BR102022005518A2 - SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS ANTIGEN POLYPEPTIDE PROCESS AND ITS APPLICATION - Google Patents
SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS ANTIGEN POLYPEPTIDE PROCESS AND ITS APPLICATION Download PDFInfo
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Abstract
processo de polipeptídeo antigênico de coronavírus da síndrome respiratória aguda grave e sua aplicação. a invenção se refere ao processo caracterizado por peptídeos antigênicos de coronavírus e sua aplicação. especificamente, a invenção se refere a um polipeptídio do vírus sars- cov-2 (seq id no: 1) visando à aplicação deste no preparo de potencial vacinal contra a doença covid-19 e outras doenças infecciosas associadas, além da preparação de insumo para diagnóstico por detecção de sars-cov-2, ou preparação de medicamentos para o tratamento como antígeno de ligação a anticorpo neutralizante, tanto na medicina humana quanto veterinária.severe acute respiratory syndrome coronavirus antigenic polypeptide process and its application. The invention refers to the process characterized by coronavirus antigenic peptides and their application. specifically, the invention refers to a polypeptide from the sarscov-2 virus (seq id no: 1) aiming at its application in the preparation of vaccine potential against the covid-19 disease and other associated infectious diseases, in addition to the preparation of input for diagnosis by detection of sars-cov-2, or preparation of medicines for treatment as a neutralizing antibody-binding antigen, both in human and veterinary medicine.
Description
[001] A presente invenção trata de processo caracterizado pela utilização de polipeptídeos de SARS-CoV-2 com características antigênicas para a prevenção, diagnóstico ou tratamento da doença COVID-19 e doenças infecciosas respiratórias associadas, visando sua aplicação tanto na medicina humana quanto veterinária.[001] The present invention deals with a process characterized by the use of SARS-CoV-2 polypeptides with antigenic characteristics for the prevention, diagnosis or treatment of COVID-19 disease and associated respiratory infectious diseases, aiming for their application in both human and veterinary medicine .
[002] O Brasil tem uma das epidemias causadas pelo coronavírus 2 da síndrome respiratória aguda grave (SARS-CoV-2), de mais rápido crescimento no mundo. Devido aos limitados dados disponíveis como as avaliações do impacto de intervenções não farmacêuticas e testagem na população, além da vacinação com as vacinas existentes terem quantidade limitada para a população, são grandes os esforços no desafio do controle da disseminação viral. O coronavírus SARS-CoV-2 é um novo betacoronavírus com um genoma de s 30 kb que foi relatado pela primeira vez em dezembro de 2019 em Wuhan, China (ASTUTI, 2020; LOBO et al., 2020; MARINHO et al., 2021).[002] Brazil has one of the fastest growing epidemics caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the world. Due to the limited data available, such as assessments of the impact of non-pharmaceutical interventions and testing on the population, in addition to vaccination with existing vaccines having limited quantity for the population, there are great efforts in the challenge of controlling viral spread. The SARS-CoV-2 coronavirus is a new betacoronavirus with a genome of s 30 kb that was first reported in December 2019 in Wuhan, China (ASTUTI, 2020; LOBO et al., 2020; MARINHO et al., 2021 ).
[003] O coronavírus é uma grande família de vírus. Entre eles, coronavírus que transmitem doenças associadas a processo respiratório (como pneumonia e bronquite) como hCoV-229E, hCoV-OC43, hCoV- NL63 e hCoV-HKU1 são relativamente baixos em patogenicidade e persistem na população, distribuídos em várias regiões do mundo, muitas vezes no inverno e início da primavera. Estes coronavírus possuem alguma relação de estado conservado entre motifs de ligação com SARS- CoV-2 (LEE et al. 2020). A importância em se estudar polipeptídeos relacionados ao estado conservado de motifs de ligação é que apresentem reações imunológicas cruzadas e possibilitem gerar resposta imune eficaz contra diversas doenças respiratórias associadas ao SARS- CoV-2. E para teste de anticorpos é necessário que tenha maior especificidade (reatividade cruzada com outros coronavírus) e sensibilidade contra SARS-CoV-2. Devido estas caracteristicas dos kits de detecção de anticorpos (IgM/IgG) em uso necessitarem de reformulações além de garantir uma forma de produção nacional que viabilize custos mais baixos para compra destes kits.[003] Coronavirus is a large family of viruses. Among them, coronaviruses that transmit diseases associated with respiratory processes (such as pneumonia and bronchitis) such as hCoV-229E, hCoV-OC43, hCoV-NL63 and hCoV-HKU1 are relatively low in pathogenicity and persist in the population, distributed in various regions of the world, often in winter and early spring. These coronaviruses have some conserved state relationship between binding motifs with SARS-CoV-2 (LEE et al. 2020). The importance of studying polypeptides related to the conserved state of binding motifs is that they present cross-immunological reactions and make it possible to generate an effective immune response against various respiratory diseases associated with SARS-CoV-2. And for antibody testing, it is necessary to have greater specificity (cross-reactivity with other coronaviruses) and sensitivity against SARS-CoV-2. Due to these characteristics of the antibody detection kits (IgM/IgG) in use, they require reformulation in addition to ensuring a form of national production that enables lower costs for purchasing these kits.
[004] A estrutura genômica de SARS-CoV-2 pode ser dividida em duas regiões, a primeira codificante para proteínas não estruturais e a segunda região codificante para proteínas estruturais como proteína spike (S), proteína do envelope (E), proteína da membrana (M) proteína do nucleocapsídeo (N) e proteínas acessórias, todas elas irão compor a partícula do vírion com capacidade infecciosa em células que expressam em sua superfície o receptor da enzima conversora de angiotensina 2 (ECA2) e a serina protease transmembranar 2 (TMPRSS2), ambas auxiliando na entrada viral (ASTUTI, 2020).[004] The genomic structure of SARS-CoV-2 can be divided into two regions, the first coding for non-structural proteins and the second coding region for structural proteins such as spike protein (S), envelope protein (E), membrane (M), nucleocapsid protein (N) and accessory proteins, all of which will compose the virion particle with infectious capacity in cells that express on their surface the angiotensin-converting enzyme 2 (ACE2) receptor and the transmembrane serine protease 2 ( TMPRSS2), both helping with viral entry (ASTUTI, 2020).
[005] No ano atual de 2021, o número de indivíduos acometidos mundialmente já ultrapassa mais de 175 milhões, por outro lado o número de mortes alcançou a marca dos 4 milhões. No Brasil, já foram mais de 19 milhões de infectados e mais de 540 mil mortes, no dia 18 de julho de 2021 (DONG et al., 2020; BRASIL, 2021).[005] In the current year of 2021, the number of individuals affected worldwide already exceeds more than 175 million, on the other hand, the number of deaths has reached the 4 million mark. In Brazil, there have been more than 19 million infected people and more than 540 thousand deaths, as of July 18, 2021 (DONG et al., 2020; BRASIL, 2021).
[006] O número de infectados/hospitalizados e óbitos esta em queda em países com índices altos de vacinação além de medidas de controle como testagem. Contudo, as possibilidades terapêuticas disponíveis atualmente ainda permanecem escassas, algumas apresentam apenas efeitos parciais (e.g., proteção contra hosptitalização) ou com efeito adverso grave. Outro fator importante é a falta de testes contra COVID-19 devido aos altos custos de importação destes, se faz necessário novas ferramentas de diagnóstico nacional em benefício da saúde pública e no auxílio da vigilância epidemiológica.[006] The number of infected/hospitalized people and deaths is falling in countries with high vaccination rates in addition to control measures such as testing. However, the therapeutic possibilities currently available remain scarce, some only have partial effects (e.g., protection against hospitalization) or serious adverse effects. Another important factor is the lack of tests against COVID-19 due to their high import costs. New national diagnostic tools are necessary for the benefit of public health and to aid epidemiological surveillance.
[007] Na presente invenção, apresentamos um processo caracterizado pela utilização de polipeptídeos antigênicos de coronavírus potencial para prevenção, diagnóstico ou tratamento da doença COVID- 19 e outras doenças infecciosas associadas. Sendo assim, apresentamos uma série de invenções relacionadas ao nosso invento.[007] In the present invention, we present a process characterized by the use of potential coronavirus antigenic polypeptides for the prevention, diagnosis or treatment of COVID-19 disease and other associated infectious diseases. Therefore, we present a series of inventions related to our invention.
[008] BR 10 2020 023728 4 A2 - ATIVIDADE ANTIVIRAL DE PEPTÍDEOS SINTÉTICOS CONTRA O NOVO CORONAVÍRUS SARS- COV-2. Essa invenção, peptídeos sintéticos produzidos com base na sequência de aminoácidos de proteínas vegetais, para o combate da infecção causada pelo SARS-CoV-2. Portanto, esta invenção não faz nenhuma menção a prevenção ou tratamento específico com nenhum peptídeos referente a SARS-CoV-2.[008] BR 10 2020 023728 4 A2 - ANTIVIRAL ACTIVITY OF SYNTHETIC PEPTIDES AGAINST THE NEW CORONAVIRUS SARS-COV-2. This invention, synthetic peptides produced based on the amino acid sequence of plant proteins, to combat the infection caused by SARS-CoV-2. Therefore, this invention makes no mention of prevention or specific treatment with any peptides relating to SARS-CoV-2.
[009] PI 0606148-6 A2 - ANTICORPOS MONOCLONAIS NEUTRALIZANTES CONTRA A SÍNDROME RESPIRATÓRIA AGUDA GRAVE ASSOCIADA COM O CORONAVÍRUS. Essa invenção fornece um anticorpo isolado capaz de ligar-se ao domínio de ligação do receptor da proteína spike da síndrome respiratória aguda grave - associada com o coronavírus (SARS-CoV) de forma a inibir competitivamente a ligação da SARS-CoV para as células principais. Contudo, esta invenção não faz nenhuma menção do uso de peptídeos referentes a esta proposta.[009] PI 0606148-6 A2 - NEUTRALIZING MONOCLONAL ANTIBODIES AGAINST SEVERE ACUTE RESPIRATORY SYNDROME ASSOCIATED WITH THE CORONAVIRUS. This invention provides an isolated antibody capable of binding to the receptor-binding domain of the severe acute respiratory syndrome-associated coronavirus (SARS-CoV) spike protein in order to competitively inhibit the binding of SARS-CoV to primary cells. . However, this invention makes no mention of the use of peptides relating to this proposal.
[010] BR 10 2021 000764 8 A2 - COMPOSIÇÃO E MÉTODO PARA OBTENÇÃO DE MEDICAMENTO COM ATIVIDADE ANTIVIRAL E ANTIBACTERIANA PARA SARS- COV-2 Essa invenção descreve a composição e metodologia para obtenção de um medicamento com atividade antiviral e antibacteriana. Contudo, esta invenção não faz nenhuma menção a utilização de polipeptídeos de SARS-CoV-2.[010] BR 10 2021 000764 8 A2 - COMPOSITION AND METHOD FOR OBTAINING A MEDICINE WITH ANTIVIRAL AND ANTIBACTERIAL ACTIVITY FOR SARS-COV-2 This invention describes the composition and methodology for obtaining a medicine with antiviral and antibacterial activity. However, this invention makes no mention of the use of SARS-CoV-2 polypeptides.
[011] CA3109607 (A1) - METHODS AND REAGENTS FOR DIAGNOSIS OF SARS- COV-2 INFECTION. A invenção descreve um método de para diagnosticar infecção por SARS-CoV-2 compreendendo a etapa de detecção da presença ou ausência de um anticorpo, preferencialmente anticorpo da classe IgA. Contudo, esta invenção não faz nenhuma menção do uso de polipeptídeos referentes a esta proposta.[011] CA3109607 (A1) - METHODS AND REAGENTS FOR DIAGNOSIS OF SARS-COV-2 INFECTION. The invention describes a method for diagnosing SARS-CoV-2 infection comprising the step of detecting the presence or absence of an antibody, preferably an IgA class antibody. However, this invention makes no mention of the use of polypeptides relating to this proposal.
[012] CA3115553 (A1) - ANTI-SARS-COV-2-SPIKE GLYCOPROTEIN ANTIBODIES AND ANTIGEN-BINDING FRAGMENTS. A invenção descreve anticorpos e seus fragmentos de ligação a antígeno que se ligam especificamente a uma proteína da espícula de coronavírus e métodos para usar tais anticorpos e fragmentos para tratar ou prevenir infecções virais (por exemplo, infecções por coronavírus). Contudo, esta invenção trabalha somente com a proteína da espícula viral e em nosso trabalho, não fazemos nenhuma menção do uso de polipeptídeos referentes a esta proteína.[012] CA3115553 (A1) - ANTI-SARS-COV-2-SPIKE GLYCOPROTEIN ANTIBODIES AND ANTIGEN-BINDING FRAGMENTS. The invention describes antibodies and antigen-binding fragments thereof that specifically bind to a coronavirus spike protein and methods for using such antibodies and fragments to treat or prevent viral infections (e.g., coronavirus infections). However, this invention only works with the viral spike protein and in our work, we make no mention of the use of polypeptides referring to this protein.
[013] EP3818989 A1 - PEPTIDES AND OLIGONUCLEOTIDES FOR A SARS-COV-2 VACCINE. A invenção refere-se a peptídeos derivados da glicoproteína da espícula viral de SARS-CoV-2 e os ácidos nucleicos que codificam para o mesmo. Contudo, esta invenção não faz nenhuma menção aos peptídeos aqui proposto.[013] EP3818989 A1 - PEPTIDES AND OLIGONUCLEOTIDES FOR A SARS-COV-2 VACCINE. The invention relates to peptides derived from the SARS-CoV-2 viral spike glycoprotein and the nucleic acids that encode it. However, this invention makes no mention of the peptides proposed here.
[014] A invenção refere-se a polipeptídeos sintéticos e derivados de regiões aminoacídicas do coronavírus SARS-CoV-2 que causa a Síndrome Respiratória Aguda Grave doença COVID-19. O polipeptídeo SEQ ID NO: 1 pode ser vantajosamente usado para diagnóstico ou vacinação ou tratamento contra coronavírus, e podem proteger contra outros agentes infecciosos, por exemplo, coronavírus SARS-CoV e MERS-CoV, além de outros vírus respiratóricos com outros coronavírus que possuem sintomas similares a gripe, visando sua aplicação tanto na medicina humana quanto veterinária.[014] The invention refers to synthetic polypeptides derived from amino acid regions of the SARS-CoV-2 coronavirus that causes Severe Acute Respiratory Syndrome, COVID-19. The polypeptide SEQ ID NO: 1 can be advantageously used for diagnosis or vaccination or treatment against coronaviruses, and can protect against other infectious agents, for example, coronaviruses SARS-CoV and MERS-CoV, in addition to other respiratory viruses with other coronaviruses that have flu-like symptoms, aiming for its application in both human and veterinary medicine.
[015] As abordagens atuais tanto no diagnóstico, imunobiológicos e tratamentos são baseadas principalmente em antígenos virais inteiros e não contemplam o risco procedente de reações cruzadas devido ao compartilhamento de determinantes imunológicos entre o vírus e o hospedeiro. Abordagens que utilizem polipeptídeos proteicos de SARS- CoV-2 que são bem conservadas e expostas à superfície (tornando esse potencial imunobiológico proposto, eficaz contra diferentes sorotipos e contra possíveis mutações dos vírus), além de serem preditos para ter eficiência de ligação de epítopo tanto para MHCs de classe I e II principalmente aos MHCs que possuem maior frequencia na população brasileira, e que não lidem com o potencial de reatividade cruzada, são extremamente vantajosos na produção de potenciais de tecnologia e inovação.[015] Current approaches to diagnosis, immunobiology and treatments are mainly based on whole viral antigens and do not consider the risk of cross-reactions due to the sharing of immunological determinants between the virus and the host. Approaches that utilize SARS-CoV-2 protein polypeptides that are well conserved and exposed to the surface (making this proposed immunobiological potential effective against different serotypes and against possible mutations of the viruses), in addition to being predicted to have epitope binding efficiency both for class I and II MHCs, especially MHCs that are more frequent in the Brazilian population, and that do not deal with the potential for cross-reactivity, are extremely advantageous in the production of technology and innovation potential.
[016] Para poder gerar imunidade de duração longa, o ideal é o polipeptídeo compreender pelo menos um epítopo de célula T e um epítopos de células B, que podem induzir anticorpos neutralizantes.[016] To be able to generate long-lasting immunity, the ideal is for the polypeptide to comprise at least one T cell epitope and one B cell epitope, which can induce neutralizing antibodies.
[017] Os inventores puderam demonstrar em análises in silico (Figura1) a existência de epítopos com o potencial imunológico (https://www.iedb.org/) nos motivos “motifs” (https://www.genome.jp/tools/motif/) (Figuras 2 e 3).[017] The inventors were able to demonstrate in in silico analyzes (Figure 1) the existence of epitopes with immunological potential (https://www.iedb.org/) in the “motifs” motifs (https://www.genome.jp/ tools/motif/) (Figures 2 and 3).
[018] Além disso, todos os polipeptídeos da presente invenção têm várias vantagens sobre quaisquer outras alternativas no possíveis diagnósticos, vacinas ou tratamento como curtos tempos de preparação, baixos custos de produção, são fáceis de armazenar e administrar, possuem perfil de segurança favorável e podem ser administrados de forma única ou repetida, por serem derivados proteicos de SARS- CoV-2, os peptídeos da invenção podem ser facilmente sintetizados.[018] Furthermore, all polypeptides of the present invention have several advantages over any other alternatives in possible diagnostics, vaccines or treatment such as short preparation times, low production costs, are easy to store and administer, have a favorable safety profile and can be administered singly or repeatedly, as they are protein derivatives of SARS-CoV-2, the peptides of the invention can be easily synthesized.
[019] Caracterizando-se efetivamente como uma alternativa na prevenção como potencial vacinal, diagnóstico ou tratamento de doenças infecciosas causadas por coronavírus ou doenças similares.[019] Effectively characterizing itself as an alternative in prevention as a potential vaccine, diagnosis or treatment of infectious diseases caused by coronaviruses or similar diseases.
[020] Nossas análises mostram que para os objetivos da presente invenção os polipeptídeos SEQ ID NO: 1, podem ter efeito de 0,1μg/kg a 4mg/kg.[020] Our analyzes show that for the purposes of the present invention, the polypeptides SEQ ID NO: 1 can have an effect from 0.1μg/kg to 4mg/kg.
[021] Do ponto de vista da administração destes polipeptídeos para a obtenção de efeitos preventivos, de diagnóstico ou terapêuticos para doenças causada por coronavírus ou doenças similares, utilizamos as seguintes alternativas.[021] From the point of view of administering these polypeptides to obtain preventive, diagnostic or therapeutic effects for diseases caused by coronaviruses or similar diseases, we use the following alternatives.
[022] A sequência polipeptídica relacionada com a presente invenção pode ser sintetizada artificialmente por qualquer equipamento de síntese polipeptídica existente in vitro e diferentes princípios técnicos. O método de obtenção inclui principalmente as etapas de síntese de polipeptídeos, purificação e coleta do produto final. Essas tecnologias serão desenvolvidas e programadas e são amplamente utilizadas em campos relacionados.[022] The polypeptide sequence related to the present invention can be artificially synthesized by any existing in vitro polypeptide synthesis equipment and different technical principles. The obtaining method mainly includes the steps of polypeptide synthesis, purification and collection of the final product. These technologies will be developed and programmed and are widely used in related fields.
[023] Os polipeptídeos da invenção pode ser conjugado com proteína de fusão com função de transporte e imunomoduladora de resposta imune derivada de um agente infeccioso, compreendendo uma proteína imunogênica (e.g., hemaglutinina de influenza, toxóide de difteria, toxóide de pertussis, toxóide de tétano e antígêno de superfície do vírus da hepatite B).[023] The polypeptides of the invention can be conjugated with a fusion protein with a transport and immune response immunomodulatory function derived from an infectious agent, comprising an immunogenic protein (e.g., influenza hemagglutinin, diphtheria toxoid, pertussis toxoid, tetanus and hepatitis B virus surface antigen).
[024] Os polipeptídeos da invenção pode ser administrado em combinação com outros potenciais imunogênicos de peptídeos derivados de patógenos virais e não virais (e. g., outros coronavírus), de preferência, peptídeos que estão presentes apenas nos patógenos e ausentes no hospedeiro humano.[024] The polypeptides of the invention can be administered in combination with other potential immunogenic peptides derived from viral and non-viral pathogens (e.g., other coronaviruses), preferably, peptides that are present only in the pathogens and absent in the human host.
[025] Polipeptídeos podem atuar sinergicamente com adjuvantes. Isso se aplica aos peptídeos da presente invenção na composição de pelo menos um adjuvante. O adjuvante pode ser, por exemplo, hidróxido de alumínio, fosfato de alumínio, alúmen (sulfato de alumínio), emulsão com MF59, lipídeo monofosforil A (MPL), adjuvante sistema 04 (AS04, monofosforil lipídeo A adsorvido em hidróxido de alumínio), oligonucleotídeos CpG, polylCLC, QS21 (extrato de saponina purificado), ISCOMs, por exemplo, adjuvante ISCOMATRIX, adjuvante completo de Freund (a/o emulsão de um óleo mineral, parafina e micobactérias inativadas), adjuvante de Freund incompleto (emulsão a/o de óleo mineral, parafina sem micobactéria), montanide ISA720, montanide ISA51 (ambas as emulsões a/o com esqualeno como óleo e mono-oleato como surfactante), sistema adjuvante 02 (AS02, compreendendo esqualeno e dois adjuvantes imunes hidrofóbicos, MPL e QS-21), lipossomas . De preferência, o adjuvante é admitido para uso em animais e em humanos.[025] Polypeptides can act synergistically with adjuvants. This applies to the peptides of the present invention in the composition of at least one adjuvant. The adjuvant may be, for example, aluminum hydroxide, aluminum phosphate, alum (aluminum sulfate), emulsion with MF59, monophosphoryl lipid A (MPL), adjuvant system 04 (AS04, monophosphoryl lipid A adsorbed on aluminum hydroxide), CpG oligonucleotides, polylCLC, QS21 (purified saponin extract), ISCOMs, e.g. ISCOMATRIX adjuvant, complete Freund's adjuvant (w/o emulsion of a mineral oil, paraffin and inactivated mycobacteria), incomplete Freund's adjuvant (w/o emulsion of mineral oil, paraffin without mycobacteria), montanide ISA720, montanide ISA51 (both w/o emulsions with squalene as oil and mono-oleate as surfactant), adjuvant system 02 (AS02, comprising squalene and two hydrophobic immune adjuvants, MPL and QS -21), liposomes. Preferably, the adjuvant is permitted for use in animals and humans.
[026] A composição pode, por exemplo, ser uma solução aquosa (à base de água). A solução também pode compreender um tampão fisiológico (PBS ou solução de Ringer). A composição pode ser adequada para administração em animais e humanos. A solução pode conter um conservante ou pode ser desprovida de conservantes.[026] The composition may, for example, be an aqueous (water-based) solution. The solution may also comprise a physiological buffer (PBS or Ringer's solution). The composition may be suitable for administration to animals and humans. The solution may contain a preservative or may be devoid of preservatives.
[027] Em alternativa, a solução pode ser seca (liofilizada) ou seca na forma de pulverização. Antes do uso, pode ser reconstituído em água para preparações injetáveis. Uma forma seca da composição da invenção pode compreender açucares como, por exemplo, trealose.[027] Alternatively, the solution can be dried (lyophilized) or dried in spray form. Before use, it can be reconstituted in water for injections. A dry form of the composition of the invention may comprise sugars such as, for example, trehalose.
[028] ASTUTI, I. Y. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2): An overview of viral structure and host response. Diabetes Metab Syndr.v. 14, n. 4, p.407-412. 2020.[028] ASTUTI, I. Y. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2): An overview of viral structure and host response. Diabetes Metab Syndr.v. 14, no. 4, p.407-412. 2020.
[029] BRASIL. Ministério da Saúde (BR). Painel de casos de doença pelo coronavírus 2019 (COVID-19) no Brasil pelo Ministério da Saúde [Internet]. Brasília: Ministério da Saúde; 2020. [Acesso em: 12 Jul. 2021]. Disponível em: https://covid.saude.gov.br/[029] BRAZIL. Ministry of Health (BR). Panel of coronavirus disease 2019 (COVID-19) cases in Brazil by the Ministry of Health [Internet]. Brasília: Ministry of Health; 2020. [Accessed on: 12 Jul. 2021]. Available at: https://covid.saude.gov.br/
[030] DONG, et al. An interactive web-based dashboard to track COVID-19 in real time. The Lancet infectious diseases, v. 20, n. 5, p. 533534, 2020.[030] DONG, et al. An interactive web-based dashboard to track COVID-19 in real time. The Lancet infectious diseases, vol. 20, no. 5, p. 533534, 2020.
[031] LEE, C. Yi-Pin et al. Serological approaches for COVID-19: epidemiologic perspective on surveillance and control. Frontiers in immunology, v. 11, p. 879, 2020.[031] LEE, C. Yi-Pin et al. Serological approaches for COVID-19: epidemiological perspective on surveillance and control. Frontiers in immunology, vol. 11, p. 879, 2020.
[032] LOBO, A. P. et al. COVID-19 epidemic in Brazil: Where are we at?. International Journal of Infectious Diseases, v. 97, p. 382-385, 2020.[032] LOBO, A. P. et al. COVID-19 epidemic in Brazil: Where are we at?. International Journal of Infectious Diseases, vol. 97, p. 382-385, 2020.
[033] MARINHO, P. R. D. et al. Covid-19 in Brazil: A sad scenario. Cytokine & Growth Factor Reviews, 2020.[033] MARINHO, P. R. D. et al. Covid-19 in Brazil: A sad scenario. Cytokine & Growth Factor Reviews, 2020.
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