The Columbus Dispatch

Adapting COVID-19 vaccines shouldn’t be too hard

If they’re needed, tweaks would just involve a swap

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How would COVID-19 vaccine makers adapt to variants? By tweaking their vaccines, a process that should be easier than coming up with the original shots.

Viruses constantly mutate as they spread, and most changes aren’t significant.

First-generation COVID-19 vaccines appear to be working against today’s variants, but makers already are taking steps to update their recipes if health authoritie­s decide that’s needed.

COVID-19 vaccines by Pfizer and Moderna are made with new technology that’s easy to update.

The so-called MRNA vaccines use a piece of genetic code for the spike protein that coats the coronaviru­s, so your immune system can learn to recognize and fight the real thing.

If a variant with a mutated spike protein crops up that the original vaccine can’t recognize, companies would swap out that piece of genetic code for a better match – if and when regulators decide that’s necessary.

Updating other COVID-19 vaccines could be more complex.

The Astrazenec­a vaccine uses a harmless version of a cold virus to carry that spike protein gene into the body. An update would require growing cold viruses with the updated spike gene.

The Food and Drug Administra­tion said studies of updated COVID-19 vaccines won’t have to be as large or long as for the first generation of shots.

Instead, a few hundred volunteers could receive experiment­al doses of a revamped vaccine and have their blood checked for signs it revved up the immune system as well as the original vaccines.

More difficult is deciding if the virus has morphed enough to modify shots.

Globally, health authoritie­s will monitor coronaviru­s mutations to spot vaccine-resistant mutations. They’d also have to decide whether any revamped vaccine should protect against more than one variant.

Overall the process would be similar to what already happens with flu vaccine. Influenza viruses mutate much faster than coronaviru­ses, so flu shots are adjusted every year and must protect against multiple strains.

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