Friday, May 1, 2020

A conserved cryptic epitope.

Abstract

The outbreak of COVID-19 caused by SARS-CoV-2 virus has now become a pandemic, but there is currently very little understanding of the antigenicity of the virus. We therefore determined the crystal structure of CR3022, a neutralizing antibody previously isolated from a convalescent SARS patient, in complex with the receptor-binding domain (RBD) of the SARS-CoV-2 spike (S) protein to 3.1 Å. CR3022 targets a highly conserved epitope, distal from the receptor-binding site, that enables cross-reactive binding between SARS-CoV-2 and SARS-CoV. Structural modeling further demonstrates that the binding epitope can only be accessed by CR3022 when at least two RBD on the trimeric S protein are in the “up” conformation and slightly rotated. Overall, this study provides molecular insights into antibody recognition of SARS-CoV-2.

The ongoing outbreak of Coronavirus Disease 2019 (COVID-19) originally emerged in China during December 2019 (1) and had become a global pandemic by March 2020. COVID-19 is caused by a novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (2). Two other coronaviruses have caused world-wide outbreaks in the past two decades, namely SARS-CoV (2002–2003) and Middle East respiratory syndrome coronavirus (MERS-CoV) (2012–present). The surface spike glycoprotein (S), which is critical for virus entry through engaging the host receptor and mediating virus-host membrane fusion, is the major antigen of coronaviruses. The S proteins of SARS-CoV-2 and SARS-CoV, which are phylogenetically closely related, have an amino-acid sequence identity of around 77% (3). Such a high degree of sequence similarity raises the possibility that cross-reactive epitopes may exist.

CR3022, which was previously isolated from a convalescent SARS patient, is a neutralizing antibody that targets the receptor-binding domain (RBD) of SARS-CoV (4). The immunoglobulin heavy chain variable, diversity, and joining (IGHV, IGHD, and IGHJ) regions are encoded by germline genes IGHV5-51, IGHD3-10, and IGHJ6, while the light chain variable and joining regions are encoded by IGKV4-1 and IGKJ2 (4). Based on IgBlast analysis (5), the IGHV of CR3022 is 3.1% somatically mutated at the nucleotide sequence level, which results in eight amino-acid changes from the germline sequence, whereas IGKV of CR3022 is 1.3% somatically mutated resulting in three amino-acid changes from the germline sequence (fig. S1). A recent study has shown that CR3022 can also bind to the RBD of SARS-CoV-2 (6). This finding provides an opportunity to uncover a cross-reactive epitope. We therefore determined the crystal structure of CR3022 with the SARS-CoV-2 RBD (Fig. 1A) at 3.1 Å resolution (table S1 and fig. S2, A and B) (7). CR3022 uses both heavy and light chains (Fig. 1B), and all six complementarity-determining region (CDR) loops (Fig. 1C) for interaction with the RBD. The buried surface area on the epitope is 917 Å2 and SARS-CoV-2 recognition by CR3022 is largely driven by hydrophobic interactions (Fig. 1E). Five out of 11 somatic mutations are found in the paratope region (defined as residues on the antibody buried by RBD) (fig. S2C), implying their likely importance in the affinity maturation process.

Fig. 1 Crystal structure of CR3022 in complex with SARS-CoV-2 RBD.
(A) Overall topology of the SARS-CoV-2 spike glycoprotein. NTD: N-terminal domain, RBD: receptor-binding domain, SD1: subdomain 1, SD2: subdomain 2, FP: fusion peptide, HR1: heptad repeat 1, HR2: heptad repeat 2, TM: transmembrane region, IC: intracellular domain. (B) Structure of CR3022 Fab in complex with SARS-CoV-2 RBD. CR3022 heavy chain is colored in orange, CR3022 light chain in yellow, and SARS-CoV-2 RBD in light grey. (C and D) Epitope residues on SARS-CoV-2 are colored in cyan and green. CDR loops are labeled. Cyan: epitope residues that are conserved between SARS-CoV-2 and SARS-CoV. Green: epitope residues that are not conserved between SARS-CoV-2 and SARS-CoV. (D) Epitope residues that are important for binding to CR3022 are labeled. Epitope residues are defined here as residues in SARS-CoV-2 RBD with buried surface area > 0 Å2 after Fab CR3022 binding as calculated with PISA (34). (E) Several key interactions between CR3022 and SARS-CoV-2 RBD are highlighted. CR3022 heavy chain is colored in orange, CR3022 light chain in yellow, and SARS-CoV-2 RBD in cyan. Hydrogen bonds are represented by dashed lines.

Out of 28 residues in the epitope (defined as residues buried by CR3022), 24 (86%) are conserved between SARS-CoV-2 and SARS-CoV (Figs. 1D and 2A). This high sequence conservation explains the cross-reactivity of CR3022. Nonetheless, despite having a high conservation of the epitope residues, CR3022 Fab binds to SARS-CoV RBD (Kd = 1 nM) with a much higher affinity than to SARS-CoV-2 RBD (Kd = 115 nM) (Table 1 and fig. S3). The difference in binding affinity of CR3022 between SARS-CoV-2 and SARS-CoV RBDs is likely due to the non-conserved residues in the epitope (Fig. 2). The most dramatic difference is an additional N-glycosylation site at N370 on SARS-CoV (N357 in SARS-CoV numbering). The N-glycan sequon (NxS/T) arises from an amino-acid difference at residue 372, where SARS-CoV has a Thr compared to Ala in SARS-CoV-2 (Fig. 2B). Mass spectrometry analysis shows that a complex glycan is indeed present at this N-glycosylation site in SARS-CoV (8). An N-glycan at N370 would fit into a groove formed between heavy and light chains (Fig. 2C), which could increase contact and, hence, binding affinity to CR3022. This result also suggests that the difference in antigenicity between the RBDs of SARS-CoV-2 and SARS-CoV can at least be partially attributed to the N-glycosylation site at residue 370. We tested whether CR3022 was able to neutralize SARS-CoV-2 and SARS-CoV in an in vitro microneutralization assay (7). While CR3022 could neutralize SARS-CoV, it did not neutralize SARS-CoV-2 at the highest concentration tested (400 μg/mL) (fig. S4). This in vitro neutralization result is consistent with lower affinity binding of CR3022 for SARS-CoV-2, although other explanations are possible as outlined below.

Fig. 2 Conservation of epitope residues.
(A) Sequence alignment of SARS-CoV-2 RBD and SARS-CoV RBD. CR3022 epitope residues are colored cyan. ACE2-binding residues are colored magenta. Non-conserved epitope residues are marked by asterisks. (B to E) Interactions between the non-conserved epitope residues and CR3022 are shown. Amino-acid variants observed in SARS-CoV are in parenthesis. SARS-CoV-2 RBD is colored in cyan, CR3022 heavy chain in orange, and CR3022 light chain in yellow. Residues are numbered according to their positions on the SARS-CoV-2 S protein sequence. (B) While SARS-CoV-2 has an Ala at residue 372, SARS-CoV has a Thr, which introduces an N-glycosylation site at residue N370. (C) The potential location of N370 glycan in SARS-CoV RBD is indicated by the box. CR3022 is shown as an electrostatic potential surface presentation. (D) P384 interacts with T31, S96, and T100 of CR3022 heavy chain. Ala at this position in SARS-CoV would allow the backbone to adopt a different conformation when binding to CR3022. (E) T430 forms a hydrogen bond with S27f of CR3022 light chain. Met at this position in SARS-CoV would instead likely insert its side chain into the hydrophobic pocket formed by Y27d, I28, Y32, and W50 of CR3022 light chain.

Table 1

Binding affinity of CR3022 to recombinant RBD and S protein.

View this table:

SARS-CoV-2 uses the same host receptor, angiotensin I converting enzyme 2 (ACE2) as SARS-CoV (3, 9–11). Interestingly, the epitope of CR3022 does not overlap with the ACE2-binding site (Fig. 3A). Structural alignment of the CR3022-SARS-CoV-2 RBD complex with the ACE2-SARS-CoV-2 RBD complex (11) further indicates that binding of CR3022 would not clash with ACE2 (12). This analysis implies that the neutralization mechanism of CR3022 for SARS-CoV does not depend on direct blocking of receptor binding, which is consistent with the observation that CR3022 does not compete with ACE2 for binding to the RBD (6). Unlike CR3022, most known SARS RBD-targeted antibodies compete with ACE2 for binding to RBD (4, 13–16). The epitopes of these antibodies are very different from that of CR3022 (Fig. 3B). In fact, it has been shown that CR3022 can synergize with other RBD-targeted antibodies to neutralize SARS-CoV (4). Although CR3022 itself cannot neutralize SARS-CoV-2 in this in vitro assay, whether CR3022 can synergize with other SARS-CoV-2 RBD-targeted monoclonal antibodies for neutralization remains to be determined.

Fig. 3 The relative binding location of CR3022 with respect to receptor ACE2 and other SARS-CoV RBD monoclonal antibodies.
(A) Structures of CR3022-SARS-CoV-2 RBD complex and ACE2-SARS-CoV-2 RBD complex (11) are aligned based on the SARS-CoV-2 RBD. ACE2 is colored in green, RBD in light grey, and CR3022 in yellow. (B) Structural superposition of CR3022-SARS-CoV-2 RBD complex, F26G19-SARS-CoV RBD complex (PDB 3BGF) (35), 80R-SARS-CoV RBD complex (PDB 2GHW) (36), and m396-SARS-CoV RBD complex (PDB 2DD8) (16).

The recently determined cryo-EM structure of homotrimeric SARS-CoV-2 S protein (17, 18) demonstrated that the RBD, as in other coronaviruses (19, 20) can undergo a hinge-like movement to transition between “up” or “down” conformations (Fig. 4A). ACE2 host receptor can only interact with the RBD when it is in the “up” conformation, whereas the “down” conformation is inaccessible to ACE2. Interestingly, the epitope of CR3022 is also only accessible when the RBD is in the “up” conformation (Fig. 4, B and C). However, even when one RBD in the SARS-CoV-2 S protein is in the “up” conformation, the binding of CR3022 to RBD can still be sterically hindered. Structural alignment of CR3022-SARS-CoV-2 RBD complex with the SARS-CoV-2 S protein (17, 18) indicates that CR3022 variable region would clash with the RBD on the adjacent protomer if the latter adopted a “down” conformation. In addition, CR3022 variable domain would clash with the S2 underneath the RBD, and CR3022 constant region would clash with the N-terminal domain (Fig. 4D). Although as compared to SARS-CoV-2, the “up” conformation of the RBD in SARS-CoV has a larger dihedral angle to the horizontal plane of the S protein (fig. S5), the same clashes described above would exist in SARS-CoV S protein (fig. S6).

Fig. 4 Model of the binding of CR3022 to the homotrimeric S protein.
(A) RBD in the S proteins of SARS-CoV-2 and SARS-CoV can adopt either an “up” conformation (blue) or a “down” conformation (red). PDB 6VSB (cryo-EM structure of SARS-CoV-2 S protein) (17) is shown. (B and C) CR3022 epitope (cyan) on the RBD is exposed in (B) the “up” but not (C) the “down” conformation. (D) Binding of CR3022 to single-“up” configuration would clash (indicated by the red circles) with the S protein. Clash 1: CR3022 variable region clashes with the S2 subunit. Clash 2: CR3022 constant region clashes with NTD. Clash 3: CR3022 variable region clashes with the neighboring RBD that is in “down” conformation. CR3022 variable region is colored yellow. CR3022 constant region is colored brown. (E) Clash 3 can be resolved when the neighboring RBD is in “up” conformation (i.e., S protein in double-“up” configuration). (F) All clashes can be resolved if the targeted RBD is slightly rotated in the double-“up” configuration. The curved arrow indicates the change in CR3022 orientation due to the slight rotation of the RBD. Of note, given the elbow angle between the constant and variable domains of CR3022 is the same as observed in our crystal structure, our model shows a maximum rotation angle of around 45° for the RBD would avoid all clashes. However, the elbow region of an antibody is known to be highly flexible. Therefore, the rotation angle of the RBD could be much smaller when the spike trimer is bound to CR3022. (G) Binding of CR3022 IgG and m396 IgG to recombinant RBD proteins from SARS-CoV-2 and SARS-CoV (left panel), as well as SARS-CoV-2 and SARS-CoV viruses (right panel). Black lines indicate mean +/− standard deviation of three technical replicates.

In order for CR3022 to bind to the S protein, clashes described above need to be resolved. The clash with the CR3022 variable domain can be partially relieved when the targeted RBD on one protomer of the trimer and the RBD on the adjacent protomer are both in the “up” conformation (Fig. 4E). Of note, SARS-CoV S protein with two RBDs in the “up” conformation has been observed in cryo-EM studies (19, 21, 22). Nevertheless, clashes to N-terminal domain (NTD) and S2 would still exist in the two-“up” configuration. Further structural modeling shows that all clashes can be avoided with a slight rotation of the targeted-RBD in the double-“up” configuration (Fig. 4F). This conformational change is likely to be physiological relevant since CR3022 can neutralize SARS-CoV. In addition, our ELISA experiment demonstrated that CR3022 is able to interact with the SARS-CoV-2 virus. While the binding signals of CR3022 and m396, which is a SARS-CoV-specific antibody (Fig. 4G, left panel) (6, 17) to SARS-CoV virus were comparable in ELISA (p-value > 0.05, two-tailed t test), CR3022 had a significantly higher binding signal compared to m396 to the SARS-CoV-2 virus (p-value = 0.003, two-tailed t test) (Fig. 4G, right panel), although less than to SARS CoV, consistent with their relative binding to the RBD (Table 1 and fig. S3).

Overall, our study provides insight into how SARS-CoV-2 can be targeted by the humoral immune response and revealed a conserved, but cryptic epitope shared between SARS-CoV-2 and SARS-CoV. Recently, our group and others have identified a conserved epitope on influenza A virus hemagglutinin (HA) that is located in the trimeric interface and is only exposed through protein “breathing” (23–25), which is somewhat analogous to the epitope of CR3022. Antibodies to this influenza HA trimeric interface epitope do not exhibit in vitro neutralization activity but can confer in vivo protection. Similarly, antibodies to another conserved epitope that partially overlaps with the influenza HA trimeric interface also are non-neutralizing in vitro, but protective in vivo (26). Examples of antibodies that do not have in vitro neutralization activity but confer in vivo protection, have also been reported for influenza virus (27), herpesvirus (28), cytomegalovirus (29), alphavirus (30), and dengue virus (31). Therefore, although CR3022 does not neutralize SARS-CoV-2 in vitro, it is possible that this epitope can confer in vivo protection. Further studies will require suitable animal models, which have yet to be established.

As this coronavirus outbreak continues to pose an enormous global risk (32, 33), the availability of conserved epitopes may allow structure-based design not only of a SARS-CoV-2 vaccine, but also for cross-protective antibody responses against future coronavirus epidemics and pandemics. While a more universal coronavirus vaccine is not the most urgent goal at present, it is certainly worthwhile for future consideration especially as cross-protective epitopes are identified so that we can be better prepared for the next novel coronavirus outbreak.

Supplementary Materials

science.sciencemag.org/cgi/content/full/science.abb7269/DC1

Materials and Methods

Figs. S1 to S6

Tables S1 to S3

References (37–46)

MDAR Reproducibility Checklist

This is an open-access article distributed under the terms of the Creative Commons Attribution license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Acknowledgments: We thank Henry Tien for technical support with the crystallization robot, Jeanne Matteson for contribution to mammalian cell culture, Wenli Yu to insect cell culture, Robyn Stanfield for assistance in data collection, and Andrew Ward for discussion. Funding: This work was supported by NIH K99 AI139445 (to N.C.W.), Calmette and Yersin scholarship from the Pasteur International Network Association (to H.L.), Bill and Melinda Gates Foundation OPP1170236 (to I.A.W.), Guangzhou Medical University High-level University Innovation Team Training Program (Guangzhou Medical University released [2017] No.159) (to C.K.P.M.), National Natural Science Foundation of China (NSFC)/Research Grants Council (RGC) Joint Research Scheme (N_HKU737/18) (to C.K.P.M.). GM/CA at APS has been funded in whole or in part with Federal funds from the National Cancer Institute (ACB-12002) and the National Institute of General Medical Sciences (AGM-12006). This research used resources of the Advanced Photon Source, a U.S. Department of Energy (DOE) Office of Science User Facility operated for the DOE Office of Science by Argonne National Laboratory under Contract No. DE-AC02-06CH11357. Author contributions: M.Y., N.C.W., X.Z., C.K.P.M. and I.A.W. conceived and designed the study. M.Y., N.C.W. and C.C.D.L. expressed and purified the proteins. M.Y. and N.C.W. performed biolayer interferometry binding assays. R.T.Y.S., H.L. and C.K.P.M. performed the neutralization and virus binding experiments. M.Y., N.C.W. and X.Z. collected the X-ray data, determined and refined the X-ray structures. M.Y., N.C.W. and C.K.P.M. analyzed the data. M.Y., N.C.W. and I.A.W. wrote the paper and all authors reviewed and edited the paper. Competing interests: The authors declare no competing interests. Data and materials availability: X-ray coordinates and structure factors are deposited at the RCSB Protein Data Bank under accession code: 6W41. This work is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/. This license does not apply to figures/photos/artwork or other content included in the article that is credited to a third party; obtain authorization from the rights holder before using such material.

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Wednesday, April 29, 2020

An antibody called CR3022 cross-reacts against SARS-Cov-2

“Our ultimate goal here is to obtain structural information on antibodies and their binding sites, and use that to guide SARS-CoV-2 vaccine design, just as our lab has done with influenza and HIV,” says the study’s co-first author Nicholas Wu, PhD, a postdoctoral research associate in the Wilson lab.

The new study centers on an anti-SARS-CoV antibody called CR3022 that was originally isolated in 2006 by the pharmaceutical company Crucell Holland B.V. in the Netherlands. A report from Chinese scientists earlier this year indicated that CR3022 cross-reacts against SARS-CoV-2. Wilson’s team used their structural mapping expertise to determine how the antibody binds to SARS-CoV-2.

A key finding is that the antibody’s binding site is highly similar between the two coronaviruses—differing by just four protein building blocks called amino acids. That high degree of similarity implies that the site has an important function that would be lost if it mutated significantly.

Sunday, April 26, 2020

A Coronavirus vulnerability finally emerges.

An antibody called CR3022, produced by a patient in response to the coronavirus that causes SARS, also binds to the new coronavirus that causes COVID-19. (Image courtesy of Meng Yuan and Nicholas Wu of the Wilson lab.)

Clues to COVID-19 coronavirus’s vulnerability emerge from an antibody against SARS

A Scripps Research study reveals a likely site of vulnerability on the SARS-CoV-2 virus.

April 03, 2020

LA JOLLA, CA — An antibody recovered from a survivor of the SARS epidemic in the early 2000s has revealed a potential vulnerability of the new coronavirus at the root of COVID-19, according to a study from scientists at Scripps Research.

The study, published today in Science, is the first to map a human antibody’s interaction with the new coronavirus at near-atomic-scale resolution. Although the antibody was produced in response to an infection of SARS (severe acute respiratory syndrome), which is caused by the SARS-CoV virus, it cross-reacts with the new coronavirus, SARS-CoV-2.

The structural mapping revealed a nearly identical site on both coronaviruses to which the antibody binds, suggesting a functionally important and vulnerable site for this family of coronaviruses.

“The knowledge of conserved sites like this can aid in structure-based design of vaccines and therapeutics against SARS-CoV-2, and these would also protect against other coronaviruses—including those that may emerge in the future,” says the study’s senior author Ian Wilson, DPhil, Hansen Professor of Structural Biology and Chair of the Department of Integrative Structural and Computational Biology at Scripps Research.

SARS-CoV, which causes SARS, originated in horseshoe bats, but jumped to humans in South China in 2002, eventually infecting more than 8,000 people and killing almost 800 before it was quelled by lockdowns, quarantines and other measures.

SARS-CoV-2, a closely related coronavirus that causes COVID-19, first emerged in the Chinese city of Wuhan in late 2019. Much more infectious than its viral cousin, it has led to a pandemic, causing far more cases of illness and fatalities than SARS. The development of a vaccine or even an effective treatment could significantly ameliorate the crisis.

The Wilson lab is known for its pioneering structural studies of antibodies bound to viruses including HIV and influenza. These studies have been used to inform designs of vaccines and antibody drugs, as well as other therapeutics. Along with hundreds of other labs around the world, Wilson’s team is now focused on SARS-CoV-2.

A key finding is that the antibody’s binding site is highly similar between the two coronaviruses—differing by just four protein building blocks called amino-acids. That high degree of similarity implies that the site has an important function that would be lost if it mutated significantly.

Yet, the site’s function remains mysterious. The Scripps Research analysis found that the antibody binding site is relatively remote from the part of the virus that grabs hold of cell-surface protein receptors in preparation for penetrating cells in our lungs. That suggests that, at least for SARS-CoV, CR3022 neutralizes the virus’s ability to infect cells in some indirect way.

Adding to the mystery is the finding that the antibody binding site on these viruses is not normally accessible to antibodies.

“We found that this region is usually hidden inside the virus, and only exposed when that part of the virus changes its structure, as it would in natural infection,” says co-first author Meng Yuan, PhD, also a research associate in the Wilson lab.

Despite the slightness of difference between the two coronaviruses, the antibody binds much less tightly to SARS-CoV-2 than it does to the SARS virus, and cannot neutralize SARS-CoV-2 in lab dish tests as it does SARS-CoV.

Still, the findings suggest that the binding site for this antibody on SARS-CoV-2 is a site of vulnerability, and that antibodies binding it more tightly would plausibly succeed in neutralizing the virus. Such neutralizing antibodies, if developed into therapies, could be used to treat COVID-19 patients and to provide temporary protection from the virus to uninfected individuals, for example healthcare workers.

The fact that this binding site is highly conserved between SARS-CoV and SARS-CoV-2 also hints that there may be antibodies, still to be discovered, that can effectively neutralize both viruses—and perhaps in the same way, can neutralize future emergent coronaviruses before they can cause pandemics.

Labs at Scripps Research and throughout the world are currently seeking antibodies, via blood donations, from people who have recovered from COVID-19 for further studies along these lines.

Authors of “A highly conserved cryptic epitope in the receptor-binding domains of SARS-CoV-2 and SARS-CoV” are Meng Yuan, Nicholas Wu, Xueyong Zhu, Chang-Chun Lee, and Ian Wilson, of Scripps Research; and Ray So, Huibin Lv, and Chris Mok of the University of Hong Kong.

Support was provided in part by the National Institutes of Health (K99 AI139445) and the Bill and Melinda Gates Foundation (OPP1170236).

Infectious Diseases COVID-19 Wilson, Ian

For more information, contact press@scripps.edu

Thursday, April 23, 2020

Chinese medical information.

https://www.drugtargetreview.com/news/56895/scientists-demonstrate-how-covid-19-infects-human-cells/

----------------------------------------------------------------

The Chinese provided a large amount of information for scientific research. Go to:https://www.nature.com/articles/s41586-020-2223-y_reference.pdf

Sunday, April 19, 2020

Laboratories around the world in search of a cure.

Hello Gentle People:

There are laboratories around the world in search of a cure for the Covid-19 epidemic but so far, and after checking six potential cures, I have narrowed it down to Four with above-average promise.

Three therapies with promise against SARS-CoV-2.
1. Convalescent plasma therapy.
2. Pluristem therapy.
3. CRISPR editing.
4. ACE2

The first uses cells from the human placenta and the second uses blood plasma from patients who have recovered from Covid-19. Both these methods are being tested with some success reported against Covid-19.

The third method listed is CRISPR, a method for genetically changing the RNA or DNA of a human or animal cell. Research hints that CRISPR might be a useful tool to destroy viruses. How that will work is a good question and I am going to do some research to find out.
CRISPR does hold promise for the future but how long into the future remains anybody's guess.
The fourth ACE2, is showing good results in laboratories around the world. Chinese researchers have now used cryogenic electron microscopy (cryo-EM) to study the structure of the ACE2 when it is bound to one of its typical ligands, the amino acid transporter B⁰AT1 and also how the COVID-19 RBD may bind to the ACE2-B⁰AT1 complex. These structures have previously not been identified and could aid in producing antivirals or a vaccine that can block coronavirus infection by targeting ACE2.

----------------------------------------------------
Antiviral drugs still under study.
1. Ivermectin
2. Colchicine
3. Remdesiver
---------------------------------------------------------
New information:
The sars-coV-2 virus attacks not only the lungs but every organ in the body. Early use of a Thrombin inhibitor to prevent thromboembolism, (blood clotting) is recommended. A direct thrombin inhibitor is VE-1902, a member of a novel class of precision oral anticoagulants (PROACS) that combine effective anticoagulation with reduced bleeding.
-------------------------------------------------
The Chinese are providing a massive amount of information for scientific research. Go to:https://www.nature.com/articles/s41586-020-2223-y_reference.pdf

Thursday, April 16, 2020

First Nations band councils bought and paid for.

The 670-kilometre, $6.2 billion pipeline is buying off the Native band councils of Vancouver, one by one, however, money for nursing homes across Canada is not available.

In Canada, today, our Federal and Provincial governments claim they do not have enough money for the production of protective gear to help fend off the Corona-virus or to pay for extra doctors and nurses to work in nursing homes.

Consequently, hundreds of alone and abandoned vulnerable older people across Canada are dying alone and without help.

The truly unjust part of this story is that there is plenty of money to spend on an unwanted and dangerous gas pipeline through First Nations territory in Vancouver. For the first time in their lives, some natives are working and benefitting from the work provided by the Gas pipeline industry, but they are working by cutting down trees and preparing the way for the passage of a dangerous fossil fuel pipe-line that will continue producing CO2 and creating industrial pollution for years into the future. Natives and non- natives alike could easily be working saving forests and planting trees or working in thousands of Greenhouse gardens within reserves or on farms across the country if provided with the same amount of federal money the gas industry is receiving.
A gas industry backed by our present prime minister who is paying with our tax dollars.

If the Covid 19 SARS epidemic teaches us anything, it is that we do not have enough years to reverse or stop global warming. Do you remember global warming? Why do you think viruses are having such an easy time destroying our lives? A warmer climate breeds viruses.

For imperial Dollars and the blessing of the Prime Minister of Canada, First Nations band councils are bought and paid for by the Gas industry and are going against the history and culture of their own people while helping a dangerous and cruel industry pollute the Earth!

THE WORLD FRIENDLY HUMANITARIAN PEACE AND ECOLOGY MOVEMENT.

Friday, May 1, 2020

A conserved cryptic epitope.

A highly conserved cryptic epitope in the receptor-binding domains of SARS-CoV-2 and SARS-CoV

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Wednesday, April 29, 2020

An antibody called CR3022 cross-reacts against SARS-Cov-2

Sunday, April 26, 2020

A Coronavirus vulnerability finally emerges.

An antibody called CR3022, produced by a patient in response to the coronavirus that causes SARS, also binds to the new coronavirus that causes COVID-19. (Image courtesy of Meng Yuan and Nicholas Wu of the Wilson lab.)

Clues to COVID-19 coronavirus’s vulnerability emerge from an antibody against SARS

Thursday, April 23, 2020

Chinese medical information.

Sunday, April 19, 2020

Laboratories around the world in search of a cure.

Thursday, April 16, 2020

First Nations band councils bought and paid for.

DO YOU CONSIDER YOURSELF INTELLIGENT? GET OVER IT!

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Wednesday, April 29, 2020

Sunday, April 26, 2020

An antibody called CR3022, produced by a patient in response to the coronavirus that causes SARS, also binds to the new coronavirus that causes COVID-19. (Image courtesy of Meng Yuan and Nicholas Wu of the Wilson lab.)

Clues to COVID-19 coronavirus’s vulnerability emerge from an antibody against SARS

Thursday, April 23, 2020

Sunday, April 19, 2020

Thursday, April 16, 2020