2019
DOI: 10.1126/science.aav9033
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A proof of concept for structure-based vaccine design targeting RSV in humans

Abstract: Technologies that define the atomic-level structure of neutralization-sensitive epitopes on viral surface proteins are transforming vaccinology and guiding new vaccine development approaches. Previously, iterative rounds of protein engineering were performed to preserve the prefusion conformation of the respiratory syncytial virus (RSV) fusion (F) glycoprotein, resulting in a stabilized subunit vaccine candidate (DS-Cav1), which showed promising results in mice and macaques. Here, phase I human immunogenicity … Show more

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Cited by 221 publications
(169 citation statements)
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“…A stabilized prefusion conformation of class I fusion proteins is desirable for vaccine 40 development because this conformation is found on infectious virions and displays most or all of 41 the neutralizing epitopes that can be targeted by antibodies to prevent the entry process [14][15][16] . We 42 and others have observed that prefusion stabilization tends to increase the recombinant 43 expression of viral glycoproteins, possibly by preventing triggering or misfolding that results 44 from a tendency to adopt the more stable postfusion structure.…”
mentioning
confidence: 99%
“…A stabilized prefusion conformation of class I fusion proteins is desirable for vaccine 40 development because this conformation is found on infectious virions and displays most or all of 41 the neutralizing epitopes that can be targeted by antibodies to prevent the entry process [14][15][16] . We 42 and others have observed that prefusion stabilization tends to increase the recombinant 43 expression of viral glycoproteins, possibly by preventing triggering or misfolding that results 44 from a tendency to adopt the more stable postfusion structure.…”
mentioning
confidence: 99%
“…Protein-based subunit vaccines are generally safer than vaccines based on live attenuated or inactivated viruses but usually have low immunogenicity and efficacy [20,21]. However, vaccine performance can be improved by structure-based designs via masking non-neutralizing or unfavorable epitopes, or via antigen conjugation [27,38,39]. In addition, the choice of adjuvant can greatly influence the immunogenicity and efficacy of vaccines, including subunit vaccines [29,40,41].…”
Section: Discussionmentioning
confidence: 99%
“…Antibodies directed to antigenic sites present in the pre-F conformation are more efficient at neutralizing RSV than those directed to antigenic sites present in the more stable post-F confirmation. Although it contains a central conserved domain available for neutralizing antibody binding, the G-protein is not a primary target for vaccine development because it is mostly covered in glycans, and it is not as well conserved within RSV types as the F-protein [39,40]. F -determines viral entry to host cells G -determines binding to host cells F and G proteins have the antigenic determinants that elicit neutralizing antibodies to RSV…”
Section: The Structure Of Rsv and Immunitymentioning
confidence: 99%