An attenuated live recombinant vaccine,
inactivated vaccines, different antivirals, and
immune strategies to prevent and protect
against Severe Acute Respiratory Syndrome
(SARS) have been developed. In addition, a
microarray system to diagnose SARS patients
has been designed. The efficacy of these tools
has been tested in animal models developed by
the consortium.
The potential re-emergence of SARS, mostly
due to the presence of recent ancestors of the
virus in the bat population.
To prevent, diagnose, and cure SARS
Coronavirus (SARS-CoV) infections.
Results:
A collection of viral proteins expressed mainly
in baculoviruses and plants has been obtained.
This collection includes proteins S, S1, S2, M, E,
N, 3a, 6, and 7a. To increase the immunogenicity
of these proteins, virus-like particles (VLPs)
formation was achieved by the co-expression
in the baculovirus system of three proteins:
M, E, and S. These VLPs induced a neutralising
immune response to SARS-CoV and elicited
protection in a mice model.
Several plant expression systems based on Plum
pox potyvirus (PPV) and Potato virus X (PVX)
have been developed to express at low cost
SARS-CoV antigens. SARS-CoV S, S1, E, M, N, 3a
proteins alone or linked to a cell compartment
retention signal, to increase expression, were
also obtained. In addition, several transgenic
lines expressing constitutively tagged S, S1, M,
N and 3a proteins were produced. Furthermore,
expression of SARS-CoV antigens in plants, with
modified glycosylation systems mimicking the
mammalian glycosylation pattern, has been
obtained.
Electron microscopy of the recombinant SARS-CoV
engineered. Left panel: viral factory of the parental
virulent virus (SARS-CoV). Right panel: viral factory
of the attenuated deletion mutant vaccine candidate
(SARS-CoV-E)
The first recombinant vaccine for SARS-CoV
has been constructed. The efficacy of this
vaccine has been shown in two animal model
systems, and has provided protection against
homologous and heterologous viruses. The
morphogenesis of the vaccine virus missing
protein E is shown in comparison with that of
the parental full-length virus (Figure 1). To
assemble a recombinant vaccine for SARS-CoV,
an infectious cDNA of SARS-CoV was constructed
using a bacterial artificial chromosome (BAC).
From this cDNA, a replicon was derived that is
very useful for screening anti-virals without the
need to use infectious virus. E, 6, 7a, 7b, 8a,
8b and 9b proteins were not essential for virus
replication in vitro or in vivo. In a transgenic
mice model highly sensitive to the virus, the
DISSECT partners have shown that a SARSCoV
E protein deletion mutant was attenuated,
whereas removal of genes 6 to 9b reduced
very little pathogenicity. A virus mutant missing
all these seven genes provided protection
against SARS-CoV.
The attenuated rSARS-CoV engineered is an
excellent starting point for the production of
a chemically inactivated vaccine. This type
of vaccine will include two safety guards, the
chemical inactivation, and the attenuated
phenotype, in case the chemical inactivation is
incomplete inside a virus aggregate.
The partners have shown that inactivated
SARS-CoV vaccines protect macaques and
ferrets against an intratracheal challenge with
SARS-CoV, and that the induction of neutralising
antibodies may suffice to protect against SARSCoV.
The inflammatory response in SARS-CoV
infected vaccinated and nave macaques was
analysed. A wide range of cytokines including
IL-1, IL-6, IL-8 and IFNs, several chemokines
such as monocyte chemotactic protein genes
like CCL8, CCL7, and also CCL11 (eotaxin),
a chemotactic protein for eosinophils were
identified. These results provided a rationale
for using live attenuated vaccines.
Both ferret and macaque have been developed
as animal models for SARS-CoV. Polyvalent
antibodies of human origin protect against SARS
in macaques. In addition to the description of
pegylated interferon alpha as an antiviral, two
other antivirals have been identified: IL-4 and
interferon-gamma. The mechanism of action of
IL-4 includes a reduction in the expression of
the ACE-2 receptor of SARS-CoV.
The identification of genes that may contribute
to SARS-CoV virulence was studied as their
removal may lead to safer SARS-CoV vaccines.
The role of accessory 3, 6, and 8 proteins in
virus host interaction has been determined. 3a
protein is O-glycosylated, and that interacts with
the viral M protein. ORF 8 acquired a deletion
early after SARS-CoV jumped from the animal
reservoir to the human population and this
deletion was found in all later human isolates.
The 29nt deletion plays a role in the efficient
spread or the high pathogenicity of SARS-CoV
in the human population. Protein 6 was involved
in virus replication and virulence.
The consortium has shown that IFN-a inhibits
SARS-CoV replication in macaques and has
identified IL-8 as one of the pathogenic
cytokines induced at high levels in macaques.
These studies emphasised that IFN production
inversely correlated with IL-8 induction. As IL-8
is a central mediator of inflammatory responses,
including acute respiratory distress and acute
lung injury, modulation of its expression by the
IFNs may reveal an important new intervention
strategy to suppress pathogenic responses.
A new genomic approach to diagnose SARSCoV,
based on microarray technology, is being
developed, which is independent of hybridisation
techniques, and uses primer extension (APEX)
technology.
Potential applications:
- diagnosis and protection of the population
in case of SARS re-emergence by
vaccination;
- therapeutic strategies for SARS, including
antivirals and immunotherapy.
Coordinator:
Prof. Luis Enjuanes
Partners:
Prof. Qi Xie
Institute of Genetics and Developmental
Biology
Laboratory of Plant Molecular Signaling
Chinese Academy of Sciences
Beijing, People's Republic of China
qxie@genetics.ac.cn
Prof. Peter J. M. Rottier
Utrecht University
Department of Infectious Diseases and
Immunology
Utrecht, Netherlands
p.rottier@vet.uu.nl
Prof. Albert D. M. E. Osterhaus
Erasmus University Rotterdam
Department of Virology
Rotterdam, Netherlands
osterhaus@erasmusmc.nl
Prof. Anlong Xu
Professor in Molecular Biology and
Immunology
Dean, College of Life Sciences
Sun Yat-Sen University
Guangzhou, People's Republic of China
lssxal@mail.sysu.edu.cn
Prof. Zhihong Hu
Wuhan Institute of Virology (WIV)
Chinese Academy of Sciences
Wuhan, People's Republic of China
huzh@wh.iov.cn
Dr Pilar Perez Breña
Instituto de Salud Carlos III
Centro Nacional de Microbiologia
Madrid, Spain
pperez@isciii.es
Dr Juan Plana Durán
Fort Dodge Veterinaria SA
Girona, Spain
Planaj@fdah.com
Dr Han van den Bosch
Intervet UK Ltd
Milton Keynes, UK
Han.vandenBosch@Intervet.com
han.vandenbosch@nobilon.com
Collaborators:
Prof. Malik Peiris
The University of Hong Kong
Department of Microbiology
Pokfulam, Hong Kong
malik@hkucc.hku.hk
Prof. Wilina Lim
Government Virus Unit
9/F Public Health Laboratory Center
Kowloon, Hong Kong
wilim@pacific.net.hk
Prof. Ding Xiang Liu
Institute of Molecular and Cell Biology
Singapore, Singapore
dxliu@imcb.a-star.edu.sg