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      An mRNA-based T-cell-inducing antigen strengthens COVID-19 vaccine against SARS-CoV-2 variants

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          Abstract

          Herd immunity achieved through mass vaccination is an effective approach to prevent contagious diseases. Nonetheless, emerging SARS-CoV-2 variants with frequent mutations largely evaded humoral immunity induced by Spike-based COVID-19 vaccines. Herein, we develop a lipid nanoparticle (LNP)-formulated mRNA-based T-cell-inducing antigen, which targeted three SARS-CoV-2 proteome regions that enriched human HLA-I epitopes (HLA-EPs). Immunization of HLA-EPs induces potent cellular responses to prevent SARS-CoV-2 infection in humanized HLA-A*02:01/DR1 and HLA-A*11:01/DR1 transgenic mice. Of note, the sequences of HLA-EPs are highly conserved among SARS-CoV-2 variants of concern. In humanized HLA-transgenic mice and female rhesus macaques, dual immunization with the LNP-formulated mRNAs encoding HLA-EPs and the receptor-binding domain of the SARS-CoV-2 B.1.351 variant (RBD beta) is more efficacious in preventing infection of SARS-CoV-2 Beta and Omicron BA.1 variants than single immunization of LNP- RBD beta . This study demonstrates the necessity to strengthen the vaccine effectiveness by comprehensively stimulating both humoral and cellular responses, thereby offering insight for optimizing the design of COVID-19 vaccines.

          Abstract

          The authors show that an mRNA-based T-cell-inducing antigen combined with the receptor-binding domain of the SARS-CoV-2 spike protein strengthens the COVID19 vaccine against SARS-CoV-2 variants, suggesting improved vaccine designs that comprehensively stimulate both humoral and cellular responses.

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          Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine

          Abstract Background Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and the resulting coronavirus disease 2019 (Covid-19) have afflicted tens of millions of people in a worldwide pandemic. Safe and effective vaccines are needed urgently. Methods In an ongoing multinational, placebo-controlled, observer-blinded, pivotal efficacy trial, we randomly assigned persons 16 years of age or older in a 1:1 ratio to receive two doses, 21 days apart, of either placebo or the BNT162b2 vaccine candidate (30 μg per dose). BNT162b2 is a lipid nanoparticle–formulated, nucleoside-modified RNA vaccine that encodes a prefusion stabilized, membrane-anchored SARS-CoV-2 full-length spike protein. The primary end points were efficacy of the vaccine against laboratory-confirmed Covid-19 and safety. Results A total of 43,548 participants underwent randomization, of whom 43,448 received injections: 21,720 with BNT162b2 and 21,728 with placebo. There were 8 cases of Covid-19 with onset at least 7 days after the second dose among participants assigned to receive BNT162b2 and 162 cases among those assigned to placebo; BNT162b2 was 95% effective in preventing Covid-19 (95% credible interval, 90.3 to 97.6). Similar vaccine efficacy (generally 90 to 100%) was observed across subgroups defined by age, sex, race, ethnicity, baseline body-mass index, and the presence of coexisting conditions. Among 10 cases of severe Covid-19 with onset after the first dose, 9 occurred in placebo recipients and 1 in a BNT162b2 recipient. The safety profile of BNT162b2 was characterized by short-term, mild-to-moderate pain at the injection site, fatigue, and headache. The incidence of serious adverse events was low and was similar in the vaccine and placebo groups. Conclusions A two-dose regimen of BNT162b2 conferred 95% protection against Covid-19 in persons 16 years of age or older. Safety over a median of 2 months was similar to that of other viral vaccines. (Funded by BioNTech and Pfizer; ClinicalTrials.gov number, NCT04368728.)
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            SARS-CoV-2-specific T cell immunity in cases of COVID-19 and SARS, and uninfected controls

            Memory T cells induced by previous pathogens can shape susceptibility to, and the clinical severity of, subsequent infections1. Little is known about the presence in humans of pre-existing memory T cells that have the potential to recognize severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Here we studied T cell responses against the structural (nucleocapsid (N) protein) and non-structural (NSP7 and NSP13 of ORF1) regions of SARS-CoV-2 in individuals convalescing from coronavirus disease 2019 (COVID-19) (n = 36). In all of these individuals, we found CD4 and CD8 T cells that recognized multiple regions of the N protein. Next, we showed that patients (n = 23) who recovered from SARS (the disease associated with SARS-CoV infection) possess long-lasting memory T cells that are reactive to the N protein of SARS-CoV 17 years after the outbreak of SARS in 2003; these T cells displayed robust cross-reactivity to the N protein of SARS-CoV-2. We also detected SARS-CoV-2-specific T cells in individuals with no history of SARS, COVID-19 or contact with individuals who had SARS and/or COVID-19 (n = 37). SARS-CoV-2-specific T cells in uninfected donors exhibited a different pattern of immunodominance, and frequently targeted NSP7 and NSP13 as well as the N protein. Epitope characterization of NSP7-specific T cells showed the recognition of protein fragments that are conserved among animal betacoronaviruses but have low homology to 'common cold' human-associated coronaviruses. Thus, infection with betacoronaviruses induces multi-specific and long-lasting T cell immunity against the structural N protein. Understanding how pre-existing N- and ORF1-specific T cells that are present in the general population affect the susceptibility to and pathogenesis of SARS-CoV-2 infection is important for the management of the current COVID-19 pandemic.
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              Immunology of COVID-19: current state of the science

              The coronavirus disease 2019 (COVID-19) pandemic, caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has affected millions of people worldwide, igniting an unprecedented effort from the scientific community to understand the biological underpinning of COVID19 pathophysiology. In this review, we summarize the current state of knowledge of innate and adaptive immune responses elicited by SARS-CoV-2 infection and the immunological pathways that likely contribute to disease severity and death. We also discuss the rationale and clinical outcome of current therapeutic strategies as well as prospective clinical trials to prevent or treat SARS-CoV-2 infection.
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                Author and article information

                Contributors
                linjinzhong@fudan.edu.cn
                qsun@imbcams.com.cn
                pengxiaozhong@pumc.edu.cn
                gongcheng@mail.tsinghua.edu.cn
                Journal
                Nat Commun
                Nat Commun
                Nature Communications
                Nature Publishing Group UK (London )
                2041-1723
                23 May 2023
                23 May 2023
                2023
                : 14
                : 2962
                Affiliations
                [1 ]GRID grid.510951.9, ISNI 0000 0004 7775 6738, Institute of Infectious Diseases, , Shenzhen Bay Laboratory, ; Shenzhen, 518132 China
                [2 ]GRID grid.12527.33, ISNI 0000 0001 0662 3178, Tsinghua-Peking Joint Center for Life Sciences, School of Medicine, , Tsinghua University, ; Beijing, 100084 China
                [3 ]GRID grid.470124.4, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, , First Affiliated Hospital of Guangzhou Medical University, ; Guangzhou, 510182 China
                [4 ]GRID grid.506261.6, ISNI 0000 0001 0706 7839, National Kunming High-level Biosafety Primate Research Center, Institute of Medical Biology, , Chinese Academy of Medical Sciences and Peking Union Medical College, ; Kunming, 650118 China
                [5 ]GRID grid.410740.6, ISNI 0000 0004 1803 4911, State Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, , Academy of Military Medical Sciences, ; Beijing, 100071 China
                [6 ]GRID grid.268099.c, ISNI 0000 0001 0348 3990, Zhejiang Provincial Key Laboratory of Medical Genetics, Key Laboratory of Laboratory Medicine, Ministry of Education, School of Laboratory Medicine and Life Sciences, , Wenzhou Medical University, ; Wenzhou, 325035 China
                [7 ]GRID grid.507993.1, ISNI 0000 0004 1776 6707, Wenzhou Central Hospital, ; Wenzhou, 325000 China
                [8 ]GRID grid.12527.33, ISNI 0000 0001 0662 3178, Beijing Advanced Innovation Center for Structural Biology, Beijing Frontier Research Center for Biological Structure, MOE Key Laboratory of Bioorganic Phosphorus Chemistry & Chemical Biology, School of Pharmaceutical Sciences, , Tsinghua University, ; Beijing, 100084 China
                [9 ]GRID grid.8547.e, ISNI 0000 0001 0125 2443, State Key Laboratory of Genetic Engineering, School of Life Sciences, Zhongshan Hospital, Shanghai Institute of Infectious Disease and Biosecurity, , Fudan University, ; Shanghai, 200438 China
                [10 ]GRID grid.208078.5, ISNI 0000000419370394, Department of Immunology, School of Medicine, , the University of Connecticut Health Center, ; Farmington, CT 06030 USA
                Author information
                http://orcid.org/0000-0003-1675-9735
                http://orcid.org/0000-0003-4861-4573
                http://orcid.org/0000-0002-7332-1871
                http://orcid.org/0000-0001-5666-8526
                http://orcid.org/0000-0003-1376-3827
                http://orcid.org/0000-0002-9592-9554
                http://orcid.org/0000-0001-7447-5488
                Article
                38751
                10.1038/s41467-023-38751-8
                10204679
                37221158
                94ea222e-e03c-4ed8-bfda-5bb5973e4fed
                © The Author(s) 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 22 March 2023
                : 12 May 2023
                Funding
                Funded by: FundRef https://doi.org/10.13039/501100001809, National Natural Science Foundation of China (National Science Foundation of China);
                Award ID: 32188101
                Award ID: 31825001
                Award ID: 81961160737
                Award ID: 82271872
                Award ID: 32100755
                Award Recipient :
                Funded by: The Emergency Key Program of Guangzhou Laboratory (EKPG21-33); Innovation Team Project of Yunnan Science and Technology Department (202105AE160020); Tsinghua-Foshan Innovation Special Fund (TFISF) (2022THFS6124); Shenzhen San-Ming Project for prevention and research on vector-borne diseases.
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                © Springer Nature Limited 2023

                Uncategorized
                rna vaccines,cellular immunity,sars-cov-2,viral infection
                Uncategorized
                rna vaccines, cellular immunity, sars-cov-2, viral infection

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