Id |
Subject |
Object |
Predicate |
Lexical cue |
T1 |
0-61 |
Sentence |
denotes |
The outbreak of SARS-CoV-2 pneumonia calls for viral vaccines |
T2 |
63-254 |
Sentence |
denotes |
The outbreak of 2019-novel coronavirus disease (COVID-19) that is caused by SARS-CoV-2 has spread rapidly in China, and has developed to be a Public Health Emergency of International Concern. |
T3 |
255-327 |
Sentence |
denotes |
However, no specific antiviral treatments or vaccines are available yet. |
T4 |
328-444 |
Sentence |
denotes |
This work aims to share strategies and candidate antigens to develop safe and effective vaccines against SARS-CoV-2. |
T5 |
446-633 |
Sentence |
denotes |
An outbreak of 2019-novel coronavirus (SARS-CoV-2) that causes atypical pneumonia (COVID-19) has raged in China since mid-December 2019 and has spread to 26 countries (February 20, 2020). |
T6 |
634-807 |
Sentence |
denotes |
The epidemic was identified by the first four cases confirmed on December 29, 2019 and was traced to the Huanan Seafood Wholesale Market, Wuhan city, Hubei Province, China1. |
T7 |
808-948 |
Sentence |
denotes |
A total of 75,465 cases with SARS-CoV-2 infections have been confirmed up to date (February 20, 2020), and 2,236 people have died in China2. |
T8 |
949-1158 |
Sentence |
denotes |
COVID-19 spreads rapidly by human-to-human transmission with a median incubation period of 3.0 days (range, 0 to 24.0), and the time from symptom onset to developing pneumonia is 4.0 days (range, 2.0 to 7.0)3. |
T9 |
1159-1307 |
Sentence |
denotes |
Respiratory droplets and direct contact are conventional transmission routes for SARS-CoV-2, and fecal-to-oral transmission might also have a role3. |
T10 |
1308-1380 |
Sentence |
denotes |
Fever, dry cough, and fatigue are common symptoms at onset of COVID-194. |
T11 |
1381-1476 |
Sentence |
denotes |
Most patients have lymphopenia and bilateral ground-glass opacity changes on chest CT scans4,5. |
T12 |
1477-1579 |
Sentence |
denotes |
No specific antiviral treatments or vaccines are available because it is a new emerging viral disease. |
T13 |
1580-1642 |
Sentence |
denotes |
Development of SARS-CoV-2-based vaccines is urgently required. |
T14 |
1643-1871 |
Sentence |
denotes |
The entire virus particle-based preparation of vaccines, including inactivated and attenuated virus vaccines is advisable, because it is based on previous studies about the prevention and control of seasonal influenza vaccines6. |
T15 |
1872-2012 |
Sentence |
denotes |
The first SARS-CoV-2 (Wuhan-Hu-1) was successfully sequenced and its genomic sequence submitted to GenBank on January 5, 2020 (Accession no. |
T16 |
2013-2026 |
Sentence |
denotes |
MN908947.3)7. |
T17 |
2027-2269 |
Sentence |
denotes |
Subsequently large-scale culture of SARS-CoV-2 was quickly performed, and an inactivated virus vaccine could be prepared through the employment of established physical and chemical methods such as UV light, formaldehyde, and β-propiolactone8. |
T18 |
2270-2579 |
Sentence |
denotes |
The development of attenuated-virus vaccines is also possible by carefully screening the serially propagated SARS-CoV-2 with reduced pathogenesis such as induced minimal lung injury, diminished limited neutrophil influx, and increased anti-inflammatory cytokine expressions compared with the wild-type virus9. |
T19 |
2580-2683 |
Sentence |
denotes |
Both inactivated and attenuated virus vaccines have their own disadvantages and side effects (Table 1). |
T20 |
2684-2814 |
Sentence |
denotes |
Alternatively, new vaccine designs based on the putative protective antigen/peptides derived from SARS-CoV-2 should be considered. |
T21 |
2815-2884 |
Sentence |
denotes |
Table 1 Advantages and disadvantages of different vaccine strategies. |
T22 |
2885-2937 |
Sentence |
denotes |
Vaccine strategy Advantages Disadvantages References |
T23 |
2938-3091 |
Sentence |
denotes |
Inactivated virus vaccines Easy to prepare; safety; high-titer neutralizing antibodies Potential inappropriate for highly immunosuppressed individuals 25 |
T24 |
3092-3241 |
Sentence |
denotes |
Attenuated virus vaccines Rapid development; induce high immune responses Phenotypic or genotypic reversion possible; can still cause some disease 25 |
T25 |
3242-3455 |
Sentence |
denotes |
Subunit vaccines High safety; consistent production; can induce cellular and humoral immune responses; high-titer neutralizing antibodies High cost; lower immunogenicity; require repeated doses and adjuvants 12,14 |
T26 |
3456-3578 |
Sentence |
denotes |
Viral vector vaccines Safety; induces high cellular and humoral immune responses Possibly present pre-existing immunity 12 |
T27 |
3579-3728 |
Sentence |
denotes |
DNA vaccines Easier to design; high safety; high-titer neutralizing antibodies Lower immune responses in humans; repeated doses may cause toxicity 23 |
T28 |
3729-3870 |
Sentence |
denotes |
mRNA vaccines Easier to design; high degree of adaptability; induce strong immune responses Highly unstable under physiological conditions 23 |
T29 |
3871-4143 |
Sentence |
denotes |
Accumulated releases of SARS-CoV-2 genomes such as GenBank accession numbers MN908947.3, MN975262.1, NC_045512.2, MN997409.1, MN985325.1, MN988669.1, MN988668.1, MN994468.1, MN994467.1, MN988713.1, and MN938384.1 facilitate the development of virus-based subunit vaccines. |
T30 |
4144-4478 |
Sentence |
denotes |
SARS-CoV-2, which is similar to SARS-CoV and Middle East respiratory syndrome coronavirus (MERS-CoV), is an enveloped, single- and positive-stranded RNA virus with a genome comprising 29,891 nucleotides, which encode the 12 putative open reading frames responsible for the synthesis of viral structural and nonstructural proteins7,10. |
T31 |
4479-4599 |
Sentence |
denotes |
A mature SARS-CoV-2 has four structural proteins, namely, envelope (E), membrane (M), nucleocapsid (N), and spike (S)10. |
T32 |
4600-4721 |
Sentence |
denotes |
All these proteins may serve as antigens to stimulate neutralizing antibodies and increase CD4+/CD8+ T-cell responses8,9. |
T33 |
4722-4957 |
Sentence |
denotes |
However, subunit vaccines require multiple booster shots and suitable adjuvants to work, and certain subunit vaccines such as hepatitis B surface antigen, PreS1, and PreS2 may fail to yield protective response when tested clinically11. |
T34 |
4958-5076 |
Sentence |
denotes |
The DNA and mRNA vaccines that are easier to design and proceed into clinical trials very quickly remain experimental. |
T35 |
5077-5174 |
Sentence |
denotes |
The viral vector-based vaccines could also be quickly constructed and used without an adjuvant12. |
T36 |
5175-5297 |
Sentence |
denotes |
However, development of such vaccines might not start until antigens containing the neutralizing epitopes are identified8. |
T37 |
5298-5441 |
Sentence |
denotes |
The E and M proteins have important functions in the viral assembly of a coronavirus, and the N protein is necessary for viral RNA synthesis13. |
T38 |
5442-5639 |
Sentence |
denotes |
Deletion of E protein abrogated the virulence of CoVs, and several studies have explored the potential of recombinant SARS-CoV or MERS-CoV with a mutated E protein as live attenuated vaccines13,14. |
T39 |
5640-5959 |
Sentence |
denotes |
The M protein can augment the immune response induced by N protein DNA vaccine against SARS-CoV;15 however, the conserved N protein across CoV families implies that it is not a suitable candidate for vaccine development, and the antibodies against the N protein of SARS-CoV-2 do not provide immunity to the infection16. |
T40 |
5960-6047 |
Sentence |
denotes |
The critical glycoprotein S of SARS-CoV-2 is responsible for virus binding and entry16. |
T41 |
6048-6161 |
Sentence |
denotes |
The S precursor protein of SARS-CoV-2 can be proteolytically cleaved into S1 (685 aa) and S2 (588 aa) subunits10. |
T42 |
6162-6273 |
Sentence |
denotes |
The S2 protein is well conserved among SARS-CoV-2 viruses and shares 99% identity with that of bat SARS-CoVs10. |
T43 |
6274-6401 |
Sentence |
denotes |
The vaccine design based on the S2 protein may boost the broad-spectrum antiviral effect and is worth testing in animal models. |
T44 |
6402-6590 |
Sentence |
denotes |
Antibodies against the conserved stem region of influenza hemagglutinin have been found to exhibit broadly cross-reactive immunity, but are less potent in neutralizing influenza A virus17. |
T45 |
6591-6781 |
Sentence |
denotes |
In contrast, the S1 subunit consists of the receptor-binding domain (RBD), which mediates virus entry into sensitive cells through the host angiotensin-converting enzyme 2 (ACE2) receptor18. |
T46 |
6782-6865 |
Sentence |
denotes |
The S1 protein of 2019-nCoV shares about 70% identity with that of human SARS-CoVs. |
T47 |
6866-7048 |
Sentence |
denotes |
The highest number of variations of amino acids in the RBD is located in the external subdomain, which is responsible for the direct interaction between virus and host receptor10,18. |
T48 |
7049-7155 |
Sentence |
denotes |
Blocking the initial entry of a virus is proposed as a successful strategy in controlling viral infection. |
T49 |
7156-7349 |
Sentence |
denotes |
Based on SARS vaccine development, most vaccine candidates target the S protein, which induces neutralizing antibody responses and stimulates a protective cellular immunity against SARS-CoVs12. |
T50 |
7350-7524 |
Sentence |
denotes |
Bukreyev et al.19 showed that immunization of African green monkeys with the full-length S protein of SARS-CoV protects monkeys from subsequent homologous SARS-CoV challenge. |
T51 |
7525-7672 |
Sentence |
denotes |
Administration of SARS-CoV RBD proteins can also induce highly potent neutralizing antibodies and long-term protective immunity in animal models20. |
T52 |
7673-7874 |
Sentence |
denotes |
Thus, the generation of antibodies targeting the S1 subunit of SARS-CoV-2 would be an important preventive and treatment strategy that can be tested further in suitable models before clinical trials10. |
T53 |
7875-8008 |
Sentence |
denotes |
Vaccine delivery modality and immunization strategy are important issues to be considered for achieving effective antiviral immunity. |
T54 |
8009-8264 |
Sentence |
denotes |
As a cause of respiratory tract infection and as demonstrated by the findings of SARS-CoV-2 in stools1,21, administration of vaccines by oral or aerosol routes will induce mucosal immune responses and are possible modes of SARS-CoV-2 vaccine immunization. |
T55 |
8265-8547 |
Sentence |
denotes |
A safe DNA vector for preparation of DNA vaccines22, an attenuated virus strain for design of chimeric viral vaccines23, and engineered safe bacteria for production of membrane vesicle-vaccines24 could be explored for vaccine delivery and are worth investigating in the near future. |
T56 |
8548-8633 |
Sentence |
denotes |
We can assume that virus-based vaccines should prove valuable in combatting COVID-19. |
T57 |
8634-8854 |
Sentence |
denotes |
In addition to the entire virus particle-associated inactivated or attenuated viral vaccines, the subunit candidates, such as S1 protein and/or the RBD element of SARS-CoV-2, are also valuable targets for vaccine design. |
T58 |
8855-9147 |
Sentence |
denotes |
Combining subunit vaccines with established or new adjuvants such as alum versus modern adjuvants such as the GSK AS series of adjuvants may represent a faster and safer strategy to move through early clinical development with the caveat that the protective efficacy may not be strong enough. |
T59 |
9148-9305 |
Sentence |
denotes |
As a result, immunizing the subunit vaccines with proper delivery platforms and immunization strategies to enhance the immune responses should be considered. |
T60 |
9306-9466 |
Sentence |
denotes |
We expect researchers who are racing against time will bring a new SARS-CoV-2-based vaccine from gene sequence to clinical testing in approximately 16–20 weeks. |
T61 |
9468-9603 |
Sentence |
denotes |
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
T62 |
9605-9621 |
Sentence |
denotes |
Acknowledgements |
T63 |
9622-9801 |
Sentence |
denotes |
This work was supported by the National Key Biosafety Technology Research and Development Program of China (2017YFC1200404-4), and the Biosafety Research Program of PLA (17SAZ08). |
T64 |
9803-9823 |
Sentence |
denotes |
Author contributions |
T65 |
9824-9896 |
Sentence |
denotes |
W.S. and Y.R. wrote the manuscript: Y.Y. and X.R. edited the manuscript. |
T66 |
9898-9917 |
Sentence |
denotes |
Competing interests |
T67 |
9918-9961 |
Sentence |
denotes |
The authors declare no competing interests. |