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(Bateman et al., 29423816) N-acetylcysteine can be used in patients with a history of anaphylactoid reactions (although it may be wise to initiate the infusion at a lower dose and pre-treat with antihistamines)

Although the precise mechanisms that underlie the observed differences between the neutralizing titers elicited by membrane-anchored gH/gL and the ectodomain are not clear, we note that a similar phenomenon was observed when comparing mRNA delivery of membrane-anchored and secreted MERS Spike protein 63 , and that mRNA-based SARS-CoV-2 vaccines are based on full length rather than secreted spike proteins 63,64,65,66