SARS-CoV-2 mRNA Vaccine Development Enabled by Prototype Pathogen Preparedness

Author:

Corbett Kizzmekia S.,Edwards Darin,Leist Sarah R.,Abiona Olubukola M.,Boyoglu-Barnum Seyhan,Gillespie Rebecca A.,Himansu Sunny,Schäfer Alexandra,Ziwawo Cynthia T.,DiPiazza Anthony T.,Dinnon Kenneth H.,Elbashir Sayda M.,Shaw Christine A.,Woods Angela,Fritch Ethan J.,Martinez David R.,Bock Kevin W.,Minai Mahnaz,Nagata Bianca M.,Hutchinson Geoffrey B.,Bahl Kapil,Garcia-Dominguez Dario,Ma LingZhi,Renzi Isabella,Kong Wing-Pui,Schmidt Stephen D.,Wang Lingshu,Zhang Yi,Stevens Laura J.,Phung Emily,Chang Lauren A.,Loomis Rebecca J.,Altaras Nedim Emil,Narayanan Elisabeth,Metkar Mihir,Presnyak Vlad,Liu Catherine,Louder Mark K.,Shi Wei,Leung Kwanyee,Yang Eun Sung,West Ande,Gully Kendra L.,Wang Nianshuang,Wrapp Daniel,Doria-Rose Nicole A.,Stewart-Jones Guillaume,Bennett Hamilton,Nason Martha C.,Ruckwardt Tracy J.,McLellan Jason S.,Denison Mark R.,Chappell James D.,Moore Ian N.,Morabito Kaitlyn M.,Mascola John R.,Baric Ralph S.,Carfi Andrea,Graham Barney S.ORCID

Abstract

SummaryA SARS-CoV-2 vaccine is needed to control the global COVID-19 public health crisis. Atomic-level structures directed the application of prefusion-stabilizing mutations that improved expression and immunogenicity of betacoronavirus spike proteins. Using this established immunogen design, the release of SARS-CoV-2 sequences triggered immediate rapid manufacturing of an mRNA vaccine expressing the prefusion-stabilized SARS-CoV-2 spike trimer (mRNA-1273). Here, we show that mRNA-1273 induces both potent neutralizing antibody and CD8 T cell responses and protects against SARS-CoV-2 infection in lungs and noses of mice without evidence of immunopathology. mRNA-1273 is currently in a Phase 2 clinical trial with a trajectory towards Phase 3 efficacy evaluation.

Publisher

Cold Spring Harbor Laboratory

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