12 research outputs found

    Coronavirus Pseudotypes for All Circulating Human Coronaviruses for Quantification of Cross-Neutralizing Antibody Responses.

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    The novel coronavirus SARS-CoV-2 is the seventh identified human coronavirus. Understanding the extent of pre-existing immunity induced by seropositivity to endemic seasonal coronaviruses and the impact of cross-reactivity on COVID-19 disease progression remains a key research question in immunity to SARS-CoV-2 and the immunopathology of COVID-2019 disease. This paper describes a panel of lentiviral pseudotypes bearing the spike (S) proteins for each of the seven human coronaviruses (HCoVs), generated under similar conditions optimized for high titre production allowing a high-throughput investigation of antibody neutralization breadth. Optimal production conditions and most readily available permissive target cell lines were determined for spike-mediated entry by each HCoV pseudotype: SARS-CoV-1, SARS-CoV-2 and HCoV-NL63 best transduced HEK293T/17 cells transfected with ACE2 and TMPRSS2, HCoV-229E and MERS-CoV preferentially entered HUH7 cells, and CHO cells were most permissive for the seasonal betacoronavirus HCoV-HKU1. Entry of ACE2 using pseudotypes was enhanced by ACE2 and TMPRSS2 expression in target cells, whilst TMPRSS2 transfection rendered HEK293T/17 cells permissive for HCoV-HKU1 and HCoV-OC43 entry. Additionally, pseudotype viruses were produced bearing additional coronavirus surface proteins, including the SARS-CoV-2 Envelope (E) and Membrane (M) proteins and HCoV-OC43/HCoV-HKU1 Haemagglutinin-Esterase (HE) proteins. This panel of lentiviral pseudotypes provides a safe, rapidly quantifiable and high-throughput tool for serological comparison of pan-coronavirus neutralizing responses; this can be used to elucidate antibody dynamics against individual coronaviruses and the effects of antibody cross-reactivity on clinical outcome following natural infection or vaccination

    Health-seeking behaviour and beliefs around sore throat in The Gambia: A qualitative study.

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    Group A Streptococcus (Strep A) bacteria causes a broad spectrum of diseases. The most common manifestations of Strep A infection are sore throat and pus-producing skin infections such as impetigo. Complications of Strep A infection can lead to inflammation in the bones, muscles, joints, and internal organs causing acute rheumatic fever and rheumatic heart disease (RHD). In The Gambia, the RHD burden is thought to be very high. However, epidemiological data is minimal, and Strep A control programmes do not exist. This study aimed to explore common beliefs and practices related to sore throats among primary caregivers of children, and healthcare providers in a community with a high Strep A disease burden. Four informal conversations with providers and fifteen semi-structured interviews with caregivers were conducted in the peri-urban area of Sukuta, The Gambia. Sampling was purposive and gradual, beginning from households identified to have recently experienced sore throat through a parallel cohort study. Themes explored in qualitative analysis included: sore throat causal attributions and diagnoses, care practises, health-seeking behaviour, and perceived barriers to using the biomedical sector. We found that sore throats were typically perceived to affect one child in a family, disproportionately or exclusively. Sore throats were rarely perceived as life-threatening, and awareness of links between sore throat and ARF or RHD was not reported among caregivers or providers in this study population. Most cases of sore throat were initially managed at home using traditional medicine which delayed resort to antibiotics, though in two instances of severe pain with the presence of exudate, fear that the child's life was at risk prompted care-seeking through the formal health system. Our findings can inform the development of tailored strategies to increase community knowledge of the potential long-term consequences of sore throats and appropriate care-seeking, alongside improvements in the health system, to prevent Strep A sequelae effectively

    A computationally designed antigen eliciting broad humoral responses against SARS-CoV-2 and related sarbecoviruses

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    The threat of spillovers of coronaviruses associated with the severe acute respiratory syndrome (SARS) from animals to humans necessitates vaccines that offer broader protection from sarbecoviruses. By leveraging a viral-genome-informed computational method for selecting immune-optimized and structurally engineered antigens, here we show that a single antigen based on the receptor binding domain of the spike protein of sarbecoviruses elicits broad humoral responses against SARS-CoV-1, SARS-CoV-2, WIV16 and RaTG13 in mice, rabbits and guinea pigs. When administered as a DNA immunogen or by a vector based on a modified vaccinia virus Ankara, the optimized antigen induced vaccine protection from the Delta variant of SARS-CoV-2 in mice genetically engineered to express angiotensin-converting enzyme 2 and primed by a viral-vector vaccine (AZD1222) against SARS-CoV-2. A vaccine formulation incorporating mRNA coding for the optimized antigen further validated its broad immunogenicity. Vaccines that elicit broad immune responses across subgroups of coronaviruses may counteract the threat of zoonotic spillovers of betacoronaviruses

    Interview transcripts for: "Health-seeking behaviour and beliefs around sore throat in The Gambia: A qualitative study"

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    A set of interview transcripts, codebook, guidelines and accompanying documentation associated with the paper, "Health-seeking behaviour and beliefs around sore throat in The Gambia: A qualitative study"

    Gene delivery of a single,structurally engineered Coronavirus vaccine antigen elicits SARS-CoV-2 Omicron and pan-Sarbecovirus neutralisation

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    Of the coronaviruses that have caused zoonotic spill overs in past two decades, the diverse group of beta-coronaviruses (β-CoVs) represent the greatest threats. Towards achieving broad vaccine protection from these viruses, vaccines composed of multiple antigens, each capable of eliciting broad neutralising responses across a subgroup will be required. Utilising a novel platform for selecting immune optimized, structurally engineered antigens capable of eliciting protective responses across a group of related viruses, we demonstrate proof-concept against the greater sarbecoviruses sub-genus with a single antigen structure. From an array of phylogenetically informed antigen structures displaying different broad neutralising epitopes, synthetic genes expressing these were selected based on broad immune responses in BALB/C mice. Improved protection against the Delta variant was further observed in K18-hACE2 mice on boosting with the lead designs of mice primed by an approved COVID-19 vaccine. Immunogenicity of the lead vaccine antigen and breadth of neutralisation against the SARS-CoV, SARS-CoV-2, WIV16, and RaTG13 was confirmed in guinea pigs using needleless intradermal immunisation. Immunogenicity was further confirmed in rabbits with GMP manufactured DNA immunogen. Notably, given the increasing number of mutations acquired by SARS-CoV-2 variants of concern (VOCs), the rabbit sera were tested for the capacity to neutralise VOCs - Beta, Gamma, Delta, as well as the most diverse Omicron variant. The consistent neutralising ability of the vaccine sera against the emerging VOCs validate broad specificity of the vaccine design. Here, we demonstrate proof-of-concept of this Digitally Immune Optimised, Selected vaccine (DIOSvax) antigen pipeline for the in vivo selection of single nucleic acid-based immunogens. Such gene-based antigens can be readily delivered alone or in combination, and seamlessly scaled with vaccine delivery modalities such as viral vector or mRNA-based vaccines

    Additional file 1 of A quasi-experimental study to estimate effectiveness of seasonal malaria chemoprevention in Aweil South County in Northern Bahr El Ghazal, South Sudan

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    Additional file 1. A graph representing the number of malaria-treated cases recorded per month in Aweil South during 2020. A table with the participant’s characteristics by county in Wave 2 survey. A table with the participants’ characteristics by county in Wave 3 survey. A table with the results of fully adjusted regression models (Model 3) for associations between SMC and caregiver-reported malaria outcomes among children aged 3–59 months using difference-in-differences analysis comparing Aweil South and Aweil West counties, June–November 2022. A table with the results of regression models for associations between SMC and caregiver-reported malaria outcomes among children aged 3–59 months using difference-in-differences analysis comparing Aweil South and Aweil West counties, June–November 2022
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