RT Journal Article SR Electronic T1 Ad26-vector based COVID-19 vaccine encoding a prefusion stabilized SARS-CoV-2 Spike immunogen induces potent humoral and cellular immune responses JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.07.30.227470 DO 10.1101/2020.07.30.227470 A1 Rinke Bos A1 Lucy Rutten A1 Joan E.M. van der Lubbe A1 Mark J.G. Bakkers A1 Gijs Hardenberg A1 Frank Wegmann A1 David Zuijdgeest A1 Adriaan H. de Wilde A1 Annemart Koornneef A1 Annemiek Verwilligen A1 Danielle van Manen A1 Ted Kwaks A1 Ronald Vogels A1 Tim J. Dalebout A1 Sebenzile K. Myeni A1 Marjolein Kikkert A1 Eric J. Snijder A1 Zhenfeng Li A1 Dan H. Barouch A1 Jort Vellinga A1 Johannes P.M. Langedijk A1 Roland C. Zahn A1 Jerome Custers A1 Hanneke Schuitemaker YR 2020 UL http://biorxiv.org/content/early/2020/07/30/2020.07.30.227470.abstract AB Development of effective preventative interventions against SARS-CoV-2, the etiologic agent of COVID-19 is urgently needed. The viral surface spike (S) protein of SARS-CoV-2 is a key target for prophylactic measures as it is critical for the viral replication cycle and the primary target of neutralizing antibodies. We evaluated design elements previously shown for other coronavirus S protein-based vaccines to be successful, e.g. prefusion-stabilizing substitutions and heterologous signal peptides, for selection of a S-based SARS-CoV-2 vaccine candidate. In vitro characterization demonstrated that the introduction of stabilizing substitutions (i.e., furin cleavage site mutations and two consecutive prolines in the hinge region of S1) increased the ratio of neutralizing versus non-neutralizing antibody binding, suggestive for a prefusion conformation of the S protein. Furthermore, the wild type signal peptide was best suited for the correct cleavage needed for a natively-folded protein. These observations translated into superior immunogenicity in mice where the Ad26 vector encoding for a membrane-bound stabilized S protein with a wild type signal peptide elicited potent neutralizing humoral immunity and cellular immunity that was polarized towards Th1 IFN-γ. This optimized Ad26 vector-based vaccine for SARS-CoV-2, termed Ad26.COV2.S, is currently being evaluated in a phase I clinical trial (ClinicalTrials.gov Identifier: NCT04436276).Competing Interest StatementThe authors have declared no competing interest.