Immunization with SARS coronavirus vaccines leads to pulmonary immunopathology on challenge with the SARS virus.

<h4>Background</h4>Severe acute respiratory syndrome (SARS) emerged in China in 2002 and spread to other countries before brought under control. Because of a concern for reemergence or a deliberate release of the SARS coronavirus, vaccine development was initiated. Evaluations of an inac...

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Main Authors: Chien-Te Tseng, Elena Sbrana, Naoko Iwata-Yoshikawa, Patrick C Newman, Tania Garron, Robert L Atmar, Clarence J Peters, Robert B Couch
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0035421&type=printable
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author Chien-Te Tseng
Elena Sbrana
Naoko Iwata-Yoshikawa
Patrick C Newman
Tania Garron
Robert L Atmar
Clarence J Peters
Robert B Couch
author_facet Chien-Te Tseng
Elena Sbrana
Naoko Iwata-Yoshikawa
Patrick C Newman
Tania Garron
Robert L Atmar
Clarence J Peters
Robert B Couch
author_sort Chien-Te Tseng
collection DOAJ
description <h4>Background</h4>Severe acute respiratory syndrome (SARS) emerged in China in 2002 and spread to other countries before brought under control. Because of a concern for reemergence or a deliberate release of the SARS coronavirus, vaccine development was initiated. Evaluations of an inactivated whole virus vaccine in ferrets and nonhuman primates and a virus-like-particle vaccine in mice induced protection against infection but challenged animals exhibited an immunopathologic-type lung disease.<h4>Design</h4>Four candidate vaccines for humans with or without alum adjuvant were evaluated in a mouse model of SARS, a VLP vaccine, the vaccine given to ferrets and NHP, another whole virus vaccine and an rDNA-produced S protein. Balb/c or C57BL/6 mice were vaccinated i.m. on day 0 and 28 and sacrificed for serum antibody measurements or challenged with live virus on day 56. On day 58, challenged mice were sacrificed and lungs obtained for virus and histopathology.<h4>Results</h4>All vaccines induced serum neutralizing antibody with increasing dosages and/or alum significantly increasing responses. Significant reductions of SARS-CoV two days after challenge was seen for all vaccines and prior live SARS-CoV. All mice exhibited histopathologic changes in lungs two days after challenge including all animals vaccinated (Balb/C and C57BL/6) or given live virus, influenza vaccine, or PBS suggesting infection occurred in all. Histopathology seen in animals given one of the SARS-CoV vaccines was uniformly a Th2-type immunopathology with prominent eosinophil infiltration, confirmed with special eosinophil stains. The pathologic changes seen in all control groups lacked the eosinophil prominence.<h4>Conclusions</h4>These SARS-CoV vaccines all induced antibody and protection against infection with SARS-CoV. However, challenge of mice given any of the vaccines led to occurrence of Th2-type immunopathology suggesting hypersensitivity to SARS-CoV components was induced. Caution in proceeding to application of a SARS-CoV vaccine in humans is indicated.
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spelling doaj-art-66f6819a9ae64dd6a9554ef487f9924c2025-08-20T02:30:39ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0174e3542110.1371/journal.pone.0035421Immunization with SARS coronavirus vaccines leads to pulmonary immunopathology on challenge with the SARS virus.Chien-Te TsengElena SbranaNaoko Iwata-YoshikawaPatrick C NewmanTania GarronRobert L AtmarClarence J PetersRobert B Couch<h4>Background</h4>Severe acute respiratory syndrome (SARS) emerged in China in 2002 and spread to other countries before brought under control. Because of a concern for reemergence or a deliberate release of the SARS coronavirus, vaccine development was initiated. Evaluations of an inactivated whole virus vaccine in ferrets and nonhuman primates and a virus-like-particle vaccine in mice induced protection against infection but challenged animals exhibited an immunopathologic-type lung disease.<h4>Design</h4>Four candidate vaccines for humans with or without alum adjuvant were evaluated in a mouse model of SARS, a VLP vaccine, the vaccine given to ferrets and NHP, another whole virus vaccine and an rDNA-produced S protein. Balb/c or C57BL/6 mice were vaccinated i.m. on day 0 and 28 and sacrificed for serum antibody measurements or challenged with live virus on day 56. On day 58, challenged mice were sacrificed and lungs obtained for virus and histopathology.<h4>Results</h4>All vaccines induced serum neutralizing antibody with increasing dosages and/or alum significantly increasing responses. Significant reductions of SARS-CoV two days after challenge was seen for all vaccines and prior live SARS-CoV. All mice exhibited histopathologic changes in lungs two days after challenge including all animals vaccinated (Balb/C and C57BL/6) or given live virus, influenza vaccine, or PBS suggesting infection occurred in all. Histopathology seen in animals given one of the SARS-CoV vaccines was uniformly a Th2-type immunopathology with prominent eosinophil infiltration, confirmed with special eosinophil stains. The pathologic changes seen in all control groups lacked the eosinophil prominence.<h4>Conclusions</h4>These SARS-CoV vaccines all induced antibody and protection against infection with SARS-CoV. However, challenge of mice given any of the vaccines led to occurrence of Th2-type immunopathology suggesting hypersensitivity to SARS-CoV components was induced. Caution in proceeding to application of a SARS-CoV vaccine in humans is indicated.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0035421&type=printable
spellingShingle Chien-Te Tseng
Elena Sbrana
Naoko Iwata-Yoshikawa
Patrick C Newman
Tania Garron
Robert L Atmar
Clarence J Peters
Robert B Couch
Immunization with SARS coronavirus vaccines leads to pulmonary immunopathology on challenge with the SARS virus.
PLoS ONE
title Immunization with SARS coronavirus vaccines leads to pulmonary immunopathology on challenge with the SARS virus.
title_full Immunization with SARS coronavirus vaccines leads to pulmonary immunopathology on challenge with the SARS virus.
title_fullStr Immunization with SARS coronavirus vaccines leads to pulmonary immunopathology on challenge with the SARS virus.
title_full_unstemmed Immunization with SARS coronavirus vaccines leads to pulmonary immunopathology on challenge with the SARS virus.
title_short Immunization with SARS coronavirus vaccines leads to pulmonary immunopathology on challenge with the SARS virus.
title_sort immunization with sars coronavirus vaccines leads to pulmonary immunopathology on challenge with the sars virus
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0035421&type=printable
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