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Omicron infection: What are the symptoms?https://www.linkedin.com/pulse/omicron-infection-what-symptoms-national-trading...
30/01/2022

Omicron infection: What are the symptoms?

https://www.linkedin.com/pulse/omicron-infection-what-symptoms-national-trading-syndicate

As infections of the Omicron variant of SARS-CoV-2 — the virus that causes COVID-19 — continue to spread around the world, there have been reports that symptoms, in some respects, are different from those of Delta variant infections. Do symptoms really differ? What should you look out for? All d...

Transplant Recipients Benefit From A COVID-19 Vaccine BoosterThe coronavirus disease 2019 (COVID-19) pandemic was caused...
05/01/2022

Transplant Recipients Benefit From A COVID-19 Vaccine Booster

The coronavirus disease 2019 (COVID-19) pandemic was caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), several variants of which have emerged over the last year or so. The more infectious B.1.617.2 (delta) variant of the SARS-CoV-2 was responsible for an increase in cases across the globe until very recently.

A double dose of COVID-19 messenger RNA (mRNA) vaccines showed only modest differences in vaccine effectiveness between the delta variant and the original viral strain. Individuals with immunocompromising conditions, such as those undergoing solid organ transplantation (SOTR), may experience very different symptoms.

Furthermore, the recently spreading SARS-CoV-2 Omicron variant may further facilitate viral immune escape. Unfortunately, there has never been a comprehensive study of vaccine-induced antibody responses in SOTR that describes immunodominant antibody epitopes.

A new preprint research paper posted to the medRxiv* server describes the reduction in humoral immunity in SOTR following vaccination, as well as the improvement with an additional dose of the vaccine.

Background:

The appearance of high titers of neutralizing antibodies to the virus after natural infection or vaccination, or both, is a correlate of protective immunity against reinfection or breakthrough infection, reducing the severity of the disease and limiting viral spread. Among SOTR, however, the humoral immune response is relatively less protective, and only about half of these patients develop an antibody response to the virus after infection.

Factors correlated with a reduced antibody response include kidney transplants, higher or more potent immunosuppression, and more recent transplant surgery history.

Three vaccines have received full approval or emergency use authorizations from the U.S. Food and Drug Administration (FDA). While all of them induce antibody- and cell-mediated immunity, with high degrees of protection against future infection for several months, the same is not true of SOTR. This group might be even more vulnerable to newer variants like the Delta and Omicron variants of concern (VOC) of SARS-CoV-2.

The current study aimed to describe vaccine-induced antibody responses in SOTR, and the results of a third booster dose of a messenger ribonucleic acid (mRNA) vaccine on humoral immunity against the different variants of the virus.

What Did the Study Show?

The study was performed with a prospective design on SOTR aged 18 years or more, who had received or were about to get any of the three vaccines. The vaccine recipients had received their first dose within 90 days of enrolment. None of the patients had human immunodeficiency virus (HIV) infection, were on chemotherapy or receiving radiation therapy, or had a history of infection with SARS-CoV-2.

The investigators measured the antibody levels to the viral proteins, to the S1 subunit of the spike protein, vs. viral control proteins. They also measured neutralizing antibody titers. The results showed significantly lower neutralizing antibody activity in SOTR after primary series with any of these vaccines.

In SOTR, antibody-mediated inhibition of binding between the viral receptor-binding domain (RBD) and host angiotensin-converting enzyme 2 (ACE2) receptor at 8 weeks from the second dose of an mRNA vaccine or 90 days from a single dose of the J&J vaccine was reduced.

While all controls showed over 90% neutralization of viral binding (“good responders”), this was found in less than one in five SOTR. Most SOTR, that is, 60% and 20%, were non-responders (less than 30% neutralization) and reduced responders (30-90% neutralization), respectively.

Specifically, the use of antimetabolites was linked to the most significant reduction in antibody-mediated viral neutralization. All SOTR groups had lower immunoglobulin G (IgG) antibody titers but comparable total IgM titers compared to controls. IgA levels were lower in good responders among SOTR.

Vaccine-elicited antibodies showed lower diversity against SARS-CoV-2 spike and RBD antigens in SOTR compared to healthy controls. Among SOTR, even good responders showed lower antibody titers to these proteins in the Delta VOC.

IgA vaccine-induced antibodies to S1 and RBD were lower in all SOTR for all variants, with the exception of the good responder group, which showed high IgA responses to the S2 subunit of the spike protein, comparable to controls. The absence of antibodies to the nucleocapsid protein ruled out an infection-induced response.

The scientists also found that the titers of anti-RBD antibodies after a complete primary series with any of the vaccines were correlated to neutralizing activity against the virus, corroborating earlier studies. In addition, all patients with anti-RBD antibody titers above 4,500 also had over 90% neutralizing activity.

The reduced breadth of antibody response to viral epitopes in vaccinated SOTR indicates that linear epitopes targeted by B cells were restricted to a small region near the RBD C-terminal domain.

In SOTR, however, an additional vaccine dose caused a steep rise in neutralizing activity and antibody titers, irrespective of infecting variant, except for Omicron. The proportion of good responders to the wildtype RBD soared to 56% from the earlier level of less than 20%, while non-responders went down to 22%.

With the Delta and Alpha RBD variants, after an additional vaccine dose, good responders made up 60% in place of the earlier

04/01/2022

Omicron will outcompete Delta variant for next 4-5 months globally: Genome study

Since the onset of the COVID-19 pandemic, several severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) variants of concern (VOC) have emerged, leading to repeated surges in cases, deaths, and hospitalizations throughout the world. Classification of these variants by the Phylogenetic Assignment of Named Global Outbreak Lineages (PANGO) nomenclature shows that although they have descended from a common ancestor, they are not direct descendants of one another.

The PANGO lineages that have been corresponded to the VOCs include Alpha variant (B.1.1.7 and Q lineages), Beta variant (B.1.351 and descendant lineages), Gamma variant (P.1, which is a descendant of B.1.1.28, and descendant lineages), Delta variant (B.1.617.2 and AY lineages), and Omicron variant (B.1.1.529 and BA lineages).

All the variants were reported to have evolved from the B.1 lineage, while Alpha, Gamma, and Omicron also have B.1.1 as an additional parent lineage. However, these classifications do not describe the degree of distinctiveness between the variants or provide insights into the genetic properties of the variants.

The evolution of SARS-CoV-2, like all other viruses, occurs via the mutation of its genome; these mutations alter the amino acid sequences of the viral proteins. The mutations can be either positively or negatively selected based on their impact on viral fitness. Mutations in several regions, such as the N-terminal domain (NTD) of the Spike glycoprotein and receptor-binding domain (RBD), improved viral fitness. Although much attention has been given to individual mutations at the amino acid level, limited attention has been given to the nucleotide sequence level.

A new study published in the pre-print server medRxiv* hypothesized that the emergence of more immune invasive or transmissible variants of SARS-CoV-2 was associated with increased genetic distinctiveness from the original or previous strains.

To test the hypothesis, the study introduced a new methodology that quantifies the number of distinct nucleotide n-mers (of various sizes) in VOCs to estimate the degree of viral evolution.

The study involved calculating and quantifying the number of distinctive n-mers for SARS-CoV-2 sequences from the original reference strain (PANGO lineage A) and five VOCs, Alpha, Beta, Gamma, Delta, and Omicron, that were obtained from the GISAID database. In addition, the number of amino acid mutations for the sequences obtained from GISAID were determined and compared to the original Wuhan-Hu-1 strain of SARS-CoV-2.

Multiple sequence alignment (MSA) was carried out for the sub-sampled SARS-CoV-2 genomes to calculate the phylogenetic distance. Finally, the distinctiveness of n-mers for a specific SARSCoV-2 lineage was calculated using an alternative metric, A*(1-B).

The results reported that from each genome, a distinctive nucleotide 9-mers (DN9s) were derived that was present in a given lineage but absent from all others. The number of DN9s corresponded to the time of emergence and was found to be highest for Omicron, followed by Delta, Alpha, Gamma, and finally Beta variant. The Omicron sequence was also found to have more DN9s than all other VOCs.

Omicron was indicated to be the most highly mutated VOC, while the phylogenetic distance between Gamma from Alpha and Beta was the most notable. The results also suggest that the newly emerging SARS-CoV-2 variants were genetically distinct from the original strain and that they comprised unique nucleotide sequences that resulted in the distinctiveness. The distinctiveness was also found to increase within a lineage with evolutionary time.

The current study thus provides a new methodology that will help the researchers identify and assess the distinctiveness of any new SARS-CoV-2 variants compared to the previous ones. However, further research is required to determine whether this method will be able to classify lineages as VOCs earlier than the time taken currently, how vaccination would impact the SARS-CoV-2 genomic diversity, and also determine whether SAR-CoV-2 infection would progress towards seasonality or endemicity.

The study had certain limitations. First, since the number of Omicron sequences available in the GISAID database is currently low, it can lead to oversampling. Second, apart from nucleotide 9-mers, protein-coding nucleotide n-mers or amino acid n-mers should also be considered in the determination of genomic diversity. Third, the study can be sensitive to the lineage composition in the complement group. Finally, further research is required regarding the relationship between genomic distinctiveness metrics with phylogenetic depth and evolutionary time.

| Important notice |
medRxiv publishes preliminary scientific reports that are not peer-reviewed and, therefore, should not be regarded as conclusive, guide clinical practice/health-related behavior, or treated as established information.

Roche’s COVID-19 At-Home Test obtains EUA from FDAhttps://bit.ly/3z26NiZ |                                              ...
28/12/2021

Roche’s COVID-19 At-Home Test obtains EUA from FDA

https://bit.ly/3z26NiZ | |

The US Food and Drug Administration (FDA) has granted Emergency Use Authorization (EUA) to Roche's COVID-19 At-Home Test.

Which population does extreme heat affect the most?https://bit.ly/3FeFp3A |                                             ...
19/12/2021

Which population does extreme heat affect the most?

https://bit.ly/3FeFp3A | |

In this interview, we speak to Professor Gregory Wellenius about his latest research into extreme heat and how it may affect younger adults more than older adults. Please could you introduce yourself and tell us what inspired your latest research into extreme heat? I‘m a professor at Boston Univer...

Covid: Dutch go into Christmas lockdown over Omicron wavehttps://www.bbc.com/news/world-europe-59713503 |               ...
19/12/2021

Covid: Dutch go into Christmas lockdown over Omicron wave

https://www.bbc.com/news/world-europe-59713503 | |

Non-essential shops, schools, bars, restaurants and other public venues will be closed until at least mid-January.

12/12/2021

Febrile Seizures: How to Protect Your Child

Fever-related seizures in young children can be alarming for parents, but they're usually not life-threatening, an expert says.

During a so-called febrile seizure, a child may lose consciousness, experience body stiffness, and have full-body shaking.

The seizures — which typically last a minute or two, but can go on longer — rarely require medication, and the majority don't require hospitalization, according to Dr. Kiarash Sadrieh. He is a pediatric neurologist at Children's Hospital, Los Angeles.

Sadrieh said that with any type of seizure in a child, parents or other caregivers need to remain calm and do four things:

Place the child on their side to prevent choking. There is no need to restrain the child or try to stop the shaking. The seizure will run its course on its own.

Never put anything in the child's mouth. This can lead to chipped teeth, damaged gums, or even a blocked airway.

Time the seizure. If it lasts more than five minutes, call 911. Medication may be needed to end the seizure.

Have your child evaluated on the same day. While brief seizures don't require emergency services, the evaluation is mainly to check for the cause of your child's fever.

Febrile seizures are the most common type of childhood seizure, affecting between 2% and 5% of children. The majority occur between 12 to 18 months of age.

Exactly why fever can cause a seizure is unclear, but Sadrieh said genetics play a role.

Treatment usually involves the use of fever-lowering drugs such as acetaminophen or ibuprofen, he noted.

The overall risk of recurrence varies with age. It's about 50% in children under 1 year of age and about 20% in older children.

There are two types of febrile seizures, Sadrieh explained. Simple seizures, which are more common, involve full-body shaking and last less than 15 minutes. They do not affect future school performance or intelligence.

Complex seizures affect only a part of the body, last more than 15 minutes, or recur within 24 hours and have a slightly higher rate of future complications, Sadrieh said in a hospital news release.

What is Predictive Microbiology?https://bit.ly/30f6uUP |                                                                ...
11/12/2021

What is Predictive Microbiology?

https://bit.ly/30f6uUP |

Predictive microbiology is based on the idea that the response of microorganisms to environmental conditionals is reproducible, and therefore if conditions are known then the response of characterized microorganisms is predictable. Predictive microbiology has historically been employed particularly

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