Comparing COVID-19 vaccine approaches with existing vaccines

in #science5 months ago

By padrinan on pixabay.com


About a week ago, Nature published an overview over the SARS-CoV-2 vaccines currently being developed (1). SARS-CoV-2, for those who haven’t encountered this name before, is the virus that causes COVID-19.

While the mechanism of the vaccines is well-described in the original publication, I thought it may be useful to have a comparison at hand how the experimental vaccines are similar to ones we already use.
The info about the SARS-CoV-2 vaccines are based on the Nature news feature “The race for coronavirus vaccines: a graphical guide”.

Virus Vaccines

One option to train the immune system to recognise a specific virus is to bring it in touch with it. This naturally happens upon infection, but we generally want to avoid that from happening with a vaccine.

A weakened or inactivated virus does carry less or no risk of infection while still teaching the immune system what to look for. When a scientist speaks of an “attenuated” virus, they generally mean the weakened form used for a vaccine.

One very important vaccine containing weakened virus is the vaccine for yellow fever. It’s an haemorrhagic fever that can generally only be kept in check thanks to the vaccine (2).

Viral Vector Vaccines

The idea behind viral vector vaccines is to take a virus and give it a gene of the virus the vaccine is supposed to protect from. This gene should be for a protein that exists on the surface of the virus to protect against, so that the body can recognise it later.

Non-replicating viral vectors, as the name implies, do not replicate inside the body.

Replicating viral vectors enter the body’s cells and replicate. This does not lead to an infection because the virus used tends to be either weakened or not disease-causing. A good thing about viral vector vaccines is that they do not require an adjuvant (3).

An example for a replicating viral vector vaccine is the Ebola vaccine Ervebo. The viral vector is the vesicular stomatitis virus (4). This virus is similar to foot-and-mouth disease and, it it’s non-weakened state, infections to humans (5). For Ervebo, the normal surface protein of the vesicular stomatitis virus has been replaced with the Ebola virus surface protein (4).

The problem with this type of vaccine is that an existing immunity to the viral vector may make it less efficient (1).

Nucleic-acid vaccines

Nucleic acids can be both DNA and RNA. DNA is more commonly known, it’s the storage form of the genetic code for all living beings and some viruses. RNA is very similar, but in contrary to DNA it has only one strand (not two complementary ones), and there are some minor molecular differences that you don’t have to worry about right now. For some viruses, RNA is the preferred storage form for genetic information.
Humans have RNA too, in various forms. The most relevant one here is messenger RNA (mRNA). It is used to copy info from the DNA and then leave the nucleus. Outside the nucleus, the info from the RNA can be read by the so-called ribosomes, which then use it to build proteins for all kinds of stuff.

Nucleic-acid vaccines are brought into the cell (methods vary). They carry the information for the interesting surface protein – and only this protein. The cell then proceeds to produce this protein and exports it to the outside, where the immune system finds it and learns to recognise it.
So far, there are no licensed vaccines with this technology.

However, therapies involving nucleic acids have been used for a while, for example to interfere with DNA replication (6). Some DNA-based vaccines have already been approved for the use in animals and several studies have shown that DNA vaccines are generally safe. The main problem at the moment is that they are not very effective in creating immunity in humans, because it would need a lot of DNA to be injected with the current approach (7). One task to make DNA and RNA vaccines feasible is thus to overcome this problem.

Protein-based vaccines

Protein-based vaccines are a common type. They usually require adjuvants to guarantee that the immune system reacts the correct way to the proteins.
There are two types of proteins used: Protein subunits and virus-like particles.

Protein subunits are usually only a very specific part of the virus, like a specific surface structure. This structure is created artificially and then injected. An example is the vaccine against hepatitis B, which is produced in genetically engineered yeast. This yeast produces a surface structure specific to the hepatitis B virus (8).

Virus-like particles are basically the virus, but without any of its genetic information! The immune system is basically given an empty dummy to practice, without the danger of infection. Here, a recent example would be the HPV (human papillomavirus) vaccine. The virus can cause cervical cancer and genital warts, but the vaccine can reliably protect against several different HPV strains (9).

What’s the takeaway?

Several different types of vaccines by several different groups are currently in production. Some are based on established methods; some try something completely new. We don’t know yet which one will be the final one to hit the market. The problem isn’t so much the production, although especially virus-like particles aren’t that easy to produce. But the longest part of vaccine trials is the waiting for results.

Is the vaccine safe?
Are there any delayed negative effects?
Does it actually induce immunity for a sensible amount of time?
Is it necessary to get booster vaccines?

These questions can only be answered with time. Until we’ve reached that point, let’s be careful and take care of each other.


Sources:
  1. Callaway E. The race for coronavirus vaccines: a graphical guide. Nature. 2020 Apr 28;580(7805):576–7.
  2. Barrett ADT. Yellow fever live attenuated vaccine: A very successful live attenuated vaccine but still we have problems controlling the disease. Vaccine. 2017 Oct 20;35(44):5951–5.
  3. Ura T, Okuda K, Shimada M. Developments in Viral Vector-Based Vaccines. Vaccines. 2014 Sep;2(3):624–41.
  4. Merck. Patient Information about ERVEBO [Internet]. 2019 [cited 2020 May 4]. Available from: https://www.merck.com/product/usa/pi_circulars/e/ervebo/ervebo_ppi.pdf
  5. Letchworth GJ, Rodriguez LL, Del cbarrera J. Vesicular stomatitis. Vet J Lond Engl 1997. 1999 May;157(3):239–60.
  6. Dobrovolskaia MA. Nucleic Acid Nanoparticles at a Crossroads of Vaccines and Immunotherapies. Molecules. 2019 Jan;24(24):4620.
  7. Hobernik D, Bros M. DNA Vaccines—How Far From Clinical Use? Int J Mol Sci [Internet]. 2018 Nov 15 [cited 2020 May 4];19(11). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6274812/
  8. Keating GM, Noble S. Recombinant Hepatitis B Vaccine (Engerix-B®). Drugs. 2003 May 1;63(10):1021–51.
  9. Joura EA, Giuliano AR, Iversen O-E, Bouchard C, Mao C, Mehlsen J, et al. A 9-Valent HPV Vaccine against Infection and Intraepithelial Neoplasia in Women. N Engl J Med. 2015 Feb 19;372(8):711–23.




Signature by @atopy

Sort:  

These questions can only be answered with time. Until we’ve reached that point, let’s be careful and take care of each other.

This is one of the reasons why we may not send our kids back to school. We somehow know nothing today, and keeping them home for 4 extra months will leave maybe enough time to science to get more reliable information...

[I know, that's kind of off topic, but I have read your post ;) ]

Keeping them home may actually be smart. While there are claims that kids aren't as infectious, there are also claims for the opposite. And we don't know what the virus might be doing to them without us noticing.

This is exactly our point: keeping them home and wait for the experts (the real ones I mean, not the self-declared ones) to have enough time to draw solid (or more solid) conclusions. My physics research will suffer a bit from that :)

You should take your time and translate this article from German into your language. Here is an expert talking:

https://multipolar-magazin.de/artikel/krieg-gegen-einen-joker

About the author: Dr. med. Wolfgang Wodarg, born in 1947, is an internist and pulmonary physician, specialist for hygiene and environmental medicine as well as for public health and social medicine. After his clinical work as an internist, he was, among other things, a public health officer in Schleswig-Holstein for 13 years, at the same time lecturer at universities and technical colleges and chairman of the expert committee for health-related environmental protection at the Schleswig-Holstein Medical Association. In 1991 he received a scholarship to study at Johns Hopkins University, Baltimore, USA (epidemiology).

As a member of the German Bundestag from 1994 to 2009, he was initiator and speaker in the Enquête Commission "Ethics and Law of Modern Medicine", member of the Parliamentary Assembly of the Council of Europe, where he was chairman of the Subcommittee on Health and deputy chairman of the Committee on Culture, Education and Science. In 2009, he initiated the Committee of Inquiry into WHO's role in H1N1 (swine flu) in Strasbourg, where he remained as a scientific expert after leaving Parliament. Since 2011 he has been working as a freelance university lecturer, doctor and health scientist and was a volunteer member of the board and head of the health working group at Transparency International Germany until 2020.

Dr. Wodarg is one of the sharpest critics of this whole event. It's worth reading him.

Thanks for the article. I will have a look together with google translate next week. I can deal with food ordering in German, but not much more :D :)

You're welcome. Take deepl.com - much better in translation and better service.
Do you know the website "swiss propaganda research"? Also worth having a look, not only in connection with the covid phenomena.

I am even worse when it comes to the French language. I only can say "Je ne parle pas français "- :D

I don't need French translations; I am fine with the English ones! Thanks for the suggestions (I didn't know the website you mentioned) ;)

Stanford University published an article 2 months ago. It was related to the fact that the chloroquine substance used in the treatment of malaria could also be effective in the treatment of COVID-19. However, this article was later closed to access. Then there were reports that the chloroquine substance did not work. Today there are various approaches to testing whether available vaccines will work in the world. But how long this process will take is a matter of curiosity. Apart from the production of the vaccine, this actually has other difficulties. I follow Ercüment Ovalı's work on Twitter these days. He is also working on developing existing vaccines. I wonder which lab will develop the most effective method.

The whole chloroquine/hydroxychloroquine was a huge clusterfuck. I mentioned a little bit about that in my last post.

It's almost impossible to make accurate predictions at this point, because we still don't know enough about this virus. That's why clinical trials are so important!

Hey Suesa, is it true that one of the main components of vaccines are made out of mouse and animal blood and that this could be the reason for several deceases we have to face, because it does something with our DNA?

Hey!

Okay, one thing after another:

  1. Typically, blood isn't used to produce vaccines. However, certain types of vaccines, especially protein vaccines, are produced in animal cells like eggs, yeast, or cell cultures created from fetal tissue. Generally, none of these are dangerous, if you're not for example allergic against egg. Even the fetal cell lines aren't actually a fetus anymore, they're just cells that grow and do their thing without ever forming a complex human being.
  2. No, vaccines generally don't cause diseases. You may have an adverse reaction due to an allergy or a very rare genetic defect, but both is very rare. However, there is a potential problem when there's a lack of needles! If the same needle is used to inject several patients, diseases may be transmitted from one to another. This is often a problem in third world countries.
  3. Vaccines generally don't do anything to your DNA. There are concerns that DNA and RNA vaccines may accidentally become part of the genome, but the likelihood of that is very, very low. So low that they're still considered safe.

I hope that clears some things up!

Thanks for your contribution to the STEMsocial community. Feel free to join us on discord to get to know the rest of us!

Please consider supporting our funding proposal, approving our witness (@stem.witness) or delegating to the @steemstem account (for some ROI).

Please consider using the STEMsocial app app and including @steemstem as a beneficiary to get a stronger support.