Scientific rationale for developing potent RBD-based vaccines targeting COVID-19.

Scientific rationale for developing potent RBD-based vaccines targeting COVID-19.
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DOI:
10.1038/s41541-021-00393-6
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发表时间:
2021-10-28
期刊:
影响因子:
9.2
通讯作者:
Vaughn DW
Vaughn DW
中科院分区:
医学1区
文献类型:
--
作者:
Kleanthous H;Silverman JM;Makar KW;Yoon IK;Jackson N;Vaughn DW

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为全球人口接种COVID-19疫苗是一项重大的科学、后勤和道德挑战。尽管几种全长Spike(S)蛋白疫苗的快速开发和授权,但全球需求超过了目前的供应,需要安全、有效、大批量、负担得起的疫苗来填补这一空白,特别是在低收入和中等收入国家。基于SARS-CoV-2 S蛋白受体结合域(RBD)的疫苗是否可以填补这一空白一直存在争议,特别是关于其是否适合保护人们免受新出现的病毒变异的影响。考虑到在自然感染或疫苗接种后靶向RBD的中和抗体(nAb)(保护的关键生物标志物)的引发的优势,选择RBD作为唯一的疫苗免疫原是有价值的。由于其高产生产和制造潜力,基于RBD的疫苗以负担得起的成本提供了大量温度稳定的剂量。此外,由于RBD优先将免疫应答集中于有效的和最近公认的交叉保护决定簇,因此该域可能是未来泛肉瘤病毒疫苗开发的核心。在这项研究中,我们回顾了支持RBD作为疫苗免疫原与全长S蛋白疫苗相比在体液和细胞免疫应答方面对原型大流行SARS-CoV-2分离株和新出现的关注变体的非劣效性的数据。
Vaccination of the global population against COVID-19 is a great scientific, logistical, and moral challenge. Despite the rapid development and authorization of several full-length Spike (S) protein vaccines, the global demand outweighs the current supply and there is a need for safe, potent, high-volume, affordable vaccines that can fill this gap, especially in low- and middle-income countries. Whether SARS-CoV-2 S-protein receptor-binding domain (RBD)-based vaccines could fill this gap has been debated, especially with regards to its suitability to protect against emerging viral variants of concern. Given a predominance for elicitation of neutralizing antibodies (nAbs) that target RBD following natural infection or vaccination, a key biomarker of protection, there is merit for selection of RBD as a sole vaccine immunogen. With its high-yielding production and manufacturing potential, RBD-based vaccines offer an abundance of temperature-stable doses at an affordable cost. In addition, as the RBD preferentially focuses the immune response to potent and recently recognized cross-protective determinants, this domain may be central to the development of future pan-sarbecovirus vaccines. In this study, we review the data supporting the non-inferiority of RBD as a vaccine immunogen compared to full-length S-protein vaccines with respect to humoral and cellular immune responses against both the prototype pandemic SARS-CoV-2 isolate and emerging variants of concern.
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