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. 2020 Jun;20(6):347-348.
doi: 10.1038/s41577-020-0323-4. Epub 2020 Apr 28.

COVID-19 vaccine design: the Janus face of immune enhancement

Affiliations

COVID-19 vaccine design: the Janus face of immune enhancement

Peter J Hotez et al. Nat Rev Immunol. 2020 Jun.

Abstract

Previous work on severe acute respiratory syndrome coronavirus (SARS-CoV) vaccines identified cellular immunopathology and antibody-dependent enhancement as potential safety issues. We discuss the implications of these findings for COVID-19 vaccine development and our approach to optimizing for safety and efficacy.

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Conflict of interest statement

P.J.H. and M.E.B. are investigators leading the development of coronavirus vaccines against SARS-CoV, MERS-CoV and SARS-CoV-2. D.B.C. is a scientific advisor and holds intellectual property in Atropos Therapeutics, LLC.

Figures

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Janus, the two-headed Roman god of doors and beginnings. Science History Images/Alamy

References

    1. Thanh Le T, et al. The COVID-19 vaccine development landscape. Nat. Rev. Drug Discov. 2020 doi: 10.1038/d41573-020-00073-5. - DOI - PubMed
    1. Cao Z, et al. Potent and persistent antibody responses against the receptor-binding domain of SARS-CoV spike protein in recovered patients. Virol. J. 2010;7:299. doi: 10.1186/1743-422X-7-299. - DOI - PMC - PubMed
    1. Hotez PJ, Bottazzi ME. Developing a low-cost and accessible COVID-19 vaccine for global health. Preprints. 2020;2020:2020030464. - PMC - PubMed
    1. Tai W, et al. Characterization of the receptor-binding domain (RBD) of 2019 novel coronavirus: implication for development of RBD protein as a viral attachment inhibitor and vaccine. Cell. Mol. Immunol. 2020 doi: 10.1038/s41423-020-0400-4. - DOI - PMC - PubMed
    1. Tseng C-T, et al. Immunization with SARS coronavirus vaccines leads to pulmonary immunopathology on challenge with the SARS virus. PLoS One. 2012;7:e35421. doi: 10.1371/journal.pone.0035421. - DOI - PMC - PubMed