Assessment of immunogenicity and protective efficacy of ZyCoV-D DNA vaccine candidates in Rhesus macaques against SARS-CoV-2 infection

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Abstract

Vaccines remain the key protective measure to achieve herd immunity to control the disease burden and stop COVID-19 pandemic. We have developed and assessed the immunogenicity and protective efficacy of two formulations (1mg and 2mg) of ZyCoV-D (a plasmid DNA based vaccine candidates) administered through Needle Free Injection System (NFIS) and syringe-needle (intradermal) in rhesus macaques with three dose vaccine regimens. The vaccine candidate 2mg dose administered using Needle Free Injection System (NFIS) elicited a significant immune response with development of SARS-CoV-2 S1 spike region specific IgG and neutralizing antibody (NAb) titers during the immunization phase and significant enhancement in the levels after the virus challenge. In 2 mg NFIS group the IgG and NAb titers were maintained and showed gradual rise during the immunization period (15 weeks) and till 2 weeks after the virus challenge. It also conferred better protection to macaques evident by the viral clearance from nasal swab, throat swab and bronchoalveolar lavage fluid specimens in comparison with macaques from other immunized groups. In contrast, the animals from placebo group developed high levels of viremia and lung disease following the virus challenge. Besides this, the vaccine candidate also induced increase lymphocyte proliferation and cytokines response (IL-6, IL-5).The administration of the vaccine candidate with NFIS generated a better immunogenicity response in comparison to syringe-needle (intradermal route). The study demonstrated immunogenicity and protective efficacy of the vaccine candidate, ZyCoV-D in rhesus macaques.

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  1. SciScore for 10.1101/2021.02.02.429480: (What is this?)

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

    Table 1: Rigor

    Institutional Review Board StatementIACUC: Ethical review: The study was approved by the Institutional Project Review Committee, and Institutional Biosafety Committee, ICMR-National Institute of Virology (NIV), Pune.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variableA placebo group of 4 animals (2 male and 2 female) was also included in the study (Fig. 8).
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Antibodies
    SentencesResources
    Detection of anti-SARS-CoV-2 IgG antibodies using Spike-protein based-ELISA: Ninety-six well microtiter plates were coated with 100 µL/well of diluted S1 protein (1µg/ml with Phosphate buffer saline) incubated for 16-18 hours at 2-8°C.
    anti-SARS-CoV-2 IgG
    suggested: None
    anti-monkey IgG HRP-antibodies 1:5000 (Thermoscientific, USA) were added and incubated for 1 hour at 37°C.
    anti-monkey IgG
    suggested: None
    Immunophenotyping of PBMCs: For surface phenotyping, freshly isolated PBMCs from immunized/ SARS-CoV-2 challenged NHPs adjusted to 1 × 106 cells per test were incubated with anti NHP T/B/NK cocktail and anti CD4 PECF594 monoclonal antibodies for 30 min at 4°C.
    anti NHP
    suggested: (MABTECH Cat# 3465-72-100T, RRID:AB_2888642)
    anti CD4
    suggested: None
    Experimental Models: Cell Lines
    SentencesResources
    Post an hour of incubation at 37°C, the virus–serum mixtures (0.1ml) were added onto the Vero CCL-81 cell monolayers and incubated at 37°C with 5% CO2for 1 hour.
    Vero CCL-81
    suggested: None
    Vero CCL-81 cells were grown to confluent monolayer in 24-well plate maintained in MEM supplemented with 10 %FBS (HiMedia, Mumbai), penicillin (100 U/ml) and streptomycin (100 mg/ml).
    CCL-81
    suggested: None
    Software and Algorithms
    SentencesResources
    PRNT50 titer was calculated using a log probit regression analysis by SPSS (SPSS Inc., Chicago, IL).
    SPSS
    suggested: (SPSS, RRID:SCR_002865)
    Cytokine levels were measured on a BD FACSCaliburTM flow cytometry (BD Biosciences) using BD CellQuestTM Pro software.
    BD CellQuestTM Pro
    suggested: None
    Data analysis: Clinical, virological, serological and immunological data were analysed using GraphPad Prism software version 8.4.3 (GraphPad, San Diego, California).
    GraphPad Prism
    suggested: (GraphPad Prism, RRID:SCR_002798)
    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: We detected the following sentences addressing limitations in the study:
    A limitation of our study is that the control animals were followed only till 7 days. Viral clearance was observed from ZyCoV-D vaccinated macaques starting from week 1 and complete clearance was observed by second weeks (31). There was significant increase in the percent lymphocytes and IL-8 in group IV suggestive of the vaccine induced host immune response/lymphoproliferation to infection. The present study indicated the transient decrease in the % CD8+ T cell population on 1 DPI and 3 DPI. By now, it is well established that lymphopenia due to SARS-CoV-2 infection is biased towards CD8+ T cells. A recent study on rhesus macaque post challenge with SARS-CoV-2 demonstrated neutropenia, which could be associated with comparatively low IL-8 level in the control group (19). Our study demonstrated an elevated level of serum IL-5, a Th2 cytokine is primarily associated with eosinophilia in group II and IV, which subsided by 11 DPI. There is compelling experimental evidence that eosinophils have potential antiviral activity. Other DNA vaccine candidates like GX-19 produced a Th1 cell response with TNF-α, IFN-γ & IL-2 in vaccinated macaques whereas INO-4800 induced only IFN-γ (26, 27). In conclusion, the ZyCoV-D vaccine candidate, 2mg by NFIS elicited significant SARS-CoV-2 specific IgG, NAbtiters and lesser viral loads in animals post challenge demonstrating its protective efficacy.

    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.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • 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.