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Commentary: New coronavirus strain makes getting vaccinated more important

Given the speed at which the coronavirus can mutate, it is critical we get the virus under control to prevent it from undermining vaccination efforts, says an observer.

Commentary: New coronavirus strain makes getting vaccinated more important

Nurses at the Royal Free Hospital, London, simulate the administration of the Pfizer vaccine to support staff training ahead of the rollout, in London on Dec 4, 2020. (Photo: Yui Mok/Pool Photo via AP)

UNIVERSITY PARK, Pennsylvania: A new variant of SARS-CoV-2 is spreading rapidly in the United Kingdom, with over 1,400 cases since September.

SARS-CoV-2, the virus that causes COVID-19, generally accumulates mutations slowly over time, but this new variant had accumulated many mutations quickly.

If this new version of the virus is here to stay, as it appears to be, what does that mean? Will this new version of the virus replace the old one? Will it be easier to catch?

And, most importantly, will the current vaccines still be effective?

READ: What we know about the new strain of coronavirus found in Britain​​​​​​​

READ: Infectious COVID-19 mutation may be 'a good thing', says Paul Tambyah

NEW VIRUS COULD BE TRANSMITTED MORE READILY

The new version of SARS-CoV-2 – named the B.1.1.7 lineage – is spreading in the UK and possibly beyond. The differences between the old and new virus include 23 mutations in the virus’s genetic code that have altered four viral proteins.

Eight of these 23 mutations affect the spike protein. This matters because the spike protein enables the virus to enter human cells, and it is a key target of our immune response, both in fighting off the virus during infection and in protecting us from disease following vaccination with the Pfizer and Moderna vaccines.

If the changes to the spike protein help the virus enter human cells more easily, then the virus could be transmitted from person to person more readily.

These mutations may also alter how well the host’s immune system combats the virus, potentially reducing the efficacy of the current vaccines.

A transmission electron micrograph of SARS-CoV-2 virus particles, isolated from a patient, captured and colour-enhanced. (Photo: AFP)

Samples of the new virus isolated from patients suggest that this variant has been increasing in relative frequency over the past three months.

The increase in frequency is concerning, as it suggests – but does not prove – that the B.1.1.7 isolates of SARS-CoV-2 are more transmissible than the original virus. Some have estimated that the new virus may be up to 70 per cent more transmissible than the old virus.

While these estimates are consistent with the data, it is entirely too early to make a definitive conclusion.

READ: Commentary: UK’s strict restrictions are its only hope of curbing new strain of coronavirus

If this increase in transmissibility is confirmed, it might be due to of the mutations in the spike protein allows it to bind more tightly to the ACE2 receptor, which provides a gateway for the virus to enter human cells.

But it might also be due to any of the other changes to the virus.

If the new version, B.1.1.7, is indeed more transmissible than the old virus, it will be more dangerous in the sense that it will make more people sick.

However, I am not aware of good evidence that there is any difference in the severity of disease caused by the new version of this virus compared with the older one. That said, with so few known cases, it may still be too early to say.

READ: Singapore to bar UK travellers over new COVID-19 virus strain; tighter measures for those with travel history to New South Wales

POTENTIAL FOR VACCINE-VIRUS MISMATCH

Both the Pfizer and Moderna vaccines work by training our immune systems to recognise a specific version of the viral spike protein. The version of the spike protein used by the vaccines was designed to match that of the old virus, not that of the B.1.1.7 virus.

This means that the vaccines might become less effective than expected should this new virus spread widely.

A droplet falls from a syringe after a health care worker was injected with the Pfizer-BioNTech COVID-19 vaccine at Women & Infants Hospital in Providence on Dec 15, 2020. (File photo: AP/David Goldman)

Vaccine-virus mismatch is an ongoing challenge for scientists charged with developing the seasonal flu vaccine. But even with a virus-vaccine mismatch, the flu vaccine reduces the likelihood, and the severity, of disease.

The question is therefore not whether the vaccines will be effective, but rather how effective they will be. The severity of the mismatch matters, but the only way to determine its impact in this case is through scientific study, and to my knowledge, no data on that has yet been collected.

In other words, it’s too early to say whether and how this new variant will influence the overall effectiveness of the Pfizer and Moderna vaccines.

READ: Commentary: Here’s why taking the vaccine is necessary even if it’s optional

READ: Commentary: Can Singapore be a major COVID-19 vaccine transshipment hub and save its aviation industry?

The appearance of this new B.1.1.7 makes it even more important that people get vaccinated as soon as possible.

If this new version is more transmissible, or if the vaccine is less effective because of a virus-vaccine mismatch, more people will need to be vaccinated to achieve herd immunity and get this disease under control.

Moreover, we now have proof that the spike protein of SARS-CoV-2 can change drastically in a short time, and so it is critical that we get the virus under control to prevent it from evolving further and completely undermining vaccination efforts.

Listen to infectious disease expert outline what's needed to get a vaccine manufactured, transported and administered in our Heart of the Matter podcast:

 

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David Kennedy is Assistant Professor of Biology at Pennsylvania State University. This commentary first appeared on The Conversation.

Source: CNA/el

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