Moderna, Inc., 200 Technology Square, Cambridge, MA 02139, USA.
Moderna, Inc., 200 Technology Square, Cambridge, MA 02139, USA.
Vaccine. 2021 Dec 17;39(51):7394-7400. doi: 10.1016/j.vaccine.2021.11.001. Epub 2021 Nov 8.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the causative agent of a global pandemic. Safe and effective COVID-19 vaccines are now available, including mRNA-1273, which has shown 94% efficacy in prevention of symptomatic COVID-19 disease. However, the emergence of SARS-CoV-2 variants has led to concerns of viral escape from vaccine-induced immunity. Several variants have shown decreased susceptibility to neutralization by vaccine-induced immunity, most notably B.1.351 (Beta), although the overall impact on vaccine efficacy remains to be determined. Here, we present the initial evaluation in mice of 2 updated mRNA vaccines designed to target SARS-CoV-2 variants: (1) monovalent mRNA-1273.351 encodes for the spike protein found in B.1.351 and (2) mRNA-1273.211 comprising a 1:1 mix of mRNA-1273 and mRNA-1273.351. Both vaccines were evaluated as a 2-dose primary series in mice; mRNA-1273.351 was also evaluated as a booster dose in animals previously vaccinated with mRNA-1273. The results demonstrated that a primary vaccination series of mRNA-1273.351 was effective at increasing neutralizing antibody titers against B.1.351, while mRNA-1273.211 was effective at providing broad cross-variant neutralization. A third (booster) dose of mRNA-1273.351 significantly increased both wild-type and B.1.351-specific neutralization titers. Both mRNA-1273.351 and mRNA-1273.211 are being evaluated in pre-clinical challenge and clinical studies.
严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)是全球大流行的病原体。现在有安全有效的 COVID-19 疫苗,包括 mRNA-1273,该疫苗在预防有症状的 COVID-19 疾病方面显示出 94%的功效。然而,SARS-CoV-2 变体的出现导致了人们对病毒逃避疫苗诱导的免疫的担忧。几种变体对疫苗诱导的免疫的中和作用的敏感性降低,最明显的是 B.1.351(Beta),尽管其对疫苗功效的总体影响仍有待确定。在这里,我们在小鼠中首次评估了两种针对 SARS-CoV-2 变体设计的更新的 mRNA 疫苗:(1)单价 mRNA-1273.351 编码 B.1.351 中发现的刺突蛋白,(2)mRNA-1273.211 由 1:1 混合的 mRNA-1273 和 mRNA-1273.351 组成。这两种疫苗均在小鼠中作为两剂初级系列进行评估;mRNA-1273.351 还在先前用 mRNA-1273 接种过的动物中作为加强剂量进行了评估。结果表明,mRNA-1273.351 的初级疫苗接种系列可有效提高针对 B.1.351 的中和抗体滴度,而 mRNA-1273.211 可有效提供广泛的跨变体中和作用。mRNA-1273.351 的第三剂(加强剂)显著增加了野生型和 B.1.351 特异性中和抗体滴度。mRNA-1273.351 和 mRNA-1273.211 都在临床前挑战和临床研究中进行评估。