How scientists in Pakistan are working to help prevent the current outbreak?







As we are witnessing incident rates, shooting each day in Pakistan and as always, we criticize our country for what other countries have achieved. Each country has their own problems and requires time to cope with it.
So, this article is about achievements that our country did, during this period.

1.     An inexpensive tool to diagnose COVID-19 : A kit, designed by two Associate Professors of NUST, namely, Dr. Aneela Jawed and Dr. Ali Zohaib. Although it may seem absurd to work on such a diagnostic tool that everyone is currently working on, the unique feature of this kit is that it’s cheap (“NUST made”, 2020). In Pakistan, most people can’t afford such tests and also, not being aware of how the current pandemic is and why safety precautions are important. The kit is based on assay, which can test lots of patients, as mentioned. The trial has tested about 330 blinded samples (“NUST made”, 2020). Furthermore, it has been guaranteed for its sensitivity of results (“NUST made”, 2020).
2.     Passive Purification: The initial step taken to implement this technique, to treat COVID-19 patients was by Dr. Tahir Shamsi. However, this idea to cure diseases is old. The method was implemented decades ago, treating diseases using animal plasma. In this scenario, the patients are treated with plasma of recovered patients. Furthermore, a research team of the Biotechnology team at DOW University of Health Sciences, led by Dr. Shaukat Ali, has purified multiclonal antibodies from plasma of recovered patients, to treat patients (“DOW varsity”, 2020). Antibodies within plasma, having different binding sites for single antigen on their variable region indicating binding of antibodies at different regions of antigen (a.k.a epitopes) (Lipman et. al., 2005). Although, some criteria need to be met. Not all recovered patients are able to donate their plasma. Thereby, the screening for antibodies from recovered patients are necessary to donate plasma to other patients, as well. The donation of plasma was reported in one of the news reports of  recovered patient, named Mr. Jafar, donating his plasma, upon his recovery to help others (“Coronavirus”, 2020).
3.     The impact of genetic variants of ACE2 receptors on binding with S protein: ACE2 receptors are proteins that are located on cell membranes and regulating blood pressure ,hydrolysing Angiotensin 2. These receptors are located on lungs, heart, intestine and kidneys and also act as a receptor for SARS-CoV2 to bind with its S protein and further aids in viral entry into alveolar cells by membrane fusion, upon catalysis of S protein. The binding site of ACE2 receptors are having high affinity with S protein, but depending on particular residues within binding sites and around them (Hussain et. al., 2020). So, for this study, a research group of Molecular Medicine, led by Dr. Mushtaq Hussain, at DOW University of Health Science, Karachi, Pakistan, performed this study to analyse the affinity of different variants of ACE2 receptors upon binding with S protein (Hussain et. al., 2020). It was observed that changes in amino acid sequence can affect the affinity and thereby, prevent  pathogenicity of COVID-19. This study can be useful to sort out patients, based on their genetic variants of ACE2 receptors and could save resources to screen others for COVID-19.
4.     New face masks: Like most countries, the increased rate of incidence in Pakistan has made physicians to work 24/7. With so many cases to handle, the face masks (i.e. N-95) are not available. So, a team at Jamshoro, from Mehran University of Engineering and Technology, led by Dr. Zeeshan Khatri, has designed a mask that is much safer than N-95 (“Sindh’s MUET”, 2020). This mask has four layers, unlike N-95, which has three layers. The layers comprises: 1) nonwoven skincare fabric, 2) nanofiber membrane, 3) nonwoven fabric, and, 4) anti-splash coating (“Sindh’s MUET”, 2020). The nanofiber used has pores of about 100 nanometer in diameter. This can block SARS-CoV2, due to the virus being of 150 to 200 nanometers wide (“Sindh’s MUET”, 2020). After its approval, Dr. Khatri, teamed up with his colleague, set up a startup and sold these face masks to health care professionals, within a month (“Sindh’s MUET”, 2020).
5.     Screening yourself for COVID-19, while staying at your home: This screening method is not about another lab test, where a phlebotomist comes at your home, draws your blood and goes back to the lab for screening. It’s about an app, created by  National Centre of Robotics & Automation (NCRA), NUST College of Electrical & Mechanical Engineering (CEME) (“NUST develops”, 2020). The app, named, ‘COVID CHECK PAKISTAN’, the first app for screening COVID-19 in the world, to be an Urdu app, based on Android (“NUST develops”, 2020). It is beneficial for us because, 1) It can be easily understood by you and me or any other people, who understand Urdu, and, 2) It enables us for initial screening, evaluating risks, just by staying at home (“NUST develops”, 2020).

NOW WHAT??
    About a month before, DRAP approved passive immunization for the treatment of COVID-19 patients. And currently, hospitals are  having issues with regards to shortage of plasma bags and appealing to recovered patients to donate their plasma. Furthermore, if we look at the current condition of our area, it seems that we are back to normal. Yes, we all are behaving normally, as though, there’s no COVID-19. In fact, we don’t observe PPE. We are leaving out, either without our masks, or exposing our mouths, while wearing masks. All in all, we are not maintaining safety precautions.

In brief,.....
    It’s for sure, a disease, not a plot by someone. Try searching and verify facts of whether such information is true or false. We live in an era where we get bulk of information but don’t know how to confirm its authenticity. It’s better not to depend on Chinese whispers or rumours, but instead, check whether it’s true or not.    
  And also, Pakistan is not the country at its worst. We are better than most countries. Still, there are scientists and administrators, managing to decrease incident rates in Pakistan. They do need their time with their family. So from now, make sure to observe safety precautions and stay safe. As mentioned,......

STAY HOME, STAY SAFE!!!

Written by:
Mohammad Irtaza Tafheem

REFERENCES:

Coronavirus: First successful trial of passive immunisation therapy reported in Sindh. (2020, May 11). Retrieved from:https://www.thenews.com.pk/latest/656911-coronavirus-first-successful-trial-of-passive-immunisation-therapy-reported-in-sindh

Dow varsity experts claim finding cure to COVID-19. (2020, April 14). Retrieved from: https://tribune.com.pk/story/2196945/1-duhs-sets-stage-passive-immunisation-covid-19-patients/
DRAP approves first made-in-Pakistan testing kit for Covid-19. (2020, June 12)

Hussain, M., Jabeen, N., Raza, F., Shabbir, S., Baig, A. A., Amanullah, A., & Aziz, B. (2020). Structural variations in human ACE2 may influence its binding with SARS‐CoV‐2 spike protein. Journal of medical virology.

Lipman, N. S., Jackson, L. R., Trudel, L. J., & Weis-Garcia, F. (2005). Monoclonal versus polyclonal antibodies: distinguishing characteristics, applications, and information resources. ILAR journal, 46(3), 258-268.

NUST develops bilingual app for Coronavirus screening.(2020, April 4). Retrieved from: http://www.nust.edu.pk/News/Pages/NUST-develops-bilingual-app-for-Coronavirus-screening.aspx

NUST made diagnostic kits for COVID-19 get nods from DRAP over successful lab trials. (2020, June 12), Retrieved from: http://www.nust.edu.pk/News/Pages/NUST-made-diagnostic-kits-for-COVID-19-get-nod-from-DRAP-over-successful-lab-trials.aspx

Sindh's MUET comes up with N-95 substitute. (2020, April 30). Retrieved from:https://tribune.com.pk/story/2210200/1-sindhs-muet-comes-n-95-substitute/


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