Id |
Subject |
Object |
Predicate |
Lexical cue |
T621 |
0-19 |
Sentence |
denotes |
Vaccine Development |
T622 |
20-281 |
Sentence |
denotes |
The devastating effects of the pandemic spread of SARS-CoV-2 in a globally naive population has resulted in unprecedented efforts to rapidly develop, test, and disseminate a vaccine to protect against COVID-19 or to mitigate the effects of SARS-CoV-2 infection. |
T623 |
282-463 |
Sentence |
denotes |
Although vaccination has a long and successful history as an effective global health strategy, there are currently no approved vaccines to protect humans against CoVs (André, 2003). |
T624 |
464-672 |
Sentence |
denotes |
Previous work after the SARS-CoV-1 and MERS-CoV epidemics has provided a foundation on which many current efforts are currently building upon, including the importance of the S protein as a potential vaccine. |
T625 |
673-861 |
Sentence |
denotes |
Diverse vaccine platforms and preclinical animal models have been adapted to SARS-CoV-2, facilitating fast-moving and robust progress in creating and testing SARS-CoV-2 vaccine candidates. |
T626 |
862-998 |
Sentence |
denotes |
A number of vaccine candidates are already being tested in clinical trials, and more are continuing to progress toward clinical testing. |
T627 |
1000-1033 |
Sentence |
denotes |
The S Protein as a Vaccine Target |
T628 |
1034-1183 |
Sentence |
denotes |
Since SARS-CoV-1 first emerged, the S protein has been favored as the most promising target for vaccine development to protect against CoV infection. |
T629 |
1184-1495 |
Sentence |
denotes |
This particular viral protein has important roles in viral entry and in stimulating the immune response during natural infection and in vaccination studies of both SARS-CoV-1 and MERS-CoV (Du et al., 2009, Song et al., 2019, Zhou et al., 2018), which has also been confirmed for SARS-CoV-2 (Walls et al., 2020). |
T630 |
1496-1669 |
Sentence |
denotes |
The S protein has been found to induce robust and protective humoral and cellular immunity, including the development of nAbs and T cell-mediated immunity (Du et al., 2009). |
T631 |
1670-2143 |
Sentence |
denotes |
In animal models, correlates of protection against SARS-CoV-1 infection appear to be induction of nAbs against the S protein, although antibodies to other proteins have been detected, such as those against nucleoprotein (N) and ORF3a (Qiu et al., 2005, Sui et al., 2005). nAbs are also believed to protect against infection by blocking receptor binding and viral entry, which has been shown with pseudovirus-based neutralization assays (Ni et al., 2020, Nie et al., 2020a). |
T632 |
2144-2611 |
Sentence |
denotes |
Studies of SARS-CoV-1 indicate that T cell response against the S protein correlates with nAb titers and dominated the T cell response after natural infection, which also induced T cells active against the membrane (M) and N proteins, that memory T cell responses can persist even 11 years after infection, and that memory CD8+ T cells can protect mice from lethal challenge in the absence of memory CD4+ T cells and memory B cells (Li et al., 2008, Ng et al., 2016). |
T633 |
2612-2809 |
Sentence |
denotes |
RBD-specific antiviral T cell responses have also been detected in people who have recovered from COVID-19, further validating its promise as a vaccine target (Braun et al., 2020, Ni et al., 2020). |
T634 |
2811-2826 |
Sentence |
denotes |
Epitope Mapping |
T635 |
2827-3079 |
Sentence |
denotes |
Although the antibodies targeting the RBD of the S protein have greater potential for providing cross-protective immunity, other fragments of the S protein and additional viral proteins have been investigated as target epitopes, especially for T cells. |
T636 |
3080-3608 |
Sentence |
denotes |
Researchers have taken advantage of the genetic similarity between SARS-CoV-2 and SARS-CoV-1 and MERS-CoV and bioinformatics approaches to rapidly identify potential B and T cell epitopes in the S and other proteins, with many studies providing data regarding antigen presentation and antibody-binding properties and one study looking into the predicted evolution of epitopes (Ahmed et al., 2020, Baruah and Bose, 2020, Bhattacharya et al., 2020, Fast et al., 2020, Grifoni et al., 2020, Lon et al., 2020, Zheng and Song, 2020). |
T637 |
3609-3840 |
Sentence |
denotes |
While the S protein has been found to be the most immunodominant protein in SARS-CoV-2, the M and N proteins also contain B and T cell epitopes, including some with high conservation with SARS-CoV-1 epitopes (Grifoni et al., 2020). |
T638 |
3842-3858 |
Sentence |
denotes |
Vaccine Pipeline |
T639 |
3859-4132 |
Sentence |
denotes |
For SARS-CoV-1 and MERS-CoV, animal studies and phase I clinical trials of potential vaccines targeting the S protein had encouraging results, with evidence of nAb induction and induction of cellular immunity (Lin et al., 2007, Martin et al., 2008, Modjarrad et al., 2019). |
T640 |
4133-4249 |
Sentence |
denotes |
These findings are being translated into SARS-CoV-2 vaccine development efforts, hastening the progress drastically. |
T641 |
4250-4409 |
Sentence |
denotes |
The WHO provided a report in April that reported 63 vaccine candidates in preclinical testing and three in clinical testing (World Health Organization, 2020b). |
T642 |
4410-4516 |
Sentence |
denotes |
A recent search on May 1, 2020 on ClinicalTrials.gov revealed 10 registered vaccine candidates (Table 5 ). |
T643 |
4517-4700 |
Sentence |
denotes |
The University of Pittsburgh is also looking to move their microneedle array vaccine candidate containing a codon-optimized S1 subunit protein into clinical trials (Kim et al., 2020). |
T644 |
4701-4965 |
Sentence |
denotes |
Sanofi and GlaxoSmithKline (GSK) have recently reported their intent to collaborate and bring together Sanofi’s baculovirus expression system, which is used to produce the influenza virus vaccine, Flublok, to create an S protein vaccine adjuvanted with GSK’s AS03. |
T645 |
4966-5166 |
Sentence |
denotes |
Sinovac Biotech will also enter testing in a clinical trial in China after it was found to protect rhesus macaques from viral challenge without signs of detectable immunopathology (Gao et al., 2020c). |
T646 |
5167-5437 |
Sentence |
denotes |
Although some of these vaccine candidates are based on platforms that have been used or tested for other purposes, there remain questions regarding their safety and immunogenicity, including the longevity of any induced responses, that will require continual evaluation. |
T647 |
5438-5505 |
Sentence |
denotes |
Table 5 Vaccine Candidates Currently Registered for Clinical Trials |
T648 |
5506-5579 |
Sentence |
denotes |
Candidate Design Developer Similar Strategy ClinicalTrials.gov Identifier |
T649 |
5580-5709 |
Sentence |
denotes |
mRNA-1273 LNP-encapsulated mRNA for full-length S protein ModernaTX CMV (John et al., 2018), ZKV (Pardi et al., 2017) NCT04283461 |
T650 |
5710-5891 |
Sentence |
denotes |
BNT162a1, b1, b2, c2 LNP-encapsulated mRNA vaccines with different formats of RNA and targets, two for larger S sequence and two for optimized RBD BioNTech SE and Pfizer NCT04368728 |
T651 |
5892-6035 |
Sentence |
denotes |
INO-4800 DNA vaccine for full-length S protein Inovio Pharmaceuticals MERS-CoV (Modjarrad et al., 2019), HPV (Trimble et al., 2015) NCT04336410 |
T652 |
6036-6196 |
Sentence |
denotes |
Ad5-nCoV adenovirus type 5 encoding full-length S protein CanSino Biologics EBV (Zhu et al., 2015, Zhu et al., 2017) NCT04313127 (phase I)NCT04341389 (phase II) |
T653 |
6197-6348 |
Sentence |
denotes |
ChAdOx1 nCoV-19 adenovirus encoding full-length S protein University of Oxford MERS-CoV (Alharbi et al., 2017), IAV (Antrobus et al., 2014) NCT04324606 |
T654 |
6349-6547 |
Sentence |
denotes |
COVID-19 LV-SMENP-DC dendritic cells infected with lentivirus expressing SMENP minigenes to express COVID-19 antigens, together with activated CTLs Shenzhen Geno-Immune Medical Institute NCT04276896 |
T655 |
6548-6694 |
Sentence |
denotes |
COVID-19 aAPCs aAPCs infected with lentivirus expressing minigenes to express COVID-19 antigens Shenzhen Geno-Immune Medical Institute NCT04299724 |
T656 |
6695-6842 |
Sentence |
denotes |
bacTRL-Spike-1 live bacteria delivering plasmid encoding S protein Symvivo Corporation therapeutics reviewed (Charbonneau et al., 2020) NCT04334980 |
T657 |
6843-6950 |
Sentence |
denotes |
PiCoVacc inactivated SARS-CoV-2 vaccine Sinovac Biotech HAV, IAV, IBV, poliovirus, rabies virus NCT04352608 |
T658 |
6951-7053 |
Sentence |
denotes |
SARS-CoV-2 rS spike protein nanoparticle vaccine with or without Matrix-M adjuvant Novavax NCT04368988 |
T659 |
7054-7278 |
Sentence |
denotes |
aAPCs, artificial antigen-presenting cells; CMV, cytomegalovirus; EBV, Ebola virus; HAV, hepatitis A virus; HPV, human papillomavirus; IAV, influenza A virus; IBV, influenza B virus; LPN, lipid nanoparticle; ZKV, Zika virus. |
T660 |
7280-7290 |
Sentence |
denotes |
Challenges |
T661 |
7291-7496 |
Sentence |
denotes |
Although the development of a vaccine to protect against SARS-CoV-2 infection has progressed at an unprecedented rate and produced an impressive volume of candidates for testing, many challenges lie ahead. |
T662 |
7497-7802 |
Sentence |
denotes |
The prior knowledge gained after SARS-CoV-1 was first discovered in 2003, and the subsequent emergence of MERS-CoV in 2012 provided a significant jumpstart, but the progress of SARS-CoV-2 vaccine development has already far outstripped the point of the blueprint created before COVID-19 became a pandemic. |
T663 |
7803-8000 |
Sentence |
denotes |
While a variety of platforms are simultaneously being innovated or adapted, they each have strengths and limitations, many of which relate to the delicate balance between safety and immunogenicity. |
T664 |
8001-8161 |
Sentence |
denotes |
Many shortcuts have been taken and will continue to be taken due to the urgency of the ongoing COVID-19 pandemic, but significant concerns need to be addressed. |
T665 |
8162-8303 |
Sentence |
denotes |
One such concern involves the accumulating data supporting the initial assessment that COVID-19 is disproportionately severe in older adults. |
T666 |
8304-8516 |
Sentence |
denotes |
In conjunction with the large body of work related to immune senescence, these findings indicate that vaccine design should take into consideration the impact of aging on vaccine efficacy (Nikolich-Žugich, 2018). |
T667 |
8517-8794 |
Sentence |
denotes |
Furthermore, questions remain regarding the possibility of antibody-dependent enhancement of COVID-19, with in vitro experiments, animal studies, and two studies of COVID-19 patients supporting this possibility (Cao, 2020, Tetro, 2020, Zhang et al., 2020a, Zhao et al., 2020a). |
T668 |
8795-8969 |
Sentence |
denotes |
Assuming vaccine candidates that can safely induce protective immune responses are identified, additional major hurdles will be the production and dissemination of a vaccine. |
T669 |
8970-9268 |
Sentence |
denotes |
For some types of vaccines, large-scale production will not be as much of an issue, and infrastructure already in place to produce current Good Manufacturing Practice (cGMP)-quality biologics can be repurposed, but this will only be applicable to a subset of the candidates (Thanh Le et al., 2020). |
T670 |
9269-9691 |
Sentence |
denotes |
In order to address the urgent need and stem the COVID-19 pandemic, regulatory agencies need to continue to support rapid testing and progression of vaccine candidates, companies need to disseminate important findings directly and openly, and researchers need to investigate correlates of protection using in-depth immune monitoring of patients with a broad range of clinical presentations and clinical trial participants. |
T671 |
9692-9881 |
Sentence |
denotes |
The newly announced Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV) is designed to bring together numerous governmental and industry entities to help address this need. |