Optimization of non-coding regions for a non-modified mRNA COVID-19 vaccine.
Nature
; 601(7893): 410-414, 2022 01.
Artigo
em Inglês
| MEDLINE | ID: covidwho-1521758
ABSTRACT
The CVnCoV (CureVac) mRNA vaccine for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) was recently evaluated in a phase 2b/3 efficacy trial in humans1. CV2CoV is a second-generation mRNA vaccine containing non-modified nucleosides but with optimized non-coding regions and enhanced antigen expression. Here we report the results of a head-to-head comparison of the immunogenicity and protective efficacy of CVnCoV and CV2CoV in non-human primates. We immunized 18 cynomolgus macaques with two doses of 12 µg lipid nanoparticle-formulated CVnCoV or CV2CoV or with sham (n = 6 per group). Compared with CVnCoV, CV2CoV induced substantially higher titres of binding and neutralizing antibodies, memory B cell responses and T cell responses as well as more potent neutralizing antibody responses against SARS-CoV-2 variants, including the Delta variant. Moreover, CV2CoV was found to be comparably immunogenic to the BNT162b2 (Pfizer) vaccine in macaques. Although CVnCoV provided partial protection against SARS-CoV-2 challenge, CV2CoV afforded more robust protection with markedly lower viral loads in the upper and lower respiratory tracts. Binding and neutralizing antibody titres were correlated with protective efficacy. These data demonstrate that optimization of non-coding regions can greatly improve the immunogenicity and protective efficacy of a non-modified mRNA SARS-CoV-2 vaccine in non-human primates.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
MEDLINE
Assunto principal:
Vacinas Sintéticas
/
Imunogenicidade da Vacina
/
Vacinas contra COVID-19
/
COVID-19
/
Vacinas de mRNA
/
Nucleosídeos
Tipo de estudo:
Estudo experimental
/
Ensaios controlados aleatorizados
Tópicos:
Vacinas
/
Variantes
Limite:
Animais
Idioma:
Inglês
Revista:
Nature
Ano de publicação:
2022
Tipo de documento:
Artigo
País de afiliação:
S41586-021-04231-6
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