Abstract
The response by vaccine developers to the COVID-19 pandemic has been extraordinary with effective vaccines authorized for emergency use in the United States within 1 year of the appearance of the first COVID-19 cases. However, the emergence of SARS-CoV-2 variants and obstacles with the global rollout of new vaccines highlight the need for platforms that are amenable to rapid tuning and stable formulation to facilitate the logistics of vaccine delivery worldwide. We developed a “designer nanoparticle” platform using phage-like particles (PLPs) derived from bacteriophage lambda for a multivalent display of antigens in rigorously defined ratios. Here, we engineered PLPs that display the receptor-binding domain (RBD) protein from SARS-CoV-2 and MERS-CoV, alone (RBDSARS-PLPs and RBDMERS-PLPs) and in combination (hCoV-RBD PLPs). Functionalized particles possess physiochemical properties compatible with pharmaceutical standards and retain antigenicity. Following primary immunization, BALB/c mice immunized with RBDSARS- or RBDMERS-PLPs display serum RBD-specific IgG endpoint and live virus neutralization titers that, in the case of SARS-CoV-2, were comparable to those detected in convalescent plasma from infected patients. Further, these antibody levels remain elevated up to 6 months post-prime. In dose-response studies, immunization with as little as one microgram of RBDSARS-PLPs elicited robust neutralizing antibody responses. Finally, animals immunized with RBDSARS-PLPs, RBDMERS-PLPs, and hCoV-RBD PLPs were protected against SARS-CoV-2 and/or MERS-CoV lung infection and disease. Collectively, these data suggest that the designer PLP system provides a platform for facile and rapid generation of single and multi-target vaccines.
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Introduction
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a positive-sense, single-stranded RNA virus, was first isolated in late 2019 from patients with severe respiratory illness in Wuhan, China1,2. This betacoronavirus is related to two other coronaviruses that are highly pathogenic for humans—SARS-CoV and Middle East respiratory syndrome coronavirus (MERS-CoV)3. Although SARS-CoV no longer circulates in the human population, SARS-CoV-2 infection is the cause of the global pandemic of coronavirus disease 2019 (COVID-19), which can progress to acute respiratory distress syndrome (ARDS) and death4. The elderly, immunocompromised, and those with certain comorbidities (e.g., obesity, diabetes, and hypertension) are at the greatest risk of severe COVID-195. Moreover, genetic variants of SARS-CoV-2 with distinct transmission and antigenic properties, including the Alpha, Beta, Gamma, Delta, and Omicron variants of concern, have continuously emerged throughout the pandemic, challenging public health strategies and the efficacy of vaccines and other medical countermeasures6,7,8. In addition, MERS-CoV remains in circulation and has infected over 2,500 people with a lethal disease in ~834 (~34% case fatality rate)9. The virus has spread to 28 countries since emerging in the Kingdom of Saudi Arabia in 20129,10, and large outbreaks of human-to-human transmission have occurred in Riyadh and Jeddah in 2014 and in South Korea in 201511,12.
The RNA genome of beta coronaviruses is ~30,000 nucleotides in length13. The 5′ two-thirds encode nonstructural proteins that catalyze genome replication and viral RNA synthesis, whereas the 3′ one-third of the genome encodes the viral structural proteins, including nucleoprotein and the spike (S), envelope, and membrane proteins. The S protein of coronaviruses forms homotrimeric spikes on the virion (Fig. 1a), which engages cell surface attachment factors and entry receptors14. Protein cleavage occurs sequentially during the entry process to yield S1 and S2 fragments and is then followed by further processing of S2 to yield a smaller S2′ protein15. The S1 fragment includes the receptor-binding domain (RBD), the predominant target of potently neutralizing monoclonal antibodies, while the S2 fragment promotes membrane fusion16,17,18,19,20,21,22,23,24,25.
A number of vaccine candidates against coronaviruses, targeting the S protein, have been developed, including DNA plasmid, lipid nanoparticle encapsulated mRNA, inactivated virion, and viral-vectored vaccines26,27. For instance, currently approved RNA-based vaccines that target the S protein of SARS-CoV-2 are safe and highly effective28,29; however, they suffer from multiple-dose requirements, require strict “cold-chain” conditions that limit vaccine distribution, and pose constraints on the infrastructure and healthcare system, and their use has been associated with mild myocarditis in some populations30. Conversely, adenovirus vector vaccines against SARS-CoV-2 can have the advantage of single-dose administration31, but they are less effective than RNA vaccines and can lead to serious side effects, such as labored breathing, transient neutropenia and lymphopenia, liver damage, and, in rare cases, neuropathies like Bell’s palsy and transverse myelitis32,33,34. Furthermore, the success of platforms derived from eukaryotic viruses (e.g., adenoviruses) has been tempered by safety concerns related to pathogenicity, immunogenicity, and toxicity35. Thus, there continues to be a need for multifaceted, rapidly tunable vaccine platforms that can respond to novel emerging threats, including natural variants, that provide long-term protection, and that are amenable to industrial strategies to afford thermostable, single-shot formulations for efficient distribution in resource-limited settings.
Bacteriophage systems have been adapted as therapeutic and diagnostic (theranostic) platforms, including infectious phages36,37,38 and phage-like particles (PLPs) derived from phage capsid proteins, that are employed as scaffolds for genetic and chemical modification39,40. For example, filamentous phages, such as M13 and fd, and icosahedral phages, including P22, T4, AP205, MS2, and lambda, have been used to display imaging reagents41,42,43, synthetic polymers44,45,46, bioactive peptides, and proteins46,47,48,49,50,51,52,53. Phages and PLPs have also been employed as vaccine platforms to display antigens including Y. pestis49, P. falciparum50, and recently SARS-CoV-254, among many others36. In these cases, the PLP decoration ligands are engineered using genetic and/or chemical modification of the capsid-associated proteins.
The Catalano laboratory has developed a “designer nanoparticle” platform adapted from phage lambda55. Co-expression of the major capsid and “scaffolding” proteins in Escherichia coli affords icosahedral PLP shells that can be isolated in high yield. These can then be decorated in vitro with the lambda decoration protein (gpD), which binds as trimer spikes to the 140 three-fold axes of the icosahedral shell (420 total copies; see Fig. 1b)56,57. The decoration protein can be modified genetically to display heterologous peptides and proteins that can be similarly displayed on the PLP surface46,58,59. Additionally, we have engineered a mutant gpD protein that contains a Ser42->Cys mutation (gpD(S42C)), which enables site-specific chemical modification of the decoration protein using maleimide chemistry (Fig. 1b)46. Employing our in vitro system, PLPs can be independently or simultaneously decorated with genetically and chemically modified decoration proteins in rigorously defined surface densities46,53. While all phage and PLP platforms have strengths and weaknesses, the lambda PLP platform has several advantages and unique features that can be harnessed for vaccine development: (i) PLPs can be decorated under defined in vitro conditions with biological and synthetic molecules in varying surface densities, simultaneously integrating genetic and chemical modification strategies. This provides a robust and expansive set of integrated genetic and chemical modification tools; (ii) modification of the particle surface is facile, fast, and can be tuned in a user-defined manner, thereby streamlining the formulation process. These two features allow rigorous and controlled ligand display that is not limited by the requirement for phage replication; (iii) intact phage and PLP shells are natural adjuvants capable of stimulating the innate immune response60,61; and (iv) the ability to display antigens in high density can aid in regulating effector function62. Importantly, the decorated particles are monodisperse, stable, and possess physiochemical properties amenable for pharmaceutical formulation and as required to address regulatory hurdles53,63,64. Indeed, we have recently demonstrated that antigen-decorated PLPs formulated in glassy dry powders are stable at 50 ˚C for more than one month65. Therefore, the lambda system described here allows for substantial flexibility and rigorous control in vaccine design and development, setting the stage for the construction of an “all-in-one” vaccine platform.
In this study, we report the development of a monovalent lambda PLP-based vaccine against SARS-CoV-2 (RBDSARS-PLP) or MERS-CoV (RBDMERS-PLP) via decoration with the spike RBD proteins from either virus. Additionally, we engineered bivalent PLPs that co-display spike RBD proteins from both viruses (hCoV-RBDs-PLP) to serve as a bivalent vaccine candidate. Intramuscular administration of RBDSARS-PLPs, RBDMERS-PLPs, and hCoV-RBDs PLPs in mice induces robust and durable humoral immune responses, including the production of neutralizing antibodies. Moreover, immunization also protected mice against lung infection, inflammation, and pathology after virulent SARS-CoV-2 and MERS-CoV challenges.
Results
Design and construction of particles decorated with human coronavirus spike RBD proteins
The lambda designer PLP platform was adapted to display CoV spike RBD proteins using methods established in the Catalano laboratory46,53. Purified recombinant spike RBD proteins derived from the SARS-CoV-2 and MERS-CoV isolates Wuhan-Hu-1 and EMC/2012 are referred to as RBDSARS and RBDMERS, respectively, or collectively as hCoV-RBDs. These proteins were cross-linked to the lambda decoration protein mutant, gpD(S42C), following a two-step procedure. First, solvent-accessible lysine residues in the hCoV-RBDs were modified with the N-hydroxysuccinimide ester groups of the SM(PEG)24 heterobifunctional crosslinker, as depicted in Fig. 1c; SDS-PAGE analysis reveals an apparent single predominant product for both RBDSARS and RBDMERS (Fig. 2a, d, respectively, lanes 4). Next, the maleimide groups of the crosslinker were reacted with the sole cysteine residue of gpD(S42C) to afford the gpD-RBDSARS and gpD-RBDMERS constructs (Fig. 1c); SDS-PAGE analysis reveals multiple products in each case (Fig. 2a, d, lanes 5). The reaction mixtures were fractionated by size-exclusion chromatography (SEC) (Fig. 2b, e), and the fraction containing a single predominant product for each hCoV-RBD was isolated and then concentrated for use in all subsequent experiments (fraction 32, Fig. 2c, f).
The purified gpD-RBD constructs were used to decorate PLPs, alone and in combination at defined surface densities, as outlined in Fig. 1d. Complete particle decoration requires 420 copies of the decoration protein that assemble as trimeric spikes, projecting from the shell surface (see Fig. 1b); therefore, we define the number of gpD-binding sites occupied as a surface density percentage. For instance, 60% RBDSARS-PLPs denote particles that are decorated with 252 copies of gpD-RBDSARS with the remaining sites filled with wildtype (WT) gpD (168 copies). Similarly, 40% hCoV-RBD PLPs are particles that are decorated with 168 copies of gpD-RBDSARS, 168 copies of gpD-RBDMERS, and 84 copies of WT gpD. Analysis of the reaction mixtures by agarose gel electrophoresis (AGE) demonstrated that particles can be decorated in a defined manner with either and both gpD-RBD constructs (Fig. 3a–c).
Decorated particles were purified by SEC (Fig. 3d) and characterized by multiple approaches. Electron microscopy (EM) confirmed that decorated PLPs retain icosahedral symmetry and are well dispersed. Close inspection of the micrographs revealed that particles decorated with RBD densities greater than 20% are characterized by surface projections whose number increases with increasing surface decoration (Fig. 3e); we attribute these projections to RBD proteins extending from the particle surface. Physiochemical characterization of PLP preparations by dynamic and electrophoretic light scattering analyses reveal that the mean hydrodynamic diameter of particles decorated with RBDs also increases as a function of RBD surface density and have an overall surface charge that ranges from −12 to −29 mV (Table 1). The polydispersity index (PDI) of the decorated particles ranges from (0.156 ± 0.05) to (0.285 ± 0.09). In sum, these data indicate that these particle preparations have a high degree of homogeneity and are acceptable by pharmaceutical standards.
Having confirmed that PLPs can be decorated with varying surface densities of hCoV-RBDs, we sought to determine whether the purified gpD-RBD constructs retain their antigenic characteristics following particle decoration. Thus, the antigenicity of RBDSARS-PLPs, RBDMERS-PLPs, and hCoV-RBD PLPs was assessed using enzyme immunoassays. The data presented in Fig. 3f, g show that PLPs decorated with 20% gpD-RBDSARS and/or 20% gpD-RBDMERS retain antigenic properties, whereas no reactivity was noted for WT PLPs.
Particles decorated with gpD-RBDSARS are immunogenic following one or two immunizations
To assess the immunogenicity of RBDSARS PLPs, 6-week-old BALB/c mice were immunized by intramuscular (i.m.) inoculation with 10 g of WT PLPs (control) or 60% RBDSARS-PLPs, followed by administration of a booster dose three weeks later (Fig. 4a). Serum samples were collected 14 days after the primary or booster immunization (day 35 post-prime) and again at days 63 and 174 post-prime. IgG responses against purified RBD protein were evaluated by ELISA (Fig. 4b). After a single immunization, 60% RBDSARS-PLPs induced RBDSARS-specific IgG titers comparable to those detected in convalescent samples from SARS-CoV-2 recovered patients (Fig. 4b, c). At 14 days post-boost (day 35), these responses were elevated 16-fold (P < 0.001). Importantly, mice immunized with 60% RBDSARS-PLPs maintained high levels of RBDSARS-specific IgG out to day 174 post-prime (Fig. 4b), indicating that these particles elicit durable humoral immune responses. In contrast, RBDSARS-specific IgG was undetectable in mice immunized with RBD alone (Supplementary Fig 1) or with WT PLPs at all time points evaluated (Fig. 4b). Furthermore, IgG subclass analysis at 14 days post-prime and boost revealed that 60% RBDSARS-PLPs elicit high levels of RBDSARS-specific IgG1, IgG2a, and IgG2b (Fig. 4d).
Additionally, we evaluated serum from immunized animals for the capacity to neutralize SARS-CoV-2 infection using a live virus focus-reduction neutralization test (FRNT). Serum from mice immunized with WT PLPs did not display neutralizing activity (Supplementary Fig 2), whereas serum from mice immunized with 60% RBDSARS-PLPs 14 days post-prime neutralized SARS-CoV-2 infection comparable to the neutralizing activity detected in convalescent samples from SARS-CoV-2 recovered patients (Fig. 4e, f). Neutralizing activity was enhanced 4.7-fold following the booster immunization (P < 0.05), and high levels of SARS-CoV-2 neutralizing antibodies were maintained out to day 174 post-prime (Fig. 4e and Supplementary Fig 2).
Vaccination with RBDSARS-PLPs protects from virulent SARS-CoV-2 challenge
We evaluated the protective activity of particles decorated with gpD-RBDSARS using a recently developed mouse-adapted strain of SARS-CoV-2 (SARS-CoV-2 MA10), which productively replicates in the mouse lung and results in clinical manifestations of disease consistent with severe COVID-19 in humans66. Six-week-old BALB/c mice were immunized i.m. with WT PLPs or 60% RBDSARS-PLPs. At 184 days post-prime, mice were challenged intranasally with 104 plaque-forming units (PFUs) of SARS-CoV-2 MA10 (Fig. 5). Mice immunized with WT PLPs rapidly lost weight following SARS-CoV-2 infection, whereas no weight loss was observed in mice immunized with 60% RBDSARS-PLPs (Fig. 5a). At 4 days post-infection (dpi), mice were euthanized, and lungs were collected for viral burden analysis and histopathology. While high levels of infectious virus were detected in the lungs of mice immunized with WT PLPs, infectious virus was undetectable in the lungs of mice immunized with 60% RBDSARS-PLPs, as determined by plaque assay (Fig. 5b). Moreover, greatly reduced levels of genomic (Fig. 5c) and subgenomic (Fig. 5d) viral RNA were detected in the lungs of mice vaccinated with 60% RBDSARS-PLPs, as compared to those immunized with WT PLPs. Collectively, these data indicate that i.m. immunization with RBDSARS-PLPs elicits durable protection against SARS-CoV-2 lung infection.
The effect of immunization with RBDSARS-PLPs on lung inflammation and disease also was assessed by analyzing lung tissue for histopathological changes. Mice immunized with WT PLPs and challenged with SARS-CoV-2 MA10 had an abundant accumulation of immune cells in perivascular and alveolar locations, vascular congestion, and interstitial edema (Fig. 5e). Conversely, immunization with 60% RBDSARS-PLPs resulted in a marked reduction of lung-associated histopathological changes (Fig. 5e), indicative of protection against SARS-CoV-2 induced lung inflammation and injury.
Low doses of RBDSARS-PLPs remain immunogenic and protect from virulent SARS-CoV-2 challenge
We next evaluated the immunogenicity and protective efficacy of de-escalating doses of particles decorated with gpD-RBDSARS. Six-week-old BALB/c mice were immunized by i.m. injection with 2.5, 1.0, or 0.25 μg of 60% RBDSARS-PLPs and received a booster dose of the same amount 3 weeks later. Control mice received two i.m. injections of 2.5 μg of WT PLPs, following the same immunization schedule. Serum samples were collected on days 14, 35 (14 days post-boost), 63, and 84 post-prime, and IgG responses against purified RBD protein were evaluated by ELISA. At 14 days, little response was observed in mice immunized with a single injection of 0.25 μg of 60% RBDSARS-PLPs, and no response was detected in control mice (Fig. 6a). In contrast, mice immunized with 2.5 or 1.0 μg of 60% RBDSARS-PLPs had detectable levels of RBDSARS-specific IgG which were comparable to mice immunized with a 10 μg dose (compare Figs. 4b and 6a), and to RBDSARS-specific IgG detected in convalescent samples from SARS-CoV-2 recovered patients (Fig. 4c). At 14 days post-boost (day 35 post-prime), RBDSARS-specific IgG responses were elevated in mice that received all doses of 60% RBDSARS-PLPs, although lower responses were observed for mice immunized with 0.25 μg (Fig. 6a). Additionally, mice immunized with all doses maintained high levels of RBDSARS-specific IgG up to 84 days post-prime (Fig. 6a).
We also evaluated serum from this dose de-escalation study for the capacity to neutralize SARS-CoV-2 infection (Fig. 6b and Supplementary Fig 3). Serum from mice immunized with WT PLPs did not display neutralizing activity (Supplementary Fig 3). While day 14 post-prime serum from mice immunized with all doses of 60% RBDSARS-PLPs displayed little to no neutralizing activity, day 35 (14 days post-boost) serum from mice immunized with 2.5 or 1.0 μg of 60% RBDSARS-PLPs displayed potent neutralizing activity that was maintained up to 84 days post-prime (Fig. 6b). Despite detectable levels of RBDSARS-specific IgG, immunization with 0.25 μg of 60% RBDSARS PLPs did not result in neutralizing activity at any of the time points evaluated (Fig. 6b).
Mice immunized with de-escalating doses of 60% RBDSARS PLPs were challenged with 104 PFU of SARS-CoV-2 MA10 at day 90 post-prime. Compared to control mice, mice immunized with all doses (including 0.25 μg) of 60% RBDSARS PLPs were protected from weight loss associated with SARS-CoV-2 infection (Fig. 6c). At 4 dpi, lungs were collected and assessed for viral burden. Immunization with 2.5 or 1.0 μg of 60% RBDSARS-PLPs resulted in potent protection against viral infection (Fig. 6d) and reduced levels of viral genomic and subgenomic RNA (Fig. 6e, f) in the lungs. Furthermore, histopathological analysis of lung tissues of mice immunized at these doses showed minimal perivascular and alveolar infiltrates at 4 dpi, whereas those of control mice were characterized by extensive inflammation (Fig. 6g). Mice immunized with 0.25 μg of 60% RBDSARS PLPs had levels of infectious virus and viral RNA in the lungs similar to those in control mice (Fig. 6d–f), consistent with an inability to neutralize SARS-CoV-2 infection (Fig. 6b). Additionally, these mice displayed more severe lung inflammation and injury versus those immunized with higher doses. Overall, the data indicate that neutralizing antibodies are essential for protection against SARS-CoV-2 infection and suggest that additional adaptive immune responses elicited by vaccination with RBDSARS-PLPs may contribute to protection against severe disease characterized by more extensive weight loss, such as the generation of memory T cells.
Vaccination with mosaic hCoV-PLPs protects from virulent SARS-CoV-2 and MERS-CoV challenge
As described above, PLPs can be decorated with multiple hCoV-RBDs at varying surface densities to generate mosaic PLPs. Thus, we evaluated the immunogenicity and protective efficacy of particles simultaneously decorated with gpD-RBDSARS and gpD-RBDMERS in comparison with their mono-RBD decorated counterparts (Fig. 7). Six-week-old BALB/c mice were immunized by i.m. injection with 7.5 μg of WT PLPs, 20% RBDSARS-PLPs, 20% RBDMERS-PLPs, or 20% hCoV-RBD PLPs (note, 20% of each of gpD-RBDSARS and gpD-RBDMERS). Mice received a booster dose of the same amount three weeks later. Serum samples were collected on days 14, 35 (14 days post-boost), and 96 post-prime, and IgG responses against purified SARS-CoV-2 and MERS-CoV RBD protein were evaluated by ELISA. At each time point evaluated, mice immunized with the bivalent 20% hCoV-RBD PLPs had similar levels of RBDSARS- and RBDMERS-specific IgG as mice immunized with the monovalent 20% RBDSARS-PLPs or 20% RBDMERS-PLPs (Fig. 7a, b). In addition, immunization with 20% hCoV-RBD PLPs induced potent neutralizing antibody responses against both SARS-CoV-2 (Fig. 7c) and MERS-CoV (Fig. 7d). We note, however, that neutralizing titers against MERS-CoV were somewhat lower in mice immunized with the bivalent vaccine compared with the monovalent MERS vaccine (Fig. 7d).
Next, these mice were challenged with 104 PFU of SARS-CoV-2 MA10 or 105 PFU MERS-CoV at day 102 post-prime. Five days prior to the MERS-CoV challenge, mice were i.n. inoculated with Ad-hDPP4 to deliver the MERS-CoV cell entry receptor to lung cells67,68. Compared with control mice, mice immunized with either RBDSARS-PLPs or hCoV-PLPs were protected from weight loss (Fig. 7e) and lung viral burden (Fig. 7f) associated with SARS-CoV-2 infection. Similarly, mice immunized with either RBDMERS-PLPs or hCoV-PLPs were protected from weight loss (Fig. 7g) and lung viral burden (Fig. 7h) associated with MERS-CoV infection.
Discussion
Numerous vaccine strategies and platforms have been developed for current and emerging infectious diseases, and several studies support the use of CoV RBDs as vaccine immunogens. For instance, the SARS-CoV-2 RBD is immunodominant, contains multiple antigenic sites, and is the overwhelming target of neutralizing activity in COVID-19 convalescent plasma69. In addition, passive administration of monoclonal antibodies that target the RBD of SARS-CoV-2 and other pathogenic CoVs protects rodents, ferrets, and non-human primates from severe CoV infection17,70,71,72,73,74,75,76,77,78,79, indicating that the generation of RBD-specific antibodies is an advantageous therapeutic strategy. Moreover, the RBD is a target of cross-neutralizing antibodies69,80, and immunization with SARS-CoV-2 RBD functionalized nanoparticles can elicit cross-neutralizing antibodies against a number of SARS-related CoVs81. Nevertheless, and despite significant advancements in diagnostic and therapeutic countermeasures, continued vaccine development efforts are warranted, especially for viruses that pose a threat to global public health or to provide broad protection against multiple viruses.
In this study, we designed and constructed lambda PLPs decorated with the RBDs from extant highly pathogenic human CoVs (i.e., SARS-CoV-2, MERS-CoV) as a tunable, multivalent vaccine platform. The ability to rapidly decorate lambda PLPs with multiple immunogens of interest may be especially important for vaccine development against human CoVs, as the COVID-19 pandemic has been characterized by the repeated emergence of genetic variants of SARS-CoV-2 with distinct antigenic properties, such as the Omicron SARS-CoV-2 variant that emerged in late 20216, that allow for escape from immunity elicited by vaccines based on historical viral variants. The platform allows for symmetrical, high-density display of multiple target antigens, thereby enhancing the stimulation of host immune responses. Properties of decorated PLPs present several advantages for use as an effective vaccine delivery vehicle, including (i) a particle size less than 200 nm, enabling entry into the lymphatic system82 where adaptive immune responses are initiated; (ii) additional physiochemical properties such as surface charge, exposure of functional group, and hydrophobicity are easily manipulated by both genetic and chemical approaches; and (iii) simultaneous delivery of foreign molecules can be achieved on a single PLP. Further, we found no adverse effects due to immunization with phage lambda particles by intramuscular routes in mice even after repeated doses or after challenge (i.e., no evidence of vaccine-enhanced disease such as more severe or distinct lung pathology), indicating a favorable safety profile for future in vivo testing.
We demonstrate that mono and mosaic hCoV-RBD decorated particles induce RBD-specific binding and virus-neutralizing antibodies after one and two doses. Notably, these responses remained highly elevated up to 6 months post-prime, indicating that the vaccine platform can stimulate robust and durable immune responses. Additionally, immunized mice were protected against virulent virus challenge (up to day 184 post-prime for SARS-CoV-2 and day 102 for MERS-CoV) as indicated by significantly reduced virus-induced weight loss, a marked reduction in lung-associated inflammation and injury, and lower titers of infectious virus in the lungs paired with diminished levels of viral genomic and subgenomic RNA. Consistent with published studies81, PLPs decorated with the SARS-CoV-2 RBD alone do not elicit IgG that binds the MERS-CoV RBD or antibodies that neutralize MERS-CoV infection. In contrast, those simultaneously decorated with the SARS-CoV-2 and MERS-CoV RBD proteins induce strong immune responses against both pathogenic viruses. This supports that co-displaying multiple antigens on the same particle is an effective means of broadening immune responses elicited by our vaccine platform and that the presence of multiple antigens does not interfere with each other.
A number of nanoparticles and antigen coupling strategies have been evaluated for vaccine design83. These include nanoparticles based on the SpyCatcher-SpyTag system which can be used to conjugate antigens to self-assembling protein nanoparticles84,85,86, the Novavax vaccine87, and other phage systems88. Most often, these immunization studies involve the use of large amounts of antigen (e.g., 50–100 μg/dose), up to four immunizations, formulation with an adjuvant (e.g., AddaVax), and vaccine administration routes not amenable to humans (e.g., intraperitoneal)86,89. Our dose-response studies show that immunization with as little as one microgram of 60% RBDSARS-PLPs elicited robust neutralizing antibody responses and conferred protection against the SARS-CoV-2 challenge. These data suggest that PLP-based vaccines facilitate dose sparing immunization practices which, from both manufacturing and distribution perspectives, enhances their utility as a vaccine platform. Further studies will be necessary to test protective efficacy following immunization in a dose-dependent manner or through alternative routes.
While we did not define the epitopes targeted, the anti-SARS-CoV-2 monoclonal antibody used in the enzyme immunoassays binds to a conserved epitope in the RBD that is only accessible when the S protein is in a conformation competent to bind the hACE2 receptor90,91. Additionally, RBD-specific IgG subclass responses were assessed; however, further characterization of the potential role of these in vaccine-mediated protection was not determined. Considering the implications these may have on the development of safe vaccines (e.g., clinical syndromes associated with vaccine-enhanced disease)92, additional studies are needed to examine the possible impacts on cellular effector function and evaluate mucosal and cellular immunity in addition to immunity against variants of SARS-CoV-2 and MERS-CoV.
In summary, the versatility and robustness of the lambda system presented provides a promising vaccine candidate. Immunization with hCoV-RBD decorated PLPs induces antibodies with neutralizing activity, results in a durable immune response, and provides effective protection against virulent virus challenge. Continued efforts into the optimization of this platform could expand the diversity of protein-based vaccine technologies available and aid in the prevention of infectious diseases deleterious to global health.
Methods
Study design
The objectives of this research were to evaluate the immunogenicity and protective capacity of monovalent and bivalent phage-like particle CoV vaccines. Purified phage-like particles were decorated in defined ratios with the lambda decoration protein cross-linked with the RBD of the SARS-CoV-2 and MERS-CoV spike proteins. The immunoreactivity, immunogenicity, and protective potential of PLPs was tested both in vitro and in mouse models of CoV infection. In vitro immunological assays were performed in duplicate, serum IgG titer measurements by ELISA and serum neutralization experiments were repeated at least two times independently to confirm reproducibility. Female BALB/c mice, 6–8 weeks of age, were randomly allocated to experimental immunization groups. Group sizes were determined by power analysis. Mice received two i.m. immunizations of the same vaccine dose on day 0 and day 21. At pre-determined time points post-primary and booster immunizations, blood was collected for immunological assays. Viral challenge studies were performed blinded. Mice were inoculated i.n. with a mouse-adapted SARS-CoV-2 strain or MERS-CoV. Five days prior to the MERS-CoV challenge, mice were inoculated i.n. with an adenovirus expressing DPP4, the MERS-CoV cell entry receptor. At a pre-defined time-point (4 days post-challenge), animals were humanely euthanized, and tissues were collected for virological and histopathological analysis. No data were excluded.
Purification of lambda PLPs
Lambda PLPs were expressed in E. coli BL21(DE3)[pNu3_E] cells and purified53. Self-assembled PLPs were extracted from cell lysates in 20 mM Tris [pH 8.0, 4 °C] buffer containing 0.4 mg/mL lysozyme and 0.04 mg/mL DNase. Following rate zonal centrifugation (10−40% sucrose density gradient), PLPs were collected, concentrated, and exchanged into 20 mM Tris [pH 8.0, 4 °C] buffer containing 15 mM MgCl2, 1 mM EDTA, and 7 mM β-ME using centrifugal filter units (100k MWCO; Millipore Amicon Ultra). Proteins were fractionated by anion exchange chromatography employing three 5 mL HiTrap Q HP columns connected in tandem and developed with a 30-column volume linear gradient to 1 M NaCl. The eluate was analyzed by SDS-PAGE (see Source Data file), and PLP-containing fractions were pooled and exchanged into 50 mM HEPES [pH 7.4] buffer containing 100 mM NaCl and 10 mM MgCl2 prior to storage at 4 °C.
Purification of lambda decoration proteins
WT and gpD(S42C) decoration proteins were expressed in E. coli BL21(DE3)[pD] and BL21(DE3)[pDS542C] cells, respectively, and purified53. Cell lysate supernatants were dialyzed overnight against 20 mM Tris [pH 8.0, 4 °C] buffer containing 20 mM NaCl and 0.1 mM EDTA. Proteins were fractionated employing three 5 mL HiTrap Q HP columns connected in tandem and developed with a 30-column volume linear gradient to 1 M NaCl. Fractions containing decoration protein were pooled, exchanged into 50 mM NaOAc [pH 4.8] buffer using centrifugal filter units (3k MWCO; Millipore Amicon Ultra), and loaded onto three 5 mL HiTrap SP columns connected in tandem. Bound proteins were eluted with a 30-column volume linear gradient to 0.5 M NaCl, and fractions containing decoration protein were pooled and dialyzed overnight against 20 mM Tris [pH 8.0, 4 °C] buffer containing 20 mM NaCl and 0.1 mM EDTA for storage at 4 °C. For long-term storage at −80 °C, aliquots of purified protein were supplemented with 20% glycerol.
Purification of recombinant hCoV-RBD proteins
A pCAGGS expression vector encoding the SARS-CoV-2 spike RBD was obtained from Dr. Florian Krammer, Icahn School of Medicine at Mount Sinai93. This construct contains sequences encoding the native signal peptide (residues 1–14) followed by residues 319–541 from the SARS-CoV-2 Wuhan-Hu-1 spike protein (GenBank MN908947.3) and a hexa-histidine tag at the C-terminus for purification. A pTwist-CMV expression vector (Twist Biosciences Technology) encoding the MERS-CoV spike RBD was kindly provided by Dr. Peter S. Kim, Stanford University94. This construct contains sequences encoding an N-terminal human IL-2 signal peptide followed by residues 367–588 from the MERS-CoV EMC/2012 spike RBD (GenBank JX86905.2) and dual C-terminal tags (octa-histidine, AviTag) for purification. Recombinant protein expression and purification was performed by the University of Colorado Cancer Center Cell Technologies Shared Resource. Due to the involvement of glycans in the epitopes of some neutralizing antibodies73,95, RBDs were expressed in Expi293F cells to retain normal glycosylation and antigenic properties. Expi293F cells were transfected with plasmid DNA using ExpiFectamine transfection reagent (Thermo Fisher Scientific). At 72 h post-transfection, cell culture supernatants were centrifuged (4000×g) for 20 min and filtered (0.2 microns). Recombinant proteins were purified by Ni-NTA column chromatography using an ATKA purification system. Protein was eluted with 500 mM imidazole and concentrated before assessing protein purity by SDS-PAGE and Coomassie staining (see Source Data file).
Crosslinking of lambda decoration protein (gpD(S42C)) to hCoV-RBDs
SARS-CoV-2 or MERS-CoV RBD protein was exchanged into 0.01 M PBS [pH 7.2] buffer using centrifugal filter units (10k MWCO; Millipore Amicon Ultra). A fivefold molar excess of SM(PEG)24 (PEGylated, long-chain sulfosuccinimidyl 4-(N-maleimidomethyl)cyclohexane-1-carboxylate crosslinker; Thermo Fisher Scientific) was added, and the mixture was incubated (30 min, 25 °C) for modification of solvent-accessible primary amines. Reduced gpD(S42C) was added to the mixture (1:1, molar equivalent) and incubated (1 h, 25 °C) to yield the cross-linked products (gpD-RBDSARS and gpD-RBDMERS). The reaction was quenched with the addition of 0.2% β-ME (30 min, 25 °C), and cross-linked proteins were purified by size-exclusion chromatography employing a 24 mL Superose 6 Increase 10/300 GL column equilibrated and developed with 40 mM HEPES [pH 7.4] buffer containing 150 mM NaCl, 200 mM arginine, 0.1 mM EDTA, and 2 mM β-ME. Fractions containing cross-linked proteins were identified by SDS-PAGE and were pooled. The purified proteins were exchanged into 20 mM Tris [pH 8.0, 4 °C] buffer containing 20 mM NaCl and 0.1 mM EDTA for storage at 4 °C. Protein concentration was quantified spectroscopically.
In vitro PLP expansion and decoration
PLPs were expanded and subsequently decorated in vitro53. Purified PLPs were expanded in 10 mM HEPES [pH 7.4] buffer containing 2.5 M urea for 30 min on ice and then exchanged into 10 mM HEPES [pH 7.4] buffer containing 200 mM urea using centrifugal filter units (100k MWCO; Millipore Amicon Ultra). Expanded shells (30 nM) were decorated in a stepwise fashion with modified and WT decoration protein at 25 °C in 10 mM HEPES [pH 7.4] buffer containing 50 mM urea, 10 mM arginine, and 0.1% Tween 20. Proteins were added in the following order: (1) gpD-RBDSARS (0.69–8.33 μM final concentration, 30 min incubation); (2) gpD-RBDMERS (1.39–8.33 μM, 30 min incubation); (3) wildtype gpD (5.55−13.19 μM, 60 min incubation). Decorated PLPs were purified by size-exclusion chromatography employing a 24 mL Superose 6 Increase 10/300 GL column equilibrated and developed with 100 mM HEPES [pH 6.6] buffer containing 200 mM NaCl, 200 mM arginine, 1 mM EDTA, and 2 mM β-ME at a flow rate of 0.3 mL/min. Fractions containing decorated PLPs were pooled and exchanged into 50 mM HEPES [pH 7.4] buffer containing 100 mM NaCl and 10 mM MgCl2 for storage at 4 °C.
Transmission electron microscopy
Carbon-coated copper grids (400 mesh; CF400-CU) were glow-discharged using a Pelco EasiGlo system (Ted Pella, Inc.; Redding, CA, USA) with a plasma current of 15 mA, negative glow discharge head polarity, glow discharge duration of 1 min, and held under vacuum for 15 sec. PLP preparations were diluted to 10 nM using water (sterile, double-distilled) and spotted twice onto grids. Following sample adsorption (20 s), excess liquid was wicked off using a Whatman #1 filter paper. Grids were washed using water, and excess liquid was wicked off. Samples were negatively stained (20−25 s) with filtered 2% (w/v) methylamine tungstate [pH 6.7] and 50 μg/mL bacitracin (0.2 μm Nucleopore polycarbonate syringe filters). Excess stain was wicked off, and grids were allowed to air-dry for at least 1 h before transferring to a grid storage box. Samples were maintained covered throughout this procedure and stored at room temperature until imaged. Images were acquired on an FEI Tecnai G2 transmission electron microscope at an accelerating voltage of 80 kV and equipped with a 2k × 2k CCD camera. Images were processed in Fiji96 and measurements were based on 100 particles with values reported as mean ± standard deviation.
Particle size and charge measurements
Decorated particles were diluted to 2 nM (55–700 μL) using 10 mM HEPES [pH 7.4] for dynamic light scattering (DLS) and electrophoretic light scattering (ELS) analyses. Particle size and charge measurements were acquired on a Malvern Panalytical Zetasizer Nano ZS (He−Ne laser 633 nm light source; 5 mW maximum power). Size information obtained from the correlation function was based on hydrodynamic diameter (weighted mean reported as Z-average, Z-Ave) and particle size distributions (intensity, volume PSD) with a polydispersity index (PDI) values provided to serve as an estimate of the width of the distributions. Overall surface charge was reported as zeta potential [mV]. Successive sample measurements were done in quadruplicate with values reported as mean ± standard deviation.
Virus and cells
Vero E6 (CRL-1586, American Type Culture Collection (ATCC)) were cultured at 37 °C in Dulbecco’s Modified Eagle medium (DMEM, HyClone 11965-084) supplemented with 10% fetal bovine serum (FBS), 10 mM HEPES [pH 7.3], 1 mM sodium pyruvate, 1X non-essential amino acids, and 100 U/ml of penicillin–streptomycin. SARS-CoV-2 strain 2019 n-CoV/USA_WA1/2020 was obtained from BEI Resources. The virus was passaged once in Vero E6 cells and titrated by focus formation assay (FFA) on Vero E6 cells. The mouse-adapted SARS-CoV-2 strain MA10 (kindly provided by R. Baric, University of North Carolina at Chapel Hill), which elicits disease signs in laboratory mice similar to severe COVID-1966, was used for all challenge studies. All work with infectious SARS-CoV-2 and MERS-CoV was performed in Institutional Biosafety Committee approved BSL3 and A-BSL3 facilities at the University of Colorado School of Medicine and University of Maryland School of Medicine using positive pressure air respirators and other personal protective equipment.
Mouse experiments
Animal studies were carried out in accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health. The protocols were approved by the Institutional Animal Care and Use Committees at the University of Colorado School of Medicine (Assurance Number A3269-01) and the University of Maryland School of Medicine (Assurance number D16-00125 (A3200-01)). Female BALB/c mice were purchased from The Jackson Laboratory. 6–8-week-old mice were immunized with WT PLPs (control), RBDSARS-PLPs, RBDMERS-PLPs, or hCoV-RBD PLPs preparations in 50 μl PBS via i.m. injection in the hind leg. Mice were boosted 3 weeks after the primary immunization using the same route. PLP preparations and immunization diluent (PBS) were evaluated for the presence of endotoxin using the Pierce Chromogenic Endotoxin Quant Kit (Thermo Fisher) according to the manufacturer’s protocol. Samples were diluted in 50 mM HEPES buffer [pH 7.0] containing 100 mM NaCl and 10 mM MgCl2 and tested in quadruplicate. These analyses indicated that immunizations contained less than 4 EU endotoxin. For virulent virus challenge, mice were anesthetized by intraperitoneal injection with 50 μL of a mix of xylazine (0.38 mg/mouse) and ketamine hydrochloride (1.3 mg/mouse) diluted in PBS. Immunized BALB/c mice were inoculated intranasally (i.n.) with 104 PFU of SARS-CoV-2 MA10. For the MERS-CoV challenge, immunized mice were first inoculated i.n. with 2.5 × 108 PFU of a replication-incompetent adenovirus vector to deliver human DPP4 (Ad5-hDPP4) into the lungs of mice68. Five days later, mice were inoculated i.n. with 105 PFU of MERS-CoV (Jordan strain). All mice were weighed and monitored for additional disease signs daily. At 4 days post-inoculation (dpi), animals were euthanized by bilateral thoracotomy, and tissues were collected for virological, immunological, and pathological analyses.
ELISA
SARS-CoV-2 and MERS-CoV RBD-specific antibody responses in mouse and human sera were measured by ELISA. Immulon 4HBX plates were coated with 0.2 μg of recombinant SARS-CoV-2 RBD protein (Wuhan-Hu-1, GenPept QHD43416) or MERS-CoV RBD protein overnight at 4 °C. Coating antigen was removed, and plates were blocked with 200 μl of 3% nonfat milk in PBS/0.1% Tween 20 (PBS-T) for 1 h at room temperature. After blocking, wells were washed once with PBS-T and then probed with serum samples diluted in PBS-T supplemented with 1% nonfat milk for 1.5 h. Samples were removed, and wells were washed three times with PBS-T and probed with secondary antibodies diluted at 1:4000 in PBS-T; goat anti-mouse IgG-HRP (Southern Biotech, 1030-05), goat anti-human IgG Fc-HRP (Southern Biotech, 2014-05), goat anti-mouse IgG1-BIOT (Southern Biotech, 1071-08), goat anti-mouse IgG2a Human ads-BIOT (Southern Biotech, 1080-08), goat anti-mouse IgG2b-BIOT (Southern Biotech, 1091-08), goat anti-mouse IgG3 human ads-BIOT (Southern Biotech, 1100-08). Biotinylated antibodies were subsequently probed with streptavidin-HRP (Southern Biotech, 7100-05). The detection antibody was removed, and wells were washed three times with PBS-T. Plates were developed using 3,3′,5,5′-tetramethylbenzidine (TMB; Sigma, T0440), followed by the addition of 0.3 M H2SO4. Plate absorbance was read at 450 nm on a Tecan Infinite M plex plate reader. Endpoint titers are reported as the reciprocal of the final dilution, in which absorbance at 450 nm was above the blank average plus three times the standard deviation of all blanks in the assay. The immunoreactivity of RBDSARS-PLPs, RBDMERS-PLPs, and hCoV-RBD PLPs was measured in a similar manner. In this case, plates were coated with 0.2 μg of WT PLPs or RBDSARS-PLPs, RBDMERS-PLPs, and hCoV-RBD PLPs overnight at 4 °C. Following blocking and washing, wells were incubated for 1.5 h at room temperature with either chimeric human anti-SARS-CoV spike antibody clone CR3022 (Absolute Antibody, Ab01680) or mouse anti-MERS-CoV spike antibody clone D12 (Absolute Antibody, Ab00696) prepared in a twofold dilution series in PBS-T with a starting dilution of 1:200 and signal was developed as described above.
SARS-CoV-2 focus-reduction neutralization test (FRNT)
Vero E6 cells were seeded in 96-well plates at 104 cells/well. The next day serum samples were heat-inactivated at 56 °C for 30 min and then serially diluted (twofold, starting at 1:10) in DMEM (HyClone, 11965-084) plus 1% FBS in 96-well plates. Approximately 100 focus-forming units (FFU) of SARS-CoV-2 USA-WA1/2020 were added to each well and the serum plus virus mixture was incubated for 1 h at 37 °C. Following co-incubation, the medium was removed from the cells and the serum sample plus virus mixture was added to the cells for 1 h at 37 °C. Samples were then removed and cells overlaid with 1% methylcellulose (MilliporeSigma, M0512) in minimum essential media (MEM) (Gibco, 12000-063) plus 2% FBS and incubated for 24 h at 37 °C. Cells were fixed with 1% paraformaldehyde (PFA; Acros Organics, 416780030) and probed with 1 μg/mL of chimeric human anti-SARS-CoV spike antibody (CR3022, Absolute Antibody, Ab01680) in Perm Wash (1X PBS/0.1% saponin/0.1% BSA) for 2 h at room temperature. After three washes with PBS-T, cells were incubated with goat anti-human IgG Fc-HRP (Southern Biotech, 2014-05) diluted at 1:1000 in Perm Wash for 1.5 h at room temperature. SARS-CoV-2-positive foci were visualized with TrueBlue substrate (SeraCare, 5510-0030) and counted using a CTL Biospot analyzer and Biospot software (Cellular Technology Ltd, Shaker Heights, OH). The FRNT50 titers were calculated relative to a virus-only control (no serum) set at 100%, using GraphPad Prism 9.1.2 (La Jolla, CA) default nonlinear curve fit constrained between 0 and 100%.
MERS-CoV neutralization assay
To determine the inhibitory activity of mouse sera against MERS-CoV, 3,950 TCID50/ml of MERS-COV-Jordan was incubated with diluted sera for 30 min at room temperature and the inhibitory capacity of each serum dilution was assessed by TCID50 assay67,97.
Quantification of SARS-CoV-2 genomic and subgenomic RNA
To quantify viral genomic and subgenomic RNA, lung tissue of mice challenged with SARS-CoV-2 was homogenized in TRIzol reagent (Life Technologies, 15596018) and total RNA was isolated using a PureLink RNA Mini kit (Life Technologies, 12183025). Single-stranded cDNA was generated using random primers and SuperScript IV reverse transcriptase (Life Technologies, 18091050). SARS-CoV-2 genomic or subgenomic RNA copies were measured by qPCR using the primer and probe combinations listed in Supplementary Table 1 (Integrated DNA Technologies). To quantify SARS-CoV-2 genomic RNA, we extrapolated viral RNA levels from a standard curve generated from known FFU of SARS-CoV-2 from which RNA was isolated and cDNA was generated98. To quantify SARS-CoV-2 subgenomic RNA, we extrapolated viral RNA levels from a standard curve using defined concentrations of a plasmid containing an amplified SARS-CoV-2 subgenomic fragment (pCR-sgN TOPO). Briefly, a subgenomic RNA fragment was amplified by RT-PCR using RNA isolated from SARS-CoV-2-infected Vero E6 cells. The 125 bp amplicon is composed of the joining region between the 3’ UTR and the N gene, with the inclusion of a transcription-regulatory sequence (TRS) of the SARS-CoV-2 Wuhan-Hu-1 (NC_045512.2). This amplicon was cloned into the pCR4 Blunt TOPO vector (Invitrogen, K2875J10), sequence confirmed, and used in a dilution series of defined gene copies. All qPCR reactions were prepared with Taqman Universal MasterMix II (Applied Biosystems, 4440038) and were analyzed with Applied Biosystems QuantStudio ViiA 7 analyzer.
Plaque assay
Vero E6 cells were seeded in 12-well plates one day prior to virus inoculation. Lung homogenates were serially diluted in DMEM supplemented with 2% FBS, HEPES, and penicillin–streptomycin and incubated on cells for one hour at 37 °C. Afterward, cells were overlaid with 1% (w/v) methylcellulose in MEM plus 2% FBS and incubated at 37 °C. At 3 dpi, overlays were removed, and plates were fixed with 4% PFA for 20 min at room temperature. After removal of PFA, plates were stained with 0.05% (w/v) crystal violet in 20% methanol (10–20 min). Crystal violet was removed, and plates were rinsed with water or PBS. Plaques were counted manually to determine infectious virus titer.
Histopathology
Mice were euthanized at 4 days following SARS-CoV-2 MA10 or MERS-CoV challenge. The lungs were removed and fixed with 10% formalin. Five-micron sections were stained with H&E for histological examination. Slides were examined in a blinded fashion for total inflammation, periarteriolar, and peribronchiolar inflammation and epithelial cell denuding.
Statistical analysis
Statistical significance was assigned when P values were <0.05 using Prism Version 9.1.2 (GraphPad). Tests, number of animals (n), median values, and statistical comparison groups are indicated in the Figure legends.
Reporting summary
Further information on research design is available in the Nature Research Reporting Summary linked to this article.
Data availability
All data are available in the article and supplementary information. Source data of all data presented in graphs within the figures will be provided with the paper.
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Acknowledgements
The authors gratefully acknowledge Florian Krammer and Peter S. Kim for providing the expression vectors for the SARS-CoV-2 spike RBD and MERS-CoV spike RBD proteins, respectively. We thank Ralph S. Baric for providing the mouse-adapted SARS-CoV-2 strain MA10. The research reported herein was supported by the NSF #GRFP1553798 (A.C.) and #MCB2016019 (C.E.C.), funds from the University of Colorado School of Medicine (T.E.M.), and HHS ASPR-20-01495 and HHSN272201400008C (M.B.F.) and by T32 AI007524 from the National Institutes of Health (R.M.J.).
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B.J.D. and A.C. are considered co-first authors. B.J.D., A.C., M.B.F., C.E.C., and T.E.M. designed the experiments. B.J.D., A.C., S.M.W., and R.M.J. performed the experiments. B.J.D., A.C., S.M.W., R.M.J., M.B.F., C.E.C., and T.E.M. performed data analysis. B.J.D., A.C., C.E.C., and T.E.M. wrote the initial draft of the manuscript. All authors provided comments and edits to the final version.
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Davenport, B.J., Catala, A., Weston, S.M. et al. Phage-like particle vaccines are highly immunogenic and protect against pathogenic coronavirus infection and disease. npj Vaccines 7, 57 (2022). https://doi.org/10.1038/s41541-022-00481-1
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DOI: https://doi.org/10.1038/s41541-022-00481-1
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