Role of antibody-dependent enhancement (ADE) in the virulence of SARS-CoV-2 and its mitigation strategies for the development of vaccines and immunotherapies to counter COVID-19

Coronavirus disease-2019 (COVID-19) pandemic has become a global threat and death tolls are increasing worldwide. The SARS-CoV-2 though shares similarities with SARS-CoV and MERS-CoV, immunopathology of the novel virus is not understood properly. Previous reports from SARS and MERS-CoV documents tha...

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Main Authors: Kumaragurubaran Karthik, Tuticorin Maragatham Alagesan Senthilkumar, Shanmugasundaram Udhayavel, Gopal Dhinakar Raj
Format: Article
Language:English
Published: Taylor & Francis Group 2020-12-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2020.1796425
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author Kumaragurubaran Karthik
Tuticorin Maragatham Alagesan Senthilkumar
Shanmugasundaram Udhayavel
Gopal Dhinakar Raj
author_facet Kumaragurubaran Karthik
Tuticorin Maragatham Alagesan Senthilkumar
Shanmugasundaram Udhayavel
Gopal Dhinakar Raj
author_sort Kumaragurubaran Karthik
collection DOAJ
description Coronavirus disease-2019 (COVID-19) pandemic has become a global threat and death tolls are increasing worldwide. The SARS-CoV-2 though shares similarities with SARS-CoV and MERS-CoV, immunopathology of the novel virus is not understood properly. Previous reports from SARS and MERS-CoV documents that preexisting, non-neutralizing or poorly neutralizing antibodies developed as a result of vaccine or infection enhance subsequent infection, a phenomenon called as antibody-dependent enhancement (ADE). Since immunotherapy has been implicated for COVID-19 treatment and vaccine is under development, due consideration has to be provided on ADE to prevent untoward reactions. ADE mitigation strategies like the development of vaccine or immunotherapeutics targeting receptor binding motif can be designed to minimize ADE of SARS-CoV-2 since full-length protein-based approach can lead to ADE as reported in MERS-CoV. The present mini-review aims to address the phenomenon of ADE of SARS-CoV-2 through the lessons learned from SARS-CoV and MERS-CoV and ways to mitigate them so as to develop better vaccines and immunotherapeutics against SARS-CoV-2.
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spelling doaj.art-adac1765b0fd4292b03e065b10bd8e672023-09-22T08:51:50ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2020-12-0116123055306010.1080/21645515.2020.17964251796425Role of antibody-dependent enhancement (ADE) in the virulence of SARS-CoV-2 and its mitigation strategies for the development of vaccines and immunotherapies to counter COVID-19Kumaragurubaran Karthik0Tuticorin Maragatham Alagesan Senthilkumar1Shanmugasundaram Udhayavel2Gopal Dhinakar Raj3Tamil Nadu Veterinary and Animal Sciences UniversityTamil Nadu Veterinary and Animal Sciences UniversityTamil Nadu Veterinary and Animal Sciences UniversityTamil Nadu Veterinary and Animal Sciences UniversityCoronavirus disease-2019 (COVID-19) pandemic has become a global threat and death tolls are increasing worldwide. The SARS-CoV-2 though shares similarities with SARS-CoV and MERS-CoV, immunopathology of the novel virus is not understood properly. Previous reports from SARS and MERS-CoV documents that preexisting, non-neutralizing or poorly neutralizing antibodies developed as a result of vaccine or infection enhance subsequent infection, a phenomenon called as antibody-dependent enhancement (ADE). Since immunotherapy has been implicated for COVID-19 treatment and vaccine is under development, due consideration has to be provided on ADE to prevent untoward reactions. ADE mitigation strategies like the development of vaccine or immunotherapeutics targeting receptor binding motif can be designed to minimize ADE of SARS-CoV-2 since full-length protein-based approach can lead to ADE as reported in MERS-CoV. The present mini-review aims to address the phenomenon of ADE of SARS-CoV-2 through the lessons learned from SARS-CoV and MERS-CoV and ways to mitigate them so as to develop better vaccines and immunotherapeutics against SARS-CoV-2.http://dx.doi.org/10.1080/21645515.2020.1796425covid-19sars-cov-2antibody-dependent enhancementvaccineimmunotherapymabsspike protein
spellingShingle Kumaragurubaran Karthik
Tuticorin Maragatham Alagesan Senthilkumar
Shanmugasundaram Udhayavel
Gopal Dhinakar Raj
Role of antibody-dependent enhancement (ADE) in the virulence of SARS-CoV-2 and its mitigation strategies for the development of vaccines and immunotherapies to counter COVID-19
Human Vaccines & Immunotherapeutics
covid-19
sars-cov-2
antibody-dependent enhancement
vaccine
immunotherapy
mabs
spike protein
title Role of antibody-dependent enhancement (ADE) in the virulence of SARS-CoV-2 and its mitigation strategies for the development of vaccines and immunotherapies to counter COVID-19
title_full Role of antibody-dependent enhancement (ADE) in the virulence of SARS-CoV-2 and its mitigation strategies for the development of vaccines and immunotherapies to counter COVID-19
title_fullStr Role of antibody-dependent enhancement (ADE) in the virulence of SARS-CoV-2 and its mitigation strategies for the development of vaccines and immunotherapies to counter COVID-19
title_full_unstemmed Role of antibody-dependent enhancement (ADE) in the virulence of SARS-CoV-2 and its mitigation strategies for the development of vaccines and immunotherapies to counter COVID-19
title_short Role of antibody-dependent enhancement (ADE) in the virulence of SARS-CoV-2 and its mitigation strategies for the development of vaccines and immunotherapies to counter COVID-19
title_sort role of antibody dependent enhancement ade in the virulence of sars cov 2 and its mitigation strategies for the development of vaccines and immunotherapies to counter covid 19
topic covid-19
sars-cov-2
antibody-dependent enhancement
vaccine
immunotherapy
mabs
spike protein
url http://dx.doi.org/10.1080/21645515.2020.1796425
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