key: cord-0921417-mfom4fy0
authors: Chang, Xinyue; Liu, Xuelan; Mohsen, Mona O.; Zeltins, Andris; Martina, Byron; Vogel, Monique; Bachmann, Martin F.
title: Induction of Broadly Cross-Reactive Antibodies by Displaying Receptor Binding Domains of SARS-CoV-2 on Virus-like Particles
date: 2022-02-16
journal: Vaccines (Basel)
DOI: 10.3390/vaccines10020307
sha: 78f54a1be590d67202b0c3050590b950c3e32852
doc_id: 921417
cord_uid: mfom4fy0

The impact of the COVID-19 pandemic has been reduced since the application of vaccination programs, mostly shown in the reduction of hospitalized patients. However, the emerging variants, in particular Omicron, have caused a steep increase in the number of infections; this increase is, nevertheless, not matched by an increase in hospitalization. Therefore, a vaccine that induces cross-reactive antibodies against most or all variants is a potential solution for the issue of emerging new variants. Here, we present a vaccine candidate which displays receptor-binding domain (RBD) of SARS-CoV-2 on virus-like particles (VLP) that, in mice, not only induce strong antibody responses against RBD but also bind RBDs from other variants of concern (VOCs). The antibodies induced by wild-type (wt) RBD displayed on immunologically optimized Cucumber mosaic virus incorporated tetanus toxin (CuMV(TT)) VLPs bind to wt as well as RBDs of VOCs with high avidities, indicating induction of strongly cross-reactive IgG antibodies. Interestingly, similar cross-reactive IgA antibodies were induced in immunized mice. Furthermore, these cross-reactive antibodies demonstrated efficacy in neutralizing wt (Wuhan) as well as SARS-CoV-2 VOCs (Beta, Delta, and Gamma). In summary, RBDs displayed on VLPs are capable of inducing protective cross-reactive IgG and IgA antibodies in mice, indicating that it may be possible to cover emerging VOCs with a single vaccine based on wt RBD.

The COVID-19 pandemic recently has been more dominated by variants of concern (VOCs) that have emerged in different countries around the globe [1] [2] [3] [4] [5] . Mutations in the RBDs of these VOCs have been characterized in detail, and it was found that some mutations (e.g., E484K present in B.1.351 and P.1 variants) reduce recognition by antibodies induced by the wt SARS-CoV-2 strain [6] [7] [8] , while other mutations (N501Y in B.1.1.7, B.1.351 and P.1 variants or L452R and E484Q in B.1.617.1 variant) primarily enhance affinity for the ACE2 receptor (Table 1) [9, 10] likely being responsible for the enhanced infectivity of the latter strains. Both types of mutations cause reduced neutralization of VOCs by wt While recognition by convalescent sera of some RBDs of VOC, e.g., E484K, is essentially abolished, vaccine-induced antibodies seem to be more cross-reactive in the fact that they recognize the newly emerged RBDs with enhanced avidity compared to convalescent sera and show some cross-neutralization both in humans [6] and mice [12] . While attempts have been made to modify mRNA vaccines to adjust for the new VOCs, success was rather limited, and neutralization of VOCs induced by the adjusted vaccine was not better than the values achieved with the wt mRNA vaccine [13] . Hence, a simpler strategy may be to search for vaccine candidates that induce neutralizing antibodies against all VOCs.

CuMV TT is a previously described virus-like particle (VLP) derived from the cucumber mosaic plant virus, which has been immunologically optimized by incorporating a universal T helper cell epitope derived from tetanus toxin, expected to facilitate induction of T helper cell-dependent IgG responses [14, 15] . In addition, CuMV TT is expressed in E. coli and spontaneously packages bacterial RNA, which serves as a TLR7/8 ligand and is optimal for enhancing IgG and IgA responses [16] . For example, CuMV TT -Ara h 1 was demonstrated to effectively treat peanut allergy in mice [17] . Another example of CuMV TT as an excellent vaccine delivery vehicle was against MERS coronavirus, which was potent to induce high titers of RBD-and spike protein-specific IgG antibodies, which could neutralize virus in vitro [18] .

Here we demonstrate that wt RBD displayed on CuMV TT may be a candidate for inducing polyvalent protective immunity, as it induces antibodies in mice that broadly recognize and neutralize all VOCs tested.

All studies involving animals were approved by the Cantonal Veterinary Office in Bern, Switzerland. All animal experiments were performed according to regulations and guidelines of the Cantonal Veterinary Office Bern, Switzerland (license BE70/18). There is no human material involved in this study.

The production and purification of RBD proteins were described previously [19] . Briefly, The RBD variants (RBD wt , RBD trip , RBD 417 , RBD 484 , RBD 501 , and RBD dm ) were expressed in mammalian Expi293F cells (Gibco, ThermoFisher Scientific, Waltham, MA, USA). Plasmids containing genes encoding wild type and mutated RBD proteins (residues Arg319-Phe541) with a 6-His tag at C-terminus were synthesized from Twist Bioscience, San Francisco, USA and amplified in bacterial XL-1 Blue competent cells. Then Expi293F cells (3 × 10 6 cells/mL) were transfected with expression plasmids by using ExpiFectamine 293 transfection kit (Gibco, Thermo Fisher Scientific, Waltham, MA, USA) according to the manual. Seven days after transfection, cell culture supernatants containing RBDs were collected by centrifugation and filtration. RBDs were purified with His-Trap HP column Vaccines 2022, 10, 307 3 of 11 (GE Healthcare, Wauwatosa, WI, USA) and dialyzed in PBS buffer. Purified RBDs were analyzed in SDS-PAGE gel.

RBD wt protein was covalently linked to CuMV TT VLPs with the cross-linker Succinimidyl 6-(beta-maleimidopropionamido) hexanoate (SMPH) (Thermo Fisher Scientific, Waltham, MA, USA), as described previously [19] . The linker firstly was incubated with CuMV TT for 30 min at room temperature, and meanwhile, RBD wt was reduced by mild reducing agent Tris-(2-Carboxyethyl) phosphine (TCEP) (Invitrogen, Waltham, MA, USA). The molar ratio of SMPH to CuMV TT was optimized to 5:1, and RBD wt to CuMV TT was 1:1. Then the CuMV TT was mixed with reduced RBD wt protein and incubated for 3 h with 400 rpm shaking. Subsequently, the coupling was analyzed in SDS-PAGE gel, and coupling efficiency was calculated by densitometry (20-30% efficiency) . In addition, the conjugated CuMV TT -RBD wt products were characterized in agarose gel to determine the content of ssRNA.

The integrity of the CuMV TT -RBD wt VLP sample was assessed by TEM, and 5 µL of VLP solutions were dropped on grids for 1 min and rinsed by dipping into the water 3 times. The grids were then stained with 2% uranyl acetate solution (Electron Microscopy Science, Hatfield, PA, USA) for 45 s. The excess solution was gently removed by filter paper. Images were captured with a digital camera (Veleta, Olympus, Münster, Germany) under a transmission electron microscope (Tecnal Spirit, FEI, Hillsboro, OR, USA) at 80 kV.

BALB/cOlaHsd mice (female) were purchased from Envigo (Horst, The Netherlands) at the age of 7 weeks. Mice were kept in a specific pathogen-free (SPF) facility in the Department of BioMedical Research (DBMR) of the University of Bern, Switzerland, according to the guidelines of Cantonal Veterinary. All animal experiments were performed according to ethical principles and guidelines of Cantonal Veterinary Office Bern, Switzerland. Five Female BALB/c mice (8-12 weeks) were subcutaneously immunized with 40 µg CuMV TT -RBD wt at d0 and boosted at d28. Serum samples were collected at d14, d21, d28, d35, d42, and d49 after priming. All mice in experiments did not show body weight loss and survived until d49, when we euthanized the mice.

Antibody responses in immunized mice were examined with ELISA. Shortly, halfwell Corning 96-well plate was coated with RBDs (1 µg/mL) at 4 • C overnight. Then the plate was blocked at room temperature for 2 h with PBS-0.15% Casein. Afterwards, serum samples were added, and a 3-fold serial dilution from 1:40 was performed. After 1 h incubation at room temperature, goat anti-mouse IgG-HRP (Jackson ImmunoResearch, West Grove, PA, USA) was added and incubated for 1 h. Finally, the developing solution (TMB in citrate buffer) was added, and the stop solution (1 M H 2 SO 4 ) was added 5 min later. The plate was read at OD 450nm, and IgG titer was calculated as the serum dilution times that reach half the maximum OD value.

To determine RBD-specific IgA antibodies in serum samples, the same assays were performed with some adjustments. Serum samples were incubated with Protein G magnetic beads (Thermo Scientific, Waltham, MA, USA) for 10 min at room temperature to remove IgG antibodies. Instead of an anti-IgG antibody, goat anti-mouse IgA-HRP antibody (ICN Cappel, Costa Mesa, CA, USA) was used as a detecting antibody.

To assess the quality of RBD-specific IgG antibodies induced by CuMV TT -RBD wt , two parallel plates were performed as described in Section 2.6. To distinguish high-avidity binding IgG antibodies from low-avidity binding ones, one plate was washed 3 times for 5 min with 7 M urea and the other with PBS-0.05% Tween [20] . The amounts of high-avidity antibodies were displayed with titer as well.

The ability of immunized serum samples to neutralize SARS-CoV-2 virus Wuhan, South Africa (SA), Delta, and Brazilian variants were tested by means of cytopathic effect (CPE) formation [19] . Firstly, serum samples were heat-inactivated at 56 • C for 30 min and then 2-fold diluted from 1:20 until 1:160. Then, 100 TCID 50 of Wuhan wild type (SARS-CoV-2/ABS/NL20), SA (Beta: SARS-CoV-2/ABSB/BL21), Delta (SARS-CoV-2/ABSD/NL21), and Brazilian variant virus were added to each diluted serum and incubated for 1 h at 37 • C. Subsequently, the mixture was added to a monolayer of Vero cells and incubated for 4 days at 37 • C. Finally, the wells were inspected for the presence of cytopathic effect (CPE). Titer was expressed as the highest dilution of the serum that fully inhibits the formation of 100% CPE.

Statistical analysis was performed using GraphPad Prism 7.0d. Unpaired Student' t-tests were used for IgG titers in ELISA, differences between plates with and without urea wash in avidity ELISA assays and neutralization titers. Statistical significance was indicated as p values: ≤0.05 (*), ≤0.01 (**), ≤0.001 (***), ≤0.0001 (****).

The production of the CuMV TT -RBD wt vaccine has been described previously [19] . In brief, we chemically coupled RBD wt protein expressed in eukaryotic HEK293 cells to CuMV TT VLPs. Figure 1A illustrates the principles of covalent reactions, which links the RBD wt internal cysteine to a lysine on the surface of the CuMV TT subunit via the heterobifunctional cross-linker SMPH. Efficient conjugation was confirmed by SDS-PAGE analysis, where a single VLP subunit can be distinguished from subunits coupled to RBD wt . In Figure 1B , the CuMV TT -RBD wt conjugation band is marked with a star. Because CuMV TT VLPs are produced in E. coli, they spontaneously package prokaryotic ssRNA to stabilize the capsid structure. As shown in agarose gel stained for RNA ( Figure 1C ), CuMV TT -RBD wt, as well as unmodified CuMV TT packaged ssRNA (left panel). The same gel stained for protein showed a band at the corresponding positions (right panels, Coomassie staining), indicating the presence of intact VLPs. Furthermore, the shape of CuMV TT -RBD wt was examined by transmission electron microscopy ( Figure 1D ), which demonstrated that CuMV TT -RBD wt remained as intact viral particles. These results demonstrated that the CuMV TT -RBD wt vaccine kept the properties of parent CuMV TT VLPs that incorporated RNA and preserved a spherical shape. 

The immunogenicity of CuMVTT-RBDwt has been illustrated in previous work for wt RBD [19] . Here we assessed whether the antibodies are reactive to the newly emerged SARS-CoV-2 variants of concern (VOCs), which showed increased transmissibility, for instance, B. [21, 22] (Table 1) . To this end, we produced recombinant RBD 

The immunogenicity of CuMV TT -RBD wt has been illustrated in previous work for wt RBD [19] . Here we assessed whether the antibodies are reactive to the newly emerged SARS-CoV-2 variants of concern (VOCs), which showed increased transmissibility, for instance, B. [21, 22] (Table 1) . To this end, we produced recombinant RBD proteins containing the above mutations, namely RBD 417 , RBD 484 , RBD 501 , RBD trip, which includes three K417N, E484K, and N501Y mutations, and RBD dm containing L452R and E484Q mutation (shown as Figure S1 ). Mice were immunized with CuMV TT -RBD wt at d0 and boosted at d28, and serum samples were collected weekly until d49, as illustrated in Figure 2A . ELISA results showed that antibodies induced by CuMV TT -RBD wt were able to recognize not only RBD wt but also all other mutated RBDs ( Figure 2B-G) . Overall, IgG antibody titers against all RBDs increased with time, especially after the booster injection.

cines 2022, 10, x FOR PEER REVIEW 6 of 11 proteins containing the above mutations, namely RBD417, RBD484, RBD501, RBDtrip, which includes three K417N, E484K, and N501Y mutations, and RBDdm containing L452R and E484Q mutation (shown as Figure S1 ). Mice were immunized with CuMVTT-RBDwt at d0 and boosted at d28, and serum samples were collected weekly until d49, as illustrated in Figure 2A . ELISA results showed that antibodies induced by CuMVTT-RBDwt were able to recognize not only RBDwt but also all other mutated RBDs ( Figure 2B-G) . Overall, IgG antibody titers against all RBDs increased with time, especially after the booster injection. IgG titers against RBD wt were superior to some of the RBD mutants after the first injection. After the second injection, differences, however, levelled out. Interestingly, as observed with convalescent sera and sera from immunized individuals (mRNA) [6] , IgG titers against RBD 484 and RBD trip were significantly reduced after a single injection. In contrast, the titers against RBD 417 , RBD 501 , and RBD dm were only slightly lower, again reflecting what has been observed with convalescent sera and sera from immunized individuals ( Figure 2B ). In addition, the difference between IgG titers against RBD wt , RBD trip , and RBD dm were significant before the booster ( Figure 2C,D) . These results suggest that the CuMV TT -RBD wt vaccine was able to induce IgG antibodies that cross-react with VOCs, in particular after boosting; the ability to recognize RBD 484 , RBD trip , and RBD dm was the lowest, mirroring experience in humans with natural infection and mRNA immunization.

The differences between titers against RBD wt and RBD mutants became, however, much less pronounced, and all IgG titers were elevated to similar levels after the booster, albeit titers against RBD wt stayed highest ( Figure 2E-G) . Thus, cross-reactive IgG antibodies reached similar levels after the booster, indicating the booster vaccination unified the IgG responses.

The ability of CuMV TT -RBD wt to induce cross-reactive IgA antibodies was assessed next. We have shown previously that RNA packaged in VLPs may drive systemic IgA responses [23] , and IgA is well known to serve as a noninflammatory isotype that protects mucosal surfaces against infection. To this end, sera from immunized mice were tested for the presence of IgA antibodies specific to the various RBDs on d14 and d49 after immunization. As shown in Figure 3 , IgA responses remained low after the first injection but strongly increased after the booster and reached high levels by day 49. As seen for the IgG responses, the IgA responses were highly cross-reactive, with mutation E484K being least recognized. IgG titers against RBDwt were superior to some of the RBD mutants after the first injection. After the second injection, differences, however, levelled out. Interestingly, as observed with convalescent sera and sera from immunized individuals (mRNA) [6] , IgG titers against RBD484 and RBDtrip were significantly reduced after a single injection. In contrast, the titers against RBD417, RBD501, and RBDdm were only slightly lower, again reflecting what has been observed with convalescent sera and sera from immunized individuals ( Figure 2B ). In addition, the difference between IgG titers against RBDwt, RBDtrip, and RBDdm were significant before the booster (Figure 2C,D) . These results suggest that the CuMVTT-RBDwt vaccine was able to induce IgG antibodies that cross-react with VOCs, in particular after boosting; the ability to recognize RBD484, RBDtrip, and RBDdm was the lowest, mirroring experience in humans with natural infection and mRNA immunization.

The differences between titers against RBDwt and RBD mutants became, however, much less pronounced, and all IgG titers were elevated to similar levels after the booster, albeit titers against RBDwt stayed highest ( Figure 2E-G) . Thus, cross-reactive IgG antibodies reached similar levels after the booster, indicating the booster vaccination unified the IgG responses.

The ability of CuMVTT-RBDwt to induce cross-reactive IgA antibodies was assessed next. We have shown previously that RNA packaged in VLPs may drive systemic IgA responses [23] , and IgA is well known to serve as a noninflammatory isotype that protects mucosal surfaces against infection. To this end, sera from immunized mice were tested for the presence of IgA antibodies specific to the various RBDs on d14 and d49 after immunization. As shown in Figure 3 , IgA responses remained low after the first injection but strongly increased after the booster and reached high levels by day 49. As seen for the IgG responses, the IgA responses were highly cross-reactive, with mutation E484K being least recognized. 

To assess the avidity of the induced antibodies, we performed a modified immunoassay using 7M urea to detach low avidity antibodies. More specifically, we compared the avidity of the antibodies against the various RBDs in sera collected from day 14 and day 49. As expected, the avidity of antibodies on day 14 was relatively low for all RBDs, indicated by the strongly reduced ELISA signals in the plates washed with 7M urea ( Figure 4A , red symbols). In contrast, avidity was strongly increased on day 49 after the boost. Remarkably, Vaccines 2022, 10, 307 8 of 11 the observed avidity was similar on all RBDs of VOCs and almost identical to avidities measured against wt RBD ( Figure 4B ).

To assess the avidity of the induced antibodies, we performed a modified immunoassay using 7M urea to detach low avidity antibodies. More specifically, we compared the avidity of the antibodies against the various RBDs in sera collected from day 14 and day 49. As expected, the avidity of antibodies on day 14 was relatively low for all RBDs, indicated by the strongly reduced ELISA signals in the plates washed with 7M urea ( Figure  4A , red symbols). In contrast, avidity was strongly increased on day 49 after the boost. Remarkably, the observed avidity was similar on all RBDs of VOCs and almost identical to avidities measured against wt RBD ( Figure 4B ). 

To determine the ability of the induced antibodies to neutralize VOCs, we have assessed the reduction of cytopathic effect (CPE) using 100TCID50 of wild type and SARS-CoV-2 variants. Titers are expressed as the highest dilution that inhibits 100% formation of CPE. Interestingly, the d49 sera neutralized Wuhan (wt) as well as the Beta and Delta mutant at high titers and to the same extent. Only the Gamma variant was reduced to some degree ( Figure 5 ). The reduced neutralization of the Gamma variant may be due to subtle differences in RBD (Table 1 ) or inherent differences between the viruses contributing to in vitro neutralization. Hence, these data demonstrate the ability of wt RBD displayed on CuMVTT to induce highly cross-reactive and cross-neutralizing antibodies, indicating that yearly generation of adapted vaccine generations as known for flu may not be necessary. 

To determine the ability of the induced antibodies to neutralize VOCs, we have assessed the reduction of cytopathic effect (CPE) using 100TCID50 of wild type and SARS-CoV-2 variants. Titers are expressed as the highest dilution that inhibits 100% formation of CPE. Interestingly, the d49 sera neutralized Wuhan (wt) as well as the Beta and Delta mutant at high titers and to the same extent. Only the Gamma variant was reduced to some degree ( Figure 5 ). The reduced neutralization of the Gamma variant may be due to subtle differences in RBD (Table 1 ) or inherent differences between the viruses contributing to in vitro neutralization. Hence, these data demonstrate the ability of wt RBD displayed on CuMV TT to induce highly cross-reactive and cross-neutralizing antibodies, indicating that yearly generation of adapted vaccine generations as known for flu may not be necessary. 

The recently emerging VOCs raised the question of whether the currently available and developed vaccines may require yearly adaptation, as is known from the influenza Figure 5 . Titers of day 49 sera after immunization neutralizing Wuhan, Beta (South Africa), Delta (Indian) and Gamma (Brazilian) SARS-CoV-2 strains. Neutralization titers were determined as the highest dilution to inhibit 100% CPE formation. Statistical significance was analyzed using unpaired t-test, p values: ≤0.001 (***). 

The recently emerging VOCs raised the question of whether the currently available and developed vaccines may require yearly adaptation, as is known from the influenza virus [24] . This may not be the case for SARS-CoV-2 due to several reasons. (1) While both SARS-CoV-2 and influenza virus are RNA viruses, SARS-CoV-2 has a much more stable genome due to the presence of a proof-reading system [25] . (2) SARS-CoV-2 has a highly defined receptor, namely ACE2 and the binding is based on protein-protein interaction; indeed, the receptor-binding motif which is directly responsible for interaction with ACE2 shows no glycosylation or other post-translational modifications [26] ; altered post-translational modifications are therefore not likely to interfere with this protein-protein interaction. In contrast, the influenza virus binds to variable carbohydrate structures via hemagglutinin and therefore has much more room for modifications [27, 28] . (3) Consistent with (2), the independently emerged VOCs share a lot of common mutations, with position E484 or N417 or K501 being very frequently mutated. This also demonstrates that the virus has a limited operating range in terms of mutations. Nevertheless, the recently emerged Omicron VOC shows a larger number of mutations, and it will be interesting to reveal how this variant behaves in terms of neutralization. (4) The virus recently jumped from animals to humans, and it is therefore likely that these mutations observed now are part of the process of "human adaptation". This theory is supported by the finding that the mutation within RBD, which determines the binding affinity of RBD to ACE2 and replication in human lung cells, is a key driver of SARS-CoV-2 to human adaptation [29] . (5) Established RNA viruses, such as Polio or Dengue virus, exist in three or four serotypes, respectively and show no evidence of further mutations to escape immunity. Indeed, poliovirus has been held at bay for decades using the same vaccine [30] . (6) Finally, we show here that a vaccine based on wt RBD displayed on CuMV TT is able to induce strongly and broadly cross-protective antibodies recognizing all VOCs efficiently. Taking points 1-6 into account, it will likely not be necessary to generate yearly versions of a SARS-CoV-2 vaccine. In addition to vaccine optimization, the world should therefore focus on broadening vaccine accessibility rather than vaccine specificity.

Here, we present a vaccine candidate against Wuhan SARS-CoV-2 based on virus-like particle, CuMV TT -RBD wt , which can induce antibodies recognize not only RBD wt , but also RBDs of VOCs. These antibodies are able to neutralize VOCs in vitro as well. These results may be support the rationale for administration of wt vaccines globally to prevent the VOCs.

Supplementary Materials: The following supporting information can be downloaded at: https:// www.mdpi.com/article/10.3390/vaccines10020307/s1, Figure S1 : SDS-PAGE gel of RBD wt , RBD 417 , RBD 484 , RBD 501 , RBD trip and RBD dm . Funding: This work was supported by Saiba AG and the Swiss National Science Foundation (SNF grants 310030_185114).

The study was conducted according to the Cantonal Veterinary guidelines of Bern, Switzerland, and all experiments were performed in accordance with ethical principles and guidelines of the Cantonal Veterinary Office Bern, Switzerland (protocol code BE70/18 and date of approval 1 September 2018).

Data Availability Statement: All data generated or analyzed during this study are included in this published article (and its Supplementary Information files) .

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Conflicts of Interest: M.F.B. declares to be involved in several companies developing vaccines for allergic diseases. The other authors declare no further conflict of interests.