Institute of Virology, University of Veterinary Medicine Hannover, Foundation, Hanover, Germany.
Division of Virology, Department of Veterinary Sciences, LMU Munich, Munich, Germany.
J Clin Invest. 2022 Dec 15;132(24):e159895. doi: 10.1172/JCI159895.
The SARS-CoV-2 spike (S) glycoprotein is synthesized as a large precursor protein and must be activated by proteolytic cleavage into S1 and S2. A recombinant modified vaccinia virus Ankara (MVA) expressing native, full-length S protein (MVA-SARS-2-S) is currently under investigation as a candidate vaccine in phase I clinical studies. Initial results from immunogenicity monitoring revealed induction of S-specific antibodies binding to S2, but low-level antibody responses to the S1 domain. Follow-up investigations of native S antigen synthesis in MVA-SARS-2-S-infected cells revealed limited levels of S1 protein on the cell surface. In contrast, we found superior S1 cell surface presentation upon infection with a recombinant MVA expressing a stabilized version of SARS-CoV-2 S protein with an inactivated S1/S2 cleavage site and K986P and V987P mutations (MVA-SARS-2-ST). When comparing immunogenicity of MVA vector vaccines, mice vaccinated with MVA-SARS-2-ST mounted substantial levels of broadly reactive anti-S antibodies that effectively neutralized different SARS-CoV-2 variants. Importantly, intramuscular MVA-SARS-2-ST immunization of hamsters and mice resulted in potent immune responses upon challenge infection and protected from disease and severe lung pathology. Our results suggest that MVA-SARS-2-ST represents an improved clinical candidate vaccine and that the presence of plasma membrane-bound S1 is highly beneficial to induce protective antibody levels.
严重急性呼吸综合征冠状病毒 2 刺突(S)糖蛋白作为一种大型前体蛋白合成,必须通过蛋白水解切割成 S1 和 S2 来激活。目前正在进行一项 I 期临床研究,评估一种表达天然全长 S 蛋白的重组改良安卡拉牛痘病毒(MVA)作为候选疫苗。免疫原性监测的初步结果显示,诱导了与 S2 结合的 S 特异性抗体,但 S1 结构域的抗体反应水平较低。对 MVA-SARS-2-S 感染细胞中天然 S 抗原合成的后续研究表明,S1 蛋白在细胞表面的表达水平有限。相比之下,我们发现感染表达具有失活的 S1/S2 切割位点和 K986P 和 V987P 突变的稳定 SARS-CoV-2 S 蛋白的重组 MVA 时,S1 在细胞表面的呈现更好。在比较 MVA 载体疫苗的免疫原性时,用 MVA-SARS-2-ST 接种的小鼠产生了大量广泛反应性的抗 S 抗体,这些抗体有效地中和了不同的 SARS-CoV-2 变体。重要的是,MVA-SARS-2-ST 肌肉内免疫仓鼠和小鼠可在挑战感染时引发有效的免疫反应,并预防疾病和严重的肺部病理。我们的结果表明,MVA-SARS-2-ST 代表了一种改进的临床候选疫苗,而细胞膜结合的 S1 的存在非常有利于诱导保护性抗体水平。