Emmanuel Profile picture
Oct 13, 2024 15 tweets 6 min read Read on X
IMMUNOGENICITY to SARS-COV-2 ?
(Mega-thread🧵 with 7 studies just published ! 💯)

We need to approach this topic, with a lot of humility, acknowledging that we are just starting to grasp the complexities of our immune system's response to SARS-CoV-2. Image
2) "Real-world assessment of immunogenicity in immunocompromised individuals following SARS-CoV-2 mRNA vaccination: a two-year follow-up of the prospective clinical trial COVAXID"

Immunocompromised patients often don't respond well to COVID-19 vaccines ... thelancet.com/journals/ebiom…Image
3)..leading to the need for extra booster shots. In a 2-year study of 364 patients from a trial, blood samples showed that more vaccine doses and past infections improved immune responses, despite some treatments weakening them. Continuous boosters are crucial for these patients. Image
4) "Broad immunogenicity to prior SARS-CoV-2 strains and JN.1 variant elicited by XBB.1.5 vaccination in nursing home residents"

The XBB.1.5 COVID-19 vaccine enhances immunity among nursing home residents (NHRs) and healthcare workers (HCWs)
... link.springer.com/article/10.100…Image
5) ...particularly against new variants. A study showed that NHRs who had prior COVID-19 infections produced higher antibody levels after vaccination. This suggests the XBB.1.5 vaccine is effective in boosting protection for vulnerable populations.
6) "Functional Activity and Binding Specificity of small Ankyron Repeat Proteins against SARS-CoV-2 variants"

To manage COVID-19 effectively, we need both vaccines and treatments. Researchers have created special proteins called Ankyrons ... biorxiv.org/content/10.110…Image
7)...that can attach to the virus. These proteins can be made in the lab and bind tightly to the SARS-CoV-2 virus. Tests showed that some Ankyrons work against different virus variants. They also can neutralize the virus in lab tests and could help develop new treatments quickly
8) "Structural insights into the RNA binding inhibitors of the C-terminal domain of the SARS-CoV-2 nucleocapsid"

The SARS-CoV-2 nucleocapsid (N) protein helps protect and package the virus's genetic material. A study tested 3 antibiotics, ceftriaxone ... biorxiv.org/content/10.110…Image
9)..cefuroxime, and ampicillin to see if they could disrupt this packaging. Results showed that these drugs can inhibit RNA binding to the N protein. Structural analysis revealed new interaction sites, suggesting that targeting the N protein could lead to new antiviral treatments Image
10) "A Modular Bacteriophage T4 Nanoparticle Platform Enables Rapid Design of Completely Protective Multivalent Mucosal Dual Vaccine Against COVID-19 and Flu"

The COVID-19 pandemic and flu outbreaks highlight the need for better vaccines. biorxiv.org/content/10.110…Image
11) Current vaccines have issues like weak protection and less effectiveness against new variants. A new vaccine design uses bacteriophage T4 nanoparticles to target both COVID-19 and flu. It delivers vaccines through the nose for better immunity and includes various antigens... Image
12)..for wider protection. Tests in mice show strong immune responses, including antibodies and T cells, offering complete protection. This T4 platform can quickly create vaccines and is easy to produce, making it suitable for global use, especially in areas with fewer resources. Image
13) One of my favourite 🤗
"Distinct proteomic signatures in Ethiopians predict acute and long-term sequelae of COVID-19"

This study focuses on COVID-19 in African patients, who may react differently compared to other populations. medrxiv.org/content/10.110…Image
14) Researchers looked at proteins in patients' blood to find markers that could predict severe illness and the risk of Long COVID. They found specific proteins linked to severe cases and identified some that could indicate a higher or lower chance of developing Long COVID. Image
15) And to conclude a study posted yesterday.
Thanks for reading 🙏

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More from @ejustin46

Mar 2
Catching COVID-19 in Buildings: Combining Wastewater, Air, and Surface Monitoring !

An amazing study in Nature.
H/t @mryoung151
nature.com/articles/s4137…Image
2) This study looked at different ways to detect COVID-19 in a building. The researchers tested air, surfaces, and wastewater to see which methods could best detect the virus.

They placed air samplers in the lobby of a dorm where students with COVID-19 were isolating. Image
3) The air samples showed higher virus levels when students with COVID-19 were present.

The researchers also collected air samples from the building's rooftop exhaust, swabbed high-touch surfaces, and tested the building's wastewater. Image
Read 6 tweets
Feb 27
Alarming Shift in H5N1 Bird Flu: Longer Neuraminidase Stalks May Boost Transmission Risk

H/t @florian_krammer Thanks @DavidJoffe64
journals.asm.org/doi/10.1128/mb…Image
2) The H5N1 bird flu virus has been spreading rapidly since 2020. An important change is that the neuraminidase (NA) protein on this virus now has a longer "stalk" region.

In the past, most H5N1 viruses had a shorter NA stalk. Image
3) But the current clade 2.3.4.4b H5N1 viruses mostly have the longer NA stalk.

The longer NA stalk may make these H5N1 viruses more able to spread between mammals, including potentially between humans.
Read 5 tweets
Feb 24
What an UNFORTUNATE CHOICE of WORD it is to REFER to the term “VARIANT” in relation to SARS-CoV-2.

No one would think to call Prince William a "variant" or a mere variation of Queen Elizabeth; he shares the same family and lineage. That's all. Image
2) I wanted to use this analogy to highlight the significant differences in pathogenicity and transmission among the Alpha, Delta, and Omicron variants, as demonstrated by a recent study published in Nature.
nature.com/articles/s4429…Image
3) By suggesting that the various lineages of SARS-CoV-2 consist of only minor mutations in the Spike protein—while overlooking the other proteins—and by using the term "soup of variants," which I consistently contest, we diminish the profound changes ... Image
Read 5 tweets
Feb 24
Can a SYNTHETIC RECEPTOR that BINDS to the SUGAR (Glycans) on the SARS-CoV-2 Spike Protein, PREVENT the VIRUS from INFECTING Human CELLS?

Amazing study 🙏 @DavidJoffe64
…mistry-europe.onlinelibrary.wiley.com/doi/10.1002/cb…Image
2) Viruses like SARS-CoV-2 have proteins on their surface called spike proteins. These spike proteins help the virus attach to and enter human cells. The spike proteins are heavily coated with sugar molecules called glycans. Image
3) Researchers have developed a synthetic molecule called IDS060 that can bind to these glycans on the spike protein. This binding prevents the virus from attaching to human cells, blocking infection. Image
Read 6 tweets
Feb 23
WHEN and WHERE was the H5N1 influenza A virus (genotype D1.1) DISCOVERED ?

A very interesting article from
@LouiseHMoncla @angie_rasmussen @MichaelWorobey @PeacockFlu and colleagues
virological.org/t/timing-and-m…Image
2) The H5N1 influenza A virus (genotype D1.1) was discovered in dairy cattle in Churchill County, Nevada, on January 31, 2025. The detection followed a routine surveillance program, where bulk milk samples were collected from dairy processing plant silos on January 6 and 7, 2025. Image
3) These samples tested positive for the virus on January 10.
Investigations revealed that the virus likely jumped from birds to cattle sometime between late October 2024 and early January 2025 ... Image
Read 4 tweets
Feb 23
What makes VIRUSES like Herpes, Epstein-Barr, Flu, H1N1, H5N1 and HIV so EFFECTIVE at INFECTING the BRAIN ?

Viruses can infect and damage the brain, leading to conditions like Alzheimer's, Parkinson's, schizophrenia, and depression
link.springer.com/article/10.100…
2) Some Viruses are able to successfully infect the brain for a few key reasons:

▶️ Direct Brain Entry: Some viruses can directly enter the brain through the nose or other pathways, allowing them to directly infect brain cells. Image
3) ▶️ Evading Immunity: Certain viruses can hide from or suppress the immune system, enabling them to persist in the brain undetected.

▶️ Breaching the Blood-Brain Barrier: Viruses can damage the protective barrier between the brain and bloodstream ...
Read 6 tweets

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