Immunological considerations for COVID-19 vaccine strategies
Open accessAbstract
The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the most formidable challenge to humanity in a century. It is widely believed that prepandemic normalcy will never return until a safe and effective vaccine strategy becomes available and a global vaccination programme is implemented successfully. Here, we discuss the immunological principles that need to be taken into consideration in the development of COVID-19 vaccine strategies. On the basis of these principles, we examine the current COVID-19 vaccine candidates, their strengths and potential shortfalls, and make inferences about their chances of success. Finally, we discuss the scientific and practical challenges that will be faced in the process of developing a successful vaccine and the ways in which COVID-19 vaccine strategies may evolve over the next few years.
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Human and animal evidence suggests that strong cytotoxic CD8+ T cell and Th1-biased CD4+ effector responses, alongside or instead of high neutralizing antibody titers, could produce protective immunity against COVID-19.
“Evidence from human and animal studies has suggested that in addition — or, possibly, instead of high titres of NAbs — a robust cytotoxic CD8+ T cell response and a TH1 cell-biased CD4+ T cell effector response would result in protective immunity against COVID-19 (ref.54).”
From Immunological mechanisms of vaccine-induced protection against COVID-19 in humans (2021) · cites this paper as [54]
SARS-CoV-2 evades innate immunity through several mechanisms, suggesting innate responses are probably essential for protection.
“Like other pathogenic respiratory RNA viruses (including other coronaviruses, respiratory syncytial virus and enteroviruses)55, SARS-CoV-2 can evade innate immune responses via multiple mechanisms55,56, indicating that innate immunity is likely crucial for host protection54,57.”
From Immunological mechanisms of vaccine-induced protection against COVID-19 in humans (2021) · cites this paper as [54]
Protection against SARS-CoV-2 depends on both humoral and T-cell-mediated immunity.
“As protection from SARS-CoV-2 relies on both humoral and T-cell-mediated immunity, 40 41”
The COVID-19 pandemic has demonstrated the urgency for vaccine technologies that are flexible and facilitate rapid development, production and upscaling.
“the COVID-19 pandemic has demonstrated the urgency for vaccine technologies that are flexible and facilitate rapid development, production and upscaling123”
From A guide to vaccinology: from basic principles to new developments (2021) · cites this paper as [123]
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Flagged first, then by citations
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- Authors
- Jeyanathan, M., Afkhami, S., Smaill, F., Miller, M. S., Lichty, B. D., & Xing, Z.
- Affiliations
- Michael G. DeGroote Institute for Infectious Disease Research (CA)
- McMaster University (CA)
- Corresponding author
- Lichty, Brian D.
- Xing, Zhou
- Venue
- Nature Reviews Immunology
- Published
- 2020-09-04
- Volume
- 20
- Issue
- 10
- Pages
- 615-632
- ISSN
- 1474-1733 (ISSN-L)
- 1474-1741
- PMC
- PMC7472682
- OpenAlex
- W3082102108
- Cited by
- 1,015
- References
- 178
- Citations by year
- 2026: 12 · 2025: 53 · 2024: 74 · 2023: 166 · 2022: 246 · 2021: 413 · 2020: 50
- FWCI
- 10.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Nature reviews. Immunology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- McMaster University
- National Sanitarium Association
- Government of Ontario
- Canadian Institutes of Health Research (COVID-19 Rapid Research, COVID-19)
- Natural Sciences and Engineering Research Council of Canada
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › vaccines and immunoinformatics approaches
- Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
- Keywords
- COVID-19 vaccine development, SARS-CoV-2, vaccine candidate, vaccine efficacy, coronavirus vaccines
- MeSH terms
- Immunogenicity, Vaccine, Betacoronavirus, COVID-19, SARS-CoV-2, COVID-19 Vaccines, Antibodies, Viral, Clinical Trials as Topic, Genetic Vectors, Humans, Immunity, Innate, Immunization Schedule, Pneumonia, Viral, Vaccines, Attenuated, Viral Vaccines, Coronavirus Infections, Vaccines, DNA, Vaccines, Subunit, Immunity, Herd, Severe Acute Respiratory Syndrome, Vaccines, Virus-Like Particle, Pandemics, Patient Safety
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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