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BNT162b vaccines protect rhesus macaques from SARS-CoV-2

Annette B. Vogel, Isis Kanevsky, Ye Che, Kena A. Swanson, Alexander Muik, Mathias Vormehr, Lena M. Kranz, Kerstin C. Walzer, Stephanie Hein, Alptekin Güler, Jakob Loschko, Mohan S. Maddur, Ayuko Ota-Setlik, Kristin Tompkins, Journey Cole, Bonny G. Lui, Thomas Ziegenhals, Arianne Plaschke, David Eisel, Sarah C. Dany, Stephanie Fesser, Stephanie Erbar, Ferdia Bates, Diana Schneider, Bernadette Jesionek, Bianca Sänger, Ann-Kathrin Wallisch, Yvonne Feuchter, Hanna Junginger, Stefanie A. Krumm, André P. Heinen, Petra Adams-Quack, Julia Schlereth, Stefan Schille, Christoph Kröner, Ramón Caridad Güimil Garcia, Thomas Hiller, Leyla Fischer, Rani S. Sellers, Shambhunath Choudhary, Olga Gonzalez, Fulvia Vascotto, Matthew R. Gutman, Jane A. Fontenot, Shannan Hall-Ursone, Kathleen Brasky, Matthew C. Griffor, Seungil Han, Andreas A. H. Su, Joshua A. Lees, Nicole L. Nedoma, Ellene H. Mashalidis, Parag V. Sahasrabudhe, Charles Y. Tan, Danka Pavliakova, Guy Singh, Camila Fontes-Garfias, Michael Pride, Ingrid L. Scully, Tara Ciolino, Jennifer Obregon, Michal Gazi, Ricardo Carrion, Kendra J. Alfson, Warren V. Kalina, Deepak Kaushal, Pei-Yong Shi, Thorsten Klamp, Corinna Rosenbaum, Andreas N. Kuhn, Özlem Türeci, Philip R. Dormitzer, Kathrin U. Jansen and Ugur Sahin ()
Additional contact information
Annette B. Vogel: BioNTech
Isis Kanevsky: Pfizer
Ye Che: Pfizer
Kena A. Swanson: Pfizer
Alexander Muik: BioNTech
Mathias Vormehr: BioNTech
Lena M. Kranz: BioNTech
Kerstin C. Walzer: BioNTech
Stephanie Hein: BioNTech
Alptekin Güler: BioNTech
Jakob Loschko: Pfizer
Mohan S. Maddur: Pfizer
Ayuko Ota-Setlik: Pfizer
Kristin Tompkins: Pfizer
Journey Cole: Texas Biomedical Research Institute
Bonny G. Lui: BioNTech
Thomas Ziegenhals: BioNTech
Arianne Plaschke: BioNTech
David Eisel: BioNTech
Sarah C. Dany: BioNTech
Stephanie Fesser: BioNTech
Stephanie Erbar: BioNTech
Ferdia Bates: BioNTech
Diana Schneider: BioNTech
Bernadette Jesionek: BioNTech
Bianca Sänger: BioNTech
Ann-Kathrin Wallisch: BioNTech
Yvonne Feuchter: BioNTech
Hanna Junginger: BioNTech
Stefanie A. Krumm: BioNTech
André P. Heinen: BioNTech
Petra Adams-Quack: BioNTech
Julia Schlereth: BioNTech
Stefan Schille: BioNTech
Christoph Kröner: BioNTech
Ramón Caridad Güimil Garcia: BioNTech
Thomas Hiller: BioNTech
Leyla Fischer: BioNTech
Rani S. Sellers: Pfizer
Shambhunath Choudhary: Pfizer
Olga Gonzalez: Texas Biomedical Research Institute
Fulvia Vascotto: TRON–Translational Oncology at the University Medical Centre of the Johannes Gutenberg University
Matthew R. Gutman: VCA SouthPaws Veterinary Specialists and Emergency Center
Jane A. Fontenot: New Iberia Research Center
Shannan Hall-Ursone: Texas Biomedical Research Institute
Kathleen Brasky: Texas Biomedical Research Institute
Matthew C. Griffor: Pfizer
Seungil Han: Pfizer
Andreas A. H. Su: BioNTech
Joshua A. Lees: Pfizer
Nicole L. Nedoma: Pfizer
Ellene H. Mashalidis: Pfizer
Parag V. Sahasrabudhe: Pfizer
Charles Y. Tan: Pfizer
Danka Pavliakova: Pfizer
Guy Singh: Pfizer
Camila Fontes-Garfias: University of Texas Medical Branch
Michael Pride: Pfizer
Ingrid L. Scully: Pfizer
Tara Ciolino: Pfizer
Jennifer Obregon: Pfizer
Michal Gazi: Texas Biomedical Research Institute
Ricardo Carrion: Texas Biomedical Research Institute
Kendra J. Alfson: Texas Biomedical Research Institute
Warren V. Kalina: Pfizer
Deepak Kaushal: Texas Biomedical Research Institute
Pei-Yong Shi: University of Texas Medical Branch
Thorsten Klamp: BioNTech
Corinna Rosenbaum: BioNTech
Andreas N. Kuhn: BioNTech
Özlem Türeci: BioNTech
Philip R. Dormitzer: Pfizer
Kathrin U. Jansen: Pfizer
Ugur Sahin: BioNTech

Nature, 2021, vol. 592, issue 7853, 283-289

Abstract: Abstract A safe and effective vaccine against COVID-19 is urgently needed in quantities that are sufficient to immunize large populations. Here we report the preclinical development of two vaccine candidates (BNT162b1 and BNT162b2) that contain nucleoside-modified messenger RNA that encodes immunogens derived from the spike glycoprotein (S) of SARS-CoV-2, formulated in lipid nanoparticles. BNT162b1 encodes a soluble, secreted trimerized receptor-binding domain (known as the RBD–foldon). BNT162b2 encodes the full-length transmembrane S glycoprotein, locked in its prefusion conformation by the substitution of two residues with proline (S(K986P/V987P); hereafter, S(P2) (also known as P2 S)). The flexibly tethered RBDs of the RBD–foldon bind to human ACE2 with high avidity. Approximately 20% of the S(P2) trimers are in the two-RBD ‘down’, one-RBD ‘up’ state. In mice, one intramuscular dose of either candidate vaccine elicits a dose-dependent antibody response with high virus-entry inhibition titres and strong T-helper-1 CD4+ and IFNγ+CD8+ T cell responses. Prime–boost vaccination of rhesus macaques (Macaca mulatta) with the BNT162b candidates elicits SARS-CoV-2-neutralizing geometric mean titres that are 8.2–18.2× that of a panel of SARS-CoV-2-convalescent human sera. The vaccine candidates protect macaques against challenge with SARS-CoV-2; in particular, BNT162b2 protects the lower respiratory tract against the presence of viral RNA and shows no evidence of disease enhancement. Both candidates are being evaluated in phase I trials in Germany and the USA1–3, and BNT162b2 is being evaluated in an ongoing global phase II/III trial (NCT04380701 and NCT04368728).

Date: 2021
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Citations: View citations in EconPapers (9)

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DOI: 10.1038/s41586-021-03275-y

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