在應對武肺的方針上,中國現時共有兩款滅活疫苗處於臨床研究Phase3的過程。1149Please respect copyright.PENANAjK0hzLkVH31149Please respect copyright.PENANA66nYRPF9l3
1149Please respect copyright.PENANALOGgAfjdKC
兩款設計理念相同的疫苗分別為香港人相對較為認識的科興(Sinovac),以及國營機構(Sinopharm/CNBG)。1149Please respect copyright.PENANAobtB716Ok2
1149Please respect copyright.PENANAEKsVb5qnmJ
只不過,既然設計理念相同,那麼兩者的分別究竟何在呢?1149Please respect copyright.PENANASbKGMEtBlo
1149Please respect copyright.PENANASxmeeoIjIT
1149Please respect copyright.PENANAffxkB3tcJu
(圖2)在深入兩者分別前,我們需要理解一下滅活疫苗的製造方式。1149Please respect copyright.PENANAfJobZd45tg1149Please respect copyright.PENANAGazLR8NJs1
1149Please respect copyright.PENANAmsCoAQN6sV
首先,醫生或科學家會從一名進入深切治療部的中國病患肺部體液中抽取病毒,經過數輪實驗室細胞的培植,最後加入化學物消減病毒的感染力以及多重過濾,最終取得弱化的武肺病毒作疫苗的原材料。1149Please respect copyright.PENANAEUswWoroS8
1149Please respect copyright.PENANAb888mtNS0z
從病人體液中抽取病毒後,病毒便可經由實驗室細胞無限量地培植,不需再向病人作任何的抽取動作。1149Please respect copyright.PENANAYbdQoVJTIp
1149Please respect copyright.PENANA8KuRUKvfCe
(圖3)根據現有文獻(Ref1及Ref2),科興疫苗的病毒原材料為CN2 strain,而國營疫苗的病毒原材料為WIV04 strain;1149Please respect copyright.PENANAno4lWHxx4N
為方便有興趣的讀者,兩者排組的超連結已列在文末。1149Please respect copyright.PENANAX4DzXZgCkS1149Please respect copyright.PENANA6UD2EGyJ2z
1149Please respect copyright.PENANAus7WH66GGd
比較兩款疫苗的病毒原材料的氨基酸排組,兩者在學界所認定的區域中接近是一模一樣,唯一的方別就處於Orf8區域上,箇中有著一顆氨基酸的差別不同。1149Please respect copyright.PENANA81FdSUvu17
1149Please respect copyright.PENANAOsEZUeb6UN
(圖4)Orf8的84號位置氨基酸經常被錄得變異,而科興及國營所用的病毒原材料,在該位置的氨基酸並不相同。1149Please respect copyright.PENANACZYBMj3Xtv1149Please respect copyright.PENANAS3J1ofE5fX
1149Please respect copyright.PENANA3Zhb9S28iy
1149Please respect copyright.PENANAyGDkSgY1x2
(圖5)另外,兩款疫苗均用上化學物beta-propiolactone(BPL)消減病毒感染力。籠統來說,BPL能夠與蛋白質產生化學作用,因而能夠對病毒的各種結構作出一定程度的「破壞」。1149Please respect copyright.PENANAiMBTu0uLaQ1149Please respect copyright.PENANAMcEfFIPn77
1149Please respect copyright.PENANAa3b1kH32dc
這化學物較常用在消毒手術工具等方面,基於這物質揮發性較高,消毒完成後可透過加熱或真空的方式移除化學物。1149Please respect copyright.PENANAJ17yEKzUsu
但基於其致癌的性質,這化學物並不適宜動用在沒有專業工具或設施的日常方面。1149Please respect copyright.PENANAAMUxHXzD8X
1149Please respect copyright.PENANAL8Kru0Jh1L
有趣的是,根據文獻記載,科興疫苗所用的BPL消毒時間為24小時,而國營疫苗所用的BPL消毒時間為48小時。1149Please respect copyright.PENANAGuFXCehsro
兩者有所差別的原因暫時不詳,有可能是兩者所用的BPL濃度有所不同,因此所需的消毒時間亦有分別。1149Please respect copyright.PENANAhxTKU9cd8y
1149Please respect copyright.PENANAsGSpLbzeTB
有心的讀者可以比對一下兩款疫苗所用的BPL濃度,本人暫時找不到相關資料作出比對。1149Please respect copyright.PENANA7LPP1wmgfE
1149Please respect copyright.PENANAUeJaKZLLar
除病毒原料排組、BPL消毒時間外,兩款疫苗在製作上可能亦有著截然不同的分別,但本人閱覽現知已公開的文獻資料後並找不出適當的資料作對比,非常歡迎有心人提供可作引用的公開資料作補充。1149Please respect copyright.PENANAVcOUHgm9qD
1149Please respect copyright.PENANAoO0Vz5youQ
而在物流的處理上,根據新華社報導(Ref5),中國已在公開第三期臨床報告前為四百五十萬人注射國產疫苗,而國營疫苗手頭上暫時共有一千萬枝疫苗,2021年預計能生產一億枝疫苗(Ref6)。1149Please respect copyright.PENANACvPWNgjPa3
1149Please respect copyright.PENANAV5m3OY9f5G
而讓人振奮的是,中國在12月31日的公開記者會上表示(Ref5),將會免費為所有中國人注射國產疫苗。1149Please respect copyright.PENANAgYgDPSX002
1149Please respect copyright.PENANAN4wX59nHgA
然而,繼新年賀辭及淘寶上均被遺忘的香港,在法庭上雖已遵照人民日報的領導下將肥佬黎再度囚禁,但亦未能獲得中國的垂青,只能跟巴西及土耳其等國家一樣,獲取購買科興疫苗的權利,而不能得到中國人免費注射國產疫苗的恩賜。1149Please respect copyright.PENANAvdpJTbgEGo
1149Please respect copyright.PENANAriV38mmOW4
1149Please respect copyright.PENANAxxY9Pf9TEX
CN2 strain排組: https://www.ncbi.nlm.nih.gov/nuccore/MT407650.1/ (Sinovac)1149Please respect copyright.PENANAnQ1LaGcFz8
WIV04 strain排組:https://www.ncbi.nlm.nih.gov/nuccore/MN996528.1/ (Sinopharm)1149Please respect copyright.PENANALEZom4yyEx
Ref1:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7202686/1149Please respect copyright.PENANA59IjK11X4l
Ref2:https://jamanetwork.com/journals/jama/fullarticle/27696121149Please respect copyright.PENANAjbd4h1EItt
Ref3:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7577707/1149Please respect copyright.PENANAozrCzLgRIv
Ref4:https://science.sciencemag.org/content/370/6522/12631149Please respect copyright.PENANAVe940TquD5
Ref5:http://www.xinhuanet.com/english/2020-12/31/c_139632627.htm1149Please respect copyright.PENANAS0M5As8IoQ
Ref6:https://www.sciencemag.org/news/2020/12/it-s-crazy-upbeat-covid-19-vaccine-news-china-and-uk-leave-scientists-wanting-more1149Please respect copyright.PENANAbOoIqdGygh
1149Please respect copyright.PENANAoWI2k2ALT8
1149Please respect copyright.PENANATziqX5SlAe
有興趣接收科學資訊的話,歡迎follow IG: potatopigtongue。1149Please respect copyright.PENANAl9sX1LZL4Q
1149Please respect copyright.PENANA2Pwuchl6PE
https://www.instagram.com/potatopigtongue/1149Please respect copyright.PENANA3msB5scIMH