2023
DOI: 10.15212/zoonoses-2023-0003
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Next-Generation Vaccines against COVID-19 Variants: Beyond the Spike Protein

Abstract: Vaccines are among the most effective medical countermeasures against infectious diseases. The emergence of the Coronavirus Disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spurred scientific strategies to fight against the disease. Since 2020, in response to the pandemic, many vaccines based on different platforms have been under development, among which mRNA, adenoviral vectors, and subunit vaccines have been clinically approved for use in humans. … Show more

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Cited by 5 publications
(6 citation statements)
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“…11 Following intramuscular administration, lipid nanoparticlepackaged mRNA enters host cells via endocytosis and is translated into target proteins (as seen in Pfizer-BioNTech and Moderna vaccines) by ribosomes. 12,13 These proteins are then processed and presented as antigens on the cell surface by major histocompatibility complex (MHC) class I and II molecules, activating the T-cell receptor (TCR) and thereby stimulating the adaptive immune system. 14,15 In addition to cellular surface expression, these antigens/peptides were also being packaged into EVs.…”
Section: Discussionmentioning
confidence: 99%
“…11 Following intramuscular administration, lipid nanoparticlepackaged mRNA enters host cells via endocytosis and is translated into target proteins (as seen in Pfizer-BioNTech and Moderna vaccines) by ribosomes. 12,13 These proteins are then processed and presented as antigens on the cell surface by major histocompatibility complex (MHC) class I and II molecules, activating the T-cell receptor (TCR) and thereby stimulating the adaptive immune system. 14,15 In addition to cellular surface expression, these antigens/peptides were also being packaged into EVs.…”
Section: Discussionmentioning
confidence: 99%
“…As a result, the recruited innate immune cells capture the LNPs and process them before their internalization. An optimal LNP composition is also known to increase the RNA uptake by splenic cells and to enhance the activation of innate immune responses by significantly inducing IL-6, CXCL1, CCL2, and CXCL10 [8]. Chemokines and cytokines are involved in the recruitment of monocytes and neutrophils.…”
Section: Discussionmentioning
confidence: 99%
“…A clear picture of the innate and adaptive immune mechanisms elicited by our mRNA vaccines, which lead to broad protection against SARS-CoV-2 variants, has yet to be elucidated. After the delivery of mRNA into the cell by LNPs, mRNA encounters several important cellular PRRs, such as TLR-3, TLR-7, and TLR-8 [5,7,8]. Recent studies indicate that LNPs have the ability to stimulate the immune system [9][10][11].…”
Section: Introductionmentioning
confidence: 99%
“…Various strategies are being employed worldwide to develop COVID-19 vaccine candidates. Currently, the vaccines that have received approval for clinical trials are subunit vaccines (NVX-CoV2373 and ZF2001), mRNA vaccines (mRNA-1273, BNT162b2, and SYS6006), viral vectored vaccines (Ad26.COV2.S, ChAdOx1 nCoV-19, and Convidecia) and inactivated vaccines (CoronaVac and BBIBP-COrV) [ 2 5 ]. The subunit vaccine exhibits the highest safety profile among them [ 5 , 6 ].…”
Section: Introductionmentioning
confidence: 99%
“…Currently, the vaccines that have received approval for clinical trials are subunit vaccines (NVX-CoV2373 and ZF2001), mRNA vaccines (mRNA-1273, BNT162b2, and SYS6006), viral vectored vaccines (Ad26.COV2.S, ChAdOx1 nCoV-19, and Convidecia) and inactivated vaccines (CoronaVac and BBIBP-COrV) [ 2 5 ]. The subunit vaccine exhibits the highest safety profile among them [ 5 , 6 ]. However, most developed vaccines primarily target the Spike (S) protein due to its recognition as the principal immune-associated in protecting against SARS-CoV-2 infection [ 7 9 ].…”
Section: Introductionmentioning
confidence: 99%