SARS-CoV-2 / COVID-19
Since the end of 2019, a novel virus that can cause respiratory diseases and pneumonia has been spreading worldwide. The pathogen SARS-CoV-2 belongs to the coronavirus family and is closely related to the SARS virus, which caused a pandemic in 2002. Here we will keep you informed about current developments in research and provide answers to the most important questions.
With a vaccination, the immune system is trained to recognise pathogens and render them harmless. For this purpose, the pathogen is weakened, inactivated or only individual components of the pathogen are used. In this way, the immune system generates antibodies and T-cells that neutralise the pathogen, kill infected cells and forms an immune memory. In the event of renewed contact with the pathogen, the body can quickly recall the immune memory and fight off the infection.
For effective protection, vaccines should target multiple cell types in the immune system: Antibody-producing B cells and cytotoxic T cells that kill infected cells. Prof Carlos A. Guzmán, head of the department "Vaccinology and Applied Microbiology" at HZI, highlights another aspect:
For an effective vaccination, you have to stimulate T-helper cells in parallel. This is the only way to get effective antibodies, and to form an immunological memory that induces the production of these very antibodies in the event of an infection.
For the best possible protection, most vaccines require a second vaccination a few weeks after the first. This strengthens and improves the immune response.
Update as of January 2022: The German Standing Committee on Vaccination (STIKO) recommends a booster vaccination with an mRNA vaccine for all persons aged 18 years and older. The booster vaccination should usually be given 3 months after the last vaccine dose of the basic immunisation scheme.
Update as of August 2022: The STIKO recommends a further booster vaccination (4th vaccination), among others, for persons aged 60 years and older as well as persons aged 5 years and older with an increased risk of severe COVID-19 courses as a result of an underlying disease. For further groups of persons to whom this recommendation applies and the recommended intervals, please refer to the STIKO decision (in German).
The structures of the pathogen that the immune system recognises are called antigens. From research on the SARS and MERS coronaviruses, it is known that antibodies that neutralise the spike protein on the surface of the virus prevent infection. Coronaviruses use the spike protein to bind to a receptor on the surface of the host cell and enter the cell.
The first two vaccines against SARS-CoV-2 to be granted conditional marketing authorisation by the European Medicines Agency (EMA) are the mRNA vaccines from BioNTech & Pfizer (Comirnaty) and Moderna (Spikevax). Unlike traditional vaccines, this technology does not directly administer the vaccine antigen. Instead, the vaccine contains the blueprint in the form of single-stranded RNA packaged in lipid nanoparticles. The blueprint in the corona vaccines encodes the spike protein on the surface of the virus.
This messenger RNA (mRNA) is translated into proteins in the cytoplasm. Some of the spike proteins produced in cells are shown on the cell surface by antigen-presenting cells and recognised as foreign by other immune cells. This triggers an immune response that produces antibodies and cytotoxic T cells specifically directed against the coronavirus.
The vaccine mRNA, lipid nanoparticles and spike proteins are degraded by the body within a short time. However, the antibodies and spike-reactive immune cells are active for at least several months. Data over a longer period of time are not yet available. Prof. Carlos A. Guzmán dispels concerns about the safety of mRNA vaccines in terms of promoting modifications of the human genome:
The RNA vaccine has barely a chance of changing our genome. In extremely few cell types and situations (e.g. germ cells), there are genetic elements that encode the enzyme reverse transcriptase. This enzyme is able to transcribe mRNA into cDNA, so while it is theoretically possible for an mRNA produced by the same cell (and there are hundreds of thousands of these) or mRNA introduced from outside to be transcribed into cDNA, this system works with incredibly poor efficiency. However, in the cells into which the mRNA enters through vaccination, these processes usually do not take place. It is also a fact that the mechanisms addressed already take place in the absence of the vaccine and an mRNA vaccine cannot influence such mechanisms.
Vector vaccines also do not contain the spike vaccine antigen as a protein, but only the blueprint for the protein. Unlike mRNA vaccines, a different, attenuated and harmless virus is used here as a transport system for transferring the genetic information for the spike protein.
In the EU, the vector vaccine of the University of Oxford and Astra-Zeneca (Vaxzevria) has been approved since the end of January 2021. These manufacturers use the attenuated chimpanzee adenovirus ChAdOx1. Viruses from the adenovirus family usually cause cold or flu-like symptoms. The genetic material of the adenovirus is manipulated in such a way that the virus can no longer reproduce.
ChAdOx1 binds to a receptor on the cell surface and thus enters the cell. The viral DNA is read in the cell nucleus and copied as mRNA. This is translated into the spike protein outside the cell nucleus. The process of the immune reaction to the spike protein is now comparable to that of the mRNA vaccines.
The vaccine Ad26.COV2.S from Johnson & Johnson (COVID-19 Vaccine Janssen), which was approved by the EMA in March 2021, is also based on this mode of action. However, the vector virus used is an attenuated human adenovirus (adenovirus 26).
Update as of November 2021: The Johnson & Johnson vaccine was licensed with a vaccination schedule that included only one vaccine dose. However, compared to other vaccines, the vaccine is less effective against the delta variant, which has dominated in Germany since June 2021. Thus, more breakthrough infections occur with this vaccine. Therefore, the STIKO currently recommends that people who have been vaccinated with the Johnson & Johnson vaccine receive an additional mRNA vaccine dose from 4 weeks after the initial vaccination.
Vector vaccines and mRNA vaccines share the basic principle of eliciting a defence response without administering a pathogen or even a part of it. Rather, they get the body to produce the crucial antigen itself. Thanks to the "programmability" of the genetic information in the vaccines, they can be adapted relatively quickly when the virus changes.
The mode of action of these and other vaccines is explained by The New York Times in this series of articles: https://www.nytimes.com/interactive/2021/health/how-covid-19-vaccines-work.html
Unlike mRNA and vector vaccines, which deliver the blueprint for the vaccine antigen, protein-based vaccines already contain the antigen. In December 2021, the first SARS-CoV-2 vaccine with this mode of action received the EMA authorisation. This is the vaccine from the company Novavax (Nuvaxovid). For production, the gene that codes for the spike protein is introduced into insect cells with the help of a virus. These cells produce large quantities of the protein, which forms synthetic nanoparticles after purification.
Overall, the immune response triggered by protein-based vaccines is weaker than with other technologies. To stimulate the immune system comprehensively, they usually contain adjuvants. The Novavax vaccine has saponins added, which are extracted from a soap tree.
Protein-based vaccines have a good safety profile and can be stored at refrigerator temperatures, but they are comparatively expensive to produce. Prof Carlos Guzmán comments:
“Protein-based vaccines are very well known, are usually better tolerated, and there are no major open questions. One disadvantage is that protein-based vaccines take longer to develop than vector or mRNA vaccines.”
In particular, mRNA-based vaccines can be more easily adapted to new virus variants. How effective the vaccine is against new SARS-CoV-2 variants such as Omikron and whether adaptations will be necessary is not yet known at the time of approval.
Prof. Carlos A. Guzmán's department is researching a vaccine against SARS-CoV-2 that can be administered via the mucous membranes, thereby conferring superior protection against virus infection and transmission. Instead of being injected into the upper arm, the vaccine could be administered by nasal spray. An adjuvant developed at the HZI is used in this project. The adjuvant c-di-AMP enhances the immune system's reaction to the vaccine.
With your donation to the HZI you directly support innovative coronavirus research projects that contribute to solutions for the containment of the virus and the identification of possible therapies. [more]
As with the already approved vaccines against SARS-CoV-2, the spike protein on the viral envelope serves as an antigen against which an immune response is generated. The researchers are focusing on a vaccine that contains a biotechnologically produced spike protein (subunit vaccine). This type of vaccine is already established and can also be used safely in immunocompromised individuals.
In addition, the scientists are using bioinformatics approaches to search for synthetic variants of the spike protein that lead to the formation of cross-reactive immune responses. The aim of this project is to ensure that vaccination with the synthetic spike protein also protects against variants of SARS-CoV-2 as well as against other and upcoming coronaviruses.
In cooperation with the GSI Helmholtzzentrum für Schwerionenforschung, HZI researchers are working on improved methods for inactivating viruses for vaccine research. The inactivation of viruses by heat or gamma radiation is a traditional approach for the production of inactivated vaccines. However, this can damage the surface and membrane structures of the viruses, which has a negative impact on the immunogenic effect of the vaccine. The GSI and HZI are now investigating whether radiation with high-energy heavy ions can inactivate SARS-CoV-2 while largely preserving the virus structures.
In the context of the European Commission funded Transvac 2 Consortium (A European Network of Vaccine Research and Development) the Team of Prof. Carlos Guzmán also supports the development of other COVID-19 vaccines by providing services to biotech companies and academic groups.
As with all vaccinations, reactions can occur shortly after administration. These are caused by the activation of the immune system. "With vaccines based on mRNA or with vectors like adenoviruses, about half of those vaccinated have local or systemic non-serious side effects, such as chills, headache, fatigue or pain at the injection site. This is a much higher proportion than with many established vaccines. Nevertheless, according to all that is known so far, the vaccines are as safe as other vaccines, and the risk-benefit balance is adequate for the populations for which the vaccines have been approved.
In Germany, the Paul Ehrlich Institute monitors the safety of vaccines. It collects and evaluates reports on suspected cases of adverse reactions and regularly publishes safety reports.
Paul Ehrlich Institute: Frequently asked questions on SARS-CoV-2 vaccines
European Medicines Agency (EMA): COVID-19 vaccines key facts
European Commission: Information of the safety of Covid-19 vaccines
Interview with HZI researcher Prof Luka Cicin-Sain: Getting a flu shot and the Corona booster: Does it make sense?
Max Delbrück Center for Molecular Medicine: How the vaccines fight coronavirus
Wellcome Trust: Four reasons why we need multiple vaccines for Covid-19
The development of immunisations is considered to be one of the most significant medical achievements of the 20th century. [more]
- Innate Immunity and Infection- Prof. Dr. Andrea Kröger
- Computational Biology of Infection Research - Prof. Dr. Alice McHardy
- Chemical Biology- Prof. Dr. Mark Brönstrup
- Single-cell Analysis- Dr. Antoine-Emmanuel Saliba
- Epidemiology- Prof. Dr. Gérard Krause
- Experimental Infection Research- Prof. Dr. Ulrich Kalinke
- Immune Regulation- Prof. Dunja Bruder
- Biosafety Level 3 Laboratory- Dr. Susanne Talay
- Long non-coding RNA and Infection Biology- Jun. Prof. Dr. Mathias Munschauer
- Recoding Mechanisms in Infections- Jun. Prof. Dr. Neva Caliskan
- Systems Immunology- Prof. Dr. Michael Meyer-Hermann
- Vaccinology and applied Microbiology- Prof. Dr. Carlos A. Guzmán
- Viral Immune Modulation- Prof. Dr. Melanie Brinkmann
- Viral Immunology- Prof. Dr. Dr. Luka Cicin-Sain