Can touching a barbell in the gym get you sick with the coronavirus?

Moderna’s vaccine is less potent against one coronavirus variant but still protective, company says
https://www.statnews.com/2021/01/25/moderna-vaccine-less-effective-variant/

Moderna is studying adding booster doses to its vaccine regimen after finding its Covid-19 vaccine was less potent against a coronavirus variant that was first identified in South Africa, the company said Monday.

In lab research that involved testing whether blood from people who had received the vaccine could still fend off different coronavirus variants, scientists found that there was a sixfold reduction in the vaccine’s neutralizing power against the variant, called B.1.351, than against earlier forms of the coronavirus, Moderna reported.

There was no loss in neutralization levels against a different variant, called B.1.1.7, that was first identified in the United Kingdom. Both variants are thought to be more transmissible than other forms of the SARS-CoV-2 virus.

Moderna said that despite the reduction in neutralizing antibodies against B.1.351, the antibody levels generated by its vaccine “remain above levels that are expected to be protective.” Still, it said it was going to start testing whether adding a booster dose to its existing two-dose regimen could increase the levels of neutralizing antibodies even further, and that it was going to start investigating a booster specifically designed against B.1.351.





[OA] Wu K, Werner AP, Moliva JI, et al. mRNA-1273 vaccine induces neutralizing antibodies against spike mutants from global SARS-CoV-2 variants. bioRxiv 2021:2021.01.25.427948. http://biorxiv.org/content/early/2021/01/25/2021.01.25.427948.abstract

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is the causative infection of a global pandemic that has led to more than 2 million deaths worldwide. The Moderna mRNA-1273 vaccine has demonstrated ~94% efficacy in a Phase 3 study and has been approved under Emergency Use Authorization.

The emergence of SARS-CoV-2 variants with mutations in the spike protein, most recently circulating isolates from the United Kingdom (B.1.1.7) and Republic of South Africa (B.1.351), has led to lower neutralization from convalescent serum by pseudovirus neutralization (PsVN) assays and resistance to certain monoclonal antibodies.

Here, using two orthogonal VSV and lentivirus PsVN assays expressing spike variants of 20E (EU1), 20A.EU2, D614G-N439, mink cluster 5, B.1.1.7, and B.1.351 variants, we assessed the neutralizing capacity of sera from human subjects or non-human primates (NHPs) that received mRNA-1273.

No significant impact on neutralization against the B.1.1.7 variant was detected in either case, however reduced neutralization was measured against the mutations present in B.1.351.

Geometric mean titer (GMT) of human sera from clinical trial participants in VSV PsVN assay using D614G spike was 1/1852. VSV pseudoviruses with spike containing K417N-E484K-N501Y-D614G and full B.1.351 mutations resulted in 2.7 and 6.4-fold GMT reduction, respectively, when compared to the D614G VSV pseudovirus.

Importantly, the VSV PsVN GMT of these human sera to the full B.1.351 spike variant was still 1/290, with all evaluated sera able to fully neutralize. Similarly, sera from NHPs immunized with 30 or 100μg of mRNA-1273 had VSV PsVN GMTs of ~ 1/323 or 1/404, respectively, against the full B.1.351 spike variant with a ~ 5 to 10-fold reduction compared to D614G.

Individual mutations that are characteristic of the B.1.1.7 and B.1.351 variants had a similar impact on neutralization when tested in VSV or in lentivirus PsVN assays. Despite the observed decreases, the GMT of VSV PsVN titers in human vaccinee sera against the B.1.351 variant remained at ~1/300. Taken together these data demonstrate reduced but still significant neutralization against the full B.1.351 variant following mRNA-1273 vaccination.

 

View: https://twitter.com/washingtonpost/status/1354032854829846529?s=20


Located deep in Canada’s Yukon, the remote community of Beaver Creek is home to only about 100 people, most of them members of the White River First Nation.

So when an unfamiliar couple who claimed to work at a local motel showed up at a mobile clinic to receive coronavirus vaccines, it didn’t take long for locals to become suspicious. Authorities soon found that the couple were actually wealthy Vancouver residents who had chartered a private plane to the isolated outpost so that they could get shots intended to protect vulnerable Indigenous elders.

“I can’t believe I’ve ever seen or heard of such a despicable, disgusting sense of entitlement and lack of a moral compass,” Mike Farnworth, the British Columbia solicitor general, said Monday, according to the Vancouver Sun.

Canadian media outlets have identified the couple as casino executive Rodney Baker, 55, and his wife, Ekaterina Baker, a 32-year-old actress whose recent credits include the 2020 films “Fatman” and “Chick Fight.” Each faces fines totaling the equivalent of about $900 for violating quarantine guidelines. Neither could immediately be reached for comment late Monday, and it was not clear if they have attorneys.
 
[OA] Testosterone in COVID-19: Friend or Foe?

Coronavirus disease 2019 (COVID-19) as an ongoing disruptive pandemic poses significant challenges for the clinician. The pathogen responsible for COVID-19 is severe acute respiratory syndrome coronavirus-2 (SARS-CoV2). Although it is primarily a viral infection that affects the lower respiratory tract and lungs, it can target essentially all major organ systems. Endocrinological considerations surrounding testosterone seem particularly in need of discussion and to date present a management challenge, partly due to lack of high-quality evidence and resulting controversial interpretations.

It has been established that male mortality from COVID-19 is higher than that of women, even when controlling for risk factors found more commonly in men such as hypertension, smoking, or cardiovascular disease. This has led scientists to postulate that testosterone plays a role in disease severity: SARS-CoV2 spike proteins are primed by transmembrane protease serine 2, which itself is upregulated by testosterone. Furthermore, the spike proteins of SARS-CoV2 then bind to angiotensin-converting enzyme 2 (ACE2) receptors to enter host cells, and ACE2 receptors are also regulated by testosterone [1].

In this context, there is conflicting data on the role of testosterone, its measurement, supplementation, and possible augmentation in COVID-19. While there has been some evidence to suggest a possible positive effect of androgen-deprivation therapy (ADT) in prostate cancer patients infected by SARS-CoV2, this has recently been called into question [2]. Conversely, there is mounting evidence that low testosterone levels might actually worsen overall outcome—hypogonadism appears to be a risk factor for a more severe clinical course in COVID-19 [3]. This might be through anti-inflammatory and immune-strengthening effects of testosterone, at least in hypogonadal individuals started on testosterone replacement therapy (TRT).

Niemann PJ, Goldstein HV. Testosterone in COVID-19: Friend or Foe? Endocrine. 2021 Jan 25. doi: 10.1007/s12020-021-02623-2. Epub ahead of print. PMID: 33492642. Testosterone in COVID-19: Friend or Foe?
 


[OA] Uniting Infectious Disease and Physical Science Principles on the Importance of Face Masks for COVID-19

This commentary will summarize the evidence on face masks for COVID-19 from both the infectious diseases and physical science viewpoints; standardize recommendations on types of masks that afford the best protection to the public; and provide guidelines on messaging for this important non-pharmaceutical intervention as we await widespread vaccine distribution.

Gandhi M, Marr LC. Uniting Infectious Disease and Physical Science Principles on the Importance of Face Masks for COVID-19. Med 2021;2:29-32. Redirecting

Our group recently tested ten different types of face coverings for their effectiveness at protecting others as well as the wearer. Masks in our study protected the wearer more than others but this difference was not statistically significant.

Based on our and others’ results, we recommend a high-quality surgical mask or a fabric mask of at least two layers with high thread count for basic protection (Figure 1, top panel) for the public.

For maximal protection (Figure 1, bottom panel), members of the public can either

(1) wear a cloth mask tightly on top of a surgical mask where the surgical mask acts as a filter and the cloth mask provides an additional layer of filtration while improving the fit; or

(2) wear a three-layer mask with outer layers consisting of a flexible, tightly woven fabric that can conform well to the face and a middle layer consisting of a non-woven high-efficiency filter material (e.g., vacuum bag material).

If the masks fit well, these combinations should produce an overall efficiency of >90% for particles 1 μm and larger, which corresponds to the size of respiratory aerosols that we think are most important in mediating transmission of COVID-19.

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