[HN Gopher] Scientists discover receptor that blocks Covid-19 in...
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       Scientists discover receptor that blocks Covid-19 infection
        
       Author : geox
       Score  : 256 points
       Date   : 2023-02-11 12:58 UTC (10 hours ago)
        
 (HTM) web link (www.sydney.edu.au)
 (TXT) w3m dump (www.sydney.edu.au)
        
       | nitin87 wrote:
       | It's good
        
       | binarymax wrote:
       | To me the more interesting aspect of this research is the
       | possibility to test susceptibility to severe infection. If you
       | know ahead of time you are high risk, then the treatment and
       | behavior is different than someone who knows they are low risk.
       | Right now we treat everything the same - recommend everyone is
       | vaccinated and everyone wear masks during outbreaks. I'd really
       | like to know how at risk I am, and act accordingly.
        
         | PM_me_your_math wrote:
         | Comorbidities have always been indicators of risk. You're more
         | likely high risk if you already have health issues, are
         | morbidly obese, or over the age of 70.
        
           | [deleted]
        
           | gadders wrote:
           | [flagged]
        
             | delecti wrote:
             | Hypocrisy speaks less to the quality of someone's advice
             | than it does to their willpower.
        
             | jasonhansel wrote:
             | When people complain about prejudice against fat people,
             | this is what they mean.
             | 
             | I fail to understand why someone's size would make their
             | advice less credible, particularly on topics other than
             | weight loss. If anything, being at higher risk would
             | dispose them to take the virus more seriously.
             | 
             | After all, "trying to eat healthy" is rarely successful.
             | The vast majority of dieters do not succeed in achieving
             | long-term weight loss.
        
               | gadders wrote:
               | [flagged]
        
               | anonymouskimmer wrote:
               | https://www.health.harvard.edu/blog/overweight-and-
               | healthy-t...
               | 
               | "Carrying too many pounds is a solid signal of current or
               | future health problems. But not for everyone. Some people
               | who are overweight or obese mange to escape the usual
               | hazards, at least temporarily. This weight subgroup has
               | even earned its own moniker--metabolically healthy
               | obesity."
               | 
               | "But some people who are overweight or obese manage to
               | avoid these changes and, at least metabolically, look
               | like individuals with healthy weights. "Obesity isn't a
               | homogeneous condition," says Dr. Frank Hu, professor of
               | nutrition and epidemiology at the Harvard School of
               | Public Health. "It appears that it doesn't affect
               | everyone in the same ways.""
        
               | gadders wrote:
               | [flagged]
        
               | anonymouskimmer wrote:
               | And yet a minority of obese people had no problem with
               | COVID.
               | 
               | To be consistent I hope you also don't accept health
               | advice from seriously underweight people either.
        
               | anonymouskimmer wrote:
               | > particularly on topics other than weight loss.
               | 
               | Fat people have often tried a variety of weight loss
               | techniques. Their advice is liable to be more pertinent
               | than a skinny person who has trouble gaining weight.
        
               | gadders wrote:
               | More pertinent in regards to COVID?
        
               | anonymouskimmer wrote:
               | I wasn't responding to you.
               | 
               | But sure, as a fat person who, as far as I know hasn't
               | ever had COVID, I think my advice is pretty good.
        
             | anonymouskimmer wrote:
             | So if it works for a person with a lot of bad habits you
             | think it's a bad idea? Wouldn't something that _works_ for
             | a person with a lot of bad habits be _even better_?
        
         | AgentOrange1234 wrote:
         | (Disclaimer: covid averse, lost family member, upset with
         | society for "being done.")
         | 
         | I'm not sure what to think about this.
         | 
         | A year+ ago, I would have worried that folks would treat a low-
         | risk evaluation as a permission slip to say "the pandemic is
         | over for me," stop masking/etc, and thus increase the aggregate
         | spread of the virus to folks who _are_ high risk.
         | 
         | But now everyone is already doing that anyway. So yeah, it
         | would be nice to know whether we are high risk or should just
         | let it all go and say whatever.
        
           | throwawaaarrgh wrote:
           | Sometimes I think I'm the only low risk person left on the
           | planet wearing a mask and vaccinating. Then I see old folks
           | or one 30y/o woman in the supermarket wearing a mask, and I
           | remember that this protects them too. There's even some
           | performers asking fans to mask up so high risk people can
           | come to their shows. Gives me a tiny glimmer of hope for
           | humanity.
        
             | PM_me_your_math wrote:
             | You're still touching things, then touching your face.
             | You're still breathing the same air as everyone. You're
             | still moving through clouds of expelled vapor from everyone
             | who has walked in front of you recently. There is no
             | hermetic seal around your nose and mouth if you wear a
             | mask. Your eyes are exposed to the air. And if you wear the
             | same mask more than once, you are trapping all sorts of
             | bacteria and other nasties in a soup of sweat, oils, and
             | grime on your face. Masks are mostly theater in everything
             | but controlled environments.
        
               | anonymouskimmer wrote:
               | > You're still touching things, then touching your face.
               | 
               | > Your eyes are exposed to the air.
               | 
               | I'm not the person you're responding to. Just what I do.
               | 
               | The mask covers the mucus membranes, except around the
               | eyes. And I've got glasses with side-shields for the
               | eyes. And an ASTM-III mask over the N95 mask so that I
               | can touch and manipulate the masks without touching the
               | breathing surface of the N95.
               | 
               | > You're still breathing the same air as everyone. You're
               | still moving through clouds of expelled vapor from
               | everyone who has walked in front of you recently. There
               | is no hermetic seal around your nose and mouth if you
               | wear a mask.
               | 
               | It's a virucidal N95, so besides the filtering also kills
               | much of the virus that it traps. While the filtering is
               | not 100%, the killing on top of the filtering should
               | greatly reduce risk of infection or transmission in the
               | unlikely event I'm infected but don't know it.
               | 
               | > Masks are mostly theater in everything but controlled
               | environments.
               | 
               | I used to get a respiratory infection about yearly. I
               | haven't had a contagious illness that I am aware of since
               | January 2020.
               | 
               | Edit to add: And I take my daily shower after coming home
               | for the day. I have never used a delivery service to
               | grocery shop. I got about one month of work from home
               | before coming back to the job part-time, and was fully
               | back to the job by September or October of 2020.
        
               | don_neufeld wrote:
               | I used to get them more than yearly, usually 3x or more
               | per year, some of them were pretty brutal (Really bad
               | coughs, fevers, night sweats, up to a week of PTO to
               | recover)
               | 
               | I have masked every time I leave the house since COVID
               | started impacting Wuhan (we had Chinese operations, so
               | saw early impact on the business side. If you saw me
               | masking on BART in early 2020, _wave_ ) and I haven't
               | gotten a single illness of any type since then.
               | 
               | It's glorious.
               | 
               | I am often close to the only person I see all day
               | masking, and it blows my mind why people don't get this
               | advantage.
        
               | anonymouskimmer wrote:
               | > if you saw me masking on BART in early 2020, _wave_
               | 
               | Which line, what time? :) I only started riding BART in
               | late 2019, so only had a few months of it before
               | stopping. I'm sure I would have been ill more often than
               | yearly if my ridership had continued.
               | 
               | I agree. Additionally the masks will more than pay for
               | themselves when it comes time to cash out my accumulated
               | sick leave when I leave this job.
        
               | don_neufeld wrote:
               | Orinda to New Montgomery, I used to start commute around
               | 7:30, otherwise you couldn't get a parking stop at
               | Orinda.
        
               | anonymouskimmer wrote:
               | You were about half an hour later than me on the way out,
               | and we only overlapped through Orinda to Rockridge. I
               | usually got the 2:something on the way back, and by then
               | it was crowded enough I'm sure I wouldn't have seen you
               | even if we were in the same car.
        
               | SketchySeaBeast wrote:
               | I wear an N95 when I go out but only my regular glasses.
               | I too haven't been sick since January 2020. I used to get
               | colds pretty much quarterly, and so it's absolutely worth
               | it to me. If it bothers someone else to see me wearing
               | one that's their problem, I'm not asking them to wear
               | one.
        
               | qup wrote:
               | Has it bothered anyone?
        
               | anigbrowl wrote:
               | It certainly bothers the person(s) who left 'Mask off!'
               | graffiti all over my neighborhood.
        
               | cableshaft wrote:
               | I get the ocassional weird, sometimes mean look every
               | once in a while, but I can deal with that as long as
               | people don't stop and confront me over it, which
               | thankfully hasn't happened yet, except a single time when
               | some jerk walked past me and baa'd to suggest that I was
               | a sheep back in 2020.
               | 
               | I don't even wear a mask everywhere (not since I got
               | vaccinated). I don't once I sit at a table at a
               | restaurant, or at certain social functions. But somehow I
               | still haven't gotten Covid yet (that I'm aware of at
               | least), even after a few known exposures, so I'm guessing
               | either it's helping at least a little bit or I had an
               | asymptomatic case a while back.
               | 
               | As far as I know, though, I could still have a moderate-
               | to-bad case of it when I get it. My parents just both got
               | it recently, for example, (that was one of my exposures,
               | since they were helping me clean out my flooded basement
               | just before they got symptoms) and it took both of them
               | over a month before they got over it, and we share genes,
               | so in theory I should have a somewhat rough time once I
               | get it as well.
        
               | sampo wrote:
               | > Your eyes are exposed to the air.
               | 
               | Surface area of lungs: 100 m2.
               | 
               | Surface area of eyes: 0.0004 m2.
               | 
               | Difference: 6 orders of magnitude.
        
             | gigibec wrote:
             | [dead]
        
             | gadders wrote:
             | [flagged]
        
               | maxerickson wrote:
               | On the other hand, the authors there start their
               | conclusion off with _The high risk of bias in the trials,
               | variation in outcome measurement, and relatively low
               | adherence with the interventions during the studies
               | hampers drawing firm conclusions._
               | 
               | But it's a short discussion, people can go read it for
               | themselves.
        
               | unsupp0rted wrote:
               | It's like how condoms aren't that effective because a
               | large subset of people prefer to use nothing instead.
               | 
               | Okay sure... but if I'm not in that subset then I'm good.
        
               | AnonymousPlanet wrote:
               | "The high risk of bias in the trials, variation in
               | outcome measurement, and relatively low adherence with
               | the interventions during the studies hampers drawing firm
               | conclusions."
               | 
               | Means they aren't sure themselves, if their results are
               | usable at all. For the individual, one unmasked exposure
               | undoes the entire effort. We're not talking about
               | toxicity.
               | 
               | This seems to be clear to the authors aswell. The
               | strongest language in their conclusions reads like this:
               | 
               | "There is uncertainty about the effects of face masks.
               | The low to moderate certainty of evidence means our
               | confidence in the effect estimate is limited, and that
               | the true effect may be different from the observed
               | estimate of the effect."
               | 
               | Going from that to "Masks don't work" is quite the leap.
        
               | gadders wrote:
               | "We included 12 trials (10 cluster-RCTs) comparing
               | medical/surgical masks versus no masks to prevent the
               | spread of viral respiratory illness (two trials with
               | healthcare workers and 10 in the community). Wearing
               | masks in the community probably makes little or no
               | difference to the outcome of influenza-like illness
               | (ILI)/COVID-19 like illness compared to not wearing masks
               | (risk ratio (RR) 0.95, 95% confidence interval (CI) 0.84
               | to 1.09; 9 trials, 276,917 participants; moderate-
               | certainty evidence. Wearing masks in the community
               | probably makes little or no difference to the outcome of
               | laboratory-confirmed influenza/SARS-CoV-2 compared to not
               | wearing masks (RR 1.01, 95% CI 0.72 to 1.42; 6 trials,
               | 13,919 participants; moderate-certainty evidence)."
        
               | standeven wrote:
               | It always amazes me when someone ignores the 99 studies
               | that show masks are effective, and highlights the one
               | that says maybe they're not. Cherry picking in action!
               | 
               | Just one of the literally hundreds of studies showing
               | effectiveness:
               | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7883189/
        
               | gadders wrote:
               | Is this meant to be irony? You seem to have not read the
               | link. It's a meta-review of 78 randomised control trials.
               | It is literally the opposite of cherry picking.
               | 
               | You then cherry pick one review saying the opposite.
        
               | sampo wrote:
               | > It's a meta-review of 78 randomised control trials.
               | 
               | If your only tool is meta-reviews of RCT studies, then
               | condoms don't work either:
               | 
               | https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858
               | .CD...
               | 
               | https://jech.bmj.com/content/65/2/100
        
               | anigbrowl wrote:
               | Say the line, Bart.
        
             | technimad wrote:
             | Honest question: why are you vaccinating while you also
             | identify as low risk?
        
               | 7speter wrote:
               | > Then I see old folks or one 30y/o woman in the
               | supermarket wearing a mask, and I remember that this
               | protects them too.
               | 
               | I have a hard time believing that after 2 years of
               | messaging about why people should take a vaccine that
               | this is an "honest question"
        
               | mdp2021 wrote:
               | > _I have a hard time believing that after 2 years of
               | messaging about why_
               | 
               | You must have forgotten that they have been two years of
               | communicational failures.
        
               | landemva wrote:
               | I just read this January 2023 article by a person with
               | last name Fauci that claims coronaviruses have never been
               | controlled by vaccines. More communication problems or
               | admission of mistakes?
               | 
               | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9832587
               | 
               | Rethinking next-generation vaccines for coronaviruses,
               | influenzaviruses, and other respiratory viruses David M.
               | Morens, Jeffery K. Taubenberger, and Anthony S. Fauci
               | 
               | 'Because these viruses generally do not elicit complete
               | and durable protective immunity by themselves, they have
               | not to date been effectively controlled by licensed or
               | experimental vaccines. In this review, we examine
               | challenges that have impeded development of effective
               | mucosal respiratory vaccines ...'
        
               | anonymouskimmer wrote:
               | Humoral vaccines do provide some limited protection when
               | it comes to transmission. Nothing like a mucosal vaccine
               | would. But an additional line of protection for the
               | susceptible we may come in contact with.
               | 
               | For full disclosure I don't vaccinate anymore (waiting
               | until the mucosal vaccines are available). But I
               | understand those who do, especially if they are around
               | other people when maskless more than I am.
        
           | gadders wrote:
           | [flagged]
        
             | JoeAltmaier wrote:
             | Does that measure epidemic-spread-rate somehow?
             | 
             | I understood masks were not about making you proof against
             | infection, but instead for slowing the spread so hospitals
             | could respond. That's the critical measure of mask
             | effectiveness.
        
             | TEP_Kim_Il_Sung wrote:
             | Some masks do work.
             | 
             | https://www.3m.com/3M/en_US/respiratory-protection-
             | us/produc...
        
               | gadders wrote:
               | If you or someone in your family is immuno-suppressed,
               | have at it. Otherwise in terms of risk avoidance you
               | might as well start wearing a crash helmet when you ride
               | the bus just in case.
        
               | TEP_Kim_Il_Sung wrote:
               | Stormtrooper armor for all!
        
               | slaw wrote:
               | I like the idea of wearing full face motorcycle helmet in
               | a bus.
        
               | dehrmann wrote:
               | > If you or someone in your family is immuno-suppressed
               | 
               | I'll add that if you're in this situation, you probably
               | want to be masking at home, too.
        
         | n0tth3dro1ds wrote:
         | [dead]
        
         | anonymouskimmer wrote:
         | I particularly like the nose spray application. If even non-
         | susceptible people get in the habit of using a nose spray
         | before starting their day, any contagious viruses that they may
         | already have could be covered with an inactivator upon sneezing
         | them out. Hypothetically this could protect susceptible people
         | who inhale the sneezed out viruses.
        
       | froglets wrote:
       | I think the title/article uses the word infection when they
       | should be using disease.
        
         | francisofascii wrote:
         | or they mean "infection of the lungs". Covid certainly infects
         | and causes disease in other areas of the body.
        
         | Genbox wrote:
         | The article is correct. Infection is the process of a virus
         | entering a cell. Disease is the virus's cumulative effect on
         | the body due to the infection.
         | 
         | Since the protein (LRRC15) mentioned in the article binds to
         | the virus, making it impossible for the virus to infect the
         | cells, it does indeed block infection.
        
         | flobosg wrote:
         | COVID = Coronavirus disease
        
           | technothrasher wrote:
           | Which makes the headline even more confusing. How can you be
           | infected by a disease? The article gets it right, even if the
           | headline doesn't, SARS-CoV-2 infection.
        
         | superkuh wrote:
         | It's an infection of sars-cov-2 which if left unchecked can
         | cause COVID-19 disease. But unfortunately that proper notation
         | train left the station a few years ago.
        
       | PartiallyTyped wrote:
       | Very interesting, according to the authors it's "like velcro".
       | 
       | > [Covid] primarily uses a protein called the angiotensin-
       | converting enzyme 2 (ACE2) receptor to enter human cells. Lung
       | cells have high levels of ACE2 receptors, which is why the
       | COVID-19 virus often causes severe problems in this organ of
       | infected people.
       | 
       | > Like ACE2, LRRC15 is a receptor for coronavirus, meaning the
       | virus can bind to it. But unlike ACE2, LRRC15 does not support
       | infection. It can, however, stick to the virus and immobilise it.
       | In the process, it prevents other vulnerable cells from becoming
       | infected.
       | 
       | > "We think it acts a bit like Velcro, molecular Velcro, in that
       | it sticks to the spike of the virus and then pulls it away from
       | the target cell types," Dr Loo said.
       | 
       | > "Basically, the virus is coated in the other part of the
       | Velcro, and while it's trying to get to the main receptor, it can
       | get caught up in this mesh of LRRC15," Mr Waller said.
       | 
       | Given then that this protein is synthesized by our body, and in
       | people with less severe COVId more of this protein was found, and
       | less in more severe cases, could mRNA injections be used to
       | stimulate/ramp up production?
       | 
       | The approach mentioned in the article is a nasal spray which I
       | suppose is easier to manufacture.
       | 
       | This then begs the question, could mRNA injections be used in
       | place of traditional medication?
       | 
       | Probably no if the medication needs to be targeted at a specific
       | region, yes?
       | 
       | Could it be that the complexity of the protein affects our
       | capacity to produce medication for it?
       | 
       | Or is it that the means of administration is the main factor on
       | how we select our approach?
       | 
       | With mRNA vaccines we get the cells to produce the protein. Does
       | this imply that synthesis of the spike protein is difficult, or
       | is it that administration is?
        
         | eagerpace wrote:
         | I've seen the spikes mentioned a lot. Are these mechanical
         | descriptions of how the spikes operate dumbed down for the
         | average person to understand? Im surprised we don't hear more
         | about biologically destroying the cells instead.
        
           | PartiallyTyped wrote:
           | My background on this comes from a neuroscience course in
           | gradschool. The idea is that molecules and proteins "bind" to
           | receptors which cause a cascade of reactions. The binding
           | depends on the shape of the proteins and receptors.
           | 
           | A bridge like protein is created by removing parts of the
           | spike protein through the cascade. The bridge connects the
           | virus and the cell, and folds into itself to cause the two
           | cells to merge.
           | 
           | https://youtu.be/Xuc9D4LVJdg
           | 
           | I am not sure why it is called spike but I'd guess it's
           | because it looks like tiny spikes on the virus.
           | 
           | So when what we do with mRNA vaccines is produce the mRNA
           | that encodes this protein, and wrap it in lipids which allow
           | it to enter the cells and the cells manufacture it.
           | 
           | Now, our cells don't naturally produce the spike protein, so
           | this triggers our immune system to build antibodies which
           | bind onto the proteins and render them useless, or flags for
           | certain parts of our immune system. This results in increased
           | production of certain cells and proteins for this specific
           | protein.
           | 
           | Our immune system has the capacity to create antibodies for
           | and bind onto all sorts of different proteins. This is
           | because it the immune system is allowed to recombine and
           | order its DNA. In order to avoid wrecking havoc at our own
           | body, the immune system passes through filters which filter
           | out proteins that would bind to the naturally occurring
           | proteins in our body.
        
           | jeffdn wrote:
           | No, coronavirus and many other viruses have spike proteins,
           | that look a bit like spikes[0].
           | 
           | [0]: https://en.m.wikipedia.org/wiki/Spike_protein
        
           | maxerickson wrote:
           | It isn't entirely understood, but the actual shapes of the
           | molecules matter, so there is at least some mechanical
           | analogy.
        
             | User23 wrote:
             | Van der Waals force[1] is sort of midway between chemical
             | and mechanical interaction. We think of proteins as
             | crystals because that's how we can image them, but really
             | they're sort of floppy things that can often change their
             | shape dynamically in response to forces and then exert
             | different forces because of that. This leads to all kinds
             | of interesting feedback loops. The polarity of the water
             | molecules they're floating around in plays a role too.
             | 
             | [1] https://en.m.wikipedia.org/wiki/Van_der_Waals_force
        
         | anonymouskimmer wrote:
         | > With mRNA vaccines we get the cells to produce the protein.
         | Does this imply that synthesis of the spike protein is
         | difficult, or is it that administration is?
         | 
         | It's that the mechanism of production of spike (inside infected
         | cells) parallels the mechanism of production of spike protein
         | in a natural infection. This stimulates the immune response
         | against spike without need for additional adjuvants.
         | 
         | > This then begs the question, could mRNA injections be used in
         | place of traditional medication?
         | 
         | Not my specialty, but as you say targeting may be difficult.
         | There are various lipid carriers that I believe can target
         | certain cell types or tissues, but I don't know how well these
         | work, and of course actually distributing them so that they
         | will reach lung tissue is also a matter. And then how well
         | would they work in already infected lung tissue versus just
         | spraying the lungs with the protein?
        
           | PartiallyTyped wrote:
           | Thank you for the response. This makes sense.
           | 
           | As for the second segment. I only have more questions now.
           | Could it be that requesting that the cells produce additional
           | proteins of a particular kind "overloads" them or simply
           | "asks too much" in a fashion similar to a virus?
           | 
           | That seems unlikely unless the administered medication is
           | simply "too much". I wonder, is there a saturation point? ie
           | a point where additional mRNA medication does not result in
           | more cells producing the target protein? Seems likely.
           | 
           | Which then raises the question, if such a saturation point
           | exists, then what is causing cells to explode due to virus
           | replication? Is it that the viral particles can not escape
           | the cell and thus they "use" pressure? If so, have we
           | encountered a virus that "opens up" a cell without damaging
           | it and eventually becomes parasitic to the host?
           | 
           | It's probably the case that when cells die prematurely, they
           | leave traces for our immune system to trigger an issue, so
           | not destroying the cell seems like a beneficial evolutionary
           | advantage. Otoh, the additional code required for this is
           | likely very "expensive".
           | 
           | I hope a virologist drops by and clarifies on this.
        
             | anonymouskimmer wrote:
             | I'm not a virologist, and this is taxing to my memory, so
             | it will be a bit more basic than you might prefer, and
             | won't be as accurate.
             | 
             | > Could it be that requesting that the cells produce
             | additional proteins of a particular kind "overloads" them
             | or simply "asks too much" in a fashion similar to a virus?
             | 
             | It could be. I believe that most of the cells that express
             | from the mRNA vaccine do indeed die (from the immune
             | response against them). I'm not positive about this though.
             | In general if a cell is preferentially producing protein
             | from a particular mRNA it doesn't have to resources left to
             | do what is expected of it (including cellular maintenance).
             | 
             | > then what is causing cells to explode due to virus
             | replication?
             | 
             | https://bio.libretexts.org/Bookshelves/Introductory_and_Gen
             | e... "During release, the newly-created viruses are
             | released from the host cell, either by causing the cell to
             | break apart, waiting for the cell to die, or by budding off
             | through the cell membrane."
             | 
             | According to the video below it can be caused by crowding.
             | I think it can also be caused by virus proteins, or an
             | apoptotic response - programmed cell death done to hinder
             | the viruses ability to replicate more infectious particles.
             | Often enough the cell does not burst, but simply buds off
             | new virus. This is still very detrimental because the cell
             | isn't doing what it is supposed to do, instead having been
             | hijacked to create new viruses.
             | 
             | > If so, have we encountered a virus that "opens up" a cell
             | without damaging it and eventually becomes parasitic to the
             | host?
             | 
             | What I'm going to say won't directly answer your question,
             | but it will answer the question you would have had if you
             | knew a bit more. You want to look up lytic versus lysogenic
             | viral replication. A basic overview:
             | https://www.khanacademy.org/science/high-school-
             | biology/hs-h...
             | 
             | A more general overview of viruses linking directly to the
             | part talking about retroviruses (the most common route of
             | viral lysogens in animals): https://bio.libretexts.org/Cour
             | ses/Mansfield_University_of_P...
        
               | PartiallyTyped wrote:
               | Thank you for the detailed response and the links! Hope
               | you have a great weekend!
        
       | rs999gti wrote:
       | Covid is so last year. Chinese weather balloons are so hot right
       | now
        
       | btbuildem wrote:
       | [flagged]
        
       | photochemsyn wrote:
       | There do seem to be some alternative views on the role of this
       | protein, LRRC15, in the lungs with respect to Sars-CoV-2. See
       | this other paper (Feb 3 2023):
       | 
       | https://journals.plos.org/plosbiology/article?id=10.1371/jou...
       | 
       | Just to cover the basics, the virus normally accesses cells by
       | binding to ACE2.
       | 
       | > "The interactions between Severe Acute Respiratory Syndrome
       | Coronavirus 2 (SARS-CoV-2) and human host factors enable the
       | virus to propagate infections that lead to Coronavirus Disease
       | 2019 (COVID-19). The spike protein is the largest structural
       | component of the virus and mediates interactions essential for
       | infection, including with the primary angiotensin-converting
       | enzyme 2 (ACE2) receptor."
       | 
       | There is a key role played in viral production by furin in
       | ACE2-receptor-binding, which is an 'ubiquitous serine protease'
       | in mammalian cells which plays key roles in processing hormones,
       | growth factors, etc. and which is also exploited by many
       | infectious diseases. This feature of Sars-CoV-2 is of course
       | directly related to the notion that the virus was engineered,
       | because:
       | 
       | > "The presence of a multibasic site (Arg-Arg-Ala-Arg) located at
       | the S1-S2 junction, which is cleaved by furin (Fig. 1),
       | distinguishes SARS-CoV-2 from SARS-CoV and all other known
       | sarbecoviruses whose S protein is not cleaved by furin-like
       | proteases during virus maturation in the infected cell. Cleavage
       | of the S1-S2 boundary is a prerequisite for the cleavage of the
       | S2' site126, and both cleavage events are essential to initiate
       | the membrane-fusion process."
       | 
       | https://www.nature.com/articles/s41580-021-00418-x
       | 
       | Accounting for the appearance of this furin cleavage site is a
       | problem for anyone promoting a 'natural origin theory'.
       | 
       | Getting back to this new protein and its potential role, the
       | other paper (first source above) seems to have a different
       | conclusion:
       | 
       | > "Levels of LRRC15 were greatly elevated by inflammatory signals
       | in the lungs of COVID-19 patients. Although infection assays
       | demonstrated that LRRC15 alone is not sufficient to permit viral
       | entry, we present evidence that it can modulate infection of
       | human cells. This unexpected interaction merits further
       | investigation to determine how SARS-CoV-2 exploits host LRRC15
       | and whether it could account for any of the distinctive features
       | of COVID-19."
       | 
       | Their work seems to imply it might not _block_ infection of
       | cells, but instead _enhance_ infection:
       | 
       | > "In order to examine whether LRRC15 might modulate the
       | efficiency of viral entry into ACE2-expressing cells, we employed
       | the naturally susceptible human lung cell line (CaLu-3) that is
       | commonly used as a model for coronavirus infection [47]. We
       | introduced LRRC15 ectopically to these cells to emulate the
       | expression seen in other human lung cell populations we
       | identified in our expression analysis. Compared to unmodified
       | CaLu-3 cells that lack any detectable LRRC15, the expression of
       | LRRC15 modestly enhanced viral infection"
       | 
       | Science is complicated, and popular media reports on recent
       | science are often of very poor quality.
        
         | anonymouskimmer wrote:
         | Those are interesting earlier results about LRRC15. The effect
         | of its expression may be dose dependent, with lower levels of
         | LRRC15 promoting infection (or the negative effects of
         | fibrosis) and higher levels inhibiting infection.
         | 
         | It also shows that what happens in cell culture doesn't
         | necessarily translate to _in vivo_.
         | 
         | > Accounting for the appearance of this furin cleavage site is
         | a problem for anyone promoting a 'natural origin theory'.
         | 
         | I very much think the lab leak origin is quite possible.
         | Whether an engineered virus, or a natural chimeric virus due to
         | bad lab practices (the Wuhan lab collected a large amount of
         | viruses). That said it's not as if other betacoronaviruses
         | don't have furin cleavage sites: https://www.news-
         | medical.net/news/20230209/Assessing-the-zoo...
         | 
         | "The team analyzed 201 Alpha and Beta CoV strains for furin
         | cleavage sites in their spikes. Cleavage sites in spikes were
         | identified from 44 strains, 17 of which have bats as hosts,
         | while 27 have other mammalian hosts. Domestic animals,
         | including dogs, cats, cattle, horses, and rabbits, were also
         | identified as hosts for potentially transmissible CoVs."
         | 
         | > Science is complicated, and popular media reports on recent
         | science are often of very poor quality.
         | 
         | "The University study is one of three independent papers that
         | reveal this specific protein's interaction with COVID-19."
        
           | photochemsyn wrote:
           | As I understand it, that lineage of coronaviruses is quite
           | distinct from the sarbecoronavirus lineage and they don't
           | generally infect the same host species in the same
           | geographical regions:
           | 
           | > "For coronaviruses, furin cleavage sites at the interface
           | of the S1 and S2 domain are not unusual, being found widely
           | in betacoronaviruses in the embeco lineage (which are
           | considered to be of rodent origin) as well as in avian-origin
           | gammacoronaviruses and certain feline and canine
           | alphacoronaviruses (with an unknown origin). Furin cleavage
           | sites are also found in certain bat-origin MERS-like
           | merbecovirises, but not--with the exception of SARS-CoV-2--in
           | the sarbecovirus lineage."
           | 
           | For such a specific motif to arise naturally seems to require
           | a scenario like multiple infection of a host species by
           | several different wild-type coronaviruses.
           | 
           | Then there's this feature:
           | 
           | > "So far, a viable natural origin for the SARS-CoV-2 S1-S2
           | site through recombination or mutation of a bat-origin virus
           | has proved to be elusive. Of note, the S1-S2 cleavage site of
           | SARS-CoV-2 S does not comprise the pattern found in
           | prototypical furin cleavage sites (it is RRxR and not
           | RxK/RR),8 making its origin enigmatic. One feature of the
           | S1-S2 junction for the SARS-CoV-2 spike from the original
           | outbreak is the presence of a leading proline residue, which
           | might have promoted furin cleavage."
           | 
           | https://www.thelancet.com/journals/lanmic/article/PIIS2666-5.
           | ..
           | 
           | At this point, the lab-accident-theory looks more likely than
           | the natural-origin-theory.
        
             | anonymouskimmer wrote:
             | Sarbecoronaviruses are a subset of betacoronaviruses. And I
             | seriously doubt we have a comprehensive sequence database
             | of all sarbecoronaviruses. If furin cleavage sites are
             | present in about 21% of alpha- and betacoronaviruses I
             | would expect they would also be present in a minority of
             | most lineages within these clades. "Furin cleavage sites
             | are also found in certain bat-origin MERS-like
             | merbecovirises"
             | 
             | > For such a specific motif to arise naturally seems to
             | require a scenario like multiple infection of a host
             | species by several different wild-type coronaviruses.
             | 
             | Two would be enough. And we know that happens already (ala
             | XBB, deltacron, etcetera).
             | 
             | > > "So far, a viable natural origin for the SARS-CoV-2
             | S1-S2 site through recombination or mutation of a bat-
             | origin virus has proved to be elusive. Of note, the S1-S2
             | cleavage site of SARS-CoV-2 S does not comprise the pattern
             | found in prototypical furin cleavage sites (it is RRxR and
             | not RxK/RR),8 making its origin enigmatic. One feature of
             | the S1-S2 junction for the SARS-CoV-2 spike from the
             | original outbreak is the presence of a leading proline
             | residue, which might have promoted furin cleavage."
             | 
             | This is interesting, indeed. I wonder why an engineered
             | site wouldn't use the prototypical cleavage motif, instead
             | using one that might need (if I'm reading the quote
             | correctly) a leading proline residue in order to promote
             | cleavage?
        
               | photochemsyn wrote:
               | I suppose if people were inserting furin cleavage sites
               | specifically into the Sars-CoV-2 precursor sequence, then
               | they might generate a series of variants to see which one
               | worked best when it came to results of infectivity tests
               | in human cell lines?
               | 
               | Regarding bat lineages and host viruses, this 2019 paper
               | seems to indicate that the other betacoronavirus lineage
               | with the furin site, the Merbecovirus, has a different
               | bat host range from the Sarbecovirus lineage that gave
               | rise to Sars-CoV-2:
               | 
               | https://www.mdpi.com/1999-4915/11/2/174
               | 
               | "Compared to Sarbecovirus and Nobecovirus, the bat hosts
               | that harbor viruses from the Merbecovirus sub-genus are
               | more diverse. This is in line with the presence of more
               | CoV species belonging to Merbecovirus."
               | 
               | (I generally trust papers on this evolutionary origin
               | stuff published before the pandemic a bit more than those
               | published after, as there might be less conflicts-of-
               | interest issues).
        
               | anonymouskimmer wrote:
               | > I suppose if people were inserting furin cleavage sites
               | specifically into the Sars-CoV-2 precursor sequence, then
               | they might generate a series of variants to see which one
               | worked best when it came to results of infectivity tests
               | in human cell lines?
               | 
               | This makes sense.
               | 
               | I think here's the most relevant quote from that article:
               | "So far, no betaCoVs from the sub-genus Merbecovirus have
               | been detected in bats of suborder Yinpterochiroptera."
               | 
               | While the paper does mention one member of
               | Yangochiroptera ( _Chaerephon plicatus_ ) that has been
               | discovered infected with sarbecoviruses, it looks like
               | there's little room for infectious overlap of
               | merbecoviruses and sarbecoviruses (which predominantly
               | infect Yinpterochiropterans, at least as detected as of
               | the paper publication).
               | 
               | So if the SARS-CoV-2 progenitor did get its furin
               | cleavage site from a co-infection with a merbecovirus,
               | this would have been a really rare event indeed. At least
               | if the co-infection happened in a bat species, and not in
               | another animal or a human who deals with bats.
        
       | Slava_Propanei wrote:
       | [dead]
        
       | throwntoday wrote:
       | Does the existence of this protein explain asymptomatic
       | infections? I wonder what percentage of the population have it.
        
         | PartiallyTyped wrote:
         | It seems that everyone has it to varying degrees, however it
         | probably doesn't seem to explain asymptomatic infections unless
         | the virus has the capacity to shed the protein which doesn't
         | seem to be the case, or that people with asymptomatic infection
         | produce enough of this protein that sars-covid-19 has hard time
         | accumulating and causing the disease, and an asymptomatic
         | patient spreads the virus to people who produce far less of
         | this protein.
         | 
         | According to the authors the protein binds "like velcro"
         | effectively immobilising and preventing infection.
         | 
         | Symptoms would occur if sufficient cells were infected thus the
         | second case sounds plausible to a degree.
         | 
         | I am not a virologist so take everything with a huge grain kf
         | salt.
        
         | jcynix wrote:
         | Everyone has it (produced) when needed, as far as I can derive
         | from
         | 
         | https://en.wikipedia.org/wiki/Leucine_rich_repeat_containing...
         | 
         | But maybe different people generate different amounts at
         | different speeds?
        
         | superkuh wrote:
         | It's very unlikely. Asymptomatic infections of aerosol spread
         | respiratory diseases are not exclusive to sars-cov-2. Most
         | people get asymptomatically infected with Influenza a every
         | single year and often infect others without even realizing it.
         | The more likely guess is that once you have humoral/serum
         | immunity to protect the body proper you just get the upper
         | respiratory infection (since mucosal tissues are not protected
         | by humoral immunity significantly). And that mucosal only
         | infection is less likely to cause serious disease.
        
         | logifail wrote:
         | > Does the existence of this protein explain asymptomatic
         | infections? I wonder what percentage of the population have it.
         | 
         | Our [unvaccinated] 8 year-old had Covid last Spring and his
         | symptoms lasted exactly one entire morning.
         | 
         | PCR swab tests were done in school on day 1, on day 2 I got a
         | frantic phone call from his school at 7am saying "keep him
         | home, he has Covid!".
         | 
         | We would not otherwise have known, since he had precisely a bit
         | of a headache. No cough, no fever. He took a paracetamol and
         | sat in front of the TV. By the afternoon the headache was gone.
         | 
         | He tested PCR positive again on day 6, so got to enjoy the full
         | 10 days' mandatory isolation, thanks to the rules in place here
         | at that time.
         | 
         | The interesting question is: what percentage of young and/or
         | healthy people actually had a severe case of Covid? We know an
         | awful lot of people who've had mild-to-insignificant cases...
        
           | incangold wrote:
           | From the point of view of someone who is immunocompromised
           | this seems like the bare minimum we can do as a society to
           | protect the vulnerable.
           | 
           | Something between "almost nothing" and "nobody leaving the
           | house" would be nice. At the moment we're at "almost
           | nothing".
        
             | sokoloff wrote:
             | Isolating and denying effective schooling to every kid who
             | comes down with a one-day mild illness for ten days does
             | not seem like a risk-proportionate response to me.
        
               | Krssst wrote:
               | Allowing a single covid-positive kid go to school means
               | contaminating a significant portion of the class's
               | students and students' parents. Ten days out of school
               | sounds fine. Long covid is a thing; being unlikely to die
               | does not mean that illness is unlikely to be life-
               | altering.
        
               | aflag wrote:
               | Why not? I don't think skipping one week and a half of
               | school when you're 8 will have any real effect in your
               | life neither in the short or long term future. Meanwhile,
               | if they get in contact with someone with some sort of
               | immunodeficiency along the way it could cause irreparable
               | damage.
        
               | jdminhbg wrote:
               | > Meanwhile, if they get in contact with someone with
               | some sort of immunodeficiency along the way it could
               | cause irreparable damage.
               | 
               | Is there any evidence this is different for Covid-19 than
               | the vast sea of other viruses kids catch but we don't PCR
               | test for?
        
               | aflag wrote:
               | Probably not. It's likely there are worse diseases out
               | there that we just don't check and keep our normal lives
               | being carriers. But once you know, it's probably better
               | to avoid. I think questioning whether or not doing a pcr
               | test is good use of resources. But I don't think skipping
               | school for a few days is where the problem resides.
        
               | gigibec wrote:
               | [dead]
        
               | callahad wrote:
               | > _one week and a half of school when you 're 8_
               | 
               | I think you're vastly underestimating how often kids
               | exhibit symptoms potentially consistent with Covid during
               | a school year.
        
               | neoromantique wrote:
               | How often do they exhibit symptoms AND trigger a PCR
               | test?
        
               | callahad wrote:
               | Oh sure. I think we're interpreting the parent comments
               | differently (i.e., I'm understanding sokoloff's and
               | aflag's comments to be about more general precautionary
               | isolation based on symptomatic illness, not necessarily
               | PCR-confirmed infection like logifail's kid.)
        
               | aflag wrote:
               | I was not really suggesting kids should be isolated
               | whenever they have any sort of possible symptoms. But if
               | you're diagnosed with some contagious illness, it's
               | probably not a bad idea to try to curb the spread.
        
               | sokoloff wrote:
               | People who recovered from C19 many weeks ago and are no
               | longer contagious can still test positive on a PCR test.
               | 
               | Catch C19, recover, get the sniffles in the next 2
               | months, get PCR tested, require a parent to take off work
               | and the kid to sit out 10 days [possibly more than once]
               | is not a reasonable policy IMO.
        
               | landemva wrote:
               | PCR test amplifies whatever was swabbed, usually from the
               | nose (an air filter). A positive result does not prove
               | there is an infection.
        
               | neoromantique wrote:
               | Testing positive months after does happen, but is
               | extremely rare, and yes, missing few days of school/work
               | is not that big of a deal considering risks involved.
        
               | sokoloff wrote:
               | I think kids are likely to catch asymptomatic or
               | extremely mild Covid annually. That'll potentially be
               | 4-5% of their educational time.
               | 
               | Kids of wealthy families with parents with flexible jobs
               | will be fine. Not every kid is in a home situation like
               | that.
        
               | maxerickson wrote:
               | You have to look at both sides of the intervention,
               | right?
               | 
               | Like if isolating that kid doesn't prevent any further
               | infections, then it isn't doing any good. If isolating
               | them for 3 days prevents a couple other kids from getting
               | infected, it's less clear.
               | 
               | Using PCR tests to evaluate clearance doesn't make sense
               | though, since they can be positive if there are fragments
               | but no viable virus.
        
               | anonymouskimmer wrote:
               | > Using PCR tests to evaluate clearance doesn't make
               | sense though, since they can be positive if there are
               | fragments but no viable virus.
               | 
               | It's a cost and time issue. The cost of filtering snot,
               | inoculating a culture dish of infectable cells with the
               | filtered snot, waiting a couple of days for the cells to
               | show signs of infection (cell swelling or bursting), and
               | then running a PCR test on the cells in the culture dish.
               | With high enough throughput you could probably do this
               | for $50 or there about, and maybe three days, to verify
               | whether they were technically still infected three days
               | ago.
        
               | maxerickson wrote:
               | A series of well administered rapid antigen tests is more
               | useful than PCR.
               | 
               | Just waiting a couple days after symptoms abate is also
               | going to bring most of the benefit of testing for
               | clearance.
        
               | aflag wrote:
               | Assuming a 180 day school year (which would actually mean
               | a 10 day period would be closer to 3-4% not 4-5%), that
               | means that half of the year they are not in school
               | anyway. So they have a good chance of catching it outside
               | of school days anyway even if they catch it annually.
               | Besides that, if that's that's a huge and consistent
               | problem, school could just reduce the number of holidays
               | by a week or so. The variance of number of school days
               | throughout the world is already larger than that.
        
               | knewter wrote:
               | You cannot believe that <3 mo of summer accounts for half
               | of the calendar year, and I know you know that 10d
               | isolation runs past the weekend
        
               | genewitch wrote:
               | There's 104 non school days regardless of any other days
               | without school. It only takes 76 other days off (June
               | 15-august 15 + 3 additional weeks off) is youe 180 days
               | off.
        
               | knewter wrote:
               | Should they still punish parents for truancy?
        
               | barbazoo wrote:
               | > Isolating and denying effective schooling to every kid
               | who comes down with a one-day mild illness for ten days
               | does not seem like a risk-proportionate response to me.
               | 
               | Example had COVID, not a one-day mild illness so it might
               | affect other children worse than the kid. I'd like to
               | know what the negative effect of that really is, my gut
               | feeling is that it's zero. People often make it sound
               | like they end up insufficiently educated and socially
               | isolated which is bs in my opinion.
        
               | sokoloff wrote:
               | > Example had COVID, not a one-day mild illness
               | 
               | Unless we are doubting the description of the parent,
               | example had mild illness (the patient's experience of ill
               | health) for _less than_ one day:
               | https://news.ycombinator.com/item?id=34752442
        
               | barbazoo wrote:
               | Tested positive for COVID
        
               | sokoloff wrote:
               | I'm not sure what point you're making there. COVID is the
               | disease. SARS-CoV2 is the pathogen. That patient's
               | individual experience is their illness.
        
               | barbazoo wrote:
               | I think it's clear to most what is meant by "tested
               | positive for COVID"
        
             | gigibec wrote:
             | [dead]
        
             | 4RealFreedom wrote:
             | Being immunocompromised, what sort of measures do you take
             | when leaving your home? Just curious about how that impacts
             | lifestyle.
        
       | superkuh wrote:
       | That's good. But the lower lungs already get seepage of body
       | serum/humoral igM and igG. If you really want to protect against
       | infections then you have to induce mucosal immunity (and get
       | tissue resident B and T cells) in the surface layer of the upper
       | respiratory. Unfortunately intramuscular vaccinations do not do
       | that, they only give serum/humoral immunity. So they're only the
       | first step to protect against serious disease.
       | 
       | India has just released it's intranasal sars-cov-2 vaccine for
       | use as of a month ago (https://www.bbc.com/news/world-asia-
       | india-64421961). I'm waiting anxiously on those large scale
       | public results. Especially as a booster after intramuscular.
        
         | buggythebug wrote:
         | What he said.
        
         | anonuser123456 wrote:
         | I think the situation is a little more complex than this. I
         | recommend reading https://www.cell.com/cell-host-
         | microbe/fulltext/S1931-3128(2...
         | 
         | In short, we have to consider that other viruses like OC43 and
         | HKU1 either do not have durable mucosal responses, or the
         | response of the immune system is to slow for the viral dynamics
         | of some viruses.
        
         | Sakos wrote:
         | I'm surprised we haven't gotten an intranasal vaccine before
         | now. We've been talking about the issues with intramuscular
         | vaccines in regards to mucosal immunity since the very
         | beginning.
        
           | Eric_WVGG wrote:
           | I believe that the technocratic culture of US medicine is
           | standing in the way of research on intranasal vaccines.
           | 
           | What you consistently hear from medical professionals is, "we
           | have this proven technology, it works, the objections to it
           | are irrational, can we please just be sensible?" So far, so
           | good... (I'm a bit of a technocrat myself)
           | 
           | But why are people so afraid of vaccines in particular? There
           | are all sorts of arguments about autism and turning frogs gay
           | or whatever, but people are still happy to take whatever
           | _pills_ the doctor prescribes and hormone-enriched fast
           | food... what makes vaccines different? It seems pretty clear
           | that people are just afraid of needles, and from an
           | evolutionary biology perspective, that 's not irrational at
           | all!
           | 
           | But "maybe we should make vaccines that won't scare people"
           | just won't get you anywhere in the US medical establishment.
           | Frightened patients aren't Serious Medicine.
        
             | Mountain_Skies wrote:
             | People are scared of needles is incredibly dismissive and
             | likely intentionally insulting. People aren't afraid of the
             | needles; they're concerned about the unknown impacts of
             | what's being injected through the needles. While needle
             | phobia exists, it's very small percentage of those who
             | didn't want the mystery chemical cocktail pushed by those
             | who openly told countless "noble" lies. The vast majority
             | of these people have had hundreds of shots over the course
             | of their lives, including many previously well tested and
             | well understood vaccines (none of which required 1984 style
             | rewriting of the dictionary).
             | 
             | Can't believe anyone is still pushing what's basically a
             | shame tactic that is typically aimed at pre-adolescents. Do
             | you feel smart or virtuous having posted that dismissive
             | and insulting reductive view of people who don't blindly
             | follow "THE SCIENCE" like you do? It's not the needles!
             | It's the contents! How is that not incredibly obvious?
        
               | Eisenstein wrote:
               | None of this address his main point of 'why the vaccines
               | when _pharma has does the same thing a bunch of times to
               | other things_ yet people still take tylenol (which is
               | demonstrably toxic and causes serious illness and death
               | all the time) '?
               | 
               | The same people who refuse the vaccine take unknown
               | substances in 'supplements' which have no regulation at
               | all. It makes no sense. Explain it.
        
               | ifyoubuildit wrote:
               | I refused the vaccine and I don't take supplements unless
               | my doctor tells me to. I don't take tylenol either, or
               | really anything else that I don't absolutely need (e.g.
               | antibiotics for an infection that won't clear on its
               | own).
               | 
               | Maybe these "same people" that you're describing exist,
               | but they definitely aren't everyone in the set of people
               | who refused the vaccine. They might just be the loud
               | people.
        
               | Eisenstein wrote:
               | Again, I am not asking for specific explanations. The
               | grandparent comment gave a theory as to why vaccines in
               | general have become fodder for public outrage, when those
               | same arguments against them work for other things that
               | are common, with the outlier being 'needles'.
               | 
               | The parent comment said 'it's not needles, don't insult
               | me! it is because _this specific vaccine_ is [same
               | argument against other things which aren 't outrage
               | fodder and not addressing any of the other established
               | vaccines which are subject to outrage]. '
               | 
               | It did nothing to explain away the needle aspect except
               | 'needle phobia is uncommon', which explains nothing since
               | a phobia is DSM classified as a 'disorder' and an
               | 'aversion to needles' wouldn't count.
               | 
               | Thanks for telling me about yourself, though. It was
               | interesting.
        
               | oaktrout wrote:
               | I can explain it. Tylenol has been around since 1955 and
               | is only demonstrably toxic in overdoses. The mrna based
               | vaccines have been only used for the past couple years,
               | hence long term side effects are unknown.
               | 
               | Not everyone who refuses the vaccine takes supplements.
               | Your comparison is like saying "why don't you take this
               | research chemical ('molly'), you smoke cannabis already".
        
               | Eisenstein wrote:
               | You didn't explain it, you explained around it.
               | 
               | I didn't ask why specifically about tylenol and
               | supplements, I said explain why the outrage over vaccines
               | and not other things.
        
               | oaktrout wrote:
               | You said "The same people who refuse the vaccine take
               | unknown substances in 'supplements' which have no
               | regulation at all. It makes no sense. Explain it." I
               | replied to that point directly.
               | 
               | The "outrage over vaccines and not other things" is in
               | part because the mrna vaccines are new technology. People
               | are hesitant to try something totally new on themselves.
        
               | Eisenstein wrote:
               | The MMR vaccines are not mRNA. You are completely missing
               | the point. See my other comment in this thread if you
               | want a specific breakdown.
        
               | Supermancho wrote:
               | >> "The same people who refuse the vaccine take unknown
               | substances in 'supplements' which have no regulation at
               | all. It makes no sense. Explain it."
               | 
               | >> The "outrage over vaccines and not other things" is in
               | part because the mrna vaccines are new technology. People
               | are hesitant to try something totally new on themselves.
               | 
               | > The MMR vaccines are not mRNA. You are completely
               | missing the point.
               | 
               | Ironic, as you now choose to ignore the explanation.
               | 
               | If you failed to explain an implicit assumption, that's
               | ok, as it's hard to communicate over forums. Introducing
               | MMR (there is no reference to this in "another post") as
               | if there was a misunderstanding on the poster's part is a
               | non-sequitor at best and dishonest at worst.
        
               | Eisenstein wrote:
               | You missing the entire context of the conversation and
               | replying to a specific part of my response to another
               | person is not a miscommunication, but OK.
               | 
               | I didn't 'introduce' anything. The grandparent post is
               | about 'vaccines' in general. the mRNA vaccine is _one_ of
               | them.
        
               | Eric_WVGG wrote:
               | Because people also get freaked out about vaccines that
               | have been proven to be safe and effective for over a
               | hundred years.
        
               | mdp2021 wrote:
               | > _safe and effective_
               | 
               | Those people maybe not being specialist cannot
               | differentiate those remedies which are "safe" as the
               | poster writes (which equals to "no risks or some risk of
               | mild impact") and those which can have catastrophic
               | impact in the relatively small set of the unlucky.
        
             | mdp2021 wrote:
             | > _people are still happy to take whatever pills_
             | 
             | Are you sure? Do you have numbers to show that (a critical
             | number would be skeptical on one side and careless or
             | trusting on the other)?
        
           | Twirrim wrote:
           | There's been a few attempts, but they haven't proven to be
           | effective, e.g.
           | https://www.nature.com/articles/d41591-022-00106-z
        
             | superkuh wrote:
             | There have been many attempts. And many of them have proven
             | successful at the ~42 person trial level that failed in
             | this particular study with a common adenovirus as the DNA
             | delivery agent. The one I linked _did work_ in large scale
             | clinical trials which is why it is now being given to the
             | public.
             | 
             | Plus intranasal influenza a vaccines have been around since
             | the 1960s. I alternate getting intramuscular and intranasal
             | influenza vaccines for best protection of myself and
             | others.
             | 
             | I'm very hopeful for this full scale intranasal roll out of
             | a proven intranasal vaccine for sars-cov-2. I am seriously
             | considering a trip to India to get it as a booster to my 4x
             | mRNA intramusculars from Moderna and BioNTech(Pfizer). I
             | just wish they'd use nebulizers instead of a simple spray.
             | Simple sprays work for the fluid dynamics scales involved
             | in small animal models but as large humans we need
             | nebulizers to get the most complete upper respiratory
             | protection.
        
             | coredog64 wrote:
             | China has been rolling one out in addition to Sinovax.
        
         | unsupp0rted wrote:
         | Asking as a laymen, any concerns about intranasal vaccines
         | bypassing the blood-brain barrier? Or is that a feature not a
         | bug?
        
       | atomicUpdate wrote:
       | > "For me, as an immunologist, the fact that there's this natural
       | immune receptor that we didn't know about, that's lining our
       | lungs and blocks and controls virus, that's crazy interesting.
       | 
       | So natural immunity is a real thing.
        
         | genewitch wrote:
         | In February or March of 2020 there were two interesting and not
         | well distributed studies. That of immunity of heavy smokers -
         | and/or those who were heavy smokers but had quit, and the other
         | was about the effects of hibiscus on the mucosal lining of the
         | lungs preventing respiratory infection.
         | 
         | I'm overburdened right now, I can't deal with any more COVID
         | studies. But when I read the title and seeing some comments I
         | wonder if the prior art is related.
        
         | [deleted]
        
         | Mountain_Skies wrote:
         | It was a wildly popular view here on Hacker New at the height
         | of covid hysteria that even those with natural immunity should
         | still be forced to get whatever injections the governments
         | deemed necessary because "it makes the paperwork easier to
         | track if everyone is required and there is ZERO RISK!
         | ABSOLUTELY ZERO RISK!!!!"
         | 
         | There are still a few holdouts here on naturally acquired
         | immunity being inferior to being given the injections but most
         | of them hinge on a theoretical fraction of a percentage
         | increase in potential protection from having both or upset at
         | the prospect that someone might lie about having had covid
         | previously and use it as an excuse to not get injected. Mostly
         | those who rushed headfirst into mindless authoritarianism are
         | trying to pretend they never participated in the hysteria.
        
           | tadfisher wrote:
           | Let's not pretend: it was a wildly popular view since the
           | invention of vaccines, because the central thesis of
           | vaccination is a numbers game; an epidemic or pandemic can be
           | stopped once the immunity of a population reaches a certain
           | threshold.
           | 
           | This was recognized in 1905 with the _Jacobson v
           | Massachusetts_ decision, in the 1950s-1960s with mass polio
           | immunization (resulting in the deaths of hundreds of children
           | to prevent the infection of hundreds of thousands in the US),
           | and today with required MMR vaccines to attend public
           | schools. The view that one should be able to opt out of
           | vaccination programs is the novel one.
        
       | LinuxBender wrote:
       | Archive Link [1]
       | 
       | [1] - https://archive.ph/FiE2r
        
       | maxerickson wrote:
       | I wonder if there are other proteins that do similar things to
       | viruses that exploit other pathways to enter cells.
       | 
       | Hard to search on with only a basic understanding of what is
       | going on.
        
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