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How does the Johnson & Johnson vaccine compare to other coronavirus vaccines? 4 questions answered

Maureen Ferran, Rochester Institute of Technology

The U.S. Food and Drug Administration has licensed the use of the Johnson & Johnson coronavirus vaccine in adults. Maureen Ferran, a virologist at the Rochester Institute of Technology, explains how this third licensed vaccine works and explores the variations between it and the Moderna and Pfizer–BioNTech vaccines which can be already in use.

1. How does the Johnson & Johnson vaccine work?

The Johnson & Johnson vaccine is what’s known as a viral vector vaccine.

To create this vaccine, the Johnson & Johnson staff took a innocent adenovirus – the viral vector – and changed a small piece of its genetic directions with coronavirus genes for the SARS-CoV-2 spike protein.

After this modified adenovirus is injected into somebody’s arm, it enters the particular person’s cells. The cells then learn the genetic directions wanted to make the spike protein and the vaccinated cells make and current the spike protein on their very own floor. The particular person’s immune system then notices these international proteins and makes antibodies towards them that may shield the particular person if they’re ever uncovered to SARS-CoV-2 in the future.

The adenovirus vector vaccine is protected as a result of the adenovirus can’t replicate in human cells or trigger illness, and the SARS-CoV-2 spike protein can’t trigger COVID–19 with out the remainder of the coronavirus.

This method shouldn’t be new. Johnson & Johnson used an analogous methodology to make its Ebola vaccine, and the AstraZeneca-Oxford COVID-19 vaccine can also be an adenovirus viral vector vaccine.

2. How efficient is it?

The FDA’s evaluation discovered that, in the U.S., the Johnson & Johnson COVID-19 vaccine was 72% efficient at stopping all COVID-19 and 86% efficient at stopping extreme circumstances of the illness. While there’s nonetheless an opportunity a vaccinated particular person might get sick, this implies they’d be a lot much less possible to want hospitalization or to die from COVID-19.

An identical trial in South Africa, the place a brand new, extra contagious variant is dominant, produced related outcomes. Researchers discovered the Johnson & Johnson vaccine to be barely much less efficient at stopping all sickness there – 64% total – however was nonetheless 82% efficient at stopping extreme illness. The FDA report additionally signifies that the vaccine protects towards other variants from Britain and Brazil too.

3. How is it totally different from other vaccines?

The most elementary distinction is that the Johnson & Johnson vaccine is an adenovirus vector vaccine, whereas the Moderna and Pfizer vaccines are each mRNA vaccines. Messenger RNA vaccines use genetic directions from the coronavirus to inform an individual’s cells to make the spike protein, however these don’t use one other virus as a vector. There are many sensible variations, too.

Both of the mRNA-based vaccines require two pictures. The Johnson & Johnson vaccine requires solely a single dose. This is vital when vaccines are in brief provide.

The Johnson & Johnson vaccine may also be saved at a lot hotter temperatures than the mRNA vaccines. The mRNA vaccines should be shipped and saved at under–freezing or subzero temperatures and require an advanced chilly chain to safely distribute them. The Johnson & Johnson vaccine will be saved for at the least three months in an everyday fridge, making it a lot simpler to use and distribute.

As for efficacy, it’s tough to immediately compare the Johnson & Johnson vaccine with the mRNA vaccines due to variations in how the scientific trials had been designed. While the Moderna and Pfizer vaccines are reported to be roughly 95% efficient at stopping sickness from COVID–19, the trials had been carried out over the summer time and fall of 2020, earlier than newer extra contagious variants had been circulating extensively. The Moderna and Pfizer vaccines may not be as efficient towards the new variants, and Johnson & Johnson trials had been carried out extra just lately and keep in mind the vaccine’s efficacy towards these new variants.

4. Should I select one vaccine over one other?

Although the total efficacy of the Moderna and Pfizer vaccines is larger than the Johnson & Johnson vaccine, you shouldn’t wait till you have got your alternative of vaccine – which is probably going a great distance off anyway. The Johnson & Johnson vaccine is almost pretty much as good as the mRNA-based vaccines at stopping critical illness, and that’s what actually issues.

The Johnson & Johnson vaccine and other viral-vector vaccines like the one from AstraZeneca are notably necessary for the world vaccination effort. From a public well being perspective, it’s necessary to have a number of COVID-19 vaccines, and the Johnson & Johnson vaccine is a really welcome addition to the vaccine arsenal. It doesn’t require a freezer, making it a lot simpler to ship and retailer. It’s a one-shot vaccine, making logistics a lot simpler in contrast with organizing two doses per particular person.

As many individuals as attainable want to be vaccinated as shortly as attainable to restrict the improvement of recent coronavirus variants. Johnson & Johnson is predicted to ship out practically 4 million doses as quickly as the FDA grants emergency use authorization. Having a 3rd licensed vaccine in the U.S. might be a giant step in direction of assembly vaccination demand and stopping this pandemic.

Maureen Ferran, Associate Professor of Biology, Rochester Institute of Technology

This article is republished from The Conversation underneath a Creative Commons license. Read the unique article.

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