Recent Advances in the Vaccine Development Against Middle East Respiratory Syndrome-Coronavirus
Open accessAbstract
Middle East respiratory syndrome (MERS) is a deadly viral respiratory disease caused by MERS-coronavirus (MERS-CoV) infection. To date, there is no specific treatment proven effective against this viral disease. In addition, no vaccine has been licensed to prevent MERS-CoV infection thus far. Therefore, our current review focuses on the most recent studies in search of an effective MERS vaccine. Overall, vaccine candidates against MERS-CoV are mainly based upon the viral spike (S) protein, due to its vital role in the viral infectivity, although several studies focused on other viral proteins such as the nucleocapsid (N) protein, envelope (E) protein, and non-structural protein 16 (NSP16) have also been reported. In general, the potential vaccine candidates can be classified into six types: viral vector-based vaccine, DNA vaccine, subunit vaccine, nanoparticle-based vaccine, inactivated-whole virus vaccine and live-attenuated vaccine, which are discussed in detail. Besides, the immune responses and potential antibody dependent enhancement of MERS-CoV infection are extensively reviewed. In addition, animal models used to study MERS-CoV and evaluate the vaccine candidates are discussed intensively.
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Previous reports on SARS and MERS vaccine candidates raised concerns about pulmonary immunopathology caused by Th2 response or ADE.
“Previous reports on the development of SARS and MERS vaccine candidates raised concerns about pulmonary immunopathology, either directly caused by a type 2 helper T-cell (Th2) response or as a result of ADE (4, 14, 15).”
From Development of an inactivated vaccine candidate for SARS-CoV-2 (2020) · cites this paper as [15]
The ‘Potential Antibody Dependent Enhancement (ADE) of Mers-CoV Infection’ section describes ADE as a vaccine-safety concern, reports adverse inflammatory responses in animals given SARS vaccine candidates, and says no ADE had been observed for MERS-CoV. The ‘Criteria for an Effective Mers-CoV Vaccine’ section reports Th2-biased responses to a MERS vaccine formulation, but does not link Th2 responses or ADE to pulmonary immunopathology. The specific lung-pathology mechanism in the claim is therefore not supported by this copy. (LLM, conf=0.84)
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- Authors
- Yong, C. Y., Ong, H. K., Yeap, S. K., Ho, K. L., & Tan, W. S.
- Affiliations
- Universiti Putra Malaysia (MY)
- Xiamen University Malaysia (MY)
- Corresponding author
- Tan, Wen Siang
- Venue
- Frontiers in Microbiology
- Publisher
- Frontiers Media SA
- Published
- 2019-08-02
- Volume
- 10
- Pages
- 1781-1781
- ISSN
- 1664-302X (ISSN-L)
- PMC
- PMC6688523
- OpenAlex
- W2963220452
- Cited by
- 224
- References
- 132
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 9 · 2023: 15 · 2022: 23 · 2021: 50 · 2020: 112 · 2019: 1 · 2018: 1 · 2017: 1
- FWCI
- 6.51
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Microbiology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Universiti Putra Malaysia Institutional Repository (Universiti Putra Malaysia) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Greater South Information System
- Funders
- Universiti Putra Malaysia (GP-IPS/2018/9602500)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Animal Virus Infections Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › vaccines and immunoinformatics approaches
- Keywords
- MERS-CoV, spike protein, nucleocapsid protein, envelope protein, nsp16, viral vector vaccines, DNA vaccine, subunit vaccine, nanoparticle vaccine, inactivated whole virus vaccine, live attenuated vaccine, antibody-dependent enhancement, immune response, animal models
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