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Vaccine32(2014)3169–3174 ContentslistsavailableatScienceDirect Vaccine journal homepage: www.elsevier.com/locate/vaccine Purified coronavirus spike protein nanoparticles induce coronavirus neutralizing antibodies in mice ChristopherM.Colemana,1,YeV.Liub,1,HaiyanMub,JustinK.Taylora,MichaelMassareb, DavidC.Flye rb ,GregoryM. Gle nn b,Gale E.Smit hb,1, Matth ew B.Friem ana,∗,1 aUniversityofMaryland,SchoolofMedicine,685WestBaltimoreSt,Baltimore,MD21201,USA bNovavax,I nc .22Firstfie ldRd,G ai thersburg, MD 2085 2,USA a r t i c l e i n f o a b s t r a c t Articlehistory: Developmentofvaccinationstrategiesforemergingpathogensareparticularlychallengingbecauseof Receiv ed15January2014 thesuddenna tu reoftheirem ergencea nd thelongpr ocessneed edf ortraditiona lvaccinede velopme nt. RAeccceepivteedd i2n Ar epvriilse2d0 1f o4rm 18 March 2014 The refore, t here is a n eed for developm en t of a rap id meth od of va ccin e developm ent tha t can respond toemergingpathogensinashorttimeframe. Availableonline13April2014 Theemergenceofsevereacuterespiratorysyndromecoronavirus(SARS-CoV)in2003andMiddle EastRespiratorySyndromeCoronavirus(MERS-CoV)inlate2012demonstratetheimportanceofcoro- Keywords: navirusesasemergingpathogens.Thespikeglycoproteinsofcoronavirusesresideonthesurfaceofthe MiddleEastRespiratorySyndrome virionandareresponsibleforvirusentry.Thespikeglycoproteinisthemajorimmunodominantanti- Coronavirus CSeovroernea vAicruutse Respiratory Syndrome cgoerno nofa vciorruosneanvtirryusaensd apnrdo mhaost eparnovtiebno dtoy tbaer gaent inexgcoeflliennfet cttaerdgecte lflos.r vaccine designs that seek to block Neutralizingantibody Vaccinationstrategiesforcoronaviruseshaveinvolvedliveattenuatedvirus,recombinantviruses,non- Vaccine replicativevirus-likeparticlesexpressingcoronavirusproteinsorDNAplasmidsexpressingcoronavirus genes.Noneofthesestrategieshasprogressedtoanapprovedhumancoronavirusvaccineintheten yearssinceSARS-CoVemerged.HerewedescribeanovelmethodforgeneratingMERS-CoVandSARS- CoVfull-lengthspikenanoparticles,whichincombinationwithadjuvantsareabletoproducehightiter antibodiesinmice. ©2014ElsevierLtd.Allrightsreserved. 1. Introduction havingemergedfrombats,viacivetcats,toinfecthumans[6,7]. AlthoughtherehavebeennoreportedcasesofSARS-CoVinfection Coronaviruses infect a range of mammals and birds, causing inhumansafterthis,arecentstudyhasshownthattheparental respiratory tract and gastrointestinal tract infections. Coron- virusstillexistsinbatsinChina[8]. aviruseswereknowntocausesevereand,therefore,economically Inlate2012,anovelbetacoronavirusnamedMiddleEastRespi- important diseases in chickens [1] and pigs [2], but, while a ratory Syndrome Coronavirus (MERS-CoV) was identified in a numberofcoronaviruseswereknowntoinfecthumans,thesymp- sample from a severe respiratory infection patient in The King- toms are usually mild in healthy adults, akin to a common cold, dom of Saudi Arabia (KSA) [9,10]. Since then, 238 cases have and only rarely cause more severe pneumonia. In 2003, how- been positively identified, of which 92 have resulted in death ever,severeacuterespiratorysyndromecoronavirus(SARS-CoV) (www.who.org).Allofthecaseshavebeenlinkedtocountrieson emerged,causing8273confirmedinfections,ofwhich775resulted orneartheArabianpeninsula(KSA,Jordan,Qatar,Egypt,Omanand indeath[3–5].MostofthecaseswerelinkedtoChina,HongKong UnitedArabEmirates).Casesinotherpartsoftheworld,notably andSingapore,withtheonlymajoroutbreakoutsideofthisarea Europe,involvedrecenttravelerstotheMiddleEastregionorwere occurring in Toronto, Canada. SARS-CoV had a zoonotic origin, closely linked with people who did [11]. Patients infected with MERS-CoVpresentatthehospitalwithsymptomsconsistentwitha severelowerrespiratorytractinfectionand,insomecases,develop kidney failure. MERS-CoV is closely related to bat coronaviruses ∗ Correspondingauthor.Tel.:+1417062539;fax:+14107066970. found i n China , Europe an d Africa, suggesti ng a zo onotic origin, E-mail address es: mf riema n@ som.umaryl and. edu , [email protected] similartoSARS-CoV,howeverthereservoirofMERS-CoVhasnot (M.B.Frieman). 1 Th eseauthorscontributedequallytothiswork. yetbeenidentified. http://dx.doi.org/10.1016/j.vaccine.2014.04.016 0264-410X/©2014ElsevierLtd.Allrightsreserved. 3170 C.M.Colemanetal./Vaccine32(2014)3169–3174 Coronavirusesareenvelopedviruseswithlargesingle-stranded SARS-CoV (Urbani) and SARS-CoV (MA15) Spike proteins to be positivesenseRNAgenomeswhichencode4majorstructuralpro- homologous. teins: spike (S), membrane (M), envelope (E) and nucleocapsid (N) [12]. The S protein is a type I trans-membrane glycoprotein 2.2. Recombinantbaculovirus expressedonthesurfaceofcoronavirusesthatisresponsiblefor receptorbindingandvirionentrytocells[13].ThelocationofSon The MERS-CoV S protein sequence was from isolate Al- thevirionsurface,theroleofSinbindingtocoronavirusreceptors Hasa12013 with NCBI accession #AGN70962. The SARS-CoV S andthefindingthatScaninduceneutralizingantibodiesinvivo[14] protein sequence was from Urbani strain with NCBI accession havemadeitanattractivetargetforvaccinedevelopmentstrategies #AAP13441.Thegeneswerecodonoptimizedforoptimalexpres- [15,16]. sionininsectcellsandbiochemicallysynthesizedforMERS-CoVS PreviouseffortstocreateavaccineforSARS-CoVhaveutilized (Genscript,Piscataway,NJ)andSARS-CoVS(GeneartAG,Regens- anumberofapproaches,butnoneiscurrentlylicensedforuseand burg, Germany). Full length S genes was cloned between BamHI arecentstudyoffourputativeSARS-CoVvaccinesyieldednegative – HindIII sites in pFastBac1 baculovirus transfer vector plasmid results[17].InitialstudiessuggestedthatwholeinactivatedSARS- (Invitrogen,Carlsbad,CA)underthetranscriptionalcontrolofthe CoV could be used as an effective vaccination [18–20], however AutographacalifornicaMultipleNuclearPolyhedrosisVirus(AcM- furtherworkhassuggestedthatthelevelofprotectioninducedby NPV) polyhedrin promoter. Recombinant baculovirus construct inactivatedSARS-CoVisincompleteandfailstopreventSARS-CoV wasplaquepurifiedandmasterseedstocksprepared,characterized symptoms, while also inducing increased eosinophilia in vacci- foridentity,andusedtoprepareworkingvirusstocks.Thetitersof nated animals [17,21]. Therefore, the most likely candidates for baculovirusmasterandworkingstocksweredeterminedbyusing coronavirusvaccineplatformsarebasedonspikesubunits[22,23], rapid titration kit (BacPak Baculovirus Rapid Titer Kit; Clontech, recombinantvirusesexpressingSARS-CoVproteins[24–26],DNA Mountain View, CA). Recombinant baculovirus stocks were pre- plasmidsexpressingSARS-CoVproteins[27–29]orvirus-likepar- paredbyinfectingSf9cellsatalowmultiplicityofinfection(MOI)of ticle (VLP) based vaccines [30–34], however all of these approaches ≤0.01 pla queform ing unit s( p fu)p ercellandh ar vestedat 68–72 h comewiththeirownsafetyconcernsandapprovalprocesses.There postinfection(hpi). arecurrentlynoapprovedvaccinesforMERS-CoV,butearlystudies using a modified vaccinia virus and replication deficient MERS- CoVhavebeenshowntoinduceantibodiescapableofneutralizing 2.3. RecombinantMERSandSARSSprotein MERS-CoVinvitro[35,36].Ideally,vaccinesforhighlypathogenic viruses,includingcoronaviruses,shouldbeabletobemaderapidly, MERS-CoVandSARS-CoVSproteinantigenswereproducedin on dem and and in conjunction with a pp rove d ad juvant s using Sf9cellsat2– 3×1 06cells/m l infected withspe cificr ecombina nt approvedtechniques[37]. baculovirus.InfectedSf9cellswereincubatedwithcontinuousagi- Theem ergenceof bothSARS-CoVandMERS-CoVhighlightthe tationat27± 2◦Can dha rves tedat 68–72hpi byc entrifugatio nat import ance of coro na virus es as pote ntia l human pa thogens t hat 4000× g for 1 5mi n.Sp roteinsw ere extrac ted fro mcellularmem - can emerge at any time. Therefore, rapid methods for treatment braneswithanon-ionicdetergentandinsolublematerialremoved and vaccina tio nare requ iredforthi simp ortantgro up ofviruses. by cen trifug a tion at 10 ,000×g fo r 30 min. S p roteins o ligomers InthisstudywedescribeanovelmethodforcreatingSARS-CoVS werepurifiedusingacombinationofanionexchange,affinityand andMERS-CoVSnanoparticlesthatinconjunctionwithadjuvant sizeexclusionchromatography.Duringpurificationthemajorityof areabletoinduceaneutralizingantibodyresponseinmice. thedetergentisremovedallowingStrimerstoformhigherordered protein–proteinmicellularnanoparticles.PurifiedSnanoparticles were0.2micron filteredan dstored−80◦C . 2. Materialsandmethods 2.4. Analyticalmethods 2.1. Cellandviruses MERS-CoVandSARS-CoVSwereanalyzedbySDS-PAGEusing 4–12%gradientpolyacrylamidegels(Invitrogen),stainedwithGel- Vero E6 cells were originally obtained from the Ameri- Code Blue stain reagent (Pierce, Rockford, IL) and quantified by can Type Culture Collection (ATCC) and maintained in Minimal scanning densitometry using OneDscan system (BD Biosciences, Eagles Medium (MEM; Corning) supplemented with 10% heat- inactiv atedFetal Bovine Serum(FB S;SAFC),1%l-G lutam ine(G ibco) Rockville, MD). Purified S proteins were tested for total protein concentration (BCA bicinchoninic acid protein assay, Pierce Bio- and1%Penicillin/Streptomycin(GeminiBio-Products).Spodoptera chemicals) and particle size by dynamic light scattering using frugiperdaSf9insectcells(ATCCCRL-1711)weremaintainedassus- ZETASizerNano(MalvernInstruments,PA)usingstandard,man- pensionculturesinHyQ-SFXinsectserumfreemedium(HyClone, Logan,U T)at27± 2 ◦C. ufacturer recommended methods. Mouse adapted SARS-CoV (MA15) has been previously described [38]andw asgrownin VeroE6c ellsan dstor edat−80◦C. 2.5. Electronmicroscopy MERS-CoV (Jordan) was obtained from the NIH in conjunction withAFHS C-GEISan dNA MRU-3,w ithsp ecia lassi sta ncefromDr. Purified MERS-CoV and SARS-CoV S proteins were adsorbed Moha reb.Allexp erim entswithl ivevi ruswer eperform edun der byflotation for2mino nto afreshlydi sc harged40 0-me shcarbon biosafety leve l 3 condition s at t he U niver sity o f Maryland, Balti- par lodion-co ate d copp ergr id (Poly-S ciences,Wa rrington,P A).The more. gridswererinsed withb uffer containing20 mMTris,pH 7.4, and MERS-CoV(Jordan)Spikeproteinis99.8%identicaltotheMERS- 120mMKClandnegativelystainedwith1%phosphotungsticacid, CoV(AlHassa 1)Spike prote insequ en ceuse dinthe na nop article then dri ed b y as piration. V irus-like par ticl es were visualize d on clon ing. Wecon siderM ERS-Co V(AlHas sa1)a nd ME RS-CoV(Jor- aHit achiH -76 00transmi ssionelect ronmicro scope (HitachiH igh dan)tob eho mologou sintheirS pike protein s.SA RS-CoV(Ur bani) T echnolo giesAme rica,Schaumb urg,IL)o peratingat8 0kVand dig- Spike p rot ein is 99.9% id entica l to t he SARS- CoV (MA1 5) Spike itallycapture dwithaC CDcameraat 1K ×1Kresol ut ion (A dvan ced protei n seque nce used in the na no part icle cloning . We co nsider Micro scopyTe chniq u esCo rp.,Dan ve r s, M A ). C.M.Colemanetal./Vaccine32(2014)3169–3174 3171 2.6. Mouseimmunization Sproteinmoleculeswhenobservedbyelectronmicroscopy(Fig.1C andD)anddynamiclightscattering(datanotshown). TheimmunogenicityofpurifiedMERS-CoVandSARS-CoVSpro- teinnanoparticleswereevaluatedinBALB/cmice(6–8weeksold), 3.2. ImmunogenicityofSproteinnanoparticles purchasedfromHarlanLaboratories,Inc.(Fredrick,MD).Mice(10 pergroup)received2vaccinationsbyintramuscularinjectioninthe In vaccine development, an effective vaccine should have a quadricepsmusclesondays0and21.MiceimmunizedwithMERS- strong neutralizing response against the target, i.e. the dilution CoVSprote inreceiv ed eithe r 1,3o r1 0(cid:2)go fSproteina lone or1or ofanti bodyatwhic hiteffecti velyneu tral izesthe vir ussh ouldbe 3(cid:2)g M ERS-Co VSprote inwit he it he r1 20 (cid:2)g a luminu mhyd rox i de hi gh.Inthes ee xperim en ts,10mice pergroupw ere inocu latedw ith (A lH ydrogel,Bre n ntagAG )or5 (cid:2)gM atrix M1 (Isconova ,Sweden). MERS -C oVor SARS-CoVS pro teins and serum wa stestedag ainst Miceimmun izedwith SARS -C o VS protein rec eived3(cid:2)g Sprotein thehomolo go usvirus. alone orSprotein with either120 (cid:2) galum inumhyd ro xid e (Alum) or5(cid:2) gM a trixM1 .Sera werec olle cted onday0,2 1and45fo rsero- 3.3. GenerationofneutralizingantibodiestoSARS-CoVinBALB/c logicalanalysis.Bloodwascollectedviatheretro-orbitalrouteand miceusingSnanoparticles serumwasobtainedbycentrifugationofwholeblood. AllanimalprocedureswereinaccordancewiththeNRCGuide Previousworkhasshownproductionofaprotectiveneutraliz- for the Care and Use of Laboratory Animals, the Animal Welfare ingantibodyresponseinmiceinoculatedwithchimericSARS-CoVS Act,andtheCDC/NIHBiosafetyinMicrobiologicalandBiomedical nanoparticlesincombinationwithAlumadjuvant[30].Inthisstudy Laboratories. wealsousedMatrixM1adjuvanttoassessinductionofneutralizing antibodyresponsesinmice. 2.7. Coronavirusneutralizationassays When 3(cid:2)gofSA RS -CoVSproteinisusedwithoutadjuvantthe neutralizi ng an ti body conc en tration in the sera at day 21 po st- Mouseserawerediluted1:20inVeroE6cellgrowthmediaand inoculationislow(GMT=86)andthisdoesnotchangeatday45 furtherdil uted down to1:4 0960 in atw o-f olds eries.M ERS-C OV- post-inocul ati on ( GMT= 8 0), indic atin g tha t SA RS-CoV S prot ein Jordan orSARS -CoV( MA 15)was ad de datafin alconc entrationof withoutadjuvan tdoes n otef fectivelyin duce anti-SARS -C oVneu- 3950 T CID /ml and incuba ted f or 30m in at roo m temperatu re. tralizing antibody (Tab le1 andFig.1) .When Alumisused asan Mock infec5t0edm ouse seraand MER S-C oV- Jor danor SARS-CoVin adjuvant inconjun ctionw i th3 (cid:2)go fSA RS-Co VSpr ote in,th ere is VeroE 6media serveda sneg ativ eandpositivecontr ols respective ly. a statistic al ly significant 7–1 1 fold in crease in n eutralizi ng ant i- The i nh ibitory capac ity of each seru m dilut ion was assessed by b ody(forexam ple,at21d ayspo st-in oculation G MT=970;p< 0.01) TCID assayan dtheser um dilut ionatw hichME RS-C oV-Jordan or andw hen MatrixM 1 ad juvan tisusedinconju nctio n with 3 (cid:2)gof SARS5-0CoVwa sinh ibi tedby5 0%was rec orded. Thegeometricme an SAR S-CoV S,there is astatistic all ysign ifi cant36–39f oldin c rea se titer(GMT )for eachgrou po fm icew ascalcula ted andpresen ted± inneutrali zin gant ibo d y(forexamp le,at21da yspost -ino culation, the9 5%con fide ncei nterva l( CI). GM T=3152;p <0.001),i ndic atingthat M atr ixM 1isamoreeffec- tivea d juvant t h anAlum .Noneof thev accinat ions w it hSAR S-CoV S,showedanysignificantdifferenceinneutralizingantibodytiter 2.8. Coronavirus TCID50 at 45days post -inoculatio ncompare dt o21dayspos t-inocula tion, suggestingthattheneutralizingantibodyresponsedoesnotchange VeroE6cellswereseededinto96-wellplates(USAscientific) at1×10 4ce llspe rwel landwe recu lturedo vernig htat3 7◦C.Cells over the vaccination course (Fig. 2). These data confirm previous observations that Alum signif- wereinfectedwitha5-folddilutionseriesofviruscontainingmedia icantly enhances the production of anti-SARS-CoV neutralizing intriplicateandculturedforafurther48h.Plateswerefixedin4% antibodiesinmice[30].ThisalsodemonstratesthattheMatrixM1 paraformaldehyde(Sigma–Aldrich)for5minatroomtemperature adjuvantismoreeffectiveatinducingananti-SARS-CoVneutraliz- andthenstainedwith0.05%crystalviolet(Sigma–Aldrich)in20% ingantibodyresponseinmice,suggestingthatMatrixM1canbe methanol(Sigma–Aldrich)for30minatroomtemperature.Plates usedasaneffectivevaccineadjuvantwithSARS-CoVS. werethenwashedtwiceinwaterandcelldeathwasassessedbythe presence(livecells)orabsence(deadcells)ofcrystalvioletstain. 3.4. GenerationofneutralizingantibodiestoMERS-CoVinBALB/c Viralloadwascalculatedbasedonthedilutionatwhichthemedia miceusingSnanoparticles killed50%ofthecellsusingtheTCID50formula[39]. When MERS-CoV S was inoculated into Balb/C mice without 2.9. Statisticalanalysis adjuvant, levelsofne ut raliz ingantibod ytoM ERS-C oV(Jo rdan)at day21po st-ino cul ationwerel ow(forex am ple1(cid:2)gS GMT=4 9). Neutralizationtiterswereanalyzedusinganon-parametricone- The se d ata demonstrate that inoc ulat ion with M ERS -C oV S p ro- wayANOVA.Stati stical signifi cancew asassu m edwhenp<0.0 5. teinal onei snotaneffec tivem ethodford evelo pmentofa ro bust neutralizingantibodyresponse.Atday45post-inoculationwith- 3. Results outadjuvant,levelsofneutralizationofMERS-CoV-Jordanare3–7 foldhigherthanatday21andarenotstatisticallysignificant(for 3.1. MERSandSARSSproteincharacterization exam ple1(cid:2) gME RS -SG MT =32 0;p >0. 05).Theamo untofMER S-S proteindidnothaveanysignificantlyeffecttheGMToftheneutral- Full-length recombinant MERS and SARS S protein were pro- izingresponses,butthereisatrendtomoreconsistentresponses duced in the baculovirus insect cell expression system. The S withhigherdosesofMERS-S. proteinswereextractedfrominfectedcellspelletwithnon-ionic WhentheadjuvantAlumisusedinconjunctionwithMERS-CoV detergentandpurifiedbycolumnchromatographyaspreviously Sforinoculation,thelevelsofneutralizingantibodyatday21post- described[30].Purifiedfull-lengthMERSandSARSSproteinshad inoculationaresignificantlyhigherthanfoundinserafrommice an appare nt m olecular weight of 180kD a a nd 16 0 kDa by S DS- inoculated with MERS-S alo ne (for exam ple 1 (cid:2)g ME RS-S alone PA GE, respe ctively (Fig . 1A an d B). P urifi ed M ERS and SA RS S GMT=49co mpa redto1(cid:2) gMER S-Sw ithAlum GM T =735;p< 0.05), protei nsformed∼2 5nm dia mete rpa rticlesco nsistin gofm ultip le indic at ing that Alu m p rom otes pr oduc tion of an ti -MER S -C oV-S 3172 C.M.Colemanetal./Vaccine32(2014)3169–3174 Fig.1. Purificationofcoronavirusspikeproteinsandgenerationofspikenanoparticles.(AandB)PurifiedMERS-CoV(A)andSARS-CoV(B)Sproteinmicelle,eachproteinis loadedonthegelintriplicatelanes.Leftpanel:coomassiebluestain,rightpanel:westernblotusingrabbitanti-MERSS(A)orrabbitanti-SARSS(B)asprimaryantibody. Proteinmarker:precisionplusproteinmolecularweightmarker(Bio-Rad,Hercules,CA).(CandD)PhosphotungsticacidnegativestainelectronmicroscopyimagesofMERS (C)andSARS(D)Sproteinmicelle.(Forinterpretationofthereferencestocolourinthisfigurelegend,thereaderisreferredtothewebversionofthearticle.) neutralizingantibodies.Thereisnosignificantdifferencebetween thereisnosignificantdifferencebetweenneutralizingantibodiesin dosing regim ens consis ting o f 1(cid:2) g of MERS -CoV-S or 3(cid:2)g of these ra fro mday21c ompared today45 (forexample 1(cid:2)gMER S- MERS-C oV-Sinth epresence of Alu m (fo rexample,atd ay 21 ,1 (cid:2)g Spl usA luma tda y2 1GMT=73 5 com par edt oday45 G MT =640; MERS-Splus Alu mG MT=735 co mpar edto 3(cid:2)gME RS -Spl usA lu m p >0.0 5),ind ica ting th at,in th epr esenceof Alu m,t he vaccin a tion GMT=368;p>0.05),suggestingthatlowerdosesofMERS-Scanbe coursecausesearlyproductionofneutralizingantibodiesthatare usedforeffectivevaccinationinthepresenceofAlum.Furthermore, maintained. Table1 Coronavirusneutralizingantibodytiters. Vaccine(Sprotein) Dose((cid:2)g) Adjuvant Day GMT 95%LCL 95%UCL MERS-CoV 1 None 21 49 17 140 45 320 110 934 3 21 43 22 85 45 299 193 461 10 21 65 33 126 45 243 104 567 1 Alum 21 735 419 1,291 45 640 251 1,630 3 21 368 171 792 45 905 505 1,624 1 MatrixM1 21 3,378 1,804 6,325 45 1,940 1,139 3,306 3 21 1,194 542 2,634 45 1,689 831 3,432 SARS-CoV 3 None 21 86 32 228 45 80 38 168 Alum 21 970 497 1,894 45 640 330 1,240 MatrixM1 21 3,152 1,624 6,117 45 3,152 1,864 5,329 Thevaccinegroupsareshownthatweretestedforneutralizingantibodytiter.Dose,adjuvanttype,dayofbleedingandgeometricmeantiterwithconfidenceintervalsare shownforeachgroup.N=10foreachdosing/adjuvantgroupshown. C.M.Colemanetal./Vaccine32(2014)3169–3174 3173 Fig.2. Neutralizationtitersofcoronavirusspikevaccinatedmice.SerumfrommicevaccinatedwiththenotedmixofspikeproteinandadjuvantwasanalyzedbyTCID50 assayforneutralizationcapabilityandgeometricmeantiter(GMT)graphedforallgroups(10micepergroup).Errorbarsindicate95%confidenceinterval.Starsdenote statisticallysignificantdifferences(p<0.05)notedinthetextasdescribedinSection2. WhenMatrixM1adjuvantisusedinconjunctionwithMERS- These data demonstrate that there is only limited, if any, CoVSforinoculation,theincreaseinlevelsofneutralizingantibody cross-protectioninmouseseracontainingneutralizingantibodies atday21post-inoculationaresignificantlyhighercomparedtothe inducedagainstMERS-SorSARS-S. serafrommiceinoculatedwithMERS-Salone(27–68fold)and3–4 foldhigherthanserafrommiceinoculatedwithMERS-SplusAlum (for exampl e1(cid:2) gME RS-S alone GMT=49c ompa redto1 (cid:2)gM ERS- 4. Discussion Swi thAlum G MT =735co mpare dto 1 (cid:2)g MERS-Sw ith M at rixM1 GMT=3378; p<0.001), indicating that Matrix M1 promotes pro- There is a need in vaccine production for a rapid process of duction of anti-MERS-CoV-S neutralizing antibodies higher than manufacturing vaccines to emerging pathogens [37]. The recent thatseenwhenAlumisusedastheadjuvant.Thereisnosignifi- emergencesofSARS-CoV,in2003,andMERS-CoV,in2012,have cant diffe renceb etwe en dosin gm ice with1(cid:2)g ofME R S-C oV-Sor demonstrate d the import an ce of t he C oronavirida e v irus fa mily 3(cid:2)g of MERS-C oV-S in t he pre sence of M at rix M 1 (for examp le, as an importa nt g roup of eme rg ing p athogens. Pre vious efforts at da y2 1,1(cid:2)gMERS -S plu sMatrixM 1 GMT=3 378 com paredto to dev elopvaccin estoS AR S-CoVhav eencompas sedmany meth- 3(cid:2) gM ERS -S pl usMatrix M1 GMT=1 194 ;p>0 . 05),a gainsugge st- od s, but ha ve yielde d variable re sults. In this study we de scribe ingthatlowerdosesofMERS-Scanbeusedforeffectivevaccination a novel method for development of protein nanoparticles carry- inthepresenceofMatrixM1.Furthermore,thereisnosignificant ing the spike proteins from SARS-CoV and MERS-CoV that were differencebetweenneutralizingantibodiesintheserafromday21 abletoinducesignificantneutralizingantibodyresponsesinmice. compared today45 (forexamp le1(cid:2)gMER S- Sp lusM atrix M1 at The na noparti cles contai n only MERS -S or SAR S-S and n o other day21GMT=3378comparedtoday45GMT=1940;p>0.05),sug- potentially immunogenic viral or insect proteins. The formation gestingthat,inthepresenceofMatrixM1,thevaccinationcourse ofamphiphilicmembraneproteinsaggregates(proteinnanoparti- causesearlyproductionofneutralizingantibodiesthataremain- cles),usedinthisstudy,whicharerelativelyhomogeneousinsize, tained.ThesedatademonstratethattheMERS-Svaccineplatform solubleinaqueousmedia,andusedasaplatformforvaccineswas can be used to induce a neutralizing antibody response in mice. firstdescribedbySimonsetal.[40].Recentlyarespiratorysyncytial We also demonstrate that the Matrix M1 adjuvant significantly virus(RSV)fusion(F)glycoproteinnanoparticlevaccinewasshown enhances the level of neutralizing antibody produced compared tobehighlyimmunogenic,inducingprotectiveimmuneresponses toAlum. againstconformationalepitopes[41].Inaphase1humanstudythe RSVFnanoparticlevaccinewaswelltoleratedandinducedneutral- izingantibodiesatlevelsassociatedwithdecreasedhospitalization 3.5. Cross-protectionactivityofanti-MERS-CoVand fromRSVinchildren[42]. anti-SARS-CoVsera We have shown that mice vaccinated with coronavirus S nanoparticles produced high levels of neutralizing antibodies Todetermineifthereiscross-neutralizationofSARS-CoVSanti- against the homologous virus, but did not offer cross-protection seraagainstMERS-CoVinfection,andviceversa,wetestedserathat againsttheheterologousvirus.Thesedatasuggestthatthecoro- offeredstrongprotectionagainstthehomologousvirusagainstthe navirus S nanoparticles are able to elicit specific anti-SARS-CoV heterol ogousv irus.There fore,ser afr ommiceinoc ulate dwith3 (cid:2)g or MER S- CoV antibody resp onse s in mice , but th at there is not ofMERS-SorSARS-SincombinationwithMatrixM1adjuvantwere a general anti-coronavirus response that can be used to pro- testedagainstSARS-CoVandMERS-CoVrespectively. tect against multiple coronaviruses. Given that, so far, only one The serafro mmiceino cula tedwith3(cid:2) gMERS-Sincombination coro navirus hasemer gedatatime, thissh ouldb e suffi cient, but withMatrixM1wasunabletoneutralizeSARS-CoV,asnoneofthe furtherworkwilldetermineifnanoparticlevaccinescanbeusedin dilutionstestedhadanyeffectonthetiterofSARS-CoV.Thesera combination. frommic einocu lated wit h3(cid:2)g SAR S-S inco mb inationwit hM atrix Wealsoinvestigatedtheuseofadjuvantstoboostproduction M1wasonlyminimallyabletoneutralizeMERS-CoVaboveback- ofneutralizingantibodytocoronavirusS.WhenweusedAlumor ground,with9outof10miceshowinglowlevelneutralizingeffects MatrixM1,neutralizingantibodylevelsweresignificantlyboosted againstMERS-CoV,butnoneshowingcompleteneutralizationand (15foldwithAlumand68foldwithMatrixM1)overlevelsofneu- allneutralizingtoamuchlowerextentthananti-SARS-CoVsera tralizingantibodyproducedfromSnanoparticlesalone.Alumisa againstSARS-CoVoranti-MERS-CoVseraagainstMERS-CoV(data commonadjuvantthathasbeenusedpreviouslytoboostneutraliz- notshown). ingantibodiestoSARS-CoVinaVLPvaccinestrategy[30],buthere 3174 C.M.Colemanetal./Vaccine32(2014)3169–3174 weshowthatAlumalsosignificantlyboostsresponsestoSARS-CoV [19] QinE,etal.Immunogenicityandprotectiveefficacyinmonkeysofpurified Sna nopa rticle sand also toMERS-Co VSnan oparticles in mice. inac tiv ate dV ero-cellSARSvac cine .Vaccine2 006;24(7 ):1 028–34. [20] Lin JT, et a l. Safety and immuno genicity from a phase I trial of inactiv- NovMavatarxix, AMB1( foisr maa lslyapIosncoinn obvaaseAdB ,aUdjpupvsaanlat mSwaenduefanc)t.uQreudil labjya 2at0e0 d7 ;s1e 2v(e7 r)e:1 a 1c0u7t–e1 3re .spir atory syndrome c orona vi rus vac ci ne. A nti vir Ther saponinsareextractedfromthebarkofthetreeQuillajasaponaria [21] BollesM,etal.Adouble-inactivatedsevereacuterespiratorysyndromecoro- naviru sva cc ine p rovidesincomplete protec tionin miceandin ducesincr eased Molina and two fractions, A and C, are independently formu- eosinop hilic pro inflamm atory pulm onary resp on se up on challeng e. J Virol latedwithphospholipidsandcholesteroltocreatematrixparticles 2011;85(23) :12201–15. (∼40 nmca gelikestructu res) .MatrixM1 isc ompri sedoft wocom- [22] LiJ,etal.Immunogenicityandprotectionefficacyofmonomericandtrimeric pone nts, Matr ix-A and Matrix- C at an 85/ 15 ratio [43] a nd has been Irme cmo mun boinl a2n0t1 S3A;2R6S( 2co):r1o2n6a–v 3ir2u.s spike prote in subun it vaccine cand ida tes. Viral shown to be a potent adjuvant in clinical trials [44]. The data in [23] HeY,etal .Receptor-bindingdomainofSARS-CoVspikeproteininduceshighly thisstu dy dem onstrate thatMat rix M1ism oreef fectiv etha nAlu m pot en t neu tralizingantibod ies:imp lic ationford evelo pingsu bunitva ccine. at b oostin g the neutra lizin g antib ody re spon se to cor onavi rus S [24] BShioimcheB mS, eBtioapl.hSyusb Rlien sg Cuoamlimmmunu 2n 0iz0a4t;io3n24w(2it)h: 7r7e3c –o8m1b.inanta denoviru sencod- nanoparticlesinmice,especiallywithMERS-CoVspike. ingSA RS -Co V spikeprote ininducessyst emic andmucosal immunityw ithout Further stu di es wi ll be neede d to determine if coronavirus S red irectionof thevi rustoth ebrain. VirolJ20 12;9 :215. nanopartic levaccin ation sb lockcor ona virusreplic at ionandpatho - [25] BishtH,et al. Sev erea cu ter espirat orys y ndromecoronavirusspikeprotein expre sse db ya ttenuat edvac ciniavirusp rotectively immunizesm ice.P rocNatl gmeondeeslisc uinr rveinvtol,y aesx aisntism,aaslM mEoRdSe-lCso aVred odeesvnelootpreedp.l iNcaot esminamll iacne,imfera-l [26] AFecnagd QSc,ie tUa Sl. AB a2c0u0lo4v;1ir0u1s( s1u7r)f:a6c6e4d1 i–s6p.la yofSARScor onavirus(SA RS-C oV)s pike rets,or hamsters .[45,46 ]. Wehavede mons trat edthatco ro navir usS prote in an di mmunogeni cityoft hedispl ay edpro teininmice models.DN ACell Biol200 6;25 (12):668–73. ninanmoipcea,rtaincliems aproer atabnlet tfior ssttismteuplattoew naerudtsravlaizcicning eandteivbeoldoyp rmesepnot.nses [27] pYraontg e cZtYiv, eeitm aml. uAn DitNyAin vmaciccein.Ne aintudruec2e0s 0S4A;R42S 8c(o6r9o8n2a)v:5ir6u1s– n4e.utralization and [28] MartinJE, etal.ASA RS DNA vaccine inducesneutralizingantibodyandcel- lularim m un ere sp onses inh ealthya dultsin aPhaseIclin icaltrial. Vac cine Acknowledgement 2008 ;26(50):6 338–43. [29] LuB,etal.Humoralandcellularimmuneresponsesinducedby3aDNAvaccines ThisprojecthasbeenfundedinpartbyasupplementtoNIHRO1 aga in st se vereacut eres pirator ysyndrom e(SARS) orSARS- lik ec oron avirusin mice.C linVacc ineIm munol200 9;16(1):73 –7. AI095569 (MBF). [30] Liu Y V, e t al. Ch imeric se vere acute respiratory syndrome coronavirus (SA RS-C oV) Sg lycoprotei nandin fluenz amatrix1ef ficientlyfo rmvirus-like References particles(V LP s)thatprotec tmi ceagainst challen g ewithSAR S-CoV .Vaccine 2011;29( 38):66 06–1 3. [31] Lu X, et al. Immune responses against severe acute respiratory syn- [[12]] DJSaoicsnk g2w0o1Do2,d;5 MP6a(Wr4k).: 6RB3e.4vi–eP4wo1r .coifn ienfeecptiidoeums bicrondciahrirtihso veiarusv iarruosu:nda thceo mwporreldh.e Anvsiiavne 2d0ro 0m7;e1 2c2o (r4o)n:4 a9v6ir–u5s0 2in.d uced by v irus-like particle s in m ice. Immun ology r2e0v1i2e w;4 4o( 2f ):m16o7l e–c7u5 la.r epide miology, d iagnosis, a nd vac cin es. Virus Genes [32] pdBrraioit tiBeceicnte sal fllsr. o.VPmilro udSsi-fOfleinkreee n2pt0a o0rrt8iig;c3lien(7ss ) od:efe 2mS6Ao8Rn5Ss.-tlriaktee csotirmonualavtiirnugs afoctrimvietyd ibny h mumemanb draenne- [[[[3456]]]] (aaDDKLSaccuirAuunuoikRttgsSeeet SK eYn)rrn,:ee , eT asseCt,pp rt,eaii erretlapaa. tlattoS .oo aler.Tl rrtv.Nyy h efI reedrssow eyyemcnnnallydditc nCi urrfidihootccieimmsaanclrtaee oiep...ov s JNLanep aPt r ihEonareaonftcd htelga oocotl rg onlJ2y y ro2M0o sv00onyee03fnadl 3; vd s3c;2ier2o6r0ov0ur20meo0s:3rn 2(eae;3a63s c)v3 a4:oti–2c8rhru7u8o:e10t2sn ep 9.–ai rn69vri7 .emipr–suaap7stri6i-yrel.a inctkotaesur yvsw iersi utoyhsnf idssneerovvCeemhrrieee- [[3334]] l2trLLeieou0cnsk l1pBgeu0esi,g r; e1aowatt3fm o ia0stralhe(y.g2 v ESe)seCf: yrKf2oeenG5V cda 4,t. rce –oVout6m fata 1ecml e.. c rC iucenhocseioprm o2siran0ealar0 tiavo8cnir ;rcy2duo 6 ssrs( yoy(6nnSs)Ctda:e7vromo9iVrm7ui)c– sSe 8-i mplc0iork8more.ot upennaianrivz tpiiarcrtuloieosts eni cnc awt m rmirtyihicic neev.g iIar smugeasmv-ienluirskente oac clphouaagtrlye-- [7] 2nPo0eso0e n5 ;h7oL9 rL:s,2 e 0se0ht 1 o–ea 9lb.. atIsd .e Pnrtoific cNaatitol nA caodf Sa c i Un oSv Ael 2 0c 0o5ro;1n0a2v(ir3u9s) :1i4n0 4b 0a–ts5.. J V irol [35] 2MA0lim1d3da;zl4ea( nE5 a)F:s,e te0 tr0 ea6sl5p. 0Eir–na7gto1inr3ye. esryinngd rao rmepe liccoartoionna-vciroums paest ean vt:a cpcrionpea gcaantidoind-adteef. emctBivioe [36] SongF,etal.MiddleEastrespiratorysyndromecoronavirusspikeproteindeliv- [[89]] 2unGva0saeenv1 Xs i2Br Yt;uoh3,s h(ee 6ae tA )sea.sCmlo.E ceI2sin aor tleSeac,d teei optw ntaio tlar.h n.G Nadec ancuthoutaemrr erai ec2cs t0cpeh1irra3iazr;taa5oct0irt3oyen: r5di zo3isaf5t tar–ieo 8bsn.as tos Sfy Ana RdnSreo-wlmikleye idcnio shrcouonmvaeavrniersdu. scm othBroaio-t [[3378]] ieaDRnnroegetb Gdipeb r raobottdyso h itoAem Ags,o.eSe Jdn ,t Veisafit ila re.aondAll.d Mv2m ba 0aioc1okcu3diisnn;e e8gif-a7e av n(vda2sica1ercpu)?i:t ns1He e1daus9n mSo5k An0aaR rn–daS 4eV -.emcafocfiarcncoiindne :ean savt liIpyrmou itmsnedcnuautnuicoaseltes hss oevdlriur i2sute0is oa1-nns3e ef;o9uar(tn 9reda) m.lmizeiorngrg-- [[1110]] Spr2ZMuaa0raesuk1i vid3l( leMAi;e n1AMsEt8 riRA,(ao 2eSb,n 4t-ie Cao)at..of l .NahV Il us).E omFinlniagarftlseni tJoc- ttMncio oaoe-snhfde sua s 2 m in0noo1a fF vn2Mre ;at3lrin d6cacod7nerl(s,eo1 mi n9nEia)vsa:vse1siits8ro tu1nRisg4,e aFf–srtrp2oiao0imnrn.acs tae o ,am rMnyda anS yiy m w2n0pdit1lrhio3c pma. Etneiueo runComso Srfouoonnrriv aatev hiiinle-l [[[344910]]] JtpRSS aimEremlopeiittdiotyedh n LieinsnJGm, s MKB., iPo,Ae u rletL eo1tBnac 9/al ccN.3lh . 8Rma HF;te2 ilos.c 7ArApem(ci. 3s raPaia)dmL:tt4 iooSop9Srcnly 3ieP – Uoasm7yft S h.enp otAcrhgyo o1et tid9nea 7isoln 8f2v ;em0i7rs05uit7ci(sme1;3lf1lau(e)t1s:si5)in o:f3gern0 5ofi6.mgf–tl yy 1ac 0pmo.epprr hcoei tpnehitn ielinecdx mpp oreeimnsstb ser.d aAnmine [12] 2M0a0s6te;6rs6 :1P9S3. –2T9h2e. molecular biology of coronaviruses. Adv Virus Res cinostetoctn crae tllss. PfoLor mSO pnreot2e0in1 2n; 7a(n1o1p)a:ert5i0cl 8e5s2 t.ha t indu ce protective immunity in [[1134]] tsBQhpeieuilkoi rMeu nzp, eaerurotd ttar elSa.i ,nlA ie.zn tVat atiibirlo.uo Mnsdeyaesc cr 2thei0svap1nito2iisen;m4ss.(es6Ms )o t:ifoc1 cr 0ioon1brd1oei–nvs3iaId3nvu.ifreaucl stp 2croe0tl0le 5ein;n7st( ro5yf– Sm6A)e:Rd8S8i ac2to–erd9o. nbayv tihrues v airnadl [42] r2Ge0lse1pn3inr;3a t1Go(Mr3y), : 5es2ty 4na–c l3y. 2tSi.aal f etvyir uasn df uismiomn unporogteeniinc itnya noof paa rStifc9l ei nvseacctc inceel. l-Vdaecricvinede [[[111567]]] mJd2DZT sTh0euoehv1u nLneo2 X,agl r;eor,7 a typeCc( a t4m TD la)ie.m:e iltTes.n h Rm3a2te5e.l0 u. cN4 s1neIp2am3op1it;kpt m5.Roea( er utSp-vhunbr ooMpiizlntpoaeidlcgti irni2ynoo ) gonb:oS f id no1Swol 4A mi22ctRh0h–aS 0ia8-nSCl9.lA ao;e7RsnV ( Sga 3– et)c aa:o2 rwtrg2ao ie6rtngt–h aef3 vot6t irfhr. odueres v vSvaeAacloRccpciSnii nneve gais rnS uAdles Rt.a hSdPe svlr aoatcSopc eipOnuuetnilsec-. [[[[44443456]]]] MMMcLCDCioooene vxlaavedegd dismR trj2j teu2uJ 0a,nE 0vvn1e. a1aB t3Lnn1C e;aatt;M1nlc :1.i9g k n0,sE(t u e(8sova4tcs)af )opc :als:9eunh4lm5s.a a0Ks2Wtas1 ,i.eil oM–nli nlI3a d of c.nuorltiitefymn uiapnira cee vBla ialv,mr Onoatrocdssiocdtaieimelnn.rl nheV ahsaala i tucHnreecsd5i liAeniNmerDe1ssm . 2 oMIv0SunaC1nEc fO1Reco;iSMrnd2 mcee9 tofi (uef4rcoclo5aihrent)mnin:ao8outvn0llimo.ar4 guEt9ieycsx–d -epr5b eewa9asrr.setieet aRhdnre coMMvht aa.V sttNuarracsiixx--t [18] r2Sup0sr0 uv6ta;h2c c4Mi(n5,e )e :s6tt 5iam2l.– uA6la 1dt.eosu nbeleu-tirnaalicstiinvga taendd wprhootleec tvivireu as nctaibnoddidya rtees pSoAnRsSe sc.o Vroacncaivnie- 2ce0p1t3ib;9le5 : t4o0 8th– e1 2 M.id dle E ast R espi ratory Syndrom e Corona virus. J G en V irol

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