T-cell immunity induced by a nonadjuvanted HLA-restricted peptide COVID-19 vaccine

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Here, artificial linear 9-mer human leucocyte antigen (HLA)-restricted UC peptides were designed based on the well-conserved S2 region of the SARS-CoV-2 spike protein regardless of rapid mutation and glycosylation hindrance. Through HLA molecule presentation, UC peptides can activate cytotoxic T lymphocytes (CTLs), which elicit cytotoxic activity by recognizing SARS-CoV-2 spike-bearing cells and preferably secreting Th1 cytokines. The UC peptides showed immunogenicity and generated a specific antibody in mice by both intramuscular injection and oral delivery without adjuvant formulation. In conclusion, a T-cell vaccine could provide long-lasting protection against SARS-CoV-2 either during reinfection or during SARS-CoV-2 rebound. Due to its ability to eradicate SARS-CoV-2 virus-infected cells, a COVID-19 T-cell vaccine might provide a solution to lower COVID-19 severity and long COVID-19. Biological sciences/Immunology/Vaccines/Peptide vaccines Biological sciences/Immunology Biological sciences/Immunology/Infection Biological sciences/Immunology/Infectious diseases Biological sciences/Immunology/Vaccines Figures Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 Introduction The rapid transmission of SARS-CoV-2 since the initial outbreak in December 2019 has caused more than 775 million infections and 7 million deaths as of April 2024 ( https://covid19.who.int/ ). Its continued spread is due to its nature as an RNA virus that is prone to mutation. To date, the SARS-CoV-2 virus has evolved several variants of concern (VOCs) since the emergence of alpha, omicron and omicron subvariants such as BA2.75, BA.4 and BA.5. To date, many COVID-19 vaccines have been approved to vaccinate people; however, SARS-CoV-2 viruses are still evolving 1 . As it evolves, SARS-CoV-2 becomes more contagious and less lethal, but it can still cause vulnerable populations to develop multi-inflammatory syndrome (MIS) 2 , 3 . To prevent SARS-CoV-2 infection, vaccination is an important strategy to generate neutralizing antibodies to stop SARS-CoV-2 transmission. At the beginning of the COVID-19 pandemic, the SARS-CoV-2 spike protein was regarded as the primary vaccine antigen target, especially due to the high antigenicity of the receptor-binding domain (RBD) of the spike protein. However, the spike protein is a rapidly mutating SARS-CoV-2 virus protein, whose mutation sites frequently occur on the RBD of SARS-CoV-2 4 . Although the original spike antigen vaccine can successfully be effective against wild-type SARS-CoV-2, the subsequent evolution of SARS-CoV-2 variants, such as alpha, beta, gamma, delta and omicron variants, has been reported to cause gradual loss of virus neutralization protection. The virus neutralization titres against the BA.4/BA.5 variants was dramatically reduced 21-fold compared to that of the wild type observed in people after booster vaccination 5 . Postvaccination infections (PVI) were frequently diagnosed after a new SARS-CoV-2 variant arose, which may be caused in part by the timing of vaccination, the vaccine-induced antibody level and waning immunity 6 .It raises the question of whether current vaccines are insufficient to protect against all SARS-CoV-2 variant infections and conveys an basic need to develop an effective vaccine to generate broadly neutralizing antibodies and long-term memory cellular immunity against SARS-CoV-2 variants and subvariants 7 , 8 . Despite the 60 to 80% vaccination coverage rate in developing and developed countries, the goal of herd immunity is still far from being achieved because of the instability in SARS-CoV-2 that accumulates massive mutations 9 . Furthermore, a new VOC of COVID-19 pandemic has appeared approximately every 6 months, as reported by WHO. Although there is a high demand for vaccine products against the new rise of VOCs of SARS-CoV-2, there is no effective vaccine product yet available. A new vaccine product requires the completion of vaccine design, proof of concept, validation of the pharmacology, manufacturing, safety evaluation and regulatory approval. Therefore, a universal vaccine conveying wide protection against all kinds of variants is a basic need for controlling the COVID-19 disease 10 . According to a WHO survey report, most mutations occur in the RBD region of the spike protein, which is a potential target antigen for developing COVID-19 vaccines. It is difficult to develop a vaccine specific for the mutation in the RBD region of the SARS-CoV-2 spike protein. The S2 region of the SARS-CoV-2 spike protein possesses fewer mutations than the RBD region, which is regarded as a “universal antigen” 11 , 12 . It has caused a change in focus to develop vaccines targeting the S2 region rather than against variable mutations in the RBD domain 13 . A neutralizing antibody against SARS-CoV-2 can stop its entry into cells via the ACE2 receptor. However, if the SARS-CoV-2 virus breaks through the neutralizing antibody protection and infects cells, the SARS-CoV-2 virus is replicated in the cells and secretes numerous viral particles into the blood circulation. When immunity declines, the endogenous virus can infect other cells, and symptoms become obvious. Activated T-cells can eradicate virus-infected cells to stop the risk of endogenous infection 14 , 15 . T-cell vaccines have been widely developed as therapeutic strategies in oncology due to their high specificity to tumour cells. The HLA-I peptide derived from tumour-associated antigens activates CTL cells against tumour cells through the MHC/peptide-restricted pathway 16 . However, a subset of CTLs bearing γδTCR, so-called γδT-cells, can recognize target cells without MHC peptide restriction and are mostly involved in antiviral activity 17 . The activation of γδT-cells is regarded as a potential therapeutic method in antitumour and antiviral treatment 18 , 19 . Compared to humoral immunity, cellular immunity contributes to long-lasting immunity, in which specific memory T-cells can be detected after 10 years, whereas specific antibodies decrease to low neutralizing levels within 2–3 months and undetectable levels within 2–3 years 20 , 21 . It might be proposed that cellular immunity is critical for preventing SARS-CoV-2 infection rather than humoral immunity, especially in postvaccine COVID-19 cases 22 . Many studies and surveys have been published to support that the cellular immunity-inducing vaccine against SARS-CoV-2 is more effective than that of humoral immunity at the stage of initial virus infection and long COVID 23 . In our study, we demonstrated a novel design of an HLA-restricted peptide that could activate CTLs to eradicate virus-infected mimic cells and activate immunity to produce antibodies against the SARS-CoV-2 virus spike protein without adjuvant formulation. It has also been shown to provoke mucosal immunity when it is delivered orally, and higher levels of IgA may be secreted to mucosal sites for protection from viral infection. The HLA-restricted peptide vaccine provides a new potential scheme for developing vaccines against viral infection. Results UC peptides designed from the well-conserved region of the SARS-CoV-2 spike protein for HLA restriction. The UC-100 and UC-152 epitopes were designed from the S2 domain of the SARS-CoV-2 virus spike protein, for which the well-conserved region was selected based on the side chain of a specific amino acid due to its steric protein structure (Fig. 1 a). The order of the UC peptide sequence was directly assigned based on the exposed amino acids on the surface of the SARS-CoV-2 spike S2-well-conserved region in order to avoid virus mutations and glycosylation. The side chain of each amino acid was aligned with a structural linear sequence according to a distance of approximately 3.8 Å of Cα-Cα between 2 amino acids on the protein surface. Artificial UC-100 peptides comprising 9 amino acids were designed and expected to bind with the major histocompatibility complex (MHC)-class I molecule. The binding affinity to various MHC-I molecules was predicted, as shown in Table 1 . The artificial UC-100 antigen was predicted to not only strongly bind to HLA-A201 but also bind to other major histocompatibility molecules. The artificial UC-100 epitope sequence aligned with the surface of the SARS-CoV-2 spike protein structure, which was discontinuous in the primary sequence and assembled into a linear arrangement on the surface (Fig. 1 b). The separated sequence could not be processed as a known mechanism of antigen presentation by immune cells, but these separated short peptides were assembled as 9-mer amino acid immunogens, which might provoke cellular immunity by means of HLA-I molecule binding. Due to spike polypeptide refolding, the discontinued primary sequence of the spike protein formed a linear alignment on the surface. To obtain a higher binding activity of antigen peptides to MHC molecules, artificial UC-152 was modified with one amino acid substitution from the UC-100 peptide. The UC-152 peptide was predicted to have a higher binding affinity to MHC-I A201, as shown in Table 1 . Both the UC-100 and UC-152 peptides were designed to boost cellular immunity. Table 1 The prediction of UC peptides binding to various major histocompatibility variants HLA-A/ IC 50 (nM) HLA-B/ IC 50 (nM) HLA-C/ IC 50 (nM) UC-100 02:01 02:06 03:01 30:01 30:02 31:01 32:01 167.9 267.6 6711.2 2420.9 998.8 5134.2 4139.4 15:02 1303.9 03:03 05:01 07:01 08:02 12:03 14:02 15:02 3339.0 46.0 7398.9 8397.7 28.9 148.5 1053.0 UC-152 02:01 02:06 03:01 30:01 30:02 31:01 32:01 51.4 79.0 2311.0 1577.5 838.4 2821.4 2985.0 15:02 1880.3 03:03 05:01 07:01 08:02 12:03 14:02 15:02 7561.5 82.0 3708.3 5796.4 28.9 148.5 938.5 The predicted binding affinity of peptide to MHC-I was analyzed with SMM on the Immune Epitope Database website ( http://www.iedb.org/ ) UC peptides can be primed onto CTLs and engaged with the corresponding CTLs To evaluate the binding affinity of UC-100 and UC-152 to MHC-I molecules, the HLA-A201 complex was analysed in an HLA refolding assay. The anti-β 2 m complex antibody can recognize the correctly folded structure when the matched peptide is loaded on the MHC-I molecule along with β 2 m. In the refolding assay, both UC-100 and UC-152 showed higher binding activity to HLA-A201 in a dose-dependent manner than a cytomegalovirus (CMV)-positive antigen (Fig. 2 a). The results showed that both the 9-mer UC-100 and UC-152 peptides could refold with the HLA-A201 molecule and β 2 m. UC-100 and UC-152 derived from the assembly of the separated surface SARS-CoV-2 spike S2 region could be loaded on the HLA class I molecule and recognized by corresponding CTLs. To verify whether corresponding CTLs existed, the UC-100 and UC-152 antigens were subjected to a tetramer assay, and the corresponding CTLs were stained with the labelled tetramer complex. In the tetramer assay, HLA-A201 molecules refolded with UC-100 and UC-152 showed increases of 2.2% and 3.3% in positive CTLs compared with tetramers without loading peptide (Fig. 2 b). These correctly refolded complexes would be engaged with the corresponding T-cell receptor in CD8 + CTLs in human peripheral blood mononuclear cells (PBMCs). These results showed that both UC-100 and UC-152 peptides could form a complex with HLA and trigger the activation of CTLs through the MHC/TCR complex. UC peptides can be presented to MHC class II molecules and interact with T-helper cells Although the HLA-DR molecule can be loaded with up to a 15-mer antigenic peptide in length, it can present a loaded antigen to the responsible T-helper cells. Thus, the 9-mer UC peptides were evaluated for the engagement of T-helper cells with the formation of the HLA-DR/peptide complex. To verify the roles of antigen peptides involved in the interaction between HLA-DR and TCRs, the peptides were subjected to a dextramer assay to understand the engagement of human T-helper cells. Human PBMCs were used for the dextramer assay, and the mean fluorescence intensity (MFI) of the labelled dextramer was analysed to determine the level of engaged CD4 + cells. In the dextramer assay, the results showed that UC-100 and UC-152 peptides could form a complex with HLA-DR and CD4 + T-helper cells that were increased 3.1-fold and 2.7-fold compared to the nonpeptide loaded group, respectively (Fig. 2 c). The 9-mer UC-100 and UC-152 peptides formed HLA DR/peptide complexes and interacted with T-helper cells via HLA DR/TCR engagement. This finding suggests that 9-mer UC peptides might also be presented to immune cells via HLA DR/TCR molecules. UC peptides polarized the Th1 cytokine release of human PBMCs Immune cells, such as T-helper cells, can secrete cytokines to support an immune response towards a Th1 (IFN-γ-secreting) or Th2 (IL-4-secreting) phenotype. To understand the cytokine release pattern of the immune response in response to UC peptides, human PBMCs were treated with different concentrations of UC-100 and UC-152 peptides. The intracellular levels of the cytokines IFN-γ and IL-4 from T-helper cells were analysed to represent the Th1 and Th2 responses. The results showed that both UC-100 and UC-152 preferably stimulated IFN-γ cytokine secretion rather than IL-4 cytokine secretion (Fig. 2 d, 2 e). The level of IFN-γ was elevated in response to both UC-100 and UC-152 in a dose-dependent manner. This indicated that the 9-mer UC peptides preferably support the Th1 response. UC peptides can directly activate the specific lysis activity of CTLs Based on previous results, UC peptides can form the MHC-I/peptide complex, and numerous CTLs were determined to be engaged. The complex might directly activate CTLs to attack antigen-bearing cells. To verify the effect of peptide-primed immune cells, the lytic activity of CTLs was assessed by targeting spike-expressing cells. In a CTL lysis assay, spike-expressing cells cocultured with different ratios of PBMCs were treated with 9 nM and 27 nM UC-100 peptides. The UC-100 peptide increased the lytic activity of spike-expressing cells in a dose-dependent manner (Fig. 3 a). Similar results were observed in experiments with UC-152 peptide-treated PBMCs (Fig. 3 b). These results support that spike-expressing cells can be recognized by and are cytotoxic to CTLs, and that CTLs were primed by the UC peptides. It was also demonstrated that UC peptides can activate immune cells to lyse virus-infected cells. The nonadjuvanted UC peptides provoked immunogenicity in vivo . Mice were immunized by intramuscular injection with UC-100 and UC-152 without adjuvant formulation. The total levels of IgG, anti-peptide (UC-100 or UC-152)-specific IgG and anti-spike trimer were analysed to indicate the immunogenicity of UC peptides. The results showed that total mouse IgG could be increased from 186 µg/mL to 339 µg/mL by UC-100 peptides and from 127 µg/mL to 340 µg/mL by UC-152 peptides (Fig. 5 a, 5 d). There was a 1.8-2.7-fold increase in IgG production following UC peptide challenge. The immunised serum was also subjected to a specific binding assay using UC-100 and UC-152 peptide-coated microplates. The results showed that serum antibody was significantly increased by approximately 1.6-fold and 1.8-fold by binding to plates coated with UC-100 and UC-152 peptides, respectively (Fig. 5 b, 5 e). This result indicated that antibody production induced by UC-100 and UC-152 peptides can specifically recognize antigenic peptide sequences. The results also showed that both antibodies induced by UC-100 and UC-152 peptides could also bind to the SARS-CoV-2 spike trimer protein, similar to the peptide binding results (Fig. 5 c, 5 f). In the comparison of predose and postdose serum, an approximate 4.0-4.5-fold increase in specific anti-spike trimer IgG was induced. It was shown that 9-mer UC peptides not only showed immunogenicity in animals but also induced antibodies to recognize the matched synthetic peptide and structural sequence of the spike protein on the surface. The UC peptide-induced antibody can activate complement to lyse epitope-bearing cells To verify the complement effects of the vaccinated serum antibodies on virus-infected cells, the serum was tested in a complement-dependent cytotoxicity (CDC) assay using spike-expressing cells. In the CDC assay, spike-expressing HEK293 cells cultured in serum-free medium were treated with serially diluted serum supplemented with young rabbit complement. Complement cytotoxicity was measured by lactate dehydrogenase (LDH) activity. The results showed that complement-induced activity was increased approximately 2.1-fold in serum vaccinated with UC-152 peptide compared to the prevaccinated serum level, but not in UC-100 peptide-vaccinated mice (Fig. 5 g, 5 h). This result indicated that the UC peptide-induced antibody might target the intact spike protein of infected cells depending on the binding affinity of the induced antibody. Oral administration of UC peptides provokes immunogenicity in mice Due to the digestion resistance of artificial UC peptides, immunogenicity by oral administration was evaluated to understand whether the peptide could stimulate gut immunity. Five BALB/c mice were orally administered 200 µg of polymer-formulated UC-100. After 3 doses administered 2 weeks apart, predose and postdose serum were analysed for the levels of total IgG, specific anti-peptide IgG and anti-SARS-CoV-2 spike IgG. The results showed that total IgG was increased from 136 µg/mL to 388 µg/mL by oral UC-100 peptides (Fig. 6 a). Regarding the specificity of the induced antibody, an approximately 1.6-fold increase in anti-peptide IgG and a 4.4-fold increase in anti-spike IgG were measured (Fig. 6 b, 6 c). These results suggested that oral administration of UC-100 peptide could induce an immune response through gut immunity. To understand the CDC function of the induced antibody, serum was tested for complement activity, and the results showed that antibody-mediated complement activity was slightly increased by approximately 27% in vaccinated serum compared with the prevaccinated serum level (Fig. 6 d). These results indicated that complement activity mediated by antibodies might be involved in the eradication of virus-infected cells. To further understand the possibility of mucosal immunity from an HLA-restricted peptide vaccine, sera were used to determine the levels of total IgA and specific IgA. The results showed that total IgA was significantly increased from 13.50 µg/mL to 33.04 µg/mL by oral UC-100 peptides, which represents an approximately 2.4-fold increase in IgA (Fig. 6 e). Regarding the specificity of the induced antibody, there was an approximately 1.8-fold increase in the specific anti-peptide IgA (Fig. 6 f). These results suggested that oral administration of short UC peptides could induce mucosal immunity. Discussion In this study, artificial 9-mer UC peptides were designed to enhance T-cell immunity. We successfully demonstrated the antigenicity of these UC peptides and the possible mechanism of the UC peptides in T-cell and B-cell activation. These data support the development of a 9-mer peptide as a T-cell vaccine accompanying a B-cell response (Fig. 7 ). This explains how the 9-mer short peptide activates CTLs through MHC-I recognition and activates B-cells to produce antibodies via MHC-DR engagement. Based on these observations, the 9-mer HLA-restricted peptide has the potential to be used to develop a next-generation vaccine against SARS-CoV-2. To date, the COVID-19 is still a global potential threat due to several variants waves causing PVI, including Omicron and its subvariants. These virus variants escape from human immunity and exist even in fully vaccinated or SARS-CoV-2 convalescent human serum 24 . There is still a basic need to develop an effective COVID-19 vaccine to stop this disease. In fact, PVI following new VOCs frequently occurs in nations or areas with high vaccination coverage rates 25 . Restored SARS-CoV-2 viruses have been observed in approximately 10% of convalescent patients 26 . It is implied that SARS-CoV-2 viruses are not eradicated and persistently exist in a latent phase. It can be deduced that there is a balance of viral load between the function of antibody-producing B-cells and virus-infected cells. When the balance collapses, the viruses rebound and become contagious. It is suggested that the activation of cellular immunity would be beneficial for complete recovery from the health conditions caused by long COVID-19 and in virus-restored patients 27 . However, scientists still struggle to improve neutralizing antibodies as a major function of vaccines to stop the new SARS-CoV-2 variant infection and virus recovery. Unfortunately, loss of neutralization activity and immune surveillance escape caused by virus mutations destroy the line of defence by neutralizing antibodies, which raises the need for long-term T-cell immunity 28 . According to a survey, current vaccines can provoke a high amount of neutralizing antibodies but do not stop PVI. Recently, several studies were conducted to develop broad-spectrum COVID-19 vaccines to address the issue of immune surveillance escape, including using multiple T-cell epitopes, multiple spike proteins loaded on virus-like particles, or using conserved regions outside the RBD for targeting epitopes or spike S2 domains as antigens 29 , 30 , 31 , 32 . Nearly 1 year after the emergence of the COVID-19 pandemic, scientists noticed that T-cell immunity played a critical protective role in SARS-CoV-2 convalescent patients and appealed to regulatory affairs that measurement of T-cell immunity should be included in COVID-19 vaccine clinical trials 33 . T-cell vaccines are supposed to be effective against newly evolved variants of SARS-CoV-2 and long COVID-19. Eradicating virus-infected cells is the key to success in stopping PVI. For this purpose, many scientists and institutions have altered vaccine development strategies to use short HLA-restricted peptides against SARS-CoV-2 virus infection and have claimed broad protection from SARS-CoV-2 variants and subvariants 34 . However, the response of CD8 + T-cells may be lost if the HLA-I-restricted antigen contains mutations 35 , 36 . It has been suggested that HLA-restricted peptides should avoid targets including areas of potential mutations and glycosylation obstructions. Otherwise, it faces the same problem of activity loss due to rapid evolution mutations. Another achievable strategy for lowering PVI rates is to generate mucosal immunity 37 , 38 . To strengthen COVID-19 protection, IgA antibodies were generated through mucosal immunity. It could be provoked by vaccination via nasal spray or oral delivery. It is beneficial to generate IgA in the mucosa to defend against viral infection 39 . It has been reported that a high level of IgA can be induced through nasal and oral administration for mucosal IgA responses 40 . Interestingly, the only peptide inoculated without adjuvant formulation provoked a serum IgG as well as a secretory IgA response. It was deduced that short peptides provoke the immune response through Peyer’s patches in the intestine. Despite the effective use of current COVID-19 vaccines, including mRNA- and virus-based formats, the stability of the vaccines is a critical issue for maintaining efficacy during transportation 41 . Because of their structural stability, short peptide vaccines are more stable and can include any formulation to fulfil the need for fast distribution. To achieve a good immune response, most effective vaccines are formulated with adjuvants. Adjuvants can amplify and modulate immune responses. The CpG adjuvant is widely used in modulating the immune response to enhance Th1 cellular immunity 42 . However, it often causes unexpected side effects, such as autoimmune disease in susceptible individuals 43 . In this study, we demonstrated the potential use of an HLA-restricted peptide COVID-19 vaccine without formulation with an adjuvant. It was shown that only short peptides are sufficient to trigger cellular and humoral immunity. It is also thought that intact immunity, including humoral and cellular immunity, can be induced to protect against virus infection and that unwanted side effects can be strongly reduced. In conclusion, we designed an HLA-I-restricted peptide based on a well-conserved S2 domain of the SARS-CoV-2 spike protein to avoid the highly mutated RBD domain and potential glycosylation interference with antibody binding. It might provide broad-spectrum neutralizing antibody protection against RBD-mutated SARS-CoV-2 viruses. In addition, cellular immunity and CTLs are activated by HLA-I-restricted peptides to eliminate virus-infected cells and stop internal production of viruses. T-cell vaccines provide a solution to end the COVID-19 disease. Methods HLA-restricted peptides The HLA-restricted peptides UC-100 (KLNSGDSKV) and UC-152 (KLNSGLSKV) were designed by Vacino Biotech Taiwan based on the S2 domain of the SARS-CoV-2 spike protein. The UC-100 and UC-152 peptides were synthesized by GenScript (NJ, USA) with 98% purity, and the pH value was adjusted to 7.2–7.4 for the in vitro and in vivo studies. HLA-A201-peptide complex refolding assay The easYmer kit (ImmunAware Aps, Copenhagen, Denmark) was used to determine the binding ability of the peptide to the HLA-A201 molecule. The detailed methods were performed according to the kit’s manual instructions. Briefly, the peptide was incubated with the β 2 m-microglobulin (β 2 m) light chain subunit and biotin-tagged recombinant HLA-A201 heavy chain at 18°C for 48 h to form a 500 nM folded HLA complex. The folded complexes were diluted with dilution phosphate-buffered saline (PBS) buffer containing 5% glycerol to serial concentrations of 8.9 nM, 3.0 nM and 1.0 nM. Then, 20 µL of 45-fold diluted streptavidin-coated beads (6–8 µm beads, Cat SVP-60-5, Spherotech, IL, USA) was added to each well. The beads were suspended in the solution with PE-labelled anti-human β 2 m monoclonal antibody and incubated for 30 min at 4°C. The fluorescence intensity was measured by flow cytometry (BD LSRFortessa TM X20, Franklin Lakes, NJ, USA). An HLA-A201 binding peptide, NLVPMVATV (CMV pp65 495–503 ), which was reported to have an IC 50 of 45 nM for HLA-A201, was used as the positive control 44 . Complex formation without peptide addition was used as the negative control. In vivo study of HLA-restricted peptides The mouse immunogenicity studies were performed by Super Laboratory Co., Ltd. (Taipei, Taiwan), and the animals were supplied by BioLASCO Taiwan Co., Ltd. (Taipei, Taiwan). For the immunogenicity study of the UC-100 peptide antigen, three female BALB/c mice (7–9 weeks old) were injected intramuscularly with 3 doses of 50 µg peptide 14 days apart. For the immunogenicity study of UC-152 peptide antigen, four female BALB/c mice (7–9 weeks old) were injected intramuscularly with 3 doses of 400 µg peptide 14 days apart. For the oral ability study of the UC-100 peptide antigen, five female BALB/c mice (7–9 weeks old) were orally administered 3 doses of 200 µg of peptide formulated with 1% PLCL-PEG-PLCL polymer (Sigma‒Aldrich, USA). The serum was collected before the first dose of immunization (predose) and at 14 days after the last dose immunization (postdose). The serum was stored at -80°C prior to antibody measurement and functional assay. The animal protocol was reviewed and approved by the Super Laboratory Company's Institutional Animal Care and Use Committee (approval IACUC number 111-14c). All animal experiments in this study were performed in accordance with the relevant guidelines and regulations. This study was reported in accordance with the ARRIVE guidelines. Measurement of IgG and IgA levels To determine the total IgG and IgA levels, the IgG (Total) Mouse Uncoated ELISA Kit (Cat., No. 88-50400, Thermo Fisher Scientific, MA, USA) and Mouse IgA ELISA Kit (Cat., E-90A, Immunology Consultants Laboratory, Inc., OR, USA) were used according to the manufacturers’ protocols. For total IgG measurement, a Nunc™ MaxiSorp™ 9018 ELISA plate was coated with 100 µL of the coating buffer containing capture antibody and incubated overnight at 4°C. The plate was then washed twice with 400 µL of wash buffer. After the wells were blocked with 250 µL of blocking buffer (PBS, 1% bovine serum albumin (BSA), 0.1% Tween 20) and incubated at RT for 2 h, the plate was washed twice. Then, 100 µL of the diluted samples and standards were added to the reaction wells. Then, 50 µL of diluted detection antibody was added to all wells. The plate was covered and incubated at RT for 2 h. The samples were washed four times, 100 µL of substrate solution provided in the kit was added, and the samples were incubated at RT for 15 min. Finally, 100 µL of stop solution provided in the kit was added, and the plate was read at an optical density (OD) of 450 nm by a microplate reader (SpectraMax iD5, Molecular Devices, CA, USA). For total IgA measurement, 4000-fold diluted samples (100 µL) were added to an IgA capture antibody-precoated plate. The procedures followed the kit’s instructions. The signal was read at OD 450 nm by a microplate reader (SpectraMax iD5, Molecular Devices, CA, USA). To measure the levels of anti-UC peptide-specific IgG, a 96-well plate was coated with 100 µL of PBS buffer containing 5 µg of UC-100 and UC-152 peptide and incubated overnight at 4°C. The following steps for anti-peptide IgG measurement were performed as described for total IgG measurement. Briefly, after incubation with anti-mouse HRP antibody, the reaction microplate was washed four times, 100 µL of TMB Solution (ab171522, Abcam, Cambridge, UK) was added, and the plate was incubated at RT for 20 min. Finally, 100 µL of Stop Solution (Cat No. 5150-0020, SeraCare, MA, USA) was added, and the plate was read at OD 450 nm by a microplate reader (SpectraMax iD5, Molecular Devices, CA, USA). For specific IgA antibody measurement, UC-100 was coated onto a 96-well microplate. The experimental procedures were performed as previously described for IgG. To measure the anti-spike trimer IgG antibody, a mouse SARS-CoV-2 spike trimer-coated 96-well plate kit (RAS-T023, Acro Biosystems, DE, USA) was used. The procedure was performed according to the kit’s instructions. 100 µL of diluted sample was added to an anti-spike trimer-coated plate, and 100 µL dilution buffer was used as a blank. The reaction was stopped by adding 50 µL of stop solution provided in the kit and read at OD 450 nm by a microplate reader (SpectraMax iD5, Molecular Devices, CA, USA). Th1 and Th2 cytokine release assay Briefly, 1 x 10 5 HLA-A201 + human PBMCs (STEMCELL Technologies Inc., Vancouver, British Columbia, Canada) were seeded in a 96-well microplate 45 . The PBMCs were treated with 5 different concentrations of antigen peptides at final concentrations of 0.4, 2, 10, 50 and 250 nM and cultured with X-VIVO 15 medium for 12 days. The culture medium was refreshed every 5 days. To analyse the surface marker and intracellular cytokine levels, the suspended cells were collected and stained with anti-CD4-PerCP-Cy5.5 conjugated (Cat. 566923, BD Pharmingen, USA), IFN-γ-FITC chrome conjugated (Cat. 554700, BD Pharmingen, USA), and IL4-PE chrome conjugated (Cat. 559333, BD Pharmingen, USA) antibodies. The cytokine levels in CD4 + T-helper cells was measured by flow cytometry (BD LSRFortessa TM X20, Franklin Lakes, NJ, U.S.) HLA-DR-peptide engagement assay A U-Load Dextramer kit MHC II HLA-DRB1*0101/APC (Immudex, Denmark) was used to determine the binding ability of a peptide to the HLA-DR molecule. The method was performed according to the kit’s protocol. The 10 µL MHC-II-peptide monomer was prepared by mixing the reagents of a 2 µL of 1 mM peptide (UC-100 or UC-152), a 3 µL of dissolved U-load MHC-II peptide loading component and a 5 µL of U-load MHC-II (1 mg/mL). PBMCs (2 x 10 5 ) suspended in 50 µL of wash buffer composed of 1% FCS in phosphate-buffered saline (PBS), pH 7.4. The 10 µL of prepared MHC dextramer as described in the protocol was added to the PBMCs and incubated in the dark for 30 min at RT, followed by staining with the anti-CD4-PerCP-Cy5.5 conjugated antibody and further incubation in the dark for 20 min at RT. The cells were washed twice with 2 mL of wash buffer, and the cell pellet was resuspended in wash buffer for analysis by flow cytometry (BD LSRFortessa TM X20, Franklin Lakes, NJ, U.S.). Peptide-specific CTL engagement assay The easYmer kit (ImmunAware Aps, Denmark) was used for a tetramer assay to determine the peptide-specific CTL binding level to the peptide-HLA-A201 complex 46 . The methods were performed according to the kit’s protocol. Briefly, the peptide was incubated with the β 2 -microglobulin (β 2 m) light chain subunit and biotin-tagged recombinant HLA-A201 heavy chain for 48 h at 18°C to form a 50 µL 500 nM folded HLA complex. A tetramer was produced by incubating the equivalent of 2.1 µL of 0.2 mg/mL streptavidin-APC (Cat., 554067, BD Pharmingen, USA) and 50 µL of 500 nM folded HLA complex in the dark at 4°C overnight. PBMCs (1 x 10 5 , HLA-A201 + ) (STEMCELL Technologies Inc., Vancouver, British Columbia, Canada) were costained with the APC-labelled tetramer complex and FITC-conjugated anti-CD8 antibody (Cat., 555634, BD Pharmingen, USA) and analysed by flow cytometry (BD LSRFortessa TM X20, Franklin Lakes, NJ, U.S.) for the percentage of tetramer-stained CD8 + cells. Cytotoxic activity assay of specific T-cells HEK293 cells expressing the SARS-CoV-2 spike protein (D614) (Cat No. 293-cov2-s, InvivoGen, CA, USA) were used as target cells, which were seeded into a 96-well plate 47 . HLA-A201 + PBMCs (STEMCELL Technologies Inc., Vancouver, British Columbia, Canada) were cocultured with 3,000 SARS-CoV-2 spike-expressing cells at ratios of 27:1, 9:1, 3:1 and 1:1, and the culture was treated with UC-100 and UC-152 peptides at a final concentration of 9 nM or 27 nM for 5 days at 37°C and 5% CO 2 . Cytotoxicity was measured by using an LDH-Cytox™ assay kit (Cat No. 426401, BioLegend, CA, USA). SARS-CoV-2 spike-expressing cells without PBMCs and peptide treatment were used as the negative control, while lysis buffer added to the well containing only spike-expressing cells was used as the positive control. Fifty microlitres of LDH substrate was added to each well and incubated for 30 min at RT. Finally, the OD at 490 nm was read by a microplate reader (EnVision Xcite Multilabel Reader, PerkinElmer, MA, USA). The percentage of specific cell lysis was calculated according to the manufacturer’s instructions. Complement-dependent cytotoxicity assay To determine the functions of the antibodies induced by the UC peptide, complement cytotoxicity was measured in SARS-CoV-2 spike protein (D614)-expressing HEK293 cells (Cat No. 293-cov2-s, InvivoGen CA, USA) 48 . The cytotoxicity mediated by the antibodies was measured by using an LDH-Cytox™ assay kit (BioLegend, CA, USA). The 4 x 10 3 SARS-CoV-2 spike-expressing cells were suspended in 45 µL of serum-free DMEM in each well of a 96-well microplate. The serum samples were serially diluted twofold for 9 dilutions with serum-free DMEM starting at a ratio of 1:20 to 1:5120. Five microlitres of diluted serum was added to the wells containing SARS-CoV-2-expressing cells and incubated for 15 min at 37°C and 5% CO 2 . A final concentration of 10% young rabbit complement (CL3441-S50-R, Cedarlane, Ontario, Canada) was added to each well and incubated for an additional 30 min at 37°C and 5% CO 2 . The plate was then cooled at RT for 15 min for measurement of the cytotoxicity by LDH release. The sample wells containing serum were used as background controls, while lysis buffer was added to the sample wells containing SARS-CoV-2-expressing cells, and complement was used as the positive control. Then, 50 µL of LDH substrate was added to each well and incubated for 30 min at RT. Finally, the OD at 490 nm was read by a microplate reader (EnVision Xcite Multilabel Reader, PerkinElmer, MA, USA). The percentage of specific cell lysis was calculated according to the manufacturer’s instructions. Statistical analysis Groups were compared using an unpaired one-tailed Student’s t test embedded in Prism 5 (GraphPad Software Inc., San Diego, CA, USA) for the measurement of IgG antibody, IgA antibody, tetramer and dextramer. A p value < 0.05 was considered significant (* p < 0.05, ** p < 0.01, and *** p < 0.001). Declarations Competing Interests This research was financially supported by Vacino Biotech Co., Ltd. (Taiwan). Vacino Biotech has patents (US 17/726,688, PCT/CN2022/089266, ROC 111115497) concerning the therapeutic compounds used in this study, for which Yi-Ru Lee and Jia-Ming Chang are also the authors of the patents. Yi-Ru Lee, Chiung-Wen Liou, I-Hua Liu, and Jia-Ming Chang are employees of Vacino Biotech Company and belong to this company. Author Contribution J.M.C. and Y.R.L. designed the HLA-restricted peptide and supervised this study. C. W.L. performed the mechanistic immune response of the in vitro assays and complement activity of the induced ex vivo assay. I.H.L. performed the measurement of the level of total antibody, specific antibody against peptide and spike trimer protein. All authors participated in analysing the data, J.M.C. and Y.R.L. wrote the manuscript, and all authors helped revise the manuscript. Acknowledgements We thank Super Laboratory Co., Ltd. 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Letter to FDA- T-cell assessment in vaccine studies_4-21-22_FINAL.pdf. 2022. Available: https://drive.google.com/file/d/1OPfStqOnuKAEUkrjfFUouXMjDB_-tnmV/edit Tarke, A. et al. Comprehensive analysis of T cell immunodominance and immunoprevalence of SARS-CoV-2 epitopes in COVID-19 cases. Cell Rep. Med. 2, 100204 (2021). Agerer, B. et al. SARS-CoV-2 mutations in MHC-I-restricted epitopes evade CD8 + T cell responses. Sci. Immunol. 6, eabg6461 (2021). Hamelin, D. J. et al., The mutational landscape of SARS-CoV-2 variants diversifies T cell targets in an HLA-supertype dependent manner. Cell Syst. 13, 143–157 (2022). Lavelle, E. C. & Ward, R. W. Mucosal vaccines - fortifying the frontiers. Nat. Rev. Immunol. 22, 236–250 (2022). Russell, M. W., Moldoveanu, Z., Ogra, P. L. & Mestecky J. Mucosal immunity in COVID-19: a neglected but critical aspect of SARS-CoV-2 infection. Front. Immunol. 11, 611337 (2020). Sheikh-Mohamed, S. et al. Systemic and mucosal IgA responses are variably induced in response to SARS-CoV-2 mRNA vaccination and are associated with protection against subsequent infection. Mucosal Immunol. 15, 799–808 (2022). Boyaka, P. N. Inducing mucosal IgA: A challenge for vaccine adjuvants and delivery systems. J. Immunol. 199, 9–16 (2017) Uddin, M. N. & Roni, M. A. Challenges of storage and stability of mRNA-based COVID-19 vaccines. Vaccines (Basel) 9, 1033 (2021). Millan C. L. B., Weeratna, R., Krieg, A. M., Siegrist, C.-A. & Davis H. L. CpG DNA can induce strong Th1 humoral and cell-mediated immune responses against hepatitis B surface antigen in young mice. Proc. Natl. Acad. Sci. U.S.A. 95, 15553–15558 (1998). Segal, B. M. Chang, J. T. & Shevach, E. M. CpG oligonucleotides are potent adjuvants for the activation of autoreactive encephalitogenic T-cells in vivo. J. Immunol. 164, 5683–5688. (2000). Hassan C. et al. Naturally processed non-canonical HLA-A*02:01 presented peptides. J. Biol. Chem. 290, 2593–2603 (2015) Tapia-Calle, G. et al. A PBMC-based system to assess human T cell response to influenza vaccine candidates in vitro. Vaccines (Basel) 7, 181 (2019). Bonté, P.-E. et al. Single-cell RNA-seq-based proteogenomics identifies glioblastoma-specific transposable elements encoding HLA-I-presented peptides. Cell Rep. 39, 110916 (2022). Babaer, D., Zheng, M., Ivy M. T., Zent R. & Tiriveedhi, V. Methylselenol producing selenocompounds enhance the efficiency of mammaglobin–A peptide vaccination against breast cancer cells. Oncol. Lett. 18, 6891–6898 (2019). Osada, T. et al. Polyfunctional anti-human epidermal growth factor receptor 3 (anti-HER3) antibodies induced by HER3 vaccines have multiple mechanisms of antitumor activity against therapy resistant and triple negative breast cancers. Breast Cancer Res. 20, 90 (2018). Additional Declarations Competing interest reported. This research was financially supported by Vacino Biotech Co., Ltd. (Taiwan). Vacino Biotech has patents (US 17/726,688, PCT/CN2022/089266, ROC 111115497) concerning the therapeutic compounds used in this study, for which Yi-Ru Lee and Jia-Ming Chang are also the authors of the patents. Yi-Ru Lee, Chiung-Wen Liou, I-Hua Liu, and Jia-Ming Chang are employees of Vacino Biotech Company and belong to this company. Supplementary Files Sourcedatafinal.xlsx Cite Share Download PDF Status: Published Journal Publication published 04 Sep, 2024 Read the published version in Scientific Reports → Version 1 posted Editorial decision: Revision requested 21 Jun, 2024 Reviews received at journal 20 Jun, 2024 Reviewers agreed at journal 12 Jun, 2024 Reviews received at journal 11 Jun, 2024 Reviewers agreed at journal 23 May, 2024 Reviewers invited by journal 23 May, 2024 Editor assigned by journal 23 May, 2024 Editor invited by journal 19 May, 2024 Submission checks completed at journal 15 May, 2024 First submitted to journal 13 May, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4411027","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Article","associatedPublications":[],"authors":[{"id":306126868,"identity":"b07b635f-a22a-4c27-baf3-29328d6da878","order_by":0,"name":"Yi-Ru Lee","email":"","orcid":"","institution":"Vacino Biotech Co. Ltd","correspondingAuthor":false,"prefix":"","firstName":"Yi-Ru","middleName":"","lastName":"Lee","suffix":""},{"id":306126869,"identity":"4df5d143-8c4e-498a-80f8-e7be482d5d90","order_by":1,"name":"Chiung-Wen Liou","email":"","orcid":"","institution":"Vacino Biotech Co. Ltd","correspondingAuthor":false,"prefix":"","firstName":"Chiung-Wen","middleName":"","lastName":"Liou","suffix":""},{"id":306126870,"identity":"4ecf4940-681b-489a-8445-1741193affa0","order_by":2,"name":"I-Hua Liu","email":"","orcid":"","institution":"Vacino Biotech Co. Ltd","correspondingAuthor":false,"prefix":"","firstName":"I-Hua","middleName":"","lastName":"Liu","suffix":""},{"id":306126871,"identity":"c2fab1eb-9a32-4e9d-b06a-df8b95fb0809","order_by":3,"name":"Jia-Ming Chang","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA8klEQVRIiWNgGAWjYBACxmYgkcDAIAfiHAAiHhCDmRgtxggtbAS0wEBiA4QG6iKkhbmd+emGhztq0zccP/zwcEHFHRl++eaDnwsY7OR0G3A5jM3sRuKZ47kbzqQZHJ5x5hmPZBtbsvQMhmRjswM4/QLU0nYsd2ZDDsNh3rbDPAbHeMyYeRgOJG7DqYX9G0hLumT/G5gW/m8EtPCAbKlJ4JdA2MJGSEsZUMsBw36JZwaHecB+STOW5jHA7RfD/uPbbv5sq5Nn409+/Jmn4o49P/Phh0CGnRxOLQ1g6jC6uAF25SAgD6HqcKsYBaNgFIyCUQAAM6peSivCzzsAAAAASUVORK5CYII=","orcid":"","institution":"Vacino Biotech Co. Ltd","correspondingAuthor":true,"prefix":"","firstName":"Jia-Ming","middleName":"","lastName":"Chang","suffix":""}],"badges":[],"createdAt":"2024-05-13 06:23:35","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-4411027/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4411027/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1038/s41598-024-71663-1","type":"published","date":"2024-09-04T16:08:26+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":57517043,"identity":"9b5b7302-aa58-4181-8acf-7e938efbfb94","added_by":"auto","created_at":"2024-05-31 20:11:24","extension":"jpg","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":553209,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eThe design of the HLA-restricted UC peptides of the SARS-CoV-2 spike protein. a\u003c/strong\u003e The structure of the SARS-CoV-2 spike protein (PDB entry 6VSB) is highlighted in red with mutation hotspots of major pandemic VOCs (alpha, beta, gamma, delta, omicron BA.1/BA.2 and BA.4/BA.5). The predicted glycosylation sites of the SARS-CoV-2 spike protein are highlighted in blue. The UC peptides were designed from a well-conserved region of the SARS-CoV-2 spike protein (green shadow region). \u003cstrong\u003eb\u003c/strong\u003e The UC peptides were designed with a nonlinearsequence of the SARS-CoV-2 spike S2 domain primary structure, which folded to a linear arrangement on the surface of the tertiary structure of the SARS-CoV-2 spike protein.\u003c/p\u003e","description":"","filename":"Fig.1.jpg","url":"https://assets-eu.researchsquare.com/files/rs-4411027/v1/3d2a145a5c967c9d0812be08.jpg"},{"id":57517325,"identity":"358d6bb9-5f03-4b87-86a6-80ce1cf95a4c","added_by":"auto","created_at":"2024-05-31 20:19:24","extension":"jpg","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":255179,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eThe mechanistic immune responses of 9-mer UC peptides. a\u003c/strong\u003e The UC-100 and UC-152 peptides were analysed in duplicate and represented as the MFI ± S.D. for peptide/HLA-A201/β\u003csub\u003e2\u003c/sub\u003em complex formation at 1, 3 and 9 nM, respectively. CMVpp65 peptide was used as a positive control, and no peptide was used as a negative control. \u003cstrong\u003eb\u003c/strong\u003e The binding of human CD8\u003csup\u003e+\u003c/sup\u003e cells (HLA-A201) was stained with the labelled tetramer complex (peptide/HLA-A201/β2m complex) in triplicate and represented as the MFI ± S.E. Tetramer binding of CTLs (CD8\u003csup\u003e+\u003c/sup\u003e lymphocytes) was expressed as a percentage of gated with unstained CD8\u003csup\u003e+\u003c/sup\u003e cells, and none of the peptides were added as a negative control. \u003cstrong\u003ec\u003c/strong\u003e Human T-helper cells bound to peptide/HLA-DR were assayed in triplicate with the indicated level of labelled dextramer, which is expressed as MFI ± S.E. \u003cstrong\u003ed, e\u003c/strong\u003e Human PBMCs were treated with various concentrations of UC-100 and UC-152 peptides (0.4, 2, 10, 50, 250 nM) in triplicate. The intracellular cytokines IL-4 and IFN-γ were double-stained and analysed by flow cytometry, and the levels of IL-4 and IFN-γ are expressed as the MFI ± S.E. The statistically significant differences are indicated by asterisks (unpaired one-tailed Student’s \u003cem\u003et \u003c/em\u003etest; *p \u0026lt; 0.05, **p \u0026lt; 0.01, ***p \u0026lt; 0.001).\u003c/p\u003e","description":"","filename":"Fig.2.jpg","url":"https://assets-eu.researchsquare.com/files/rs-4411027/v1/e93ee0d309026935471e5a94.jpg"},{"id":57517046,"identity":"fdfff3c8-753e-42f9-a609-4d738921910f","added_by":"auto","created_at":"2024-05-31 20:11:24","extension":"jpg","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":127719,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eIn vitro specific lysis activity of CTL by 9-mer UC peptides.\u003c/strong\u003e Human PBMCs treated with 9 nM and 27 nM UC-100 (\u003cstrong\u003ea\u003c/strong\u003e) and UC-152 (\u003cstrong\u003eb\u003c/strong\u003e) peptides were cocultured with SARS-CoV-2 spike-expressing HEK 293 cells at ratios of 27:1, 9:1, 3:1 and 1:1 for 5 days. The lytic activity was measured by LDH release, total target cell death was set as 100% cytotoxicity, and no peptide treatment was used as the negative control. The assay was performed in duplicate and is represented as the mean ± S.E. Significant differences are indicated by asterisks (unpaired one-tailed Student’s \u003cem\u003et \u003c/em\u003etest; *p \u0026lt; 0.05, **p \u0026lt; 0.01, ***p \u0026lt; 0.001).\u003c/p\u003e","description":"","filename":"Fig.3.jpg","url":"https://assets-eu.researchsquare.com/files/rs-4411027/v1/d460e0814abf720bcbb155de.jpg"},{"id":57517047,"identity":"ff1e529e-70c6-4456-a7b4-6fa10f7670b0","added_by":"auto","created_at":"2024-05-31 20:11:24","extension":"jpg","order_by":4,"title":"Figure 4","display":"","copyAsset":false,"role":"figure","size":425086,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eSchematic schedule of the immunogenicity study in mice\u003c/strong\u003e\u003c/p\u003e","description":"","filename":"Fig.4.jpg","url":"https://assets-eu.researchsquare.com/files/rs-4411027/v1/043a156880672ef7de84c72d.jpg"},{"id":57517324,"identity":"9fddf255-e390-4304-814a-0fe050006704","added_by":"auto","created_at":"2024-05-31 20:19:24","extension":"jpg","order_by":5,"title":"Figure 5","display":"","copyAsset":false,"role":"figure","size":288367,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eIn vivo immune responses of injected UC peptides and complement activity of immunized serum.\u003c/strong\u003e BALB/c mice were intramuscularly administered 3 doses of 50 µg of UC-100 (n=3) and 400 µg of UC-152 (n=4) 14 days apart. \u003cstrong\u003ea-c\u003c/strong\u003e The serum of UC-100 mice was collected pre- and posttreatment and tested in duplicate and represented as the mean for the levels of (\u003cstrong\u003ea\u003c/strong\u003e) total IgG; (\u003cstrong\u003eb\u003c/strong\u003e) specific IgG against UC-100 peptide; (\u003cstrong\u003ec\u003c/strong\u003e) specific IgG against SARS-CoV-2 spike trimer protein. \u003cstrong\u003ed-f\u003c/strong\u003e The serum of UC-152 mice was collected pre- and posttreatment and tested in duplicate and represented as the mean for the levels of (\u003cstrong\u003ed\u003c/strong\u003e) total IgG; (\u003cstrong\u003ee\u003c/strong\u003e) specific IgG against UC-152 peptide; (\u003cstrong\u003ef\u003c/strong\u003e) specific IgG against SARS-CoV-2 spike trimer protein. \u003cstrong\u003eg-h\u003c/strong\u003e Antibody-mediated complement activity was tested in duplicate and is represented as the mean for pre- and postserum of mice vaccinated with UC-100 and UC-152 peptides, respectively. The complement activity was expressed as the IC\u003csub\u003e50\u003c/sub\u003e of cytotoxicity of the (\u003cstrong\u003eg\u003c/strong\u003e) UC-100-vaccinated group and (\u003cstrong\u003eh\u003c/strong\u003e) UC-152-vaccinated group. Significant differences are indicated by asterisks (unpaired one-tailed Student’s \u003cem\u003et \u003c/em\u003etest; *\u003cem\u003ep \u003c/em\u003e\u0026lt; 0.05, **\u003cem\u003ep \u003c/em\u003e\u0026lt; 0.01, ***\u003cem\u003ep \u003c/em\u003e\u0026lt; 0.001).\u003c/p\u003e","description":"","filename":"Fig.5.jpg","url":"https://assets-eu.researchsquare.com/files/rs-4411027/v1/9af007ef47d9da71c98a89c3.jpg"},{"id":57517049,"identity":"55e82d12-7127-47ca-9392-19dd089ec4d5","added_by":"auto","created_at":"2024-05-31 20:11:24","extension":"jpg","order_by":6,"title":"Figure 6","display":"","copyAsset":false,"role":"figure","size":277579,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eIn vivo immune responses of oral UC peptides and complement activity of immunized serum.\u003c/strong\u003e BALB/c mice (n=5) were orally administered 3 doses of 200 µg UC-100 14 days apart. \u003cstrong\u003ea-c \u003c/strong\u003eThe serum of UC-100 mice was collected pre- and posttreatment and tested in duplicate and represented as the mean for the levels of (\u003cstrong\u003ea\u003c/strong\u003e) total IgG; (\u003cstrong\u003eb\u003c/strong\u003e) specific IgG against UC-100 peptide; (\u003cstrong\u003ec\u003c/strong\u003e) specific IgG against SARS-CoV-2 spike trimer protein; \u003cstrong\u003ed\u003c/strong\u003e The antibody-mediated complement activity was tested in duplicate and represented as the mean for pre- and postserum of mice vaccinated with UC-100. The complement activity was expressed as the IC\u003csub\u003e50\u003c/sub\u003e of cytotoxicity. \u003cstrong\u003ee, f\u003c/strong\u003e The serum of UC-100 mice was collected pre- and posttreatment and tested in duplicate and represented as the mean for the levels of (\u003cstrong\u003ee\u003c/strong\u003e) total IgA and (\u003cstrong\u003ef\u003c/strong\u003e) specific IgA against UC-100 peptide. Significant differences are indicated by asterisks (unpaired one-tailed Student’s \u003cem\u003et \u003c/em\u003etest; *p \u0026lt; 0.05, **p \u0026lt; 0.01, ***p \u0026lt; 0.001).\u003c/p\u003e","description":"","filename":"Fig.6.jpg","url":"https://assets-eu.researchsquare.com/files/rs-4411027/v1/ef746c44dea561345c61a737.jpg"},{"id":57517050,"identity":"92b1ca22-7a48-4830-992e-0240defdb2c4","added_by":"auto","created_at":"2024-05-31 20:11:24","extension":"jpg","order_by":7,"title":"Figure 7","display":"","copyAsset":false,"role":"figure","size":584067,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eSummary of the SARS-CoV-2 HLA-restricted peptide T-cell vaccine.\u003c/strong\u003e The possible mechanistic immune response to HLA-restricted peptides has been elucidated. The 9-mer UC peptides can be primed onto both HLA class I and II molecules, and the immune response is triggered for both humoral and cellular immunity. Through HLA class I molecule binding, CTLs can be activated, and an increase in IFN-γ cytokines and specific lytic activity have been observed. Through HLA class II molecule binding, B-cells are activated, and specific antibodies are produced in accordance with complement cytotoxicity activity.\u003c/p\u003e","description":"","filename":"Fig.7.jpg","url":"https://assets-eu.researchsquare.com/files/rs-4411027/v1/e92314d3b0228222571f28eb.jpg"},{"id":64186199,"identity":"37c9ef41-8f49-491d-a3f2-e73c62876f00","added_by":"auto","created_at":"2024-09-09 16:25:44","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":3307520,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4411027/v1/b17f7f0c-49ae-434e-a545-8ee3bbc74f0b.pdf"},{"id":57517044,"identity":"a9226168-4290-4ac6-a6dd-d2046dd86b37","added_by":"auto","created_at":"2024-05-31 20:11:24","extension":"xlsx","order_by":1,"title":"","display":"","copyAsset":false,"role":"supplement","size":122628,"visible":true,"origin":"","legend":"","description":"","filename":"Sourcedatafinal.xlsx","url":"https://assets-eu.researchsquare.com/files/rs-4411027/v1/53e9e53ed4ee647b18f5579c.xlsx"}],"financialInterests":"Competing interest reported. This research was financially supported by Vacino Biotech Co., Ltd. (Taiwan). Vacino Biotech has patents (US 17/726,688, PCT/CN2022/089266, ROC 111115497) concerning the therapeutic compounds used in this study, for which Yi-Ru Lee and Jia-Ming Chang are also the authors of the patents. Yi-Ru Lee, Chiung-Wen Liou, I-Hua Liu, and Jia-Ming Chang are employees of Vacino Biotech Company and belong to this company.","formattedTitle":"T-cell immunity induced by a nonadjuvanted HLA-restricted peptide COVID-19 vaccine","fulltext":[{"header":"Introduction","content":"\u003cp\u003eThe rapid transmission of SARS-CoV-2 since the initial outbreak in December 2019 has caused more than 775\u0026nbsp;million infections and 7\u0026nbsp;million deaths as of April 2024 (\u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://covid19.who.int/\u003c/span\u003e\u003cspan address=\"https://covid19.who.int/\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e). Its continued spread is due to its nature as an RNA virus that is prone to mutation. To date, the SARS-CoV-2 virus has evolved several variants of concern (VOCs) since the emergence of alpha, omicron and omicron subvariants such as BA2.75, BA.4 and BA.5. To date, many COVID-19 vaccines have been approved to vaccinate people; however, SARS-CoV-2 viruses are still evolving\u003csup\u003e\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e\u003c/sup\u003e. As it evolves, SARS-CoV-2 becomes more contagious and less lethal, but it can still cause vulnerable populations to develop multi-inflammatory syndrome (MIS)\u003csup\u003e\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e,\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003eTo prevent SARS-CoV-2 infection, vaccination is an important strategy to generate neutralizing antibodies to stop SARS-CoV-2 transmission. At the beginning of the COVID-19 pandemic, the SARS-CoV-2 spike protein was regarded as the primary vaccine antigen target, especially due to the high antigenicity of the receptor-binding domain (RBD) of the spike protein. However, the spike protein is a rapidly mutating SARS-CoV-2 virus protein, whose mutation sites frequently occur on the RBD of SARS-CoV-2\u003csup\u003e4\u003c/sup\u003e. Although the original spike antigen vaccine can successfully be effective against wild-type SARS-CoV-2, the subsequent evolution of SARS-CoV-2 variants, such as alpha, beta, gamma, delta and omicron variants, has been reported to cause gradual loss of virus neutralization protection. The virus neutralization titres against the BA.4/BA.5 variants was dramatically reduced 21-fold compared to that of the wild type observed in people after booster vaccination\u003csup\u003e\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e\u003c/sup\u003e. Postvaccination infections (PVI) were frequently diagnosed after a new SARS-CoV-2 variant arose, which may be caused in part by the timing of vaccination, the vaccine-induced antibody level and waning immunity\u003csup\u003e\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e\u003c/sup\u003e.It raises the question of whether current vaccines are insufficient to protect against all SARS-CoV-2 variant infections and conveys an basic need to develop an effective vaccine to generate broadly neutralizing antibodies and long-term memory cellular immunity against SARS-CoV-2 variants and subvariants\u003csup\u003e\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e,\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e\u003c/sup\u003e. Despite the 60 to 80% vaccination coverage rate in developing and developed countries, the goal of herd immunity is still far from being achieved because of the instability in SARS-CoV-2 that accumulates massive mutations\u003csup\u003e\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e\u003c/sup\u003e. Furthermore, a new VOC of COVID-19 pandemic has appeared approximately every 6 months, as reported by WHO. Although there is a high demand for vaccine products against the new rise of VOCs of SARS-CoV-2, there is no effective vaccine product yet available. A new vaccine product requires the completion of vaccine design, proof of concept, validation of the pharmacology, manufacturing, safety evaluation and regulatory approval. Therefore, a universal vaccine conveying wide protection against all kinds of variants is a basic need for controlling the COVID-19 disease\u003csup\u003e\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e\u003c/sup\u003e. According to a WHO survey report, most mutations occur in the RBD region of the spike protein, which is a potential target antigen for developing COVID-19 vaccines. It is difficult to develop a vaccine specific for the mutation in the RBD region of the SARS-CoV-2 spike protein. The S2 region of the SARS-CoV-2 spike protein possesses fewer mutations than the RBD region, which is regarded as a \u0026ldquo;universal antigen\u0026rdquo;\u003csup\u003e\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e, \u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e\u003c/sup\u003e. It has caused a change in focus to develop vaccines targeting the S2 region rather than against variable mutations in the RBD domain\u003csup\u003e\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003eA neutralizing antibody against SARS-CoV-2 can stop its entry into cells via the ACE2 receptor. However, if the SARS-CoV-2 virus breaks through the neutralizing antibody protection and infects cells, the SARS-CoV-2 virus is replicated in the cells and secretes numerous viral particles into the blood circulation. When immunity declines, the endogenous virus can infect other cells, and symptoms become obvious. Activated T-cells can eradicate virus-infected cells to stop the risk of endogenous infection \u003csup\u003e\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e, \u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e\u003c/sup\u003e. T-cell vaccines have been widely developed as therapeutic strategies in oncology due to their high specificity to tumour cells. The HLA-I peptide derived from tumour-associated antigens activates CTL cells against tumour cells through the MHC/peptide-restricted pathway\u003csup\u003e\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e\u003c/sup\u003e. However, a subset of CTLs bearing γδTCR, so-called γδT-cells, can recognize target cells without MHC peptide restriction and are mostly involved in antiviral activity\u003csup\u003e\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e\u003c/sup\u003e. The activation of γδT-cells is regarded as a potential therapeutic method in antitumour and antiviral treatment\u003csup\u003e\u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e, \u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003eCompared to humoral immunity, cellular immunity contributes to long-lasting immunity, in which specific memory T-cells can be detected after 10 years, whereas specific antibodies decrease to low neutralizing levels within 2\u0026ndash;3 months and undetectable levels within 2\u0026ndash;3 years\u003csup\u003e\u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e, \u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e\u003c/sup\u003e. It might be proposed that cellular immunity is critical for preventing SARS-CoV-2 infection rather than humoral immunity, especially in postvaccine COVID-19 cases\u003csup\u003e\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e\u003c/sup\u003e. Many studies and surveys have been published to support that the cellular immunity-inducing vaccine against SARS-CoV-2 is more effective than that of humoral immunity at the stage of initial virus infection and long COVID\u003csup\u003e\u003cspan citationid=\"CR23\" class=\"CitationRef\"\u003e23\u003c/span\u003e\u003c/sup\u003e. In our study, we demonstrated a novel design of an HLA-restricted peptide that could activate CTLs to eradicate virus-infected mimic cells and activate immunity to produce antibodies against the SARS-CoV-2 virus spike protein without adjuvant formulation. It has also been shown to provoke mucosal immunity when it is delivered orally, and higher levels of IgA may be secreted to mucosal sites for protection from viral infection. The HLA-restricted peptide vaccine provides a new potential scheme for developing vaccines against viral infection.\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003e \u003cb\u003eUC peptides designed from the well-conserved region of the SARS-CoV-2 spike protein for HLA restriction.\u003c/b\u003e \u003c/p\u003e \u003cp\u003eThe UC-100 and UC-152 epitopes were designed from the S2 domain of the SARS-CoV-2 virus spike protein, for which the well-conserved region was selected based on the side chain of a specific amino acid due to its steric protein structure (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003ea). The order of the UC peptide sequence was directly assigned based on the exposed amino acids on the surface of the SARS-CoV-2 spike S2-well-conserved region in order to avoid virus mutations and glycosylation. The side chain of each amino acid was aligned with a structural linear sequence according to a distance of approximately 3.8 \u0026Aring; of Cα-Cα between 2 amino acids on the protein surface. Artificial UC-100 peptides comprising 9 amino acids were designed and expected to bind with the major histocompatibility complex (MHC)-class I molecule. The binding affinity to various MHC-I molecules was predicted, as shown in Table\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e. The artificial UC-100 antigen was predicted to not only strongly bind to HLA-A201 but also bind to other major histocompatibility molecules. The artificial UC-100 epitope sequence aligned with the surface of the SARS-CoV-2 spike protein structure, which was discontinuous in the primary sequence and assembled into a linear arrangement on the surface (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eb). The separated sequence could not be processed as a known mechanism of antigen presentation by immune cells, but these separated short peptides were assembled as 9-mer amino acid immunogens, which might provoke cellular immunity by means of HLA-I molecule binding. Due to spike polypeptide refolding, the discontinued primary sequence of the spike protein formed a linear alignment on the surface. To obtain a higher binding activity of antigen peptides to MHC molecules, artificial UC-152 was modified with one amino acid substitution from the UC-100 peptide. The UC-152 peptide was predicted to have a higher binding affinity to MHC-I A201, as shown in Table\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e. Both the UC-100 and UC-152 peptides were designed to boost cellular immunity.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab1\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eThe prediction of UC peptides binding to various major histocompatibility variants\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"7\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c3\" namest=\"c2\"\u003e \u003cp\u003eHLA-A/ IC\u003csub\u003e50\u003c/sub\u003e (nM)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c5\" namest=\"c4\"\u003e \u003cp\u003eHLA-B/ IC\u003csub\u003e50\u003c/sub\u003e (nM)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003eHLA-C/ IC\u003csub\u003e50\u003c/sub\u003e (nM)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eUC-100\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e02:01\u003c/p\u003e \u003cp\u003e02:06\u003c/p\u003e \u003cp\u003e03:01\u003c/p\u003e \u003cp\u003e30:01\u003c/p\u003e \u003cp\u003e30:02\u003c/p\u003e \u003cp\u003e31:01\u003c/p\u003e \u003cp\u003e32:01\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e167.9\u003c/p\u003e \u003cp\u003e267.6\u003c/p\u003e \u003cp\u003e6711.2\u003c/p\u003e \u003cp\u003e2420.9\u003c/p\u003e \u003cp\u003e998.8\u003c/p\u003e \u003cp\u003e5134.2\u003c/p\u003e \u003cp\u003e4139.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e15:02\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e1303.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e03:03\u003c/p\u003e \u003cp\u003e05:01\u003c/p\u003e \u003cp\u003e07:01\u003c/p\u003e \u003cp\u003e08:02\u003c/p\u003e \u003cp\u003e12:03\u003c/p\u003e \u003cp\u003e14:02\u003c/p\u003e \u003cp\u003e15:02\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e3339.0\u003c/p\u003e \u003cp\u003e46.0\u003c/p\u003e \u003cp\u003e7398.9\u003c/p\u003e \u003cp\u003e8397.7\u003c/p\u003e \u003cp\u003e28.9\u003c/p\u003e \u003cp\u003e148.5\u003c/p\u003e \u003cp\u003e1053.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eUC-152\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e02:01\u003c/p\u003e \u003cp\u003e02:06\u003c/p\u003e \u003cp\u003e03:01\u003c/p\u003e \u003cp\u003e30:01\u003c/p\u003e \u003cp\u003e30:02\u003c/p\u003e \u003cp\u003e31:01\u003c/p\u003e \u003cp\u003e32:01\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e51.4\u003c/p\u003e \u003cp\u003e79.0\u003c/p\u003e \u003cp\u003e2311.0\u003c/p\u003e \u003cp\u003e1577.5\u003c/p\u003e \u003cp\u003e838.4\u003c/p\u003e \u003cp\u003e2821.4\u003c/p\u003e \u003cp\u003e2985.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e15:02\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e1880.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e03:03\u003c/p\u003e \u003cp\u003e05:01\u003c/p\u003e \u003cp\u003e07:01\u003c/p\u003e \u003cp\u003e08:02\u003c/p\u003e \u003cp\u003e12:03\u003c/p\u003e \u003cp\u003e14:02\u003c/p\u003e \u003cp\u003e15:02\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e7561.5\u003c/p\u003e \u003cp\u003e82.0\u003c/p\u003e \u003cp\u003e3708.3\u003c/p\u003e \u003cp\u003e5796.4\u003c/p\u003e \u003cp\u003e28.9\u003c/p\u003e \u003cp\u003e148.5\u003c/p\u003e \u003cp\u003e938.5\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"7\"\u003eThe predicted binding affinity of peptide to MHC-I was analyzed with SMM on the Immune Epitope Database website (\u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttp://www.iedb.org/\u003c/span\u003e\u003cspan address=\"http://www.iedb.org/\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e)\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eUC peptides can be primed onto CTLs and engaged with the corresponding CTLs\u003c/h2\u003e \u003cp\u003eTo evaluate the binding affinity of UC-100 and UC-152 to MHC-I molecules, the HLA-A201 complex was analysed in an HLA refolding assay. The anti-β\u003csub\u003e2\u003c/sub\u003em complex antibody can recognize the correctly folded structure when the matched peptide is loaded on the MHC-I molecule along with β\u003csub\u003e2\u003c/sub\u003em. In the refolding assay, both UC-100 and UC-152 showed higher binding activity to HLA-A201 in a dose-dependent manner than a cytomegalovirus (CMV)-positive antigen (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003ea). The results showed that both the 9-mer UC-100 and UC-152 peptides could refold with the HLA-A201 molecule and β\u003csub\u003e2\u003c/sub\u003em. UC-100 and UC-152 derived from the assembly of the separated surface SARS-CoV-2 spike S2 region could be loaded on the HLA class I molecule and recognized by corresponding CTLs. To verify whether corresponding CTLs existed, the UC-100 and UC-152 antigens were subjected to a tetramer assay, and the corresponding CTLs were stained with the labelled tetramer complex. In the tetramer assay, HLA-A201 molecules refolded with UC-100 and UC-152 showed increases of 2.2% and 3.3% in positive CTLs compared with tetramers without loading peptide (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eb). These correctly refolded complexes would be engaged with the corresponding T-cell receptor in CD8\u003csup\u003e+\u003c/sup\u003e CTLs in human peripheral blood mononuclear cells (PBMCs). These results showed that both UC-100 and UC-152 peptides could form a complex with HLA and trigger the activation of CTLs through the MHC/TCR complex.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec4\" class=\"Section2\"\u003e \u003ch2\u003eUC peptides can be presented to MHC class II molecules and interact with T-helper cells\u003c/h2\u003e \u003cp\u003eAlthough the HLA-DR molecule can be loaded with up to a 15-mer antigenic peptide in length, it can present a loaded antigen to the responsible T-helper cells. Thus, the 9-mer UC peptides were evaluated for the engagement of T-helper cells with the formation of the HLA-DR/peptide complex. To verify the roles of antigen peptides involved in the interaction between HLA-DR and TCRs, the peptides were subjected to a dextramer assay to understand the engagement of human T-helper cells. Human PBMCs were used for the dextramer assay, and the mean fluorescence intensity (MFI) of the labelled dextramer was analysed to determine the level of engaged CD4\u003csup\u003e+\u003c/sup\u003e cells. In the dextramer assay, the results showed that UC-100 and UC-152 peptides could form a complex with HLA-DR and CD4\u003csup\u003e+\u003c/sup\u003e T-helper cells that were increased 3.1-fold and 2.7-fold compared to the nonpeptide loaded group, respectively (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003ec). The 9-mer UC-100 and UC-152 peptides formed HLA DR/peptide complexes and interacted with T-helper cells via HLA DR/TCR engagement. This finding suggests that 9-mer UC peptides might also be presented to immune cells via HLA DR/TCR molecules.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec5\" class=\"Section2\"\u003e \u003ch2\u003eUC peptides polarized the Th1 cytokine release of human PBMCs\u003c/h2\u003e \u003cp\u003eImmune cells, such as T-helper cells, can secrete cytokines to support an immune response towards a Th1 (IFN-γ-secreting) or Th2 (IL-4-secreting) phenotype. To understand the cytokine release pattern of the immune response in response to UC peptides, human PBMCs were treated with different concentrations of UC-100 and UC-152 peptides. The intracellular levels of the cytokines IFN-γ and IL-4 from T-helper cells were analysed to represent the Th1 and Th2 responses. The results showed that both UC-100 and UC-152 preferably stimulated IFN-γ cytokine secretion rather than IL-4 cytokine secretion (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003ed, \u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003ee). The level of IFN-γ was elevated in response to both UC-100 and UC-152 in a dose-dependent manner. This indicated that the 9-mer UC peptides preferably support the Th1 response.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec6\" class=\"Section2\"\u003e \u003ch2\u003eUC peptides can directly activate the specific lysis activity of CTLs\u003c/h2\u003e \u003cp\u003eBased on previous results, UC peptides can form the MHC-I/peptide complex, and numerous CTLs were determined to be engaged. The complex might directly activate CTLs to attack antigen-bearing cells. To verify the effect of peptide-primed immune cells, the lytic activity of CTLs was assessed by targeting spike-expressing cells. In a CTL lysis assay, spike-expressing cells cocultured with different ratios of PBMCs were treated with 9 nM and 27 nM UC-100 peptides. The UC-100 peptide increased the lytic activity of spike-expressing cells in a dose-dependent manner (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003ea). Similar results were observed in experiments with UC-152 peptide-treated PBMCs (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eb). These results support that spike-expressing cells can be recognized by and are cytotoxic to CTLs, and that CTLs were primed by the UC peptides. It was also demonstrated that UC peptides can activate immune cells to lyse virus-infected cells.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003e \u003cb\u003eThe nonadjuvanted UC peptides provoked immunogenicity\u003c/b\u003e \u003cb\u003ein vivo\u003c/b\u003e.\u003c/p\u003e \u003cp\u003eMice were immunized by intramuscular injection with UC-100 and UC-152 without adjuvant formulation. The total levels of IgG, anti-peptide (UC-100 or UC-152)-specific IgG and anti-spike trimer were analysed to indicate the immunogenicity of UC peptides. The results showed that total mouse IgG could be increased from 186 \u0026micro;g/mL to 339 \u0026micro;g/mL by UC-100 peptides and from 127 \u0026micro;g/mL to 340 \u0026micro;g/mL by UC-152 peptides (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003ea, \u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003ed). There was a 1.8-2.7-fold increase in IgG production following UC peptide challenge. The immunised serum was also subjected to a specific binding assay using UC-100 and UC-152 peptide-coated microplates. The results showed that serum antibody was significantly increased by approximately 1.6-fold and 1.8-fold by binding to plates coated with UC-100 and UC-152 peptides, respectively (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eb, \u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003ee). This result indicated that antibody production induced by UC-100 and UC-152 peptides can specifically recognize antigenic peptide sequences. The results also showed that both antibodies induced by UC-100 and UC-152 peptides could also bind to the SARS-CoV-2 spike trimer protein, similar to the peptide binding results (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003ec, \u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003ef). In the comparison of predose and postdose serum, an approximate 4.0-4.5-fold increase in specific anti-spike trimer IgG was induced. It was shown that 9-mer UC peptides not only showed immunogenicity in animals but also induced antibodies to recognize the matched synthetic peptide and structural sequence of the spike protein on the surface.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec7\" class=\"Section2\"\u003e \u003ch2\u003eThe UC peptide-induced antibody can activate complement to lyse epitope-bearing cells\u003c/h2\u003e \u003cp\u003eTo verify the complement effects of the vaccinated serum antibodies on virus-infected cells, the serum was tested in a complement-dependent cytotoxicity (CDC) assay using spike-expressing cells. In the CDC assay, spike-expressing HEK293 cells cultured in serum-free medium were treated with serially diluted serum supplemented with young rabbit complement. Complement cytotoxicity was measured by lactate dehydrogenase (LDH) activity. The results showed that complement-induced activity was increased approximately 2.1-fold in serum vaccinated with UC-152 peptide compared to the prevaccinated serum level, but not in UC-100 peptide-vaccinated mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eg, \u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eh). This result indicated that the UC peptide-induced antibody might target the intact spike protein of infected cells depending on the binding affinity of the induced antibody.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec8\" class=\"Section2\"\u003e \u003ch2\u003eOral administration of UC peptides provokes immunogenicity in mice\u003c/h2\u003e \u003cp\u003eDue to the digestion resistance of artificial UC peptides, immunogenicity by oral administration was evaluated to understand whether the peptide could stimulate gut immunity. Five BALB/c mice were orally administered 200 \u0026micro;g of polymer-formulated UC-100. After 3 doses administered 2 weeks apart, predose and postdose serum were analysed for the levels of total IgG, specific anti-peptide IgG and anti-SARS-CoV-2 spike IgG. The results showed that total IgG was increased from 136 \u0026micro;g/mL to 388 \u0026micro;g/mL by oral UC-100 peptides (Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003ea). Regarding the specificity of the induced antibody, an approximately 1.6-fold increase in anti-peptide IgG and a 4.4-fold increase in anti-spike IgG were measured (Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003eb, \u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003ec). These results suggested that oral administration of UC-100 peptide could induce an immune response through gut immunity. To understand the CDC function of the induced antibody, serum was tested for complement activity, and the results showed that antibody-mediated complement activity was slightly increased by approximately 27% in vaccinated serum compared with the prevaccinated serum level (Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003ed). These results indicated that complement activity mediated by antibodies might be involved in the eradication of virus-infected cells. To further understand the possibility of mucosal immunity from an HLA-restricted peptide vaccine, sera were used to determine the levels of total IgA and specific IgA. The results showed that total IgA was significantly increased from 13.50 \u0026micro;g/mL to 33.04 \u0026micro;g/mL by oral UC-100 peptides, which represents an approximately 2.4-fold increase in IgA (Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003ee). Regarding the specificity of the induced antibody, there was an approximately 1.8-fold increase in the specific anti-peptide IgA (Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003ef). These results suggested that oral administration of short UC peptides could induce mucosal immunity.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e"},{"header":"Discussion","content":"\u003cp\u003eIn this study, artificial 9-mer UC peptides were designed to enhance T-cell immunity. We successfully demonstrated the antigenicity of these UC peptides and the possible mechanism of the UC peptides in T-cell and B-cell activation. These data support the development of a 9-mer peptide as a T-cell vaccine accompanying a B-cell response (Fig.\u0026nbsp;\u003cspan refid=\"Fig7\" class=\"InternalRef\"\u003e7\u003c/span\u003e). This explains how the 9-mer short peptide activates CTLs through MHC-I recognition and activates B-cells to produce antibodies via MHC-DR engagement. Based on these observations, the 9-mer HLA-restricted peptide has the potential to be used to develop a next-generation vaccine against SARS-CoV-2. To date, the COVID-19 is still a global potential threat due to several variants waves causing PVI, including Omicron and its subvariants. These virus variants escape from human immunity and exist even in fully vaccinated or SARS-CoV-2 convalescent human serum\u003csup\u003e\u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e\u003c/sup\u003e. There is still a basic need to develop an effective COVID-19 vaccine to stop this disease. In fact, PVI following new VOCs frequently occurs in nations or areas with high vaccination coverage rates\u003csup\u003e\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e\u003c/sup\u003e. Restored SARS-CoV-2 viruses have been observed in approximately 10% of convalescent patients\u003csup\u003e\u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e\u003c/sup\u003e. It is implied that SARS-CoV-2 viruses are not eradicated and persistently exist in a latent phase. It can be deduced that there is a balance of viral load between the function of antibody-producing B-cells and virus-infected cells. When the balance collapses, the viruses rebound and become contagious. It is suggested that the activation of cellular immunity would be beneficial for complete recovery from the health conditions caused by long COVID-19 and in virus-restored patients\u003csup\u003e\u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e\u003c/sup\u003e. However, scientists still struggle to improve neutralizing antibodies as a major function of vaccines to stop the new SARS-CoV-2 variant infection and virus recovery. Unfortunately, loss of neutralization activity and immune surveillance escape caused by virus mutations destroy the line of defence by neutralizing antibodies, which raises the need for long-term T-cell immunity\u003csup\u003e\u003cspan citationid=\"CR28\" class=\"CitationRef\"\u003e28\u003c/span\u003e\u003c/sup\u003e. According to a survey, current vaccines can provoke a high amount of neutralizing antibodies but do not stop PVI. Recently, several studies were conducted to develop broad-spectrum COVID-19 vaccines to address the issue of immune surveillance escape, including using multiple T-cell epitopes, multiple spike proteins loaded on virus-like particles, or using conserved regions outside the RBD for targeting epitopes or spike S2 domains as antigens\u003csup\u003e\u003cspan citationid=\"CR29\" class=\"CitationRef\"\u003e29\u003c/span\u003e, \u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e, \u003cspan citationid=\"CR31\" class=\"CitationRef\"\u003e31\u003c/span\u003e, \u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e\u003c/sup\u003e. Nearly 1 year after the emergence of the COVID-19 pandemic, scientists noticed that T-cell immunity played a critical protective role in SARS-CoV-2 convalescent patients and appealed to regulatory affairs that measurement of T-cell immunity should be included in COVID-19 vaccine clinical trials\u003csup\u003e\u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e\u003c/sup\u003e. T-cell vaccines are supposed to be effective against newly evolved variants of SARS-CoV-2 and long COVID-19.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003eEradicating virus-infected cells is the key to success in stopping PVI. For this purpose, many scientists and institutions have altered vaccine development strategies to use short HLA-restricted peptides against SARS-CoV-2 virus infection and have claimed broad protection from SARS-CoV-2 variants and subvariants\u003csup\u003e\u003cspan citationid=\"CR34\" class=\"CitationRef\"\u003e34\u003c/span\u003e\u003c/sup\u003e. However, the response of CD8\u003csup\u003e+\u003c/sup\u003e T-cells may be lost if the HLA-I-restricted antigen contains mutations\u003csup\u003e\u003cspan citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e, \u003cspan citationid=\"CR36\" class=\"CitationRef\"\u003e36\u003c/span\u003e\u003c/sup\u003e. It has been suggested that HLA-restricted peptides should avoid targets including areas of potential mutations and glycosylation obstructions. Otherwise, it faces the same problem of activity loss due to rapid evolution mutations.\u003c/p\u003e \u003cp\u003eAnother achievable strategy for lowering PVI rates is to generate mucosal immunity\u003csup\u003e\u003cspan citationid=\"CR37\" class=\"CitationRef\"\u003e37\u003c/span\u003e,\u003cspan citationid=\"CR38\" class=\"CitationRef\"\u003e38\u003c/span\u003e\u003c/sup\u003e. To strengthen COVID-19 protection, IgA antibodies were generated through mucosal immunity. It could be provoked by vaccination via nasal spray or oral delivery. It is beneficial to generate IgA in the mucosa to defend against viral infection\u003csup\u003e\u003cspan citationid=\"CR39\" class=\"CitationRef\"\u003e39\u003c/span\u003e\u003c/sup\u003e. It has been reported that a high level of IgA can be induced through nasal and oral administration for mucosal IgA responses\u003csup\u003e\u003cspan citationid=\"CR40\" class=\"CitationRef\"\u003e40\u003c/span\u003e\u003c/sup\u003e. Interestingly, the only peptide inoculated without adjuvant formulation provoked a serum IgG as well as a secretory IgA response. It was deduced that short peptides provoke the immune response through Peyer\u0026rsquo;s patches in the intestine.\u003c/p\u003e \u003cp\u003eDespite the effective use of current COVID-19 vaccines, including mRNA- and virus-based formats, the stability of the vaccines is a critical issue for maintaining efficacy during transportation\u003csup\u003e\u003cspan citationid=\"CR41\" class=\"CitationRef\"\u003e41\u003c/span\u003e\u003c/sup\u003e. Because of their structural stability, short peptide vaccines are more stable and can include any formulation to fulfil the need for fast distribution. To achieve a good immune response, most effective vaccines are formulated with adjuvants. Adjuvants can amplify and modulate immune responses. The CpG adjuvant is widely used in modulating the immune response to enhance Th1 cellular immunity\u003csup\u003e\u003cspan citationid=\"CR42\" class=\"CitationRef\"\u003e42\u003c/span\u003e\u003c/sup\u003e. However, it often causes unexpected side effects, such as autoimmune disease in susceptible individuals\u003csup\u003e\u003cspan citationid=\"CR43\" class=\"CitationRef\"\u003e43\u003c/span\u003e\u003c/sup\u003e. In this study, we demonstrated the potential use of an HLA-restricted peptide COVID-19 vaccine without formulation with an adjuvant. It was shown that only short peptides are sufficient to trigger cellular and humoral immunity. It is also thought that intact immunity, including humoral and cellular immunity, can be induced to protect against virus infection and that unwanted side effects can be strongly reduced.\u003c/p\u003e \u003cp\u003eIn conclusion, we designed an HLA-I-restricted peptide based on a well-conserved S2 domain of the SARS-CoV-2 spike protein to avoid the highly mutated RBD domain and potential glycosylation interference with antibody binding. It might provide broad-spectrum neutralizing antibody protection against RBD-mutated SARS-CoV-2 viruses. In addition, cellular immunity and CTLs are activated by HLA-I-restricted peptides to eliminate virus-infected cells and stop internal production of viruses. T-cell vaccines provide a solution to end the COVID-19 disease.\u003c/p\u003e"},{"header":"Methods","content":"\u003cdiv id=\"Sec11\" class=\"Section2\"\u003e \u003ch2\u003eHLA-restricted peptides\u003c/h2\u003e \u003cp\u003eThe HLA-restricted peptides UC-100 (KLNSGDSKV) and UC-152 (KLNSGLSKV) were designed by Vacino Biotech Taiwan based on the S2 domain of the SARS-CoV-2 spike protein. The UC-100 and UC-152 peptides were synthesized by GenScript (NJ, USA) with 98% purity, and the pH value was adjusted to 7.2\u0026ndash;7.4 for the in vitro and in vivo studies.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec12\" class=\"Section2\"\u003e \u003ch2\u003eHLA-A201-peptide complex refolding assay\u003c/h2\u003e \u003cp\u003eThe easYmer kit (ImmunAware Aps, Copenhagen, Denmark) was used to determine the binding ability of the peptide to the HLA-A201 molecule. The detailed methods were performed according to the kit\u0026rsquo;s manual instructions. Briefly, the peptide was incubated with the β\u003csub\u003e2\u003c/sub\u003em-microglobulin (β\u003csub\u003e2\u003c/sub\u003em) light chain subunit and biotin-tagged recombinant HLA-A201 heavy chain at 18\u0026deg;C for 48 h to form a 500 nM folded HLA complex. The folded complexes were diluted with dilution phosphate-buffered saline (PBS) buffer containing 5% glycerol to serial concentrations of 8.9 nM, 3.0 nM and 1.0 nM. Then, 20 \u0026micro;L of 45-fold diluted streptavidin-coated beads (6\u0026ndash;8 \u0026micro;m beads, Cat SVP-60-5, Spherotech, IL, USA) was added to each well. The beads were suspended in the solution with PE-labelled anti-human β\u003csub\u003e2\u003c/sub\u003em monoclonal antibody and incubated for 30 min at 4\u0026deg;C. The fluorescence intensity was measured by flow cytometry (BD LSRFortessa\u003csup\u003eTM\u003c/sup\u003eX20, Franklin Lakes, NJ, USA). An HLA-A201 binding peptide, NLVPMVATV (CMV pp65\u003csup\u003e495\u0026ndash;503\u003c/sup\u003e), which was reported to have an IC\u003csub\u003e50\u003c/sub\u003e of 45 nM for HLA-A201, was used as the positive control\u003csup\u003e\u003cspan citationid=\"CR44\" class=\"CitationRef\"\u003e44\u003c/span\u003e\u003c/sup\u003e. Complex formation without peptide addition was used as the negative control.\u003c/p\u003e \u003cp\u003e \u003cb\u003eIn vivo\u003c/b\u003e \u003cb\u003estudy of HLA-restricted peptides\u003c/b\u003e\u003c/p\u003e \u003cp\u003eThe mouse immunogenicity studies were performed by Super Laboratory Co., Ltd. (Taipei, Taiwan), and the animals were supplied by BioLASCO Taiwan Co., Ltd. (Taipei, Taiwan). For the immunogenicity study of the UC-100 peptide antigen, three female BALB/c mice (7\u0026ndash;9 weeks old) were injected intramuscularly with 3 doses of 50 \u0026micro;g peptide 14 days apart. For the immunogenicity study of UC-152 peptide antigen, four female BALB/c mice (7\u0026ndash;9 weeks old) were injected intramuscularly with 3 doses of 400 \u0026micro;g peptide 14 days apart. For the oral ability study of the UC-100 peptide antigen, five female BALB/c mice (7\u0026ndash;9 weeks old) were orally administered 3 doses of 200 \u0026micro;g of peptide formulated with 1% PLCL-PEG-PLCL polymer (Sigma‒Aldrich, USA). The serum was collected before the first dose of immunization (predose) and at 14 days after the last dose immunization (postdose). The serum was stored at -80\u0026deg;C prior to antibody measurement and functional assay. The animal protocol was reviewed and approved by the Super Laboratory Company's Institutional Animal Care and Use Committee (approval IACUC number 111-14c). All animal experiments in this study were performed in accordance with the relevant guidelines and regulations. This study was reported in accordance with the ARRIVE guidelines.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec13\" class=\"Section2\"\u003e \u003ch2\u003eMeasurement of IgG and IgA levels\u003c/h2\u003e \u003cp\u003eTo determine the total IgG and IgA levels, the IgG (Total) Mouse Uncoated ELISA Kit (Cat., No. 88-50400, Thermo Fisher Scientific, MA, USA) and Mouse IgA ELISA Kit (Cat., E-90A, Immunology Consultants Laboratory, Inc., OR, USA) were used according to the manufacturers\u0026rsquo; protocols. For total IgG measurement, a Nunc\u0026trade; MaxiSorp\u0026trade; 9018 ELISA plate was coated with 100 \u0026micro;L of the coating buffer containing capture antibody and incubated overnight at 4\u0026deg;C. The plate was then washed twice with 400 \u0026micro;L of wash buffer. After the wells were blocked with 250 \u0026micro;L of blocking buffer (PBS, 1% bovine serum albumin (BSA), 0.1% Tween 20) and incubated at RT for 2 h, the plate was washed twice. Then, 100 \u0026micro;L of the diluted samples and standards were added to the reaction wells. Then, 50 \u0026micro;L of diluted detection antibody was added to all wells. The plate was covered and incubated at RT for 2 h. The samples were washed four times, 100 \u0026micro;L of substrate solution provided in the kit was added, and the samples were incubated at RT for 15 min. Finally, 100 \u0026micro;L of stop solution provided in the kit was added, and the plate was read at an optical density (OD) of 450 nm by a microplate reader (SpectraMax iD5, Molecular Devices, CA, USA). For total IgA measurement, 4000-fold diluted samples (100 \u0026micro;L) were added to an IgA capture antibody-precoated plate. The procedures followed the kit\u0026rsquo;s instructions. The signal was read at OD 450 nm by a microplate reader (SpectraMax iD5, Molecular Devices, CA, USA).\u003c/p\u003e \u003cp\u003eTo measure the levels of anti-UC peptide-specific IgG, a 96-well plate was coated with 100 \u0026micro;L of PBS buffer containing 5 \u0026micro;g of UC-100 and UC-152 peptide and incubated overnight at 4\u0026deg;C. The following steps for anti-peptide IgG measurement were performed as described for total IgG measurement. Briefly, after incubation with anti-mouse HRP antibody, the reaction microplate was washed four times, 100 \u0026micro;L of TMB Solution (ab171522, Abcam, Cambridge, UK) was added, and the plate was incubated at RT for 20 min. Finally, 100 \u0026micro;L of Stop Solution (Cat No. 5150-0020, SeraCare, MA, USA) was added, and the plate was read at OD 450 nm by a microplate reader (SpectraMax iD5, Molecular Devices, CA, USA). For specific IgA antibody measurement, UC-100 was coated onto a 96-well microplate. The experimental procedures were performed as previously described for IgG.\u003c/p\u003e \u003cp\u003eTo measure the anti-spike trimer IgG antibody, a mouse SARS-CoV-2 spike trimer-coated 96-well plate kit (RAS-T023, Acro Biosystems, DE, USA) was used. The procedure was performed according to the kit\u0026rsquo;s instructions. 100 \u0026micro;L of diluted sample was added to an anti-spike trimer-coated plate, and 100 \u0026micro;L dilution buffer was used as a blank. The reaction was stopped by adding 50 \u0026micro;L of stop solution provided in the kit and read at OD 450 nm by a microplate reader (SpectraMax iD5, Molecular Devices, CA, USA).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec14\" class=\"Section2\"\u003e \u003ch2\u003eTh1 and Th2 cytokine release assay\u003c/h2\u003e \u003cp\u003eBriefly, 1 x 10\u003csup\u003e5\u003c/sup\u003e HLA-A201\u003csup\u003e+\u003c/sup\u003e human PBMCs (STEMCELL Technologies Inc., Vancouver, British Columbia, Canada) were seeded in a 96-well microplate\u003csup\u003e\u003cspan citationid=\"CR45\" class=\"CitationRef\"\u003e45\u003c/span\u003e\u003c/sup\u003e. The PBMCs were treated with 5 different concentrations of antigen peptides at final concentrations of 0.4, 2, 10, 50 and 250 nM and cultured with X-VIVO 15 medium for 12 days. The culture medium was refreshed every 5 days. To analyse the surface marker and intracellular cytokine levels, the suspended cells were collected and stained with anti-CD4-PerCP-Cy5.5 conjugated (Cat. 566923, BD Pharmingen, USA), IFN-γ-FITC chrome conjugated (Cat. 554700, BD Pharmingen, USA), and IL4-PE chrome conjugated (Cat. 559333, BD Pharmingen, USA) antibodies. The cytokine levels in CD4\u003csup\u003e+\u003c/sup\u003e T-helper cells was measured by flow cytometry (BD LSRFortessa\u003csup\u003eTM\u003c/sup\u003eX20, Franklin Lakes, NJ, U.S.)\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec15\" class=\"Section2\"\u003e \u003ch2\u003eHLA-DR-peptide engagement assay\u003c/h2\u003e \u003cp\u003eA U-Load Dextramer kit MHC II HLA-DRB1*0101/APC (Immudex, Denmark) was used to determine the binding ability of a peptide to the HLA-DR molecule. The method was performed according to the kit\u0026rsquo;s protocol. The 10 \u0026micro;L MHC-II-peptide monomer was prepared by mixing the reagents of a 2 \u0026micro;L of 1 mM peptide (UC-100 or UC-152), a 3 \u0026micro;L of dissolved U-load MHC-II peptide loading component and a 5 \u0026micro;L of U-load MHC-II (1 mg/mL). PBMCs (2 x 10\u003csup\u003e5\u003c/sup\u003e) suspended in 50 \u0026micro;L of wash buffer composed of 1% FCS in phosphate-buffered saline (PBS), pH 7.4. The 10 \u0026micro;L of prepared MHC dextramer as described in the protocol was added to the PBMCs and incubated in the dark for 30 min at RT, followed by staining with the anti-CD4-PerCP-Cy5.5 conjugated antibody and further incubation in the dark for 20 min at RT. The cells were washed twice with 2 mL of wash buffer, and the cell pellet was resuspended in wash buffer for analysis by flow cytometry (BD LSRFortessa\u003csup\u003eTM\u003c/sup\u003eX20, Franklin Lakes, NJ, U.S.).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec16\" class=\"Section2\"\u003e \u003ch2\u003ePeptide-specific CTL engagement assay\u003c/h2\u003e \u003cp\u003eThe easYmer kit (ImmunAware Aps, Denmark) was used for a tetramer assay to determine the peptide-specific CTL binding level to the peptide-HLA-A201 complex\u003csup\u003e\u003cspan citationid=\"CR46\" class=\"CitationRef\"\u003e46\u003c/span\u003e\u003c/sup\u003e. The methods were performed according to the kit\u0026rsquo;s protocol. Briefly, the peptide was incubated with the β\u003csub\u003e2\u003c/sub\u003e-microglobulin (β\u003csub\u003e2\u003c/sub\u003em) light chain subunit and biotin-tagged recombinant HLA-A201 heavy chain for 48 h at 18\u0026deg;C to form a 50 \u0026micro;L 500 nM folded HLA complex. A tetramer was produced by incubating the equivalent of 2.1 \u0026micro;L of 0.2 mg/mL streptavidin-APC (Cat., 554067, BD Pharmingen, USA) and 50 \u0026micro;L of 500 nM folded HLA complex in the dark at 4\u0026deg;C overnight. PBMCs (1 x 10\u003csup\u003e5\u003c/sup\u003e, HLA-A201\u003csup\u003e+\u003c/sup\u003e) (STEMCELL Technologies Inc., Vancouver, British Columbia, Canada) were costained with the APC-labelled tetramer complex and FITC-conjugated anti-CD8 antibody (Cat., 555634, BD Pharmingen, USA) and analysed by flow cytometry (BD LSRFortessa\u003csup\u003eTM\u003c/sup\u003eX20, Franklin Lakes, NJ, U.S.) for the percentage of tetramer-stained CD8\u003csup\u003e+\u003c/sup\u003e cells.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec17\" class=\"Section2\"\u003e \u003ch2\u003eCytotoxic activity assay of specific T-cells\u003c/h2\u003e \u003cp\u003eHEK293 cells expressing the SARS-CoV-2 spike protein (D614) (Cat No. 293-cov2-s, InvivoGen, CA, USA) were used as target cells, which were seeded into a 96-well plate\u003csup\u003e\u003cspan citationid=\"CR47\" class=\"CitationRef\"\u003e47\u003c/span\u003e\u003c/sup\u003e. HLA-A201\u003csup\u003e+\u003c/sup\u003e PBMCs (STEMCELL Technologies Inc., Vancouver, British Columbia, Canada) were cocultured with 3,000 SARS-CoV-2 spike-expressing cells at ratios of 27:1, 9:1, 3:1 and 1:1, and the culture was treated with UC-100 and UC-152 peptides at a final concentration of 9 nM or 27 nM for 5 days at 37\u0026deg;C and 5% CO\u003csub\u003e2\u003c/sub\u003e. Cytotoxicity was measured by using an LDH-Cytox\u0026trade; assay kit (Cat No. 426401, BioLegend, CA, USA). SARS-CoV-2 spike-expressing cells without PBMCs and peptide treatment were used as the negative control, while lysis buffer added to the well containing only spike-expressing cells was used as the positive control. Fifty microlitres of LDH substrate was added to each well and incubated for 30 min at RT. Finally, the OD at 490 nm was read by a microplate reader (EnVision Xcite Multilabel Reader, PerkinElmer, MA, USA). The percentage of specific cell lysis was calculated according to the manufacturer\u0026rsquo;s instructions.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec18\" class=\"Section2\"\u003e \u003ch2\u003eComplement-dependent cytotoxicity assay\u003c/h2\u003e \u003cp\u003eTo determine the functions of the antibodies induced by the UC peptide, complement cytotoxicity was measured in SARS-CoV-2 spike protein (D614)-expressing HEK293 cells (Cat No. 293-cov2-s, InvivoGen CA, USA)\u003csup\u003e\u003cspan citationid=\"CR48\" class=\"CitationRef\"\u003e48\u003c/span\u003e\u003c/sup\u003e. The cytotoxicity mediated by the antibodies was measured by using an LDH-Cytox\u0026trade; assay kit (BioLegend, CA, USA). The 4 x 10\u003csup\u003e3\u003c/sup\u003e SARS-CoV-2 spike-expressing cells were suspended in 45 \u0026micro;L of serum-free DMEM in each well of a 96-well microplate. The serum samples were serially diluted twofold for 9 dilutions with serum-free DMEM starting at a ratio of 1:20 to 1:5120. Five microlitres of diluted serum was added to the wells containing SARS-CoV-2-expressing cells and incubated for 15 min at 37\u0026deg;C and 5% CO\u003csub\u003e2\u003c/sub\u003e. A final concentration of 10% young rabbit complement (CL3441-S50-R, Cedarlane, Ontario, Canada) was added to each well and incubated for an additional 30 min at 37\u0026deg;C and 5% CO\u003csub\u003e2\u003c/sub\u003e. The plate was then cooled at RT for 15 min for measurement of the cytotoxicity by LDH release. The sample wells containing serum were used as background controls, while lysis buffer was added to the sample wells containing SARS-CoV-2-expressing cells, and complement was used as the positive control. Then, 50 \u0026micro;L of LDH substrate was added to each well and incubated for 30 min at RT. Finally, the OD at 490 nm was read by a microplate reader (EnVision Xcite Multilabel Reader, PerkinElmer, MA, USA). The percentage of specific cell lysis was calculated according to the manufacturer\u0026rsquo;s instructions.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec19\" class=\"Section2\"\u003e \u003ch2\u003eStatistical analysis\u003c/h2\u003e \u003cp\u003eGroups were compared using an unpaired one-tailed Student\u0026rsquo;s t test embedded in Prism 5 (GraphPad Software Inc., San Diego, CA, USA) for the measurement of IgG antibody, IgA antibody, tetramer and dextramer. A \u003cem\u003ep\u003c/em\u003e value\u0026thinsp;\u0026lt;\u0026thinsp;0.05 was considered significant (*\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.05, **\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.01, and ***\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.001).\u003c/p\u003e \u003c/div\u003e"},{"header":"Declarations","content":"\u003ch2\u003eCompeting Interests\u003c/h2\u003e\u003cp\u003eThis research was financially supported by Vacino Biotech Co., Ltd. (Taiwan). Vacino Biotech has patents (US 17/726,688, PCT/CN2022/089266, ROC 111115497) concerning the therapeutic compounds used in this study, for which Yi-Ru Lee and Jia-Ming Chang are also the authors of the patents. Yi-Ru Lee, Chiung-Wen Liou, I-Hua Liu, and Jia-Ming Chang are employees of Vacino Biotech Company and belong to this company.\u003c/p\u003e\u003ch2\u003eAuthor Contribution\u003c/h2\u003e\u003cp\u003eJ.M.C. and Y.R.L. designed the HLA-restricted peptide and supervised this study. C. W.L. performed the mechanistic immune response of the in vitro assays and complement activity of the induced ex vivo assay. I.H.L. performed the measurement of the level of total antibody, specific antibody against peptide and spike trimer protein. All authors participated in analysing the data, J.M.C. and Y.R.L. wrote the manuscript, and all authors helped revise the manuscript.\u003c/p\u003e\u003ch2\u003eAcknowledgements\u003c/h2\u003e \u003cp\u003eWe thank Super Laboratory Co., Ltd. (Taiwan) for animal experimentation and serum collection in this study.\u003c/p\u003e\u003ch2\u003eData Availability\u003c/h2\u003e\u003cp\u003eData is provided within the supplementary information files.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\u003cli\u003e\u003cspan\u003eKyriakidis, N.C., L\u0026oacute;pez-Cort\u0026eacute;s, A., Gonz\u0026aacute;lez, E.V., Grimaldos, A. B. \u0026amp; Prado, E. O. SARS-CoV-2 vaccines strategies: A comprehensive review of phase 3 candidates. \u003cem\u003enpj Vaccines\u003c/em\u003e 6, 28 (2021).\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSansone, M., Studahl, M., Berg, S., Gissl\u0026eacute;n, M. \u0026amp; Sundell, N. Severe multisystem inflammatory syndrome (MIS-C/A) after confirmed SARS-CoV-2 infection: A report of four adult cases. Infect. Dis. 54, 378\u0026ndash;383 (2022).\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eStafie, C. S. et al. 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Breast Cancer Res. 20, 90 (2018).\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"scientific-reports","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"scirep","sideBox":"Learn more about [Scientific Reports](http://www.nature.com/srep/)","snPcode":"","submissionUrl":"","title":"Scientific Reports","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Scientific Reports","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"","lastPublishedDoi":"10.21203/rs.3.rs-4411027/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4411027/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eDuring COVID-19 pandemic, cases of postvaccination infections and restored SARS-CoV-2 virus have increased after full vaccination, which might be contributed to by immune surveillance escape or virus rebound. Here, artificial linear 9-mer human leucocyte antigen (HLA)-restricted UC peptides were designed based on the well-conserved S2 region of the SARS-CoV-2 spike protein regardless of rapid mutation and glycosylation hindrance. Through HLA molecule presentation, UC peptides can activate cytotoxic T lymphocytes (CTLs), which elicit cytotoxic activity by recognizing SARS-CoV-2 spike-bearing cells and preferably secreting Th1 cytokines. The UC peptides showed immunogenicity and generated a specific antibody in mice by both intramuscular injection and oral delivery without adjuvant formulation. In conclusion, a T-cell vaccine could provide long-lasting protection against SARS-CoV-2 either during reinfection or during SARS-CoV-2 rebound. Due to its ability to eradicate SARS-CoV-2 virus-infected cells, a COVID-19 T-cell vaccine might provide a solution to lower COVID-19 severity and long COVID-19.\u003c/p\u003e","manuscriptTitle":"T-cell immunity induced by a nonadjuvanted HLA-restricted peptide COVID-19 vaccine","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-05-31 20:11:19","doi":"10.21203/rs.3.rs-4411027/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2024-06-21T05:44:10+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-06-20T09:10:37+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"279701069356273233204872189807941822581","date":"2024-06-13T02:00:33+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-06-11T17:30:38+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"324098104081312275165323259969905425376","date":"2024-05-23T13:14:04+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2024-05-23T12:45:01+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2024-05-23T12:14:06+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2024-05-19T09:00:18+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2024-05-16T03:29:30+00:00","index":"","fulltext":""},{"type":"submitted","content":"Scientific Reports","date":"2024-05-13T06:12:27+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"scientific-reports","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"scirep","sideBox":"Learn more about [Scientific Reports](http://www.nature.com/srep/)","snPcode":"","submissionUrl":"","title":"Scientific Reports","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Scientific Reports","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"17d3252c-d582-4340-8b3b-6b720c909e15","owner":[],"postedDate":"May 31st, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[{"id":32333200,"name":"Biological sciences/Immunology/Vaccines/Peptide vaccines"},{"id":32333201,"name":"Biological sciences/Immunology"},{"id":32333202,"name":"Biological sciences/Immunology/Infection"},{"id":32333203,"name":"Biological sciences/Immunology/Infectious diseases"},{"id":32333204,"name":"Biological sciences/Immunology/Vaccines"}],"tags":[],"updatedAt":"2024-09-09T16:17:40+00:00","versionOfRecord":{"articleIdentity":"rs-4411027","link":"https://doi.org/10.1038/s41598-024-71663-1","journal":{"identity":"scientific-reports","isVorOnly":false,"title":"Scientific Reports"},"publishedOn":"2024-09-04 16:08:26","publishedOnDateReadable":"September 4th, 2024"},"versionCreatedAt":"2024-05-31 20:11:19","video":"","vorDoi":"10.1038/s41598-024-71663-1","vorDoiUrl":"https://doi.org/10.1038/s41598-024-71663-1","workflowStages":[]},"version":"v1","identity":"rs-4411027","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4411027","identity":"rs-4411027","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}