mercredi 29 janvier 2020

SARS: since 2003 no efficient vaccine could be developed for the entire class of CoronaVirus, is there a sufficient effort of R & D on these outbreaks or is their nature of acute cyclic events impairing a continuous flow of development?

"13.4 Conclusion Due to the ever-increasing human population, increasing wild-life habitat destruction for human inhabitation, the demand for exotic animals for food, and the inability of humans to control or successfully track zoonotic diseases in wild animal populations, the emergence of novel viral pathogens from zoonotic pools will continue to threaten human global public health. The development of antiviral therapies against viral pathogens that might emerge in the future is a difficult multifaceted problem, but it is critical for improving global health. SARS-CoV was the first significant emerging virus of the twenty-first century. The availability of reverse genetics, time-ordered sequence variation of animal and human strains, robust availability of biochemical reagents, and age-related animal models provide a unique opportunity to study many basic aspects of novel virus emergence and antigenic diversity, pathogenesis, antiviral therapy development, and vaccine immunopotentiation of disease. As SARS-CoV vaccines must provide broad protection against the larger zoonotic pool, successful vaccine strategies may provide a template for developing broadly reactive vaccines against other emerging viruses, like filoviruses, Nipah virus, NL63, HKU1, and avian influenza viruses. Importantly, SARS-CoV pathogenesis is exacerbated in the immunosenescent, a population that suffers a disproportionate disease burden from other emerging viruses. Through the use of aged models of SARS-CoV pathogenesis and vaccine efficacy, the immunological deficiencies of the aged immune system and/or the variables required for successful vaccination may be elucidated. These data may be applied to improve vaccines for other viral pathogens that cause a disproportionate disease burden in vulnerable populations like the elderly (West Nile virus, influenza, norovirus, SARS-CoV, RSV, etc.). In the past, the use of whole killed vaccines for vaccination has been successful in preventing disease but has also contributed to immunopotentiation of disease, and the mechanisms for this exacerbation of disease are not completely understood. Uncovering the mechanisms of SARS-CoV nucleocapsid-induced immunopotentiation may reveal common host pathways with other vaccine formulations (e.g., FI-RSV, FI-MV) that mediate vaccine-related pathologies. Alternatively, the unique genetic differences between coronaviruses and paramyxoviruses may reveal entirely new pathways for virus–host interactions that potentiate vaccine-induced immune pathology. Thus, current models of SARS-CoV pathogenesis can be employed to study the many difficult problems associated with the development of effective therapies for emerging pathogens, and future studies may provide the solutions that will prepare us for future SARS-CoV emergence or the emergence of yet unknown viral pathogens."

https://www.businessinsider.fr/le-developpement-dun-vaccin-contre-le-coronavirus-de-chine-pourrait-prendre-des-annees-dapres-notre-experience-avec-zika-et-ebola/

Molecular Biology of the SARS-Coronavirus-Springer-Verlag Berlin Heidelberg (2010)

Indeed the mutation potential of RNA viruses is a great challenge.

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