Category: Corona Virus Vaccine

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Explained: Why AstraZeneca has withdrawn Covid-19 vaccine sales, and what it means for India – Forbes India

May 9, 2024

While the Serum Institute of India has not yet made any statements of withdrawal, experts say that eventually, all 'monovalent' vaccines, or those that deal with the original Wuhan strain of Covid-19, will be discontinued

In March, AstraZeneca voluntarily withdrew its marketing authorisation for the European Union, which meant it would no longer be able to market its medicine in member states. Image: Getty Images

Multi-national pharmaceutical company AstraZeneca has announced that it will withdraw sales of its Covid-19 vaccine globally, since there is a surplus of more updated vaccine options that target new variants of the virus, as per a report in The Telegraph. The AstraZeneca vaccine is called Vaxzevria, and, in India, its sold as Covishield, developed and manufactured by the Pune-based Serum Institute of India. It has been administered through 175 crore doses across the country.

Also watch: Forbes India Pathbreakers: Adar Poonawalla on vaccines, strategy, and legacy Despite the concerns, health experts maintain that the vaccine is safe and effective, and that any vaccine or medication can have adverse impact on certain individuals. The number of people affected constitutes such side effects as rare. In India too, families of individuals such as Karunyas, are pursuing legal action against AstraZeneca and the Serum Institute of India. Karunya was jabbed with Covishield and died in July 2021, a month after taking the vaccine, due to multisystem inflammatory syndrome. Covishield has been very well-tested. It has gone through all the scientific analysis and trials and it is a very, very safe vaccine. There is no need to panic, says Dr Rakesh Sharma, director of Tata Institute for Genetics and Society. We are incredibly proud of the role Vaxzevria played in ending the global pandemic, a statement by AstraZeneca says. According to independent estimates, over 6.5 million lives were saved in the first year of use alone and over three billion doses were supplied globally. Our efforts have been recognised by governments around the world and are widely regarded as being a critical component of ending the global pandemic. As multiple, variant Covid-19 vaccines have since been developed, there is a surplus of available updated vaccines. We will now work with regulators and our partners to align on a clear path forward to conclude this chapter and significant contribution to the Covid-19 pandemic, the statement continued. According to reports, neither has SII announced any plans to discontinue the vaccines production so far, nor has it undertaken manufacturing of new batches in the past two years. However, experts predict that all monovalent vaccines, or those that deal with the original strain, will be withdrawn and replaced with updated vaccines.

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Explained: Why AstraZeneca has withdrawn Covid-19 vaccine sales, and what it means for India - Forbes India

FDA postpones advisory committee meeting on next COVID vaccines – University of Minnesota Twin Cities

May 9, 2024

UK health officials today announced a new 5-year national action plan on antimicrobial resistance (AMR).

The 2024 to 2029 national action plan replaces the United Kingdom's previous 5-year plan (2019 to 2024), under which the country saw reductions in the use of antimicrobials in people and food-producing animals, development of improved surveillance systems, and the piloting of a new, subscription-style antibiotic payment scheme within the National Health System. UK officials say the new plan will build on those achievements and contribute to meeting the goals of the country's 20-year vision for AMR.

The plan is organized under four themes: Reducing the need for, and unintentional exposure to, antimicrobials; optimizing the use of antimicrobials; investing in innovation, supply, and access; and being a good global partner. The themes apply to human health and social care, animal health, agriculture, food production, and the environment.

"AMRis not just a matter for cliniciansit is important to work across sectors to help preserve these vital medicines to minimise the impact ofAMR," UK Chief Medical Officer Chris Whitty, CB, DSc, said in a government press release.

Strategic outcomes within the four themes include developing a "whole systems approach" to infection prevention and control and management; increasing public education and engagement on AMR; strengthening surveillance and antimicrobial and diagnostic stewardship; prioritizing development of new antimicrobials, diagnostics, and vaccines; and maintaining Britain's role as a global leader on AMR.

"We have to work together, across the world, with those countries that need action the most, to make progress and containAMR," said Dame Sally Davies, UK Special Envoy on AMR.

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FDA postpones advisory committee meeting on next COVID vaccines - University of Minnesota Twin Cities

AstraZeneca withdraws COVID-19 vaccine, citing low demand DW 05/08/2024 – DW (English)

May 9, 2024

The pharmaceutical giant AstraZeneca has reportedly withdrawn its COVID-19 vaccine Vaxzevria, also known as Covishield, worldwide,citing commercial reasons for the decision.

"As multiple, variant COVID-19 vaccines have since been developed, there is a surplus of available updated vaccines. This has led to a decline in demand for Vaxzevria, which is no longer being manufactured or supplied," various media outlets quoted the company was quoted as saying.

A document hosted by the EU's European Medicines Agency website confirmedthatVaxzevriawas no longer authorized in the region.

In an email to DW, virologistWolfgang Preiser said"the demand for SARS-CoV-2 vaccines is very low and unlikely to pick up significantly in the foreseeable future, so I understand the reasoning."

AstraZeneca, who developed the vaccine with Oxford University,said it was "incredibly proud of the role Vaxzevria played in ending the global pandemic."

More than three billion doses were supplied globally. Independent studies estimate that more than 6.5 million lives were saved in the first year that itwas used.

The Oxford-AstraZenecavaccine was developed within the first months of the pandemic in 2020. It was first approved in the UK on December 30, 2020, with other countries granting the vaccine conditional marketing authorization later in 2020 due to the urgency of the pandemic.

Vaxzevria was effective against initial ancestral variants of COVID-19 virus the alpha variant but was less effective against newer variants of COVID-19, such as the omicron variant.

Many governments, including in the UK, Germany and Australia, had stopped using the Oxford-AstraZeneca vaccine before its withdrawal from the market.

"We are still distributing COVID-19 vaccines, but none of them are AstraZeneca any more. They were the first manufacturer with which we concluded our arrangement in 2022,"Olly Cann, director of communications at the international organization Gavi, the Vaccine Alliance, told DW.

Thelatest COVID-19 vaccine advice issuedby the World Health Organisation in April advised that COVID-19 vaccines should target the JN.1 lineage of the virus, which is now the most dominant variant.

However,at the time of writing,Preiser saidrelatively few severe infections were being observed"due to a high level of population immunity stemming from past vaccination,and often also past infection."

Although the vaccine was found to be safe and effective overall, it carried a very small risk of developingblood clotsas a side effect. The condition is known as "thrombosis with thrombocytopenia syndrome(TTS)."

The rare syndrome occurred in two to three people per 100,000 who were vaccinated with the Vaxzevria vaccine.

While studies found the vaccine did not increase the risk of heart attacks or strokes, it has been under intense scrutinydue to TTS.

"The side effects are real and may have serious consequences for those affected, but as with all interventions, a careful risk-benefit analysis [was]needed. During the pandemic, the balance was definitely in favor of using the vaccine," saidPreiser, who is based atStellenbosch University in South Africa.

In a UK High Court case, AstraZeneca isbeing sued by more than 50 people, who claim to have been affected by side effects.

The BritishTelegraph newspaper, quoted as the first to break the news of Vaxzevria's withdrawal from the market, reportedthat AstraZeneca had admitted in the court case in February 2024 that the vaccine "can, in very rare cases, cause TTS."

AstraZeneca said the decision to withdraw the vaccine was not linked to the court case or any risks associated withTTS.

Edited by: Zulfikar Abbany

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AstraZeneca withdraws COVID-19 vaccine, citing low demand DW 05/08/2024 - DW (English)

CDC warns that new COVID-19 variants, nicknamed FLiRT, found in wastewater – USA TODAY

May 9, 2024

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CDC warns that new COVID-19 variants, nicknamed FLiRT, found in wastewater - USA TODAY

Scientists create vaccine with potential to protect against future coronaviruses – The Guardian

May 7, 2024

Vaccines and immunisation

Researchers say experimental shot is step towards goal of creating vaccines before a pandemic has started

Scientists have created a vaccine that has the potential to protect against a broad range of coronaviruses, including varieties that are not yet even known about.

The experimental shot, which has been tested in mice, marks a change in strategy towards proactive vaccinology, where vaccines are designed and readied for manufacture before a potentially pandemic virus emerges.

The vaccine is made by attaching harmless proteins from different coronaviruses to minuscule nanoparticles that are then injected to prime the bodys defences to fight the viruses should they ever invade.

Because the vaccine trains the immune system to target proteins that are shared across many different types of coronavirus, the protection it induces is extremely broad, making it effective against known and unknown viruses in the same family.

Weve shown that a relatively simple vaccine can still provide a scattershot response across a range of different viruses, said Rory Hills, a graduate researcher at the University of Cambridge and first author of the report. It takes us one step forward towards our goal of creating vaccines before a pandemic has even started.

Tests in mice showed that the vaccine induced a broad immune response to coronaviruses, including Sars-Cov-1, the pathogen that caused the 2003 Sars outbreak, even though proteins from that virus were not added to the vaccine nanoparticles. Details of the work, a collaboration between the universities of Cambridge and Oxford and the California Institute of Technology, are published in Nature Nanotechnology.

The universal coronavirus vaccine can be made in existing facilities for microbial fermentation, Hills said, adding that the researchers were working with industrial partners on ways to scale up the process. The nanoparticles and viral proteins can be made at different times in different places and mixed together to produce the vaccine.

Medical regulators do not have procedures for proactive vaccinology and the researchers say these would have to be worked out with the relevant bodies. If the vaccine were found to be safe and effective in humans, one option would be to use it as a Covid booster with the added benefit of it protecting against other coronaviruses.

More likely is that countries would hold stocks of the vaccine, and others designed to target separate pathogens, once they have been manufactured and approved. In the event that a coronavirus or other pathogen crosses over you could have pre-existing vaccine stocks ready and a clear plan to quickly scale up production if needed, Hills said.

Prof Mark Howarth, a senior author of the study, said: Scientists did a great job in quickly producing an extremely effective Covid vaccine during the last pandemic, but the world still had a massive crisis with a huge number of deaths. We need to work out how we can do even better than that in the future, and a powerful component of that is starting to build the vaccines in advance.

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Scientists create vaccine with potential to protect against future coronaviruses - The Guardian

Proactive vaccination using multiviral Quartet Nanocages to elicit broad anti-coronavirus responses – Nature.com

May 7, 2024

Plasmids and cloning

Cloning was performed using standard PCR methods with Q5 High-Fidelity 2 Master Mix (New England Biolabs) and Gibson assembly. All open-reading frames were validated by Sanger sequencing (Source Bioscience).

pET28a-SpyCatcher003-mi3 (GenBank MT945417, Addgene 159995) was previously described58. pET28a-SpyTag-MBP (GenBank MQ038699, Addgene 35050) has been published59. pDEST14-SpySwitch (GenBank ON131074, Addgene plasmid ID 184225) was previously described19. Monomeric sarbecovirus RBD expression vectors contained a C-terminal SpyTag003 (RGVPHIVMVDAYKRYK)16 and His8-tag (ref. 12) in the plasmid p3BNC-RBD-His8-SpyTag003 and were previously described19: SARS2 (GenBank ON131086), SARS1 (GenBank ON131087), RaTG13-CoV (GenBank ON131088), SHC014-CoV (GenBank ON131089), Rs4081-CoV (GenBank ON131090), pangolin17 (pang17)-CoV (GenBank ON131091), RmYN02-CoV (GenBank ON131092), Rf1-CoV (GenBank ON131093), WIV1-CoV (GenBank ON131094), Yunnan2011 (Yun11)-CoV (GenBank ON131095), BM-4831-CoV (GenBank ON131096) and BtKY72-CoV (GenBank ON131097). The origins of the sarbecovirus RBDs are SARS1 (GenBank AAP13441.1; residues 318510), WIV1 (GenBank KF367457; residues 307528), SHC014 (GenBank KC881005; residues 307524), BM-4831 (GenBank NC014470; residues 310530), BtKY72 (GenBank KY352407; residues 309530), pang17 (GenBank QIA48632; residues 317539), SARS2 (GenBank NC045512; S protein residues 331529), RaTG13 (GenBank QHR63300; S protein residues 319541), Rs4081 (GenBank KY417143; S protein residues 310515), RmYN02 (GSAID EPI_ISL_412977; residues 298503) and Rf1 (GenBank DQ412042; residues 310515). The monomeric SARS2 VOC RBDs for Supplementary Fig. 18 ELISAs were cloned into pcDNA3.1 with the influenza H7 hemagglutinin (A/HongKong/125/2017) signal peptide followed by a SpyTag followed by the RBD: Wuhan (GenBank MT945427.1, Addgene 159999), Delta (GenBank PP136028, Addgene plasmid ID 214723), BQ.1.1 (GenBank PP136030, Addgene plasmid ID 214725) and XBB.1.5 (GenBank PP136029, Addgene plasmid ID 214724). The SARS2 Wuhan Spike protein was the HexaPro variant (a gift from Jason McLellan, Addgene plasmid ID 154754) that contains six proline substitutions (F817P, A892P, A899P, A942P, K986P, V987P) which confer greater stability60. The SARS2 Beta variant Spike protein was cloned from HexaPro to match the B.1.351 variant (L18F, D80A, D215G, 242-244, R246I, K417N, E484K, N501Y, D614G, A701V) in addition to the previously outlined six proline mutations. The SARS2 Delta variant Spike protein was cloned from HexaPro to match the B.1.617.2 variant (T19R, T95I, G142D, 156-157, R158G, L452R, T478K, D614G, P681R, D950N) in addition to the previously outlined six proline mutations.

Quartet RBD constructs were cloned using Gibson assembly in competent Escherichia coli DH5 cells and began with the influenza H7 hemagglutinin (A/HongKong/125/2017) signal-peptide sequence. Each RBD was separated with an eight or nine residue Gly-Ser linker. Each linker was distinct from all others in the construct to reduce potential recombination and facilitate sequence analysis. pcDNA3.1-Quartet-SpyTag was created by cloning from the N terminus to C-terminal SHC014 RBD, Rs4081 RBD, RaTG13 RBD and SARS2 RBD with a C-terminal SpyTag into pcDNA3.1 (Fig. 1c; GenBank PP136033, Addgene plasmid ID 214726). This is the construct used for Figs. 1 and 2. For subsequent figures, pcDNA3.1-SpyTag-Quartet was cloned with a SpyTag after the signal sequence and then the same order of RBDs (SpyTag-SHC014-Rs4081-RaTG13-SARS2) (Supplementary Fig. 8; GenBank PP136031, Addgene Plasmid ID 214727). pcDNA3.1-Quartet [SARS1] was cloned with SpyTag after the signal sequence, with SARS1 in the position of SARS2 (SpyTag-SHC014-Rs4081-RaTG13-SARS1) (Supplementary Fig. 8; GenBank PP136034, Addgene plasmid ID 214729). pcDNA3.1-Alternate Quartet was cloned with SpyTag after the signal sequence, followed by pang17 RBD, RmYN02 RBD, Rf1 RBD and WIV1 RBD (Supplementary Fig. 8; GenBank PP136032, Addgene plasmid ID 214728). pcDNA3.1-SpyTag-Quartet_NoLinker was cloned with the same order of RBDs as SpyTag-Quartet (SpyTag-SHC014-Rs4081-RaTG13-SARS2) but did not have any Gly-Ser linker between RBDs (Supplementary Fig. 8; GenBank PP136036, Addgene plasmid ID 214731). pcDNA3.1-Kraken Quartet was identical to SpyTag-Quartet with the SARS2 XBB.1.5 RBD in place of SARS2 Wuhan RBD (Supplementary Fig. 8; GenBank PP136035, Addgene plasmid ID 214730).

pET28a-SpyCatcher003-mi3 or pET28a-SpyTag-MBP was transformed into E. coli BL21(DE3) cells (Agilent) and grown on LB-Agar plates with 50gml1 kanamycin for 16h at 37C. A single colony was added in 10ml of LB medium containing 50gml1 kanamycin and grown for 16h at 37C with shaking at 200rpm. This starter culture was then added to 1l of LB containing 50gml1 kanamycin and incubated at 37C and with 200rpm shaking until optical density (OD)600 0.6. Cultures were induced with 0.5mM isopropyl -d-1-thiogalactopyranoside. For SpyCatcher003-mi3, cells were grown at 22C with shaking at 200rpm for 16h. For SpyTag-MBP, cells were grown at 30C with shaking at 200rpm for 4h. Cultures were pelleted by centrifugation at 4,000g.

Cell pellets were resuspended in 20ml of 20mM Tris-HCl, 300mM NaCl, pH 8.5, supplemented with 0.1mgml1 lysozyme, 1mgml1 cOmplete mini EDTA-free protease inhibitor (Roche) and 1mM phenylmethanesulfonyl fluoride. The lysate was incubated at 4C for 45min with end-over-end mixing. An Ultrasonic Processor equipped with a microtip (Cole-Parmer) was used to perform sonication on ice (four times for 60s, 50% duty-cycle). Centrifugation at 35,000g for 45min at 4C was used to clear cell debris. Then, 170mg of ammonium sulfate was added per ml of lysate and incubated at 4C for 1h, while mixing at 120rpm, to precipitate the particles. The solution was centrifuged for 30min at 30,000g at 4C. The pellet was resuspended in 10ml of mi3 buffer (25mM Tris-HCl, 150mM NaCl, pH 8.0) at 4C and filtered sequentially through 0.45m and 0.22m syringe filters (Starlab). The filtrate was dialysed for 16h against 1,000-fold excess mi3 buffer. The dialysed particles were centrifuged at 17,000g for 30min at 4C and filtered through a 0.22-m syringe filter. The purified SpyCatcher003-mi3 was loaded onto a HiPrep Sephacryl S-400 HR 16-60 column (GE Healthcare), which was equilibrated with mi3 buffer using an KTA Pure 25 system (GE Healthcare). The proteins were separated at 0.1mlmin1 while collecting 1ml of elution factions. The fractions containing the purified particles were pooled and concentrated using a Vivaspin 20 100kDa molecular weight cut-off centrifugal concentrator (GE Healthcare) and stored at 80C.

Mammalian expression of all RBD and Spike constructs was performed in Expi293F cells (Thermo Fisher, A14635). Expi293F cells were grown under humidified conditions at 37C and 8% (v/v) CO2 in Expi293 Expression Medium (Thermo Fisher) with 50Uml1 penicillin and 50gml1 streptomycin. Transfections were performed using the ExpiFectamine 293 Transfection Kit (Thermo Fisher). Expi293F cells were brought to 3106cells per ml and then 1g of plasmid DNA per ml of culture was incubated with ExpiFectamine 293 reagent for 20min, before being added dropwise to the Expi293F culture. After approximately 20h, ExpiFectamine 293 Transfection Enhancers 1 and 2 were added. Cell supernatants were collected after 5d by centrifuging for 4,000g at 4C for 5min and were passed through a 0.45m filter and then a 0.22m filter (Starlab).

RBDs, Quartets and SpyTag-MBP were purified by SpySwitch19. Purifications were performed at 4C. For SpyTag-MBP, cells were lysed according to the same procedure as SpyCatcher003-mi3 and supplemented with 10SpySwitch buffer (500mM Tris-HCl, pH 7.5, +3M NaCl) 10% (v/v). For mammalian proteins, 10SpySwitch buffer was added to mammalian culture supernatant at 10% (v/v). SpySwitch resin19, packed in an Econo-Pac Chromatography Column (Bio-Rad), was pre-equilibrated with 210 column volumes (CV) of SpySwitch buffer (50mM Tris-HCl, pH 7.5, +300mM NaCl). The supernatant was incubated with SpySwitch resin for 1h at 4C on an end-over-end rotator. The column was washed twice with 15CV of SpySwitch buffer. Proteins were eluted using a weakly acidic pH switch. The protein was incubated with 1.5CV of SpySwitch Elution Buffer (50mM acetic acid/sodium acetate, pH 5.0, +150mM NaCl) at 4C with the column capped. The cap was removed and the elution flow-through was collected into a microcentrifuge tube containing 0.3CV of 1M Tris-HCl pH 8.0. The microcentrifuge tube was mixed by inversion to minimize the time spent at an acidic pH. This elution step was repeated for a total of six times. Purification was assessed by SDSPAGE with Coomassie staining. Briefly, 10l volumes of fractions were mixed with 2l of 6 SDS loading buffer (234mM Tris-HCl pH 6.8, 24% (v/v) glycerol, 120M bromophenol blue, 234mM SDS), before heating at 95C for 5min in a C1000 Touch Thermal Cycler (Bio-Rad) and loading onto 12% SDSPAGE, then staining with Coomassie. Typical yields for the RBD Quartets were 50100mg per litre of culture. Typical yields for RBD monomers were 80160mg per litre of culture, as measured by bicinchoninic acid. Elution fractions were dialysed for 16h against 1,000-fold excess Tris-buffered saline (TBS) (50mM Tris-HCl, 150mM NaCl, pH 7.4 at 25C). Proteins were stored in aliquots at 80C.

SARS2 Spike proteins were purified by nickel-nitrilotriacetic acid (Ni-NTA) affinity chromatography. Mammalian supernatants were supplemented with 10 Ni-NTA buffer (500mM Tris-HCl, 3M NaCl, pH 7.8) at 10% (v/v). Ni-NTA agarose (Qiagen) was packed in an Econo-Pac Chromatography Column (Bio-Rad) and washed with 210CV of Ni-NTA buffer (50mM Tris-HCl, 300mM NaCl, pH 7.8). Mammalian supernatant was incubated in the Ni-NTA column for 1h at 4C with rolling. The supernatant was allowed to flow through by gravity, before being washed with 210CV of Ni-NTA wash buffer (10mM imidazole in Ni-NTA buffer). Elutions were performed by incubating resin with Ni-NTA elution buffer (200mM imidazole in Ni-NTA buffer) for 5min, before eluting by gravity. A total of six 1-CV elutions were performed. Elution fractions were assessed by SDSPAGE with Coomassie staining, pooled and dialysed for 16h against 1,000-fold excess TBS.

Quartets were loaded onto a HiPrep Sephacryl S-200 HR 16-600 column (GE Healthcare), which was equilibrated with PBS pH 7.4 and run with an KTA Pure 25 system (GE Healthcare). The proteins were separated at 0.5mlmin1 while collecting 1ml of elution factions. A Gel Filtration Standard (Bio-Rad) was run over the column under the same conditions for comparison. All size-exclusion chromatography was performed at 4C.

Quartet protein (2g) was incubated with 1l of Glycoprotein Denaturing Buffer (10) (New England Biolabs) at 100C for 10min with a C1000 Touch Thermal Cycler (Bio-Rad). The denatured protein was then chilled on ice for 1min and centrifuged for 10s at 2,000g with a MiniStar Silverline (VWR). Then 2l of GlycoBuffer 2 (10) (New England Biolabs), 2l of 10% (v/v) NP-40, 6l of MilliQ water and 1l of PNGase F (New England Biolabs) at 500,000 units per ml were added and incubated at 37C for 1h. Proteins were resolved on 12% SDSPAGE, stained with Coomassie and imaged using a ChemiDoc XRS imager.

First, 2M SpyTag antigens were conjugated with 2M SpyCatcher003-mi3 for 48h at 4C. Proteins were centrifuged for 30min at 16,900g at 4C and 30l of the supernatant was loaded into a quartz cuvette. Samples were measured at 20C using a Viscotek 802 (Viscotek) with 20 scans of 10s each, using 50% laser intensity, 15% maximum baseline drift and 20% spike tolerance. Before collecting data, the cuvette was incubated in the instrument for 5min to allow the sample temperature to stabilize. The intensity of the size distribution was normalized to the peak value using OmniSIZE v.3.0 software, calculating the mean and standard deviation from the multiple scans (Viscotek).

First, 2M SpyCatcher003-mi3 was incubated for 48h at 4C with 2M of the appropriate antigens to make Homotypic SARS2 Nanocage, Mosaic-8 and Quartet Nanocage or without any antigen present in 25mM Tris-HCl, 150mM NaCl, pH 8.0. Samples were applied to a freshly glow-discharged TEM grid, blotted twice with water and stained with 2% (w/v) uranyl acetate for 30s. Samples were imaged using a Tecnai G2 80200-keV transmission electron microscope at the Cambridge Advanced Imaging Centre. For size analysis, the particle diameter for each group was measured manually (n=75) and plotted with 2-nm bin size in Excel (Microsoft).

Endotoxin was removed from all vaccine components using Triton X-114 phase separation61,62. Triton X-114 at a final 1% (v/v) was added to the protein on ice and incubated for 5min. The solution was incubated at 37C for 5min and centrifuged for 1min at 16,000g at 37C. The top phase was transferred to a fresh tube. This procedure was repeated for a total of three times. A final repetition without the addition of Triton X-114 was performed, to account for residual Triton X-114. A Pierce Chromogenic Endotoxin Quant Kit (Thermo Fisher) was used according to manufacturer instructions to quantify the final endotoxin concentration. All vaccine components were below the accepted endotoxin levels for vaccine products of 20endotoxin units per ml (ref. 63).

The concentration of vaccine components was measured using bicinchoninic acid assay (Pierce). Where multiple antigens were coupled to the nanocage, the antigens were first mixed in equimolar amounts in TBS. Doses were normalized by the number of SpyTags, to facilitate an equimolar amount of SpyCatcher003-mi3 nanocages with similar occupancy in each condition. For high-dose immunizations (Supplementary Figs. 1416), SpyCatcher003-mi3 at 8M was incubated with 8M SpyTagged antigen for 48h at 4C in TBS, pH 8.0. For other immunizations, SpyCatcher003-mi3 at 0.8M was incubated with 0.8M total SpyTagged antigen for 48h at 4C in TBS, pH 8.0. Uncoupled RBD and Uncoupled Quartet were incubated at 0.8M for 48h at 4C in TBS, pH 8.0, without the addition of SpyCatcher003-mi3. Before immunization, samples were analysed by SDSPAGE/Coomassie and DLS. For Fig. 5, SARS2 Spike prime and boost doses were performed with 10g of SARS2 Wuhan Spike (HexaPro) protein in TBS pH 8.0 at 4C.

Animal experiments were performed according to the UK Animals (Scientific Procedures) Act 1986, under Project License (PBA43A2E4 and PP9362617) and approved by the University of Oxford Animal Welfare and Ethical Review Body. Mice that were 6weeks old (at the time of the first immunization) were obtained from Envigo. For high-dose immunizations (Supplementary Figs. 1416), we used BALB/c female mice, and for all other immunizations we used C57BL/6 female mice. Mice were housed in accordance with the UK Home Office ethical and welfare guidelines and fed on standard chow and water ad libitum. Before immunization, immunogens were mixed 1:1 with VAC 20 adjuvant (SPI Pharma) (25l+25l), except for the high-dose immunizations (Supplementary Figs. 1416) where immunogens were mixed 1:1 with AddaVax (Invivogen). This procedure gave final doses of 0.2nmol of total SpyTagged antigen for high-dose immunizations and 0.02nmol of total SpyTagged antigen for normal-dose immunization. For normal-dose immunization, this relates to 0.6g of Uncoupled RBD. Isoflurane (Abbott)-anaesthetised mice were immunized on day 0 and day 14 intramuscularly in the gastrocnemius muscle with the specified antigenadjuvant mix. Post-prime blood samples were obtained on day 13 via tail vein using Microvette (CB300, Sarstedt) capillary tubes. Post-boost samples were obtained on days 32 to 41 (exact day for each set of immunizations is indicated in the figure) via cardiac puncture of humanely killed mice. The collected whole blood in microtainer SST tubes (Becton Dickinson) was allowed to clot at 25C for 12h, before spinning down at 10,000g for 5min at 25C. The sera were heat-inactivated at 56C for 30min, before storing at 20C.

Nunc MaxiSorp plates (Thermo Fisher) were coated with 80nM purified SpyTag-RBD, SpyTag-MBP or SpyCatcher003-mi3 in PBS (137mM NaCl, 2.7mM KCl, 10mM Na2HPO4, 1.7mM KH2PO4, pH 7.4) at 4C for 16h. Where SARS2 was analysed, this refers to the Wuhan variant, unless indicated. In Supplementary Fig. 5b, the response to different SARS2 variants was measured by coating 1gml1 of the indicated HexaPro Spike protein in PBS and incubating at 4C for 16h. Plates were washed three times with PBS supplemented with 1% (v/v) Tween 20 (PBST). Plates were blocked by 2h of incubation at 25C with 5% (w/v) skimmed milk in PBS. Plates were then washed three times with PBST. Sera were serially diluted into the blocking buffer using eight-point, fourfold series starting at 1:100. Plates were incubated with sera for 1h at 25C and then washed three times with PBST. Plates were incubated at 25C for 1h with a 1:1,600 dilution of horseradish peroxidase-conjugated goat anti-mouse IgG antibody (Sigma-Aldrich, A9044). Plates were washed three times with PBST. Plates were then incubated at 25C for 5min with 1-Step Ultra TMB-ELISA Substrate Solution (Thermo Scientific) before the reaction was stopped with 1M H2SO4. Absorbance measurements at 405nm (A405) were taken with a FLUOstar Omega plate reader (BMG Labtech) using Omega MARS software (BMG Labtech). A sigmoidal doseresponse curve was fit to the absorbance data using the optimize.curve_fit() function from the Python SciPy library64. The sigmoidal doseresponse function was:

$${{y}}={rm{Bottom}}+frac{{rm{Top}}-{rm{Bottom}}}{1+{10}^{{log }_{10}left({{rm{IC}}}_{50}right)-{{x}}}}$$

IC50 is the serum concentration that gives a 50% signal between the maximum and minimum of the curve. The area under the fitted curve was determined using the trapz function from the Python NumPy library65. Area under the curve was used instead of endpoint titre to account better for data across the entire range of values66. For calculation of midpoint titre, sigmoidal doseresponse curve absorbance data and the midpoint were calculated using GraphPad Prism (GraphPad Software v.9.4.1). Results were plotted using GraphPad Prism (GraphPad Software v.9.4.1).

These assays were performed in the James & Lillian Martin Centre, University of Oxford, operating under license from the Health and Safety Authority, UK, on the basis of an agreed Code of Practice, Risk Assessments (under the Advisory Committee on Dangerous Pathogens) and standard operating procedures. The microneutralization assay determines the serum concentration that induces a 50% reduction in focus-forming units of SARS2 in Vero cells (American Type Culture Collection, CCL-81). A serial dilution of immunization sera (seven steps from 1/40 to 1/40,000 diluted into DMEM) was pre-incubated for 30min at 25C with a fixed dose of 100200 focus-forming units (20l) of different authentic SARS2 variants. This procedure was performed in triplicate for samples from high-dose immunizations outlined in Supplementary Figs. 1416 and in quadruplicate for all other samples. DMEM on its own was used for serum-free control wells, which were used to define 100% infectivity. The Victoria 01/2020 isolate (Pango B) was used for Wuhan neutralization67. The Beta variant (Pango B.1.351) used for neutralizations is the HV001 isolate, sequenced and kindly supplied by CAPRISA, Durban, South Africa68. The isolates for Delta (Pango B.1.617.2), Omicron BA.1 (Pango B.1.1.529.1) and Omicron BQ.1.1 (Pango B.1.1.529.5.3.1.1.1.1.1.1) were kindly supplied by Gavin Screaton (University of Oxford). This mixture was incubated with 100l of Vero cells (4.5104) at 37C with 5% (v/v) CO2. At 2h into this incubation, a 1.5% (w/v) carboxymethyl cellulose-containing overlay was applied to prevent satellite focus formation. At 18h post-infection, the monolayers were fixed with 4% (w/v) paraformaldehyde in PBS and then permeabilized with 2% (v/v) Triton X-100. The cells were stained using the FB9B monoclonal antibody at 1gml1 (ref. 69). These samples were developed using an anti-human IgG (Fc-specific) peroxidase-conjugated antibody (1:5,000 dilution, cat. no. A0170-1ML, Sigma-Aldrich) and True Blue peroxidase substrate. The infectious foci were enumerated by Classic ELISpot Reader (AID GmbH). Data were analysed using four-parameter logistic regression (Hill equation) using GraphPad Prism (GraphPad Software v.8.3). Statistical significance of differences between groups was determined using a one-way analysis of variance (ANOVA) test, followed by Tukeys multiple comparison post hoc test of half-maximal inhibitory dilution (ID50) values converted to log10 scale using GraphPad Prism (GraphPad Software v.9.4.1).

SARS2 BQ.1.1, SARS1, WIV1, SHC014 and BtKY72 K493Y/T498W pseudotyped viruses were prepared as described70,71. The double mutation BtKY72 K493Y/T498W in the BtKY72 Spike protein has previously been shown to enable entry to human cells via ACE2 (ref. 72). This technique for producing pseudoviruses employs HIV-based lentiviral particles with genes encoding the appropriate Spike protein lacking the cytoplasmic tail. A threefold serial dilution of sera was incubated with pseudotyped virus for 1h at 37C. The mixture was incubated with 293TACE2 target cells for 48h at 37C (ref. 12). Cells were washed twice with PBS, before being lysed with Luciferase Cell Culture Lysis 5 reagent (Promega). NanoLuc Luciferase activity in the lysates was measured using the Nano-Glo Luciferase Assay System (Promega). The relative luminescence units were normalized to values derived from cells infected with pseudotyped virus in the absence of serum. ID50 was determined using four-parameter nonlinear regression in AntibodyDatabase73 and plotted using GraphPad Prism (GraphPad Software v.9.4.1). Statistical significance of differences between groups was determined using an ANOVA test, followed by Tukeys multiple comparison post hoc test of ID50 values converted to log10 scale using GraphPad Prism (GraphPad Software v.9.4.1).

We incubated 2M SpyTag-Quartet or 2M Quartet-SpyTag with or without 2M SpyCatcher003-mi3 in 25mM Tris-HCl, 150mM NaCl, pH 8.0, for 16h at 4C to allow for coupling. We added the protein samples at 50nM to Nunc MaxiSorp plates (Thermo Fisher) and incubated for 16h at 4C in PBS pH 7.4. We then washed three times with PBST and blocked with 5% (w/v) skim milk for 2h at 25C. We washed three times more and incubated with 50nM of the specified antibody for 1h at 25C. The monoclonal antibodies used in this study, namely C121 71, EY-6A, FI-3A, FP-12A, IY-2A (ref. 45), LCA60 (ref. 74), FP-8A and FD-5D (refs. 19,69), have all been previously described. Heavy and light chain expression vectors for these antibodies were co-transfected into ExpiCHO cells (Thermo Fisher Scientific, A29133) using the ExpiCHO expression system kit, and the monoclonal antibodies were purified from the supernatant by Protein A Sepharose (GE Healthcare). After three washes, we incubated with a 1/2,500 dilution of anti-human IgG horseradish peroxidase (Sigma-Aldrich, A8667) for 1h at 25C. After three washes, we incubated with TMB for 30s (for comparison of coupled and uncoupled Quartet) or 2min (for comparison of SpyTag-Quartet and Quartet-SpyTag), before stopping with 1M HCl. A405 measurements of triplicate wells per condition were taken at 25C with a FLUOstar Omega plate reader (BMG Labtech) using Omega MARS software (BMG Labtech).

Serum mapping studies were performed following the previously established approach26: 25l of each serum sample was heat-inactivated for 30min at 56C, before depleting twice by incubation with 50 OD units of AWY101 yeast containing an empty vector, to deplete serum of non-specific yeast-binding antibodies. Yeasts that were generously provided by Tyler Starr (University of Utah) were induced to express the SARS2 RBD library in galactose-containing synthetic defined medium with casamino acids: 6.7gl1 Yeast Nitrogen Base, 5.0gl1 casamino acids, 1.065gl1 2-(N-morpholino)ethanesulfonic acid (MES), 2% (w/v) galactose and 0.1% (w/v) dextrose26. After a 1618-h induction, cells were washed and incubated with serum at a range of dilutions for 1h at 25C with gentle agitation. For each serum sample, a subsaturating dilution enabled the fluorescent signal from antibody binding to be equivalent across samples. The libraries were washed and labelled for 1h with 1:100 fluorescein-conjugated anti-myc tag antibody (Immunology Consultants Lab, CYMC-45F) to quantify RBD expression and 1:200 Alexa Fluor-647-goat anti-mouse-IgG Fc-gamma (Jackson ImmunoResearch, 115-605-008) to detect mouse antibodies from serum. Approximately 5106 RBD-positive cells were processed on a Sony SH800 cell sorter. A flow cytometric gate was drawn to capture RBD mutants with reduced antibody binding compared with their level of RBD expression26. These cells were grown overnight, before plasmid extraction in a synthetic defined medium with casamino acids: 6.7gl1 Yeast Nitrogen Base, 5.0gl1 casamino acids, 1.065gl1 MES, 2% (w/v) dextrose, 100Uml1 penicillin and 100gml1 streptomycin. Plasmid samples were then prepared from 30 OD units (1.6108colony forming units; cfu) of preselection yeast populations and 5 OD units (~3.2107cfu) of overnight cultures of serum-escaped cells (Zymoprep Yeast Plasmid Miniprep II)26. The 16-nucleotide barcodes identifying each RBD variant were amplified by PCR and sequenced on an Illumina HiSeq 2500 with 50-base pair single-end reads26. We computationally filtered out variants with >1 amino acid mutation, low sequencing counts or highly deleterious mutations that might escape antibody binding because of poor RBD expression or folding26. The escape fraction represents the proportion of cells expressing that specific variant that falls in the escape bin: a value of 0 means that the variant is always bound by serum antibody and a value of 1 means that the variant always escapes serum antibody binding. The height of each letter indicates the escape fraction for that amino acid mutation, calculated as described above. The static logo plots feature any site where, for at least one serum sample, the site-total antibody escape was >10 the median across all sites and at least 10% the maximum of any site. RBD sites are categorized based on antibody epitope region28. Class 1 epitopes are defined as residues 403, 405, 406, 417, 420, 421, 453, 455460, 473478, 486, 487, 489, 503 and 504. Class 2 epitopes are defined as residues 472, 479, 483485 and 490495. Class 3 epitopes are defined as residues 341, 345, 346, 354357, 396, 437452, 466468, 496, 498501 and 462. Class 4 epitopes are defined as residues 365390 and 408.

The phylogenetic tree of sarbecovirus RBD sequences was constructed using MEGA X v.11.0.13 software75. Multiple sequence alignment and calculation of amino acid identity were performed using Clustal Omega v.1.2.4 (ref. 76). The structure of SARS2 RBD was based on PDB ID: 6ZER (ref. 77) and analysed using PyMOL v.2.5.2.

No statistical method was used to predetermine sample size. Significance for ELISAs was calculated with an ANOVA test using Tukeys post hoc test in GraphPad Prism (GraphPad Software v.9.4.1). Comparisons for neutralizations were calculated with an ANOVA test, followed by Tukeys multiple comparison post hoc test of ID50 values converted to log10 scale using GraphPad Prism (GraphPad Software v.9.4.1). For ELISAs and neutralizations, Tukeys test was used to correct for the multiple comparisons between the responses raised to each individual antigen within each set of immunizations. Significance was assigned according to: *P<0.05, **P<0.01, ***P<0.001. On graphs where some conditions are compared, where no test is marked then the difference was non-significant. The experiments were not randomized. The investigators were not blinded to allocation during experiments and outcome assessment.

Further information on research design is available in the Nature Portfolio Reporting Summary linked to this article.

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Proactive vaccination using multiviral Quartet Nanocages to elicit broad anti-coronavirus responses - Nature.com

Shreyas Talpade says his heart attack could be the side effect of Covid vaccine, ‘I would not negate the… – Moneycontrol

May 7, 2024

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Bollywood actor Shreyas Talpade suffered a massive heart attack at the age of 47in December, last year. Now with the news of the side effects of the 'Covishield Vaccine' and that it is causing blood clots has left many surprised, Shreyas also feels that his ill health could have been a result of the vaccine.

In an interview with Lehren Retro recently, Shreyas said, thinking of his health, he now realises he cannot negate the theory completely.

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He told the publication that it was only after the COVID vaccine that he started feeling fatigued and experienced tiredness as well.

"It was only after the COVID-19 vaccination that I started experiencing some fatigue and tiredness. There must be some truth in this. Maybe this is because of COVID, or maybe because of the vaccine; although I don't know completely about it, there is something. To be honest, we don't know what we have put into our bodies," he said.

Shreyas, who had suffered a major heart attack last year, is much better now and has also restarted his shooting.

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Talking about his health scare, Shreyas said he was surprised because he never smokes or is a daily drinker. "I don't smoke. I'm not really a daily drinker; I drink maybe once a month. No tobacco; yes, my cholesterol was a little high, which I was told is normal these days. I was taking medicine for it, and it had reduced to a great extent. If all the factors are there no diabetes, no blood pressure what could be the reason?' said Shreyas.

Talking about the vaccine side effects, he said, We trusted big companies because we had never heard of such incidents before. Only after Corona, such news and videos started appearing continuously that people were falling while playing, and there was no real reason for it. So this is quite scary.

On December 14, 2022, Shreyas suffered a major heart attack. He complained of discomfort during the shooting of his upcoming film, Welcome to the Jungle.

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He was rushed to Mumbai's Bellevue Hospital, where he underwent angioplasty. He has recovered from the incident and resumed his shoot, too.

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Shreyas Talpade says his heart attack could be the side effect of Covid vaccine, 'I would not negate the... - Moneycontrol

Scientists create new coronavirus jab that even works on viruses they haven’t discovered yet in a bid to beat – Daily Mail

May 7, 2024

Scientists have created a jab to help protect against multiple coronaviruses, even the ones 'we dont even know about yet', according to its creators.

Created by experts from the universities of Oxford, Cambridge and Caltech in California, the project aims to 'proactively' build a vaccine before the next potential pandemic causing pathogen even becomes threat.

The experimental shot, which has so far only been tested on mice, works by training the immune system to recognise parts of many different coronaviruses, a family of viruses that includes Covid, SARS and MERS.

Current vaccines work by training the immune system to target a single specific type of virus, such as the measles jab.But the new jab can target several.

Such a jab could allow people to be protected from multiple types of coronaviruses in a single dose, including, in theory, ones currently unknown to science.

The jab works by using a tiny ball of proteins called a 'quartet nanocage'.

Scientists then used what they called a 'protein superglue' to attach antigens which are substances thattrigger an immune response in the body, enabling it to fight off pathogens.

The resulting vaccine enables the immune system to recognise parts of eight coronaviruses.

This includes some that arecurrently only found in wild bats but that could, in theory, go on to infect humans in future.

Using multiple antigens in this way allows the immune system to target parts of coronaviruses common across many individual viruses, including some that haven't been found yet.

For example, tests showed the jab helped mice fight off SARS-Cov-1, the pathogen that caused the 2003 SARS outbreak.

This is despite the jab not including any samples from this virus specifically.

Rory Hills, a graduate researcher in pharmacology at the University of Cambridges department of pharmacology and the first author of the report said:'Our focus is to create a vaccine that will protect us against the next coronaviruspandemic, and have it ready before the pandemic has even started.'

He added: 'Weve created a vaccine that provides protection against a broad range of different coronaviruses including ones we dont even know about yet.'

Professor Mark Howarth, a senior author of the study, said the results could be a stepping stone to making new vaccines even faster than those created during the darkest days of the Covid pandemic.

'Scientists did a great job in quickly producing an extremely effective Covid vaccine during the last pandemic, but the world still had a massive crisis with a huge number of deaths,' he said.

'We need to work out how we can do even better than that in the future, and a powerful component of that is starting to build the vaccines in advance.'

Publishing their resultsNature Nanotechnologythe scientists hope to start clinical trials of their new vaccine by early 2025.

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Scientists create new coronavirus jab that even works on viruses they haven't discovered yet in a bid to beat - Daily Mail

Shreyas Talpade suffered heart attack due to Covid-19 vaccine? Says, there is some truth behind this – India TV News

May 7, 2024

The news about 'Covishield Vaccine' causing blood clots has taken people by surprise. Several questions are arising in the minds of people. Social media users also voiced their concerns on Twitter. Now Bollywood actor Shreyas Talpade has reacted to this piece of news. For the unversed, the actor had a heart attack last year. Now he has said that there must be some truth behind the news about the Covid-19 vaccines.

Shreyas Talpade- I don't drink, I don't smoke, so what could be the reason?

Actor Shreyas Talpade suffered a heart attack in October last year. However, now the actor's health is much better and he has returned to his work, but once again Shreyas has shared his experiences. "I don't smoke. I'm not really a daily drinker, I drink maybe once a month. No tobacco, yes, my cholesterol was a little high, Which I was told is normal these days. I was taking medicine for it and it had reduced to a great extent. If all the factors - no diabetes, no blood pressure, what could be the reason?' said the actor.

Is vaccine the cause of heart attack?

Shreyas said that he cannot deny this theory. "It was only after the Covid-19 vaccination that I started experiencing some fatigue and tiredness. There must be some truth in this. Maybe this is because of Covid, or maybe because of the vaccine, although I don't know completely about it, but there is something. To be honest, we don't know what we have put into our body," said Talpade.

The actor further added that he did what everyone was saying. "We trusted big companies, because we had never heard of such incidents before. Only after Corona, such news and videos started appearing continuously that people were falling while playing and there was no real reason for it. So this is quite scary," added Shreyas Talpade.

Also Read:With just one day left for Met Gala 2024, know its theme, venue, dress code, guestlist here

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Shreyas Talpade suffered heart attack due to Covid-19 vaccine? Says, there is some truth behind this - India TV News

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