Ade virus creation center
Key characteristics of antibody-dependent enhancement ADE infected by different viruses. The essence of ADE effect is a part of immune regulation. In the next step, we need to clarify the mechanism of ADE and clarify the conditions of ADE occurrence, find out factors that regulate Syk activation and inhibition, the balance between antiviral and inflammatory responses, and upregulation of immunosuppressive IL, so as to better block the occurrence of ADE from the perspective of iADE.
Although some cannot be directly attributed to ADE, it cannot be denied that ADE is very likely to be one of the potential factors. In the future, it is necessary to identify the antigen epitopes of ADE induced by viruses, effectively avoid them in vaccine design, and further discover effective virus neutralizing epitopes and other non-neutralizing but protective epitopes, which will guide the future design of protective vaccines, therapeutic monoclonal antibodies and nano antibodies.
This is similar to the partially suppressed signal produced by ADE. For the outbreak of COVID worldwide, it is speculated that those individuals with severe illness may have been exposed to one or more previous coronaviruses and are experiencing antibody-dependent enhancement Tetro, Future research should pay attention to this aspect, that is, whether it will cause the increase of heterologous disease infection when in iADE.
In the future, the preparation of vaccines also needs to develop new safe and efficient adjuvants to avoid the generation of ADE. Kabir proves that ADE can greatly increase the incidence of new diseases.
For multiple serotype infectious diseases such as dengue fever, joint vaccine is more effective. The primary vaccine is a better control tool than the secondary vaccine. This may be because secondary infections are located further downstream in the dynamic process of infection and require a greater effect to suppress the spread of secondary infections.
More rigorous, reasonable and safe immune procedures are also important issues to be solved in future vaccine development. National Center for Biotechnology Information , U. Adv Immunol.
Published online Sep Author information Copyright and License information Disclaimer. All rights reserved. Elsevier hereby grants permission to make all its COVIDrelated research that is available on the COVID resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source.
Abstract In some cases, antibodies can enhance virus entry and replication in cells. Keywords: Coronavirus, Antibody-dependent infection enhancement, Vaccine. ADE of representative virus 2. The molecular mechanism that produces ADE 3. Molecular signaling events in ADE In addition to promoting the entry of viruses, ADE also affects the immune response of cells, inhibiting the antiviral activity of cells and thus promoting infection.
Open in a separate window. Cellular compartmentalization Cellular compartmentalization is used as a defense against human pathogens in both specialized and nonspecialized phagocytes. Mask or remove the antigen part that produces ADE Screaton developed a stable ZIKV E protein dimer vaccine that has no precursor membrane proteins and does not expose the immunodominant fusion loop epitope.
Block or interfere with the binding of the antigen-antibody complex to the receptor Because of its own advantages that monoclonal antibody has become an important direction in the development of new vaccines. Effect of adjuvant and inactivation selection on ADE The choice of adjuvant will also affect the immune effect.
Table 1 Key characteristics of antibody-dependent enhancement ADE infected by different viruses. FcR mediated virus-antibody immune complexes infect monocytes, macrophages, and dendritic cells 2. Increased susceptibility to other serotypes 2. ADE and plasma viral load is positive correlation. ADE accelerates immunosuppression and disease progression 2.
References Anderson L. Strategic priorities for respiratory syncytial virus RSV vaccine development. Adjuvants: Classification, modus operandi, and licensing. Journal of Immunology Research.
Lethal antibody enhancement of dengue disease in mice is prevented by Fc modification. PLoS Pathogens. The human immune response to Dengue virus is dominated by highly cross-reactive antibodies endowed with neutralizing and enhancing activity. Both immunisation with a formalin-inactivated respiratory syncytial virus RSV vaccine and a mock antigen vaccine induce severe lung pathology and a Th2 cytokine profile in RSV-challenged mice.
Journal of Virology. Role of the complement system in antibody-dependent enhancement of flavivirus infections. International Journal of Infectious Diseases. Monoclonal antibody analysis of porcine reproductive and respiratory syndrome virus epitopes associated with antibody-dependent enhancement and neutralization of virus infection. Veterinary Immunology and Immunopathology. Blockade of dengue virus entry into myeloid cells by endocytic inhibitors in the presence or absence of antibodies.
Elevated dengue virus nonstructural protein 1 serum levels and altered toll-like receptor 4 expression, nitric oxide, and tumor necrosis factor alpha production in dengue hemorrhagic Fever patients.
Journal of Tropical Medicine. Antibody-dependent dengue virus entry modulates cell intrinsic responses for enhanced infection. Leukocyte immunoglobulin-like receptor B1 is critical for antibody-dependent dengue. Ligation of Fc gamma receptor IIB inhibits antibody-dependent enhancement of dengue virus infection. Proceedings of the National Academy of Sciences. Dengue virus DENV antibody-dependent enhancement of infection upregulates the production of anti-inflammatory cytokines, but suppresses anti-DENV free radical and pro-inflammatory cytokine production, in THP-1 cells.
The Journal of General Virology. Dengue virus infections and maternal antibody decay in a prospective birth cohort study of Vietnamese infants. The Journal of Infectious Diseases.
Dengue in Vietnamese infants—results of infection-enhancement assays correlate with age-related disease epidemiology, and cellular immune responses correlate with disease severity. Recombinant modified vaccinia virus Ankara expressing the spike glycoprotein of severe acute respiratory syndrome coronavirus induces protective neutralizing antibodies primarily targeting the receptor binding region.
Cytokine responses in severe acute respiratory syndrome coronavirus-infected macrophages in vitro: Possible relevance to pathogenesis. Out of the frying pan and into the fire? Microbes and Infection. A novel immunoglobulin superfamily receptor for cellular and viral MHC class I molecules. The Journal of Gene Medicine. The ligands for human IgG and their effector functions. Antibodies Basel ; 8 2 doi: Selective engagement of FcgammaRIV by a M2e-specific single domain antibody construct protects against influenza A virus infection.
Frontiers in Immunology. Dengue virus sero-cross-reactivity drives antibody-dependent enhancement of infection with zika virus. Nature Immunology. Lack of antibody affinity maturation due to poor Toll-like receptor stimulation leads to enhanced respiratory syncytial virus disease.
Nature Medicine. DMAb inoculation of synthetic cross reactive antibodies protects against lethal influenza A and B infections. NPJ Vaccines. Scientific Reports. A complement component C1q-mediated mechanism of antibody-dependent enhancement of Ebola virus infection. Enhancement of Zika virus infection by antibodies from West Nile virus seropositive individuals with no history of clinical infection.
BMC Immunology. Monoclonal antibody-mediated enhancement of dengue virus infection in vitro and in vivo and strategies for prevention. Besides polymorphic coding, there are other ways to hide your virus. Encryption is a very common tool used by virus developers.
It takes a lot of practice and reading, but it can go a long way in increasing the lifespan of your virus. Test your virus. Once you have a prototype up and running, test it out on as many different machines and setups as possible. This will be easiest if you are able to set up virtual machines in different configurations. Make sure that you keep your tests contained so that you don't accidentally release your virus before you are ready. Put the test machines on an isolated network and see the effects of the virus spreading.
Adjust your virus's code as you observe it working on the test machines. Fix any issues that it runs into. Release your virus. If you're satisfied with your virus's performance, it's time to release it.
Before you do, however, ask yourself if you're prepared to face any consequences that may come from releasing a virus into the wild. It may be better to use that experience and work on new projects. Yes No. Not Helpful Helpful To prank a friend maybe.
Or maybe you want to get revenge on an old enemy. Not Helpful 86 Helpful How can I determine if the virus is being spread across the web or interface of an electronic grid? Not Helpful 64 Helpful Create a backdoor or an administrator access secured with a strong encryption that will recognize your protocols only. Not Helpful 55 Helpful Not Helpful 53 Helpful By learning some batch programming and performing some basic operations that "might" look like virus ones.
Not Helpful 42 Helpful Am I myself vulnerable if I am creating a virus on my computer? Will it spread on my own device? Arjun Satarkar. Only when the trigger is present does the virus run. You can make a trigger like this: If the file StopVirusRunning. All the scientific facts found in our work expand the knowledge base for a differentiated view of the mask debate.
This gain can be relevant for decision makers who have to deal with the issue of mandatory mask use during the pandemic under constant review of proportionality as well as for physicians who can advise their patients more appropriately on this basis. For certain diseases, taking into account the literature found in this study, it is also necessary for the attending physician to weigh up the benefits and risks with regard to a mask obligation.
With an overall strictly scientific consideration, a recommendation for mask exemption can become justifiable within the framework of a medical appraisal Figure 5. Indications for weighing up medical mask exemption certificates. In addition to protecting the health of their patients, doctors should also base their actions on the guiding principle of the Geneva Declaration, as revised in According to this, every doctor vows to put the health and dignity of his patient first and, even under threat, not to use his medical knowledge to violate human rights and civil liberties [ 9 ].
Within the framework of these findings, we, therefore, propagate an explicitly medically judicious, legally compliant action in consideration of scientific factual reality [ 2 , 4 , 5 , 16 , , , , , , ] against a predominantly assumption-led claim to a general effectiveness of masks, always taking into account possible unwanted individual effects for the patient and mask wearer concerned, entirely in accordance with the principles of evidence-based medicine and the ethical guidelines of a physician.
The results of the present literature review could help to include mask-wearing in the differential diagnostic pathophysiological cause consideration of every physician when corresponding symptoms are present MIES, Figure 4.
In this way, the physician can draw on an initial complaints catalogue that may be associated with mask-wearing Figure 2 and also exclude certain diseases from the general mask requirement Figure 5. For scientists, the prospect of continued mask use in everyday life suggests areas for further research. In our view, further research is particularly desirable in the gynecological fetal and embryonic and pediatric fields, as children are a vulnerable group that would face the longest and, thus, most profound consequences of a potentially risky mask use.
Basic research at the cellular level regarding mask-induced triggering of the transcription factor HIF with potential promotion of immunosuppression and carcinogenicity also appears to be useful under this circumstance. Our scoping review shows the need for a systematic review.
We thank Bonita Blankart, for translation of the manuscript. Conceptualization, K. All authors have read and agreed to the published version of the manuscript. National Center for Biotechnology Information , U. Published online Apr Paul B. Tchounwou, Academic Editor.
Author information Article notes Copyright and License information Disclaimer. Received Mar 20; Accepted Apr This article has been cited by other articles in PMC. Abstract Many countries introduced the requirement to wear masks in public spaces for containing SARS-CoV-2 making it commonplace in Keywords: personal protective equipment, masks, N95 face mask, surgical mask, risk, adverse effects, long-term adverse effects, contraindications, health risk assessment, hypercapnia, hypoxia, headache, dyspnea, physical exertion, MIES syndrome.
Introduction At the beginning of the spread of the novel pathogen SARS-CoV-2, it was necessary to make far-reaching decisions even without available explicit scientific data. Materials and Methods The objective was to search for documented adverse effects and risks of different types of mouth—nose-covering masks.
Open in a separate window. Figure 1. Figure 2. Results A total of 65 scientific papers on masks qualified for a purely content-based evaluation.
General Physiological and Pathophysiological Effects for the Wearer As early as , an experimental dissertation randomized crossover study demonstrated that wearing surgical masks in healthy medical personnel 15 subjects, 18—40 years old leads to measurable physical effects with elevated transcutaneous carbon dioxide values after 30 min [ 13 ].
Figure 3. Psychological Side Effects and Dangers According to an experimental study, wearing surgical masks and N95 masks can also lead to a reduced quality of life owing to reduced cardiopulmonary capacity [ 31 ]. Psychiatric Side Effects and Dangers As explained earlier, masks can cause increased rebreathing with an accumulation of carbon dioxide in the wearer due to increased dead space volume [ 16 , 17 , 18 , 20 ] Figure 3 , with often statistically significant measurable elevated blood carbon dioxide CO2 levels in sufferers [ 13 , 15 , 17 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ] Figure 2.
Gynaecological Side Effects and Dangers As a critical variable, a low blood carbon dioxide level in pregnant women is maintained via an increased respiratory minute volume, stimulated by progesterone [ 22 ].
Dermatological Side Effects and Dangers Unlike garments worn over closed skin, masks cover body areas close to the mouth and nose, i. Sports Medicine Side Effects and Dangers According to the literature, performance-enhancing effects of masks regarding cardiovascular optimization and improvement of oxygen uptake capacity cannot be proven. Social and Sociological Side Effects and Dangers The results of a Chilean study with health care workers show that masks act like an acoustic filter and provoke excessively loud speech.
Social and Occupational Medicine Side Effects and Hazards In addition to mask-specific complaints such as a feeling of heat, dampness, shortness of breath and headache, various physiological phenomena were documented, such as the significant increase in heart and respiratory rate, the impairment of lung function parameters, the decrease in cardiopulmonary capacity e.
Epidemiological Consequences The possible side effects and dangers of masks described in this paper are based on studies of different types of masks. Paediatric Side Effects and Hazards Children are particularly vulnerable and may be more likely to receive inappropriate treatment or additional harm. Effects on the Environment According to WHO estimates of a demand of 89 million masks per month, their global production will continue to increase under the Corona pandemic [ ].
Discussion The potential drastic and undesirable effects found in multidisciplinary areas illustrate the general scope of global decisions on masks in general public in the light of combating the pandemic. Figure 4. Limitations Our approach with a focus on negative effects is in line with Villalonga-Olives and Kawachi [ 12 ].
Conclusions On the one hand, the advocacy of an extended mask requirement remains predominantly theoretical and can only be sustained with individual case reports, plausibility arguments based on model calculations and promising in vitro laboratory tests.
On the other hand, the side effects of masks are clinically relevant. Figure 5. Acknowledgments We thank Bonita Blankart, for translation of the manuscript. Author Contributions Conceptualization, K. Funding This research received no external funding. Institutional Review Board Statement Not applicable. Informed Consent Statement Not applicable. Data Availability Statement Not applicable.
Conflicts of Interest The authors declare no conflict of interest. References 1. World Health Organization. World Health Organization; Geneva, Switzerland: Chu D. Jefferson T. Kappstein I. De Brouwer C. Ewig S. Die Maskierte Gesellschaft. Villalonga-Olives E.
Butz U. Smolka L. Sports Sci. Roberge R. Matuschek C. Sports Med. Rebmann T. Roeckner J. Georgi C. N95 Respirator Use during Advanced Pregnancy. Kyung S. Epstein D. Goh D. Bharatendu C. Tong P. Liu C. IOP Conf. Earth Environ. Beder A. Fikenzer S. Jagim A. Strength Cond. Porcari J. Kao T. Johnson A. Rosner E. Azuma K. Drechsler M. Carbon Dioxide Narcosis. Noble J. Cognitive Function during Moderate Hypoxaemia.
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BMJ Open. Care Med. Dellweg D. Luckman A. Sharma I. Indian J. Influenza Other Respir. Gralton J. So far, there is no evidence of antibody-dependent enhancements in the current corona disease. As previously mentioned, ADE is a property of the disease itself, and not of the vaccine against it. If ADE existed in COVID, we would have expected to witness the phenomena among individuals who got reinfected with the virus, and not solely among vaccinated people, however, this has yet to be identified.
Nonetheless, pre-clinical trials demonstrated that antibodies protected rats and Syrian hamsters , without causing a deterioration in the severity of the infection or disease. Despite the early signs that predicted there will be no ADE in the current corona disease, the concern of the phenomenon always looms over new vaccine development, and the new COVID vaccines are no exception.
Therefore, during the development of the current vaccine, tests were performed and trials were conducted in order to test for the possibility of an antibody-dependent enhancement. This possibility was the subject of a lively academic debate and numerous articles, such as articles published in PNAS in April, in Science in May and extensive literature reviews in Nature in July and September.
The subject was tested over and over again during the pre-clinical and clinical phases of the vaccine development process. In experiments performed on mice, rats and monkeys that were given the inactivated virus, there were no signs of ADE, despite the fact that an inactivated vaccine should pose greater risk for ADE as these vaccine lead to production of antibodies against many proteins of the virus, and not just against the spike protein such as the Pfizer and Moderna vaccines.
Therefore, it should offer a greater opportunity to manufacture a wide range of non-neutralizing antibodies. The follow up on vaccinated and recovered individuals continues, despite no data indicating a risk for ADE. ADE is a phenomenon seen in some viral diseases when reinfection can occasionally lead to a more severe form of the disease.
There was a concern that this phenomenon would also occur with COVID, and so the subject was studied extensively by many specialists. So far, the phenomenon was not seen in humans; not in the known cases of reinfection of the disease, not in plasma treatments given to recovering patients, not in the phase 3 trials of the vaccines performed on tens of thousands of people and not during the wide-scale vaccination drives worldwide. Follow up is still regularly performed, of course, among the infected, recovered, and vaccinated populations, and further tests are being conducted in animals in order to rule out unpleasant surprises.
With more new variants of the disease spreading, we could further examine if any ADE cases occur when people are reinfected with different variants of the virus. So far, initial findings regarding the British variant, for example, have not reported ADE among those infected by it.
Although it cannot be unequivocally determined that the risk of ADE is nonexistent, as of today our findings show that it is unlikely, and the chances are slim.
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