Nirmatrelvir exerts distinct antiviral potency against different human coronaviruses.

Nirmatrelvir is the main component of Paxlovid, an oral antiviral drug approved for the treatment of COVID-19 caused by SARS-COV-2 infection. Nirmatrelvir targets the main protease (Mpro), which is substantially conserved among different coronaviruses. Here, our molecular docking analysis indicates comparable affinity of nirmatrelvir binding to the Mpro enzymes of SARS-CoV-2 and three seasonal coronaviruses (OC43, 229E and NL63). However, in cell culture models, we found that nirmatrelvir potently inhibited SARS-CoV-2, OC43 and 229E, but not NL63. The insensitivity of NL63 to nirmatrelvir treatment was demonstrated at both viral replication and infectious titer levels. The antiviral activity of nirmatrelvir against OC43 and 229E was further confirmed in human airway organoids. The combination of nirmatrelvir and molnupiravir exerted differential patterns of antiviral response against OC43 and 229E. These results revealed disparities in the ability of nirmatrelvir to inhibit different coronaviruses, and caution against repurposing of nirmatrelvir as a pan-coronavirus treatment.

Factors Associated With COVID-19 Vaccine Response in Transplant Recipients: A Systematic Review and Meta-analysis.

BACKGROUND: The rapid development and universal access to vaccines represent a milestone in combating the coronavirus disease 2019 (COVID-19) pandemic. However, there are major concerns about vaccine response in immunocompromised populations in particular transplant recipients. In the present study, we aim to comprehensively assess the humoral response to COVID-19 vaccination in both orthotopic organ transplant and allogeneic hematopoietic stem cell transplant recipients. METHODS: We performed a systematic review and meta-analysis of 96 studies that met inclusion criteria. RESULTS: The pooled rates of seroconversion were 49% (95% confidence interval [CI], 43%-55%) in transplant recipients and 99% (95% CI, 99%-99%) in healthy controls after the second dose of vaccine. The pooled rate was 56% (95% CI, 49%-63%) in transplant recipients after the third dose. Immunosuppressive medication is the most prominent risk factor associated with seroconversion failure, but different immunosuppressive regimens are associated with differential outcomes in this respect. Calcineurin inhibitors, steroids, or mycophenolate mofetil/mycophenolic acid are associated with an increased risk of seroconversion failure, whereas azathioprine or mammalian target of rapamycin inhibitors do not. Advanced age, short interval from receiving the vaccine to the time of transplantation, or comorbidities confers a higher risk for seroconversion failure. CONCLUSIONS: Transplant recipients compared with the general population have much lower rates of seroconversion upon receiving COVID-19 vaccines. Immunosuppressants are the most prominent factors associated with seroconversion, although different types may have differential effects.

Research on coVID-19 Public Opinion Guidance Strategies based on Social Media

Objective: To study effective public Opinion guidance Strategies for COVID-19 To help create a good public opinion atmosphere To combat the epidemic. Methods: Between January 2020 and May comments under the ＂People's Daily,＂ the Official blog of data as the Basis, Combining with the status quo at home and abroad, The status quo analysis was carried out on the outbreak of the New Champions League Public Opinion, and text Mining, LDA Subject to review data Modeling analysis, On the basis of emotion classification to further explore the influence factors of positive and negative emotions. The public paid more attention to The information of epidemic prevention and control, Resumption of work and prevention and control measures. The factors influencing people's positive emotions include The advanced typical, of fighting against The epidemic and The firm faith in Defeating the epidemic. The negative emotions of the public are affected by the severe situation of the epidemic, the delay in returning to work and school, And the impact of entry and exit on an epidemic prevention and control. Conclusion: Suggestions and puts forward from three aspects:＂Authoritative information report is timely and effective＂, ＂temperature ＂publicity stimulates positive energy＂ and ＂innovative publicity strengthens the public opinion guidance＂.