Scientists investigate why some people never get COVID. This could help with vaccinations in the long term.

At the start of the pandemic in 2021, Hugh Potter had dinner and watched TV with his spouse as she coughed violently from COVID-19, but he didn’t even sniff.

It is believed that some other people may not have contracted COVID because they were careful about exposure. Alternatively, other people may have been inflamed but have no symptoms. Another option is that other people have a genetic merit that makes them super-evaders.

“Good luck,” said Potter, 68. Where I work, I think almost everyone has had it. “Some didn’t know that the Pickering, Ontario, resident had been on the run since the early years of the pandemic.

Today, experts examining the genes of such rare people have gained unexpected insights.

Last week, scientists writing in the journal Nature described increased activity of an express gene in other people who have not been infected. And as part of a follow-up studies project, Potter provided DNA from saliva samples to researchers at McGill University Health Centre. for those who possess golden armor opposed to the virus.

The researchers hope that through a greater understanding of early immune responses, the bureaucracy of nasal spray vaccines against the coronavirus, similar to the current FluMist to save influenza, can be expanded.

Although others want to worry about the pandemic emergency, the virus is still present and is killing about 20 more people every week in Canada. The World Health Organization reported more than 2,600 new deaths in April, bringing the total number of reported cases to more than 775 million, adding up to more than seven million deaths worldwide.  

To get some clues about what makes other people super evasive, in March 2021, researchers from the United Kingdom’s COVID-19 Human Challenge study administered a low dose of the original form of SARS-CoV-2 through the nose to 36 healthy adult volunteers. They then carefully monitored how long it took their immune cells to get going. None have been exposed to the virus or vaccinated before.

Participants who gained detailed blood and nose monitoring were divided into 3 groups:

Christopher Chiu, a professor of infectious diseases at Imperial College London, and his co-authors observed peak levels of activity in a gene called HLA-DQA2. The gene is helping to signal invaders to the immune formula so it can temporarily destroy the virus.

For medical researchers, the study offers a detailed look at what happens in immune responses to the virus in the nose and blood, as well as how they interact.

Immunologists who were not involved in the British study say they don’t know why or how this specific gene provides protection.

“If I had been asked to bet cash on the genes involved in protection, those are the ones I would have chosen,” said Professor Dawn Bowdish, Canada’s research chair in ageing and immunity at McMaster University in Hamilton.

The genuine real estate agent’s motto: location, location, location applies, Bowdish said, because our noses, blood and lungs differ in the timing and timing of immune responses.

For example, the vaccines we receive in the arm are designed so that our immune formula responds as a component of adaptive immunity.

HLA genes detect the cause and provide it to the immune system’s fighting cells.

While the specific HLA in the study is more effective at blocking COVID infection, it’s not necessarily higher overall, as it’s also linked to certain diseases such as lupus and rheumatoid arthritis, Dr. Kelly said. Lynora Saxinger, an infectious disease specialist at the University of Alberta. .

In other people who contracted a prolonged infection in the study, it took some time for their immune systems to focus their efforts on the spaces lining the nasal lining, such as the nose, Saxinger said. Conversely, the findings of those that have evolved the fastest immune reaction may simply revitalize the nasal vaccine box.

Teams of researchers from McMaster and the University of Ottawa are among those aiming to design inhaled vaccines in the form of a nasal spray or metered-dose inhaler not only to prevent the threat of serious illness requiring hospitalization and death from COVID, such as exists. Vaccines do it, but to absolutely block infection. Training

Bowdish said the activation of immune cells in the nose by scientists will be enough to kill the virus. But in the new study, all the cells involved in recruiting immune responses in the mouth, nose and lungs were important.

“We’re hoping to move toward a world where we’re going to use inhaled or nasal vaccines, and that gives us some clues about the express immune genes that we need those vaccines to activate to protect us,” Bowdish said.

Saxinger called the opportunity to block the infection “really big,” adding that it is also vital to figure out how to eliminate the virus as quickly as possible to prevent asymptomatic spread.

The pandemic picture of variants and immunity through vaccines is now very different than when the volunteers were exposed in the study. Some other people get COVID as variants evolve to evade immune defenses. And COVID disease continues to push some elderly and vulnerable people to their limits while they are hospitalized, doctors say.

Next, British researchers plan to test the potential of several nasal spray vaccines against the coronavirus family that includes SARS-CoV-2, MERS, and four seasonal cold viruses in exposure trials in more humans.

“There may be some common characteristics that would allow you to receive preventative or very early treatment,” Saxinger said.  

Journalist

Amina Zafar covers science and healthcare for CBC. She is a contributor to CBC Health’s Second Opinion, which won silver for Best Editorial Newsletter at the 2024 Digital Publishing Awards. She has a bachelor’s degree in environmental science and a master’s degree in journalism.

With CBC’s Marcy Cuttler

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