2020
DOI: 10.1038/s41586-020-2622-0
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SARS-CoV-2 mRNA vaccine design enabled by prototype pathogen preparedness

Abstract: This is a PDF file of a peer-reviewed paper that has been accepted for publication. Although unedited, the content has been subjected to preliminary formatting. Nature is providing this early version of the typeset paper as a service to our authors and readers. The text and figures will undergo copyediting and a proof review before the paper is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers apply.

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Cited by 1,301 publications
(1,319 citation statements)
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“…While it fortunately appears that SARS-CoV-2 and many of the vaccine candidates in clinical trials can readily stimulate immune responses, (see e.g. (Corbett et al, 2020; Feng et al, 2020; Mulligan et al, 2020; Suthar et al, 2020; Wu, S. et al, 2020)), stringent assessment of antigens and careful selection of delivery vehicles are still necessary before it comes to mass vaccination. Careful selection of antigens is critical for avoiding unfavorable immune reactions and disease enhancement, as in the past experienced with RSV, measles and dengue vaccines (for reviews see (Lee et al, 2020; Ruckwardt et al, 2019)).…”
Section: Discussionmentioning
confidence: 99%
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“…While it fortunately appears that SARS-CoV-2 and many of the vaccine candidates in clinical trials can readily stimulate immune responses, (see e.g. (Corbett et al, 2020; Feng et al, 2020; Mulligan et al, 2020; Suthar et al, 2020; Wu, S. et al, 2020)), stringent assessment of antigens and careful selection of delivery vehicles are still necessary before it comes to mass vaccination. Careful selection of antigens is critical for avoiding unfavorable immune reactions and disease enhancement, as in the past experienced with RSV, measles and dengue vaccines (for reviews see (Lee et al, 2020; Ruckwardt et al, 2019)).…”
Section: Discussionmentioning
confidence: 99%
“…A soluble trimeric RBD, as applied in the BNT162b1 mRNA vaccine, showed promising immunogenicity in clinical trials, including stimulation of antibodies and T cell responses (Mulligan et al, 2020; Sahin et al, 2020). In addition to trimerization, membrane anchoring seems to further improve immunogenicity, as transmembrane anchored full-length S prefusion-stabilized protein was reported to elicit higher VNA levels than corresponding secreted constructs (Corbett et al, 2020).…”
Section: Discussionmentioning
confidence: 99%
“…Introduction of two consecutive proline (PP) substitutions in the S2 subunit in the hinge loop between the CH and heptad repeat 1 (HR1) stabilized the S proteins of SARS-CoV and Middle East respiratory syndrome coronavirus (MERS-CoV) 9,10 and recently also the SARS-CoV-2 S protein in which also the furin cleavage site present at the boundary of the S1/S2 subunits was mutated 11,12 . Several vaccine approaches using different designs of the S protein (e.g., with or without stabilizing substitutions, using a wild-type (wt) signal peptide (SP) or Tissue Plasminogen Activator (tPA) SP 13 , have been described, which induce neutralizing antibodies (NAbs) and protection in animal challenge models against SARS-CoV 14 , MERS-CoV 13 , and SARS-CoV-2 infections [15][16][17][18] . It is assumed that an effective vaccine against coronavirus infections should induce NAbs and a Th1-skewed immune response.…”
Section: Introductionmentioning
confidence: 99%
“…However, for polyclonal sera, the cryo-EM approach identifies the predominant epitopes targeted. In the absence of any enrichment strategy, these are unlikely to be neutralizing epitopes, since neutralizing antibodies typically make up a small fraction of the total antibody response (45). The present methodology is similar in overall principle, to recently developed saturation mutagenesis approaches (13,35,36) to identify neutralization epitopes.…”
Section: Discussionmentioning
confidence: 93%