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Debra Van Egeren

Researcher at Harvard University

Publications -  12
Citations -  235

Debra Van Egeren is an academic researcher from Harvard University. The author has contributed to research in topics: Population & Public health. The author has an hindex of 4, co-authored 12 publications receiving 72 citations. Previous affiliations of Debra Van Egeren include Boston Children's Hospital.

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Risk of rapid evolutionary escape from biomedical interventions targeting SARS-CoV-2 spike protein.

TL;DR: In this article, the authors combined an analysis of the spike protein receptor-binding domain (RBD) structure-function with an evolutionary modeling framework to predict the frequency of immune escape before and after the widespread presence of nAbs due to vaccines, passive immunization or natural immunity.
Posted ContentDOI

Risk of evolutionary escape from neutralizing antibodies targeting SARS-CoV-2 spike protein

TL;DR: Evolutionary modeling suggests that SARS-CoV-2 mutants with one or two mildly deleterious mutations are expected to exist in high numbers due to neutral genetic variation, and likewise resistance to single or double antibody combinations will develop quickly under positive selection.
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Controlling long-term SARS-CoV-2 infections can slow viral evolution and reduce the risk of treatment failure.

TL;DR: The authors used a stochastic evolutionary modeling framework to explore the emergence of fitter variants of SARS-CoV-2 during long-term infections and found that increased viral load and infection duration favor emergence of such variants.
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Individually optimal choices can be collectively disastrous in COVID-19 disease control.

TL;DR: The act of noncompliance with disease intervention measures creates a negative externality, rendering COVID-19 disease control ineffective in the short term and making complete suppression impossible in the long term, demonstrating the limits of free-market approaches to compliance with disease control measures during a pandemic.