PASC (post acute sequlae), also um #LongCovid.
3/ Das RKI schätzt, dass 10 Prozent aller Infizierten an #LongCovid leiden.

tagesschau.de/wirtschaft/ver…
Read 17 tweets
Sep 28
1/ Bats may be the key to understanding #LongCovid.

64 million years of adaptive evolution have shaped the host defence system of bats to balance defence and tolerance, which has resulted in a unique ability to act as an ideal reservoir host for viruses.
2/ Bats have a long lifespan relative to body size, a low rae of tumorigenesis, and an exceptional ability to host viruses without presenting clinical disease.

Bats host more zoonotic pathogens than any other known mammalian species.
3/ Bats are the only flying mammals. The exceptional flight ability owned by bats is speculated to be the foremost keystones pertained to viral symbiosis.
Read 34 tweets
Feb 28
1/ 🧵 How immune and how safe are you?

Denial about the presence of SARS-CoV-2 is omnipresent.

You would like to know where you stand, stay vigilent, and know exactly what to do, to keep on protecting your health despite living in a surrounding with SARS-CoV-2?
2/ The World Health Network @TheWHN will keep on providing you with the most important information about how to stay healthy and safe.

The scientists of the @CovidActionGrp stay on top of the most recent scientific developments and provide you with summarized key insights.
3/ Can you still get SARS-CoV-2 if you have been vaccinated?

Yes. Current vaccines provide limited protection against infection from current variants.
Read 24 tweets

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