Oxford coronavirus vaccine ‘significantly reduces viral load’ in monkeys

According to the preprint paper, a single vaccination dose was effective in preventing damage to the lungs in the animals.

Published: May 15, 2020 at 10:48 am

A candidate for a coronavirus vaccine from the University of Oxford showed promising signs when tested in a small number of monkeys, according to a new study.

Six rhesus macaques were given half the dose of the vaccine currently being tested in humans.

The paper, which also looked at mice, showed some of the animals developed antibodies to the virus within 14 days of being vaccinated, with all of them displaying evidence of antibodies within 28 days.

According to the study, which has not been peer-reviewed, a single vaccination dose was also effective in preventing damage to the lungs – organs that can be severely affected by the virus.

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The authors wrote: “We observed a significantly reduced viral load in bronchoalveolar lavage fluid and respiratory tract tissue of vaccinated animals challenged with SARS-CoV-2 compared with control animals, and no pneumonia was observed in vaccinated rhesus macaques.

“Importantly, no evidence of immune-enhanced disease following viral challenge in vaccinated animals was observed.”

The researchers further found viral loads in the lower respiratory system were significantly reduced, suggesting vaccination prevents virus replication in the lower respiratory tract.

Despite this marked difference in virus replication in the lungs, reduction in viral shedding from the nose was not observed.

What is the University of Oxford's vaccine trial?

The Oxford team started work designing a vaccine back in January.

Coronaviruses, such as the one that causes COVID-19, have an outer coat of protein spikes. These spikes are what attach to the proteins on human respiratory cells, enabling the virus to enter and infect them.

The Oxford trial vaccine is carried by a vector that has been made from a virus that affects chimpanzees, called an adenovirus. This vector contains the genetic code of the protein spikes found on the coronavirus and just one dose generates a strong immune response in the body.

The vector itself is not capable of replicating, so it cannot cause an ongoing infection in the vaccinated individual. The Oxford trial team have said: “Chimpanzee adenoviral vectors are a very well-studied vaccine type, having been used safely in thousands of subjects, from 1 week to 90 years of age, in vaccines targeting over 10 different diseases.”

Experts say vaccine result 'very encouraging'

Stephen Evans, professor of pharmacoepidemiology at the London School of Hygiene and Tropical Medicine, said the results were “very definitely” good news, adding: “The most important finding to me is the combination of considerable efficacy in terms of viral load and subsequent pneumonia, but no evidence of immune-enhanced disease.

“The latter has been a concern for vaccines in general, for example with vaccines against respiratory syncytial virus (RSV), and for SARS vaccines.

“This was a definite theoretical concern for a vaccine against SARS Cov-2 and finding no evidence for it in this study is very encouraging.”

He added that it was not known whether the trials in the macaques would translate into humans, but that "it is encouraging to see these results and suggests cautious optimism for the Oxford vaccine trial being done in humans.”

Your coronavirus questions answered:

Dr Penny Ward, visiting professor in pharmaceutical medicine at King’s College London and chairwoman of the education and standards committee of the Faculty of Pharmaceutical Medicine, said: “This publication describes two preclinical studies which investigated immune response to vaccination with the Jenner Institute's SARS Cov-2 vaccine in murine and primate models.

“Single doses of the vaccine produced high quantities of neutralising antibody in both species.

“One concern with vaccines against CoV species is the potential for antibody dependent enhancement of the disease pathology – this is one reason for the lack of a vaccine against the 2003 SARS CoV strain.

“It is helpful to see that monkeys vaccinated with this SARS CoV-2 vaccine did not have any evidence of enhanced lung pathology and that, despite some evidence of upper respiratory tract infection by SARS CoV-2 after high viral load virus challenge, monkeys given the vaccine did not have any evidence of pneumonia.

“These results support the ongoing clinical trial of the vaccine in humans, the results of which are eagerly awaited.”

Reader Q&A: Why don’t viruses like the flu die off when no one is ill?

Asked by: Andrew Cirel, via email

Strictly speaking, viruses can’t ‘die off’ as they’re just inanimate strips of genetic material plus other molecules. But the reason that they keep coming back is because they’re always infecting someone somewhere; it’s just that at certain times of the year, they’re less able to infect enough people to trigger a full-blown epidemic.

Many viruses flare up during the winter because people spend more time indoors in poorly-ventilated spaces, breathing in virus-laden air and touching contaminated surfaces. The shorter days also lead to lower levels of vitamin D, and this weakens our disease-fighting immune system. Experiments also suggest that the flu virus in particular remains infectious for longer in low temperatures.

But even when conditions aren’t ideal, viruses will find enough people to infect to ensure their survival, until they can come roaring back in an epidemic.

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