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ENirenberg's profile
Edward Nirenberg
Edward Nirenberg
Edward Nirenberg
@ENirenberg

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Edward Nirenberg

@ENirenberg

Views my own. Anti-disease. Big Nerd Energy. Compliments not accepted; constructive criticism from qualified individuals strongly preferred. he/him

United States
deplatformdisease.com
Joined September 2016

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    Edward Nirenberg‏ @ENirenberg Apr 29

    There's a thought I've had that's been bugging me and I'd love feedback from the pros on this point: I really don't like the term "natural immunity" to describe the immunity that develops after contracting and getting over an infectious disease.

    3:07 PM - 29 Apr 2021
    • 38 Retweets
    • 171 Likes
    • Kate Gerrand Peggy Coons Phoenix Rebecca M. Neil Hardman Kristie E N Clarke, MD MSCR AWalker Jennifer Berkley Dr Imogen Lesser Woods 💙
    15 replies 38 retweets 171 likes
      1. New conversation
      2. Edward Nirenberg‏ @ENirenberg Apr 29

        I think it would be better to use the term "disease-acquired" or "infection-acquired" and contrast that with "vaccine-acquired" immunity. I think that this terminology is more precise and superior for the following reasons:

        7 replies 33 retweets 208 likes
        Show this thread
      3. Edward Nirenberg‏ @ENirenberg Apr 29

        Firstly, for the purposes of public science communication, it's important to be mindful that the term "natural" carries with it certain connotations that are not necessarily congruous with reality:https://www.nature.com/articles/s41562-020-0891-0 …

        1 reply 5 retweets 75 likes
        Show this thread
      4. Edward Nirenberg‏ @ENirenberg Apr 29

        In using the term "natural immunity" it becomes easy to overlook that that immunity comes at the cost of infection which may mean disease, disability, or death. It also concatenates well with the notion of childhood rite of passage diseases which as a concept is abhorrent to me.

        3 replies 7 retweets 77 likes
        Show this thread
      5. Edward Nirenberg‏ @ENirenberg Apr 29

        Using the labels "disease-acquired" or "infection-acquired" makes it salient that this form of immunological protection may come at significant costs, in contrast with "vaccine-acquired" which is substantially lower risk.

        3 replies 5 retweets 72 likes
        Show this thread
      6. Edward Nirenberg‏ @ENirenberg Apr 29

        Outside of the purposes of public sci-comm the term implies a misleading dichotomy that vaccine immunity is somehow unnatural. While the immune responses to a vaccine may differ substantively from those that occur with infection depending on the vaccine and infectious disease...

        2 replies 1 retweet 43 likes
        Show this thread
      7. Edward Nirenberg‏ @ENirenberg Apr 29

        I think it a stretch to suggest that the immune response to a vaccine is "unnatural." For the most part it relies on the same basic processes to generate memory and immunological effectors as any response to an infection might.

        1 reply 2 retweets 51 likes
        Show this thread
      8. Edward Nirenberg‏ @ENirenberg Apr 29

        I think that the concept of "natural immunity" implies with it that there has to be a concept of "unnatural immunity" to go with it and the closest thing I can think of that applies to that would be chimeric antigen receptor technology...

        3 replies 2 retweets 37 likes
        Show this thread
      9. Edward Nirenberg‏ @ENirenberg Apr 29

        and other ex vivo work that produces an immunological effector directly within a cell without an immune response per se e.g.:https://immunology.sciencemag.org/content/4/35/eaax0644 …

        1 reply 1 retweet 27 likes
        Show this thread
      10. Edward Nirenberg‏ @ENirenberg Apr 29

        That said, for the same reasons that I think the connotations of the term "natural" pose issues, I think that unnatural should be refrained from as a descriptor of such technologies.

        1 reply 1 retweet 28 likes
        Show this thread
      11. Edward Nirenberg‏ @ENirenberg Apr 29

        I recognize here that I have treated "naturalness" to be a dichotomy rather than a spectrum, but I think in this context that is preferable because there is no reliable way to quantify naturalness to allow for meaningful comparisons.

        1 reply 1 retweet 33 likes
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      12. Edward Nirenberg‏ @ENirenberg Apr 29

        So... am I totally off-base here?

        17 replies 0 retweets 27 likes
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      13. End of conversation

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