Development of CpG-adjuvanted stable prefusion SARS-CoV-2 spike antigen as a subunit vaccine against COVID-19

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Abstract

The COVID-19 pandemic caused by the novel coronavirus SARS-CoV-2 is a worldwide health emergency. The immense damage done to public health and economies has prompted a global race for cures and vaccines. In developing a COVID-19 vaccine, we applied technology previously used for MERS-CoV to produce a prefusion-stabilized SARS-CoV-2 spike protein by adding two proline substitutions at the top of the central helix (S-2P). To enhance immunogenicity and mitigate the potential vaccine-induced immunopathology, CpG 1018, a Th1-biasing synthetic toll-like receptor 9 (TLR9) agonist was selected as an adjuvant candidate. S-2P was combined with various adjuvants, including CpG 1018, and administered to mice to test its effectiveness in eliciting anti-SARS-CoV-2 neutralizing antibodies. S-2P in combination with CpG 1018 and aluminum hydroxide (alum) was found to be the most potent immunogen and induced high titer of spike-specific antibodies in sera of immunized mice. The neutralizing abilities in pseudotyped lentivirus reporter or live wild-type SARS-CoV-2 were measured with reciprocal inhibiting dilution (ID 50 ) titers of 5120 and 2560, respectively. In addition, the antibodies elicited were able to cross-neutralize pseudovirus containing the spike protein of the D614G variant, indicating the potential for broad spectrum protection. A marked Th-1 dominant response was noted from cytokines secreted by splenocytes of mice immunized with CpG 1018 and alum. No vaccine-related serious adverse effects were found in the dose-ranging study in rats administered single- or two-dose regimens with up to 50 μg of S-2P combined with CpG 1018 alone or CpG 1018 with alum. These data support continued development of CHO-derived S-2P formulated with CpG 1018/alum as a candidate vaccine to prevent COVID-19 disease.

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  1. SciScore for 10.1101/2020.08.11.245704: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board StatementIACUC: All animal work was reviewed and approved by the Institutional Animal Care and Use Committee (IACUC).
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variableFemale BALB/cJ mice aged 6–9 weeks were immunized twice at 3 weeks apart as previously described [8].
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Experimental Models: Cell Lines
    SentencesResources
    Pseudovirus production and titration: To produce SARS-CoV-2 pseudoviruses, a plasmid expressing full-length wild-type Wuhan-Hu-1 strain SARS-CoV-2 spike protein was cotransfected into HEK293T cells with packaging and reporter plasmids pCMVΔ8.91 and pLAS2w.FLuc.
    HEK293T
    suggested: NCBI_Iran Cat# C498, RRID:CVCL_0063)
    In brief, HEK-293T cells stably expressing human ACE2 gene were plated on 96-well plate one day before lentivirus transduction.
    HEK-293T
    suggested: None
    Pseudovirus-based neutralization assay: HEK293-hAce2 cells (2×104 cells/well) were seeded in 96-well white isoplates and incubated for overnight.
    HEK293-hAce2
    suggested: None
    Vero E6 cells (2.5×104 cells/well) were seeded in 96-well plates and incubated overnight.
    Vero E6
    suggested: None
    Experimental Models: Organisms/Strains
    SentencesResources
    Pseudovirus production and titration: To produce SARS-CoV-2 pseudoviruses, a plasmid expressing full-length wild-type Wuhan-Hu-1 strain SARS-CoV-2 spike protein was cotransfected into HEK293T cells with packaging and reporter plasmids pCMVΔ8.91 and pLAS2w.FLuc.
    Wuhan-Hu-1
    suggested: None
    Female BALB/cJ mice aged 6–9 weeks were immunized twice at 3 weeks apart as previously described [8].
    BALB/cJ
    suggested: RRID:IMSR_JAX:000651)
    Dose range finding study for single and repeat-dose intramuscular injection (IM) in Sprague Dawley (SD) Rats: To investigate the safety of SARS-CoV-2 S-2P protein adjuvanted with CpG 1018 alone or combined with aluminum hydroxide, pilot toxicity studies were conducted for dose range finding.
    Sprague Dawley
    suggested: None
    Software and Algorithms
    SentencesResources
    The purified S-2P proteins produced from Expi293 and ExpiCHO-S cells were quantified by BCA assay (ThermoFisher), flash frozen in liquid nitrogen and then stored at −80 °C.
    ThermoFisher
    suggested: (ThermoFisher; SL 8; Centrifuge, RRID:SCR_020809)
    Animals: BALB/cJ mice were obtained from the National Laboratory Animal Center, Academia Sinica, Taiwan and BioLASCO Taiwan Co. Ltd. Crl:CD® Sprague Dawley (SD) rats were obtained from BioLASCO Taiwan Co. Ltd.
    BioLASCO
    suggested: None
    Mann-Whitney U-test included in the analysis package in Prism 6.01 (GraphPad) was used to compare between two experimental groups. * = p < 0.05, ** = p < 0.01, *** = p < 0.001
    GraphPad
    suggested: (GraphPad Prism, RRID:SCR_002798)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We found bar graphs of continuous data. We recommend replacing bar graphs with more informative graphics, as many different datasets can lead to the same bar graph. The actual data may suggest different conclusions from the summary statistics. For more information, please see Weissgerber et al (2015).


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • No funding statement was detected.
    • No protocol registration statement was detected.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.