Open Access Article
This Open Access Article is licensed under a
Creative Commons Attribution 3.0 Unported Licence

Synthesis and immunological evaluation of TLR1/2 ligand-conjugated RBDs as self-adjuvanting vaccine candidates against SARS-CoV-2

Yoshiyuki Manabe *ab, Brandon Gárate-Reyes a, Keita Ito a, Ramón Hurtado-Guerrero cdef, Kazuya Kabayama ab and Koichi Fukase *abg
aDepartment of Chemistry, Graduate School of Science, Osaka University, 1-1 Machikaneyama, Toyonaka, Osaka 560-0043, Japan. E-mail: manabey12@chem.sci.osaka-u.ac.jp; koichi@chem.sci.osaka-u.ac.jp
bForefront Research Center, Graduate School of Science, Osaka University, 1-1 Machikaneyama, Toyonaka, Osaka 560-0043, Japan
cInstitute of Biocomputation and Physics of Complex Systems (BIFI), University of Zaragoza, Mariano Esquillor s/n, Campus Rio Ebro, Edificio I + D, Zaragoza, Spain
dCopenhagen Center for Glycomics, Department of Cellular and Molecular Medicine, University of Copenhagen, Copenhagen, Denmark
eLaboratorio de Microscopías Avanzada (LMA), University of Zaragoza, Mariano Esquillor s/n, Campus Rio Ebro, Edificio I + D, Zaragoza, Spain
fFundación ARAID, Zaragoza, Spain
gCenter for Advanced Modalities and DDS, Osaka University, 11 Yamadaoka, Suita, Osaka, 565-0871, Japan

Received 30th January 2024 , Accepted 8th March 2024

First published on 15th March 2024


Abstract

We synthesized and evaluated Pam3CSK4-conjugated receptor binding domain (RBD)/deglycosylated RBD as potential anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine candidates. Our investigation revealed the critical importance of limiting the number of introduced Pam3CSK4 molecules to the RBD in order to preserve its antigenicity. We also confirmed the harmonious integration of the adjuvant-conjugation strategy with the glycan-shield removal strategy.


Vaccination is of significant importance in suppressing infectious diseases and has played a pivotal role in addressing the coronavirus (COVID)-19 pandemic. Notably, RNA vaccines have been practically used as SARS-CoV-2 vaccines, demonstrating profound efficacy.1–3 Nonetheless, adverse effects, such as fever and soreness at the injection site, have been noted. In this context, a strategic blueprint is required to develop milder yet potent vaccines to improve readiness against impending outbreaks of infectious diseases.

Vaccines comprise antigens and adjuvants (immunoenhancers). Innate immune ligands, particularly toll-like receptor (TLR) agonists, are promising adjuvants,4–13 although they can potentially cause adverse inflammatory reactions. The conjugation of antigens with adjuvants, resulting in self-adjuvanting vaccines, offers a potential option for eliciting antigen-specific immune responses without inducing undue inflammation, thereby presenting a promising strategy for vaccine development (Fig. 1a).14–16 Since the pioneering work by Boons et al.,17 Pam3CSK4,18 a TLR1/2 agonist, has been widely used in self-adjuvanting vaccines.17,19–22 We have also reported Pam3CSK4-conjugated vaccines in our studies.23–25 Other innate immune ligands, including α-GalCer25–29 and MPL,30,31 have also been harnessed. Trumenba, a recombinant lipoprotein serving as a TLR1/2 agonist ligand, has been developed as a self-adjuvanting vaccine for preventing meningococcal B (MenB) infections. This practical application underscores the effectiveness and safety of the self-adjuvanting approach in vaccination.32,33


image file: d4cc00462k-f1.tif
Fig. 1 Strategies for developing efficient vaccines. (a) Conjugating an antigen with an adjuvant (self-adjuvanting strategy). (b) Glycan-shield removal strategy by glycan-trimming. (c) Combinational use of a self-adjuvanting strategy and glycan-shield removal strategy (this work).

The structure of antigens plays a pivotal role in vaccine development. Glycosylations, the most common post-translational modifications, bear the inherent capability to shield the antigen epitope, thus attenuating antigenicity.34–36 Guided by this insight, Ma and Wong et al. engineered an anti-influenza vaccine using hemagglutinin featuring trimmed glycans, which yielded heightened effectiveness (Fig. 1b).37 Furthermore, they substantiated the potency of this glycan-trimming strategy in the context of a SARS-CoV-2 vaccine using their spike protein (S-protein).38

In the present study, we investigated the development of a COVID-19 vaccine that integrates a conjugation-based self-adjuvanting strategy with a glycan-shield removal strategy. Herein, receptor binding domains (RBDs) of the S-protein,39–42 which are commonly used in COVID-19 vaccine development and possess two asparagine-linked glycans (N-glycans),36,43 were used as antigens. Specifically, we harnessed the RBD and its deglycosylated counterpart (deglyRBD) for conjugation with Pam3CSK4 through either maleimide–thiol ligation or disulfide bond formation directed toward the cysteine (Cys) residues of the RBDs. Maleimide confers a relatively stable bond, preventing the dissociation of Pam3CSK4 from the RBDs within the biological milieu. Conversely, the relatively labile disulfide linkage is expected to undergo smooth digestion after incorporation into antigen presenting cells (APCs), thereby minimizing the antigenic impairment caused by the modification. Conjugation-based self-adjuvanting strategies have predominantly been applied to small-molecule antigens, including peptides and glycans. Consequently, guidelines for the design of protein-based self-adjuvanting vaccines remain unclear. Guo et al. reported promising self-adjuvating vaccine candidates using RBD, wherein Pam3CSK4 was selectively conjugated to the N-terminal amino acid of RBD.44 In contrast, the present study applied the aforementioned conjugation scheme targeting Cys residues in RBDs, enabling us to analyze the effect of the Pam3CSK4-introduction quantity and linker stability. These results emphasized the importance of the Pam3CSK4-introduction ratio; specifically, an excessive amount of Pam3CSK4 led to decreased RBD antigenicity. Furthermore, linker stability influenced the potency of vaccine candidates. Importantly, we substantiated the ability of deglyRBD to induce immune responses against RBD, confirming the harmonious interplay between the self-adjuvanting and glycan-shield removal strategies. Therefore, this study provides a blueprint for the development of protein-based self-adjuvanting vaccines.

Fig. 2 summarizes the preparation of the Pam3CSK4-conjugated RBD vaccine candidates. The initial step involved the synthesis of maleimide-/pyridyl disulfide-functionalized Pam3CSK41 and 2 through Fmoc solid-phase peptide synthesis (Fig. 2a and Fig. S1 and S2, ESI). After the construction of Pam3CSK4 on the resin carrying the ivDde-protected lysine (Lys) residue, selective cleavage of ivDde by hydrazine and conjugation with a maleimide-/pyridyl disulfide-functionalized linker, followed by global deprotection under acidic conditions, afforded the desired 1 and 2.


image file: d4cc00462k-f2.tif
Fig. 2 Preparation of Pam3CSK4-conjugated RBD/deglyRBD. (a) Synthesis of maleimide-/pyridyl disulfide-functionalized Pam3CSK4 1 and 2. (b) Conjugation with Pam3CSK4.

Compounds 1 and 2 were further conjugated to both the RBD and deglyRBD (Fig. 2b). It has been reported that the RBD possesses nine Cys, where eight partake in the formation of intramolecular disulfide bonds, and the remaining SH forges a disulfide bond with glutathione, a pivotal component in the RBD expression process.39–42,45 Therefore, RBD and deglyRBD were treated with tris(2-carboxyethyl)phosphine (TCEP) to reduce disulfide bonds. The resulting SH groups were then reacted with 1 or 2 to produce RBD–mal-Pam3CSK4, RBD–SS-Pam3CSK4, deglyRBD–mal-Pam3CSK4, and deglyRBD–SS-Pam3CSK4. The approximate introduction ratios of Pam3CSK4 to RBD–mal-Pam3CSK4, RBD–SS-Pam3CSK4, deglyRBD–mal-Pam3CSK4, and deglyRBD–SS-Pam3CSK4 were estimated to be 7, 1, 3, and 2, respectively, using matrix-assisted laser desorption/ionization-mass spectrometry (MALDI-MS) analysis and sodium dodecyl sulfate–polyacrylamide gel electrophoresis (SDA–PAGE) analysis (Fig. S3–S6, ESI). The approach employed in this study involved a random conjugation reaction against nine free SH groups in the RBD, thereby hindering precise control of the Pam3CSK4 introduction ratio.

The vaccine entries are listed in Table 1. V1/V2 corresponds to RBD/deglyRBD, whereas V3/V4 denotes a mixture of RBD/deglyRBD and Pam3CSK4. V5/V6 encompassed RBD–mal-Pam3CSK4/deglyRBD–mal-Pam3CSK4 used maleimide–thiol ligation, whereas V7/V8 represented RBD–SS-Pam3CSK4/deglyRBD–SS-Pam3CSK4, which was implemented through disulfide bond formation. These entries were administered intraperitoneally to 8-week-old wild-type (WT) BALB/c mice on day 1. The immunization schedule included three additional administrations on days 14 and 28. To assess their self-adjuvanting properties, no additional adjuvants, such as Freund's adjuvant, were co-administered. Blood was collected from each mouse before immunization on day 0 (pre-immunization) and 1 week after each immunization (days 8, 21, and 35).

Table 1 Vaccine entries for in vivo mouse immunization
Vaccine entries Immunized compounds
V1 RBD
V2 deglyRBD
V3 RBD + Pam3CSK4
V4 deglyRBD + Pam3CSK4
V5 RBD–(mal-Pam3CSK4)n≈7
V6 deglyRBD–(mal-Pam3CSK4)n≈3
V7 RBD–(SS-Pam3CSK4)n≈1
V8 deglyRBD–(SS-Pam3CSK4)n≈2


Anti-RBD antibody titers after the third vaccination (day 35) were quantified using enzyme-linked immunosorbent assay (ELISA). V1 and V2 produced minimal anti-RBD antibodies, and the addition of Pam3CSK4 (V3 and V4) resulted in a modest increase in antibody production, although the increase remained insignificant. With regard to self-adjuvanting vaccines conjugated with Pam3CSK4 through maleimide–thiol ligation, V5 using the RBD displayed minimal antibody titers, in contrast to V6, which, involving deglyRBD, induced substantial antibody production. Interestingly, distinct outcomes were noted for vaccines conjugated with disulfide bonds; V7, using RBDs, showed significant induction of antibody production, whereas V8, prepared from deglyRBD, demonstrated negligible antibody production. Both V6 and V7 evoked high IgG titers, but low IgM titers, suggesting efficient class-switching from IgM to IgG (Fig. S8, ESI). The enhancement of IgG antibody production through repetitive vaccinations was also confirmed in V6 and V7 (Fig. S9, ESI). V6 produced both IgG1 and IgG2a, whereas V7 predominantly produced IgG1, indicating a balanced Th1/Th2 immune response in V6 and a Th2-biased immune response in V7 (Fig. S10, ESI). Previously, Wong et al. reported that immunization with the S protein possessing N-glycans trimmed to the mono-GlcNAc elicited stronger immune responses, characterized by a more balanced Th1/Th2 responses, than the fully glycosylated S protein.38 In this study, a similar effect by the glycan de-shielding on the RBD was observed, suggesting that the N-glycans have the ability to regulate Th1/Th2 immune responses. It is noteworthy that the antibody titers against deglyRBD mirrored those against the RBD for V2, V4, V6, and V8, where deglyRBD was employed as an antigen (Fig. S7, ESI), confirming the versatility and efficacy of the glycan shield removal strategy.

Interestingly, only V6 and V7 prominently induced anti-RBD antibody production. Despite both V5 and V6 utilizing maleimide-based conjugation, V5 introduced a considerable amount of Pam3CSK4 (approximately 7 out of 9 Cys), whereas the incorporation in V6 was low (approximately 3). The antigenicity of V5 may have been impaired by the excessive introduction of Pam3CSK4. In contrast, in conjugation mediated by disulfide bond formation, while the content of Pam3CSK4 was controlled in both V7 (approximately 1) and V8 (approximately 2), interestingly, significant antibody production was observed only in V7. Presumably, in the conjugation mediated by disulfide bond formation, glycan removal might have altered the accessibility of the conjugation reagent 2, leading to the introduction of Pam3CSK4 at sites significantly altering antigenicity in V8. We also assumed that the removal of glycans from the RBD may reduce bulkiness, weaken disulfide bonds, and subsequently diminish metabolic stability, thereby impairing self-adjuvanting properties (Fig. 3).


image file: d4cc00462k-f3.tif
Fig. 3 IgG antibody titters against RBD after third immunizations. Data represent the results from five experiments (n = 5). The error bars represent the standard error of the mean value.

In the previous report by Guo et al., a conjugate of Pam3CSK4 and RBD with the molecular ratio of 1 to 1 induced a remarkable antibody production.44 Their results indicated that conjugation of only a single Pam3CSK4 unit is adequate to exhibit adjuvant effects. Trumenba®, an FDA-approved self-adjuvanting vaccine used against Neisseria meningitidis group B, is composed of two recombinant lipoprotein antigens, each incorporating an N-terminal lipid moiety with TLR2 agonist activity.33 In addition, introducing a single TLR2 agonist through ligation reaction using sortase A against a recombinant protein, a model group A Streptococcus (GAS) recombinant polytope antigen, significantly enhanced its antigenicity.46 Our results also indicated that conjugation of a single Pam3CSK4 unit is sufficient to exhibit adjuvant effects.

Based on these results, the following design principles for protein-based self-adjuvanting vaccines were proposed: limiting the number of conjugated adjuvants to preserve antigenicity, and ensuring stable linkages between antigens and adjuvants to prevent dissociation within the biological milieu.

In summary, we synthesized Pam3CSK4-conjugated RBD/deglyRBD as anti-SARS-CoV-2 vaccine candidates and evaluated their functions. Importantly, the deglyRBD-based vaccine material V6 elicited the production of antibodies against RBD, thereby demonstrating the applicability of glycan-shield removal strategy in realm of vaccine development. In this study, we adopted a concise and versatile approach to fabricate a Pam3CSK4-conjugate by leveraging the Cys residue of an antigenic protein. Some of the resultant Pam3CSK4-conjugated vaccine candidates exhibited marked antibody production, thus presenting a viable avenue for efficacious vaccine construction. The present conjugation method based on stochastic Pam3CSK4 introduction into the Cys or antigenic protein remains an inherent concern, hindering the preparation of homogeneous and structurally well-defined vaccine materials. However, this aspect can be addressed through the application of selective-biocompatible reactions and their combined use with genetic and protein engineering.47 Actually, Guo et al. achieved the production of homogeneous Pam3CSK4-RBD conjugate using selective ligation reaction.44 While further investigation is necessary, we believe that this study can offer an invaluable guiding principle for the advancement of protein-based self-adjuvanting vaccines: limiting the number of conjugated adjuvants to preserve antigenicity. Notably, the present vaccine candidates did not require the co-administration of additional adjuvants to elicit substantial antibody production. Such self-adjuvanting vaccines are envisaged to induce antigen-specific immune responses with minimal inflammatory repercussions, and are expected to contribute to the emergence of safer and more effective next-generation vaccine formulations.

This work was financially supported by JSPS KAKENHI 20H05675, 20K05727, 20H04709, 21H05074, and 23K17372, as well as JST JPMJCR20R3, JPMJFR211Z, and AMED JP223fa627002. R. H.-G. acknowledges the Spanish Ministry of Science, Innovation and Universities for their funding support (grant number PID2022-136362NB-I00). This work was conducted as part of “The Nippon Foundation – Osaka University Project for Infectious Disease Prevention”. Y. M., K. K., and K. F. conceived the study and designed the experiments. B. G. R. and K. I. performed synthesis and biological assays. Y. M. wrote the manuscript. R. H.-G. provided the RBD and deglyRBD. All the authors have read and approved the final version of the manuscript.

Conflicts of interest

The authors declare that there are no conflicts of interest.

Notes and references

  1. N. Chaudhary, D. Weissman and K. A. Whitehead, Nat. Rev. Drug Discovery, 2021, 20, 817–838 CrossRef CAS PubMed.
  2. A. J. Barbier, A. Y. Jiang, P. Zhang, R. Wooster and D. G. Anderson, Nat. Biotechnol., 2022, 40, 840–854 CrossRef CAS PubMed.
  3. M. J. Hogan and N. Pardi, Annu. Rev. Med., 2022, 73, 17–39 CrossRef CAS PubMed.
  4. A. Bendelac and R. Medzhitov, J. Exp. Med., 2002, 195, F19–F23 CrossRef CAS PubMed.
  5. M. A. Anwar, M. Shah, J. Kim and S. Choi, Med. Res. Rev., 2019, 39, 1053–1090 CrossRef CAS PubMed.
  6. B. Pulendran, P. S. Arunachalam and D. T. O’Hagan, Nat. Rev. Drug Discovery, 2021, 20, 454–475 CrossRef CAS PubMed.
  7. C. W. Cluff, Adv. Exp. Med. Biol., 2010, 667, 111–123 CrossRef PubMed.
  8. V. Mata-Haro, C. Cekic, M. Martin, P. M. Chilton, C. R. Casella and T. C. Mitchell, Science, 2007, 316, 1628–1632 CrossRef CAS PubMed.
  9. C. R. Casella and T. C. Mitchell, Cell. Mol. Life Sci., 2008, 65, 3231 CrossRef CAS PubMed.
  10. A. M. Krieg, A.-K. Yi, S. Matson, T. J. Waldschmidt, G. A. Bishop, R. Teasdale, G. A. Koretzky and D. M. Klinman, Nature, 1995, 374, 546–549 CrossRef CAS PubMed.
  11. H. Hemmi, O. Takeuchi, T. Kawai, T. Kaisho, S. Sato, H. Sanjo, M. Matsumoto, K. Hoshino, H. Wagner, K. Takeda and S. Akira, Nature, 2000, 408, 740–745 CrossRef CAS PubMed.
  12. A. M. Krieg, Annu. Rev. Immunol., 2002, 20, 709–760 CrossRef CAS PubMed.
  13. A. M. Krieg, Nat. Rev. Drug Discovery, 2006, 5, 471–484 CrossRef CAS PubMed.
  14. D. M. McDonald, S. N. Byrne and R. J. Payne, Front. Chem., 2015, 3, 60 Search PubMed.
  15. Q. Li and Z. Guo, Molecules, 2018, 23, 1583 CrossRef PubMed.
  16. Y. Manabe, T.-C. Chang and K. Fukase, Drug Discovery Today: Technol., 2020, 37, 61–71 CrossRef PubMed.
  17. S. Ingale, M. A. Wolfert, J. Gaekwad, T. Buskas and G.-J. Boons, Nat. Chem. Biol., 2007, 3, 663–667 CrossRef CAS PubMed.
  18. R. Spohn, U. Buwitt-Beckmann, R. Brock, G. Jung, A. J. Ulmer and K.-H. Wiesmüller, Vaccine, 2004, 22, 2494–2499 CrossRef CAS PubMed.
  19. A. Kaiser, N. Gaidzik, T. Becker, C. Menge, K. Groh, H. Cai, Y.-M. Li, B. Gerlitzki, E. Schmitt and H. Kunz, Angew. Chem., Int. Ed., 2010, 49, 3688–3692 CrossRef CAS PubMed.
  20. V. Lakshminarayanan, P. Thompson, M. A. Wolfert, T. Buskas, J. M. Bradley, L. B. Pathangey, C. S. Madsen, P. A. Cohen, S. J. Gendler and G.-J. Boons, Proc. Natl. Acad. Sci. U. S. A., 2012, 109, 261–266 CrossRef CAS PubMed.
  21. H. Cai, Z.-Y. Sun, Z.-H. Huang, L. Shi, Y.-F. Zhao, H. Kunz and Y.-M. Li, Chem. – Eur. J., 2013, 19, 1962–1970 CrossRef CAS PubMed.
  22. P. Thompson, V. Lakshminarayanan, N. T. Supekar, J. M. Bradley, P. A. Cohen, M. A. Wolfert, S. J. Gendler and G.-J. Boons, Chem. Commun., 2015, 51, 10214–10217 RSC.
  23. T.-C. Chang, Y. Manabe, Y. Fujimoto, S. Ohshima, Y. Kametani, K. Kabayama, Y. Nimura, C.-C. Lin and K. Fukase, Angew. Chem., Int. Ed., 2018, 57, 8219–8224 CrossRef CAS PubMed.
  24. Q. Feng, Y. Manabe, K. Kabayama, T. Aiga, A. Miyamoto, S. Ohshima, Y. Kametani and K. Fukase, Chem. – Asian J., 2019, 14, 4268–4273 CrossRef CAS PubMed.
  25. T. Aiga, Y. Manabe, K. Ito, T.-C. Chang, K. Kabayama, S. Ohshima, Y. Kametani, A. Miura, H. Furukawa, H. Inaba, K. Matsuura and K. Fukase, Angew. Chem., Int. Ed., 2020, 59, 17705–17711 CrossRef CAS PubMed.
  26. M. Cavallari, P. Stallforth, A. Kalinichenko, D. C. K. Rathwell, T. M. A. Gronewold, A. Adibekian, L. Mori, R. Landmann, P. H. Seeberger and G. De Libero, Nat. Chem. Biol., 2014, 10, 950–956 CrossRef CAS PubMed.
  27. R. J. Anderson, B. J. Compton, C.-W. Tang, A. Authier-Hall, C. M. Hayman, G. W. Swinerd, R. Kowalczyk, P. Harris, M. A. Brimble, D. S. Larsen, O. Gasser, R. Weinkove, I. F. Hermans and G. F. Painter, Chem. Sci., 2015, 6, 5120–5127 RSC.
  28. P.-G. Chen, H.-G. Hu, Z.-Y. Sun, Q.-Q. Li, B.-D. Zhang, J.-J. Wu, W.-H. Li, Y.-F. Zhao, Y.-X. Chen and Y.-M. Li, Mol. Pharmaceutics, 2020, 17, 417–425 CAS.
  29. K. Ito, H. Furukawa, H. Inaba, S. Ohshima, Y. Kametani, M. Maeki, M. Tokeshi, X. Huang, K. Kabayama, Y. Manabe, K. Fukase and K. Matsuura, J. Am. Chem. Soc., 2023, 145, 15838–15847 CrossRef CAS PubMed.
  30. Q. Wang, Z. Zhou, S. Tang and Z. Guo, ACS Chem. Biol., 2012, 7, 235–240 CrossRef CAS PubMed.
  31. J. D. Lewicky, M. Ulanova and Z. H. Jiang, ChemistrySelect, 2016, 1, 906–910 CrossRef CAS.
  32. A. Gandhi, P. Balmer and L. J. York, Postgrad. Med., 2016, 128, 548–556 CrossRef PubMed.
  33. Y. Luo, O. V. Friese, H. A. Runnels, L. Khandke, G. Zlotnick, A. Aulabaugh, T. Gore, E. Vidunas, S. W. Raso, E. Novikova, E. Byrne, M. Schlittler, D. Stano, R. L. Dufield, S. Kumar, A. S. Anderson, K. U. Jansen and J. C. Rouse, AAPS J., 2016, 18, 1562–1575 CrossRef CAS PubMed.
  34. Z. T. Berndsen, S. Chakraborty, X. Wang, C. A. Cottrell, J. L. Torres, J. K. Diedrich, C. A. López, J. R. Yates, M. J. van Gils, J. C. Paulson, S. Gnanakaran and A. B. Ward, Proc. Natl. Acad. Sci. U. S. A., 2020, 117, 28014–28025 CrossRef CAS PubMed.
  35. L. Casalino, Z. Gaieb, J. A. Goldsmith, C. K. Hjorth, A. C. Dommer, A. M. Harbison, C. A. Fogarty, E. P. Barros, B. C. Taylor, J. S. McLellan, E. Fadda and R. E. Amaro, ACS Cent. Sci., 2020, 6, 1722–1734 CrossRef CAS PubMed.
  36. Y. Watanabe, J. D. Allen, D. Wrapp, J. S. McLellan and M. Crispin, Science, 2020, 369, 330–333 CrossRef CAS PubMed.
  37. J.-R. Chen, Y.-H. Yu, Y.-C. Tseng, W.-L. Chiang, M.-F. Chiang, Y.-A. Ko, Y.-K. Chiu, H.-H. Ma, C.-Y. Wu, J.-T. Jan, K.-I. Lin, C. Ma and C.-H. Wong, Proc. Natl. Acad. Sci. U. S. A., 2014, 111, 2476–2481 CrossRef CAS PubMed.
  38. H.-Y. Huang, H.-Y. Liao, X. Chen, S.-W. Wang, C.-W. Cheng, M. Shahed-Al-Mahmud, Y.-M. Liu, A. Mohapatra, T.-H. Chen, J. M. Lo, Y.-M. Wu, H.-H. Ma, Y.-H. Chang, H.-Y. Tsai, Y.-C. Chou, Y.-P. Hsueh, C.-Y. Tsai, P.-Y. Huang, S.-Y. Chang, T.-L. Chao, H.-C. Kao, Y.-M. Tsai, Y.-H. Chen, C.-Y. Wu, J.-T. Jan, T.-J. R. Cheng, K.-I. Lin, C. Ma and C.-H. Wong, Sci. Transl. Med., 2022, 14, eabm0899 CrossRef CAS PubMed.
  39. L. Dai, T. Zheng, K. Xu, Y. Han, L. Xu, E. Huang, Y. An, Y. Cheng, S. Li, M. Liu, M. Yang, Y. Li, H. Cheng, Y. Yuan, W. Zhang, C. Ke, G. Wong, J. Qi, C. Qin, J. Yan and G. F. Gao, Cell, 2020, 182, 722–733 CrossRef CAS PubMed .e711.
  40. R. Yan, Y. Zhang, Y. Li, L. Xia, Y. Guo and Q. Zhou, Science, 2020, 367, 1444–1448 CrossRef CAS PubMed.
  41. J. Yang, W. Wang, Z. Chen, S. Lu, F. Yang, Z. Bi, L. Bao, F. Mo, X. Li, Y. Huang, W. Hong, Y. Yang, Y. Zhao, F. Ye, S. Lin, W. Deng, H. Chen, H. Lei, Z. Zhang, M. Luo, H. Gao, Y. Zheng, Y. Gong, X. Jiang, Y. Xu, Q. Lv, D. Li, M. Wang, F. Li, S. Wang, G. Wang, P. Yu, Y. Qu, L. Yang, H. Deng, A. Tong, J. Li, Z. Wang, J. Yang, G. Shen, Z. Zhao, Y. Li, J. Luo, H. Liu, W. Yu, M. Yang, J. Xu, J. Wang, H. Li, H. Wang, D. Kuang, P. Lin, Z. Hu, W. Guo, W. Cheng, Y. He, X. Song, C. Chen, Z. Xue, S. Yao, L. Chen, X. Ma, S. Chen, M. Gou, W. Huang, Y. Wang, C. Fan, Z. Tian, M. Shi, F.-S. Wang, L. Dai, M. Wu, G. Li, G. Wang, Y. Peng, Z. Qian, C. Huang, J. Y.-N. Lau, Z. Yang, Y. Wei, X. Cen, X. Peng, C. Qin, K. Zhang, G. Lu and X. Wei, Nature, 2020, 586, 572–577 CrossRef CAS PubMed.
  42. J. Lan, J. Ge, J. Yu, S. Shan, H. Zhou, S. Fan, Q. Zhang, X. Shi, Q. Wang, L. Zhang and X. Wang, Nature, 2020, 581, 215–220 CrossRef CAS PubMed.
  43. Y. Watanabe, Z. T. Berndsen, J. Raghwani, G. E. Seabright, J. D. Allen, O. G. Pybus, J. S. McLellan, I. A. Wilson, T. A. Bowden, A. B. Ward and M. Crispin, Nat. Commun., 2020, 11, 2688 CrossRef CAS PubMed.
  44. S.-H. Zhou, R.-Y. Zhang, H.-W. Zhang, Y.-L. Liu, Y. Wen, J. Wang, Y.-T. Li, Z.-W. You, X.-G. Yin, H. Qiu, R. Gong, G.-F. Yang and J. Guo, Chem. Commun., 2022, 58, 2120–2123 RSC.
  45. P. V. Scaria, C. G. Rowe, B. B. Chen, T. H. Dickey, J. P. Renn, L. E. Lambert, E. K. Barnafo, K. M. Rausch, N. H. Tolia and P. E. Duffy, iScience, 2022, 25, 104739 CrossRef CAS PubMed.
  46. Z. Xu, T. Rivera-Hernandez, O. Chatterjee, M. J. Walker and P. M. Moyle, J. Controlled Release, 2020, 317, 96–108 CrossRef CAS PubMed.
  47. R. J. Taylor, M. B. Geeson, T. Journeaux and G. J. L. Bernardes, J. Am. Chem. Soc., 2022, 144, 14404–14419 CrossRef CAS PubMed.

Footnote

Electronic supplementary information (ESI) available. See DOI: https://doi.org/10.1039/d4cc00462k

This journal is © The Royal Society of Chemistry 2024
Click here to see how this site uses Cookies. View our privacy policy here.