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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2021.795741</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Glycan Masking of Epitopes in the NTD and RBD of the Spike Protein Elicits Broadly Neutralizing Antibodies Against SARS-CoV-2 Variants</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Lin</surname>
<given-names>Wei-Shuo</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1552718"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>I-Chen</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Hui-Chen</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Yi-Chien</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wu</surname>
<given-names>Suh-Chin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/632365"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Institute of Biotechnology, National Tsing Hua University</institution>, <addr-line>Hsinchu</addr-line>, <country>Taiwan</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Infectious Diseases, Fu Jen Catholic University Hospital</institution>, <addr-line>New Taipei City</addr-line>, <country>Taiwan</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Medical Science, National Tsing Hua University</institution>, <addr-line>Hsinchu</addr-line>, <country>Taiwan</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Xuguang (Sean) Li, Health Canada, Canada</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Roger Y. Tam, Health Canada, Canada; Michel Gilbert, National Research Council Canada (NRC-CNRC), Canada</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Suh-Chin Wu, <email xlink:href="mailto:scwu@mx.nthu.edu.tw">scwu@mx.nthu.edu.tw</email>
</p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Vaccines and Molecular Therapeutics, a section of the journal Frontiers in Immunology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>02</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>795741</elocation-id>
<history>
<date date-type="received">
<day>15</day>
<month>10</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>17</day>
<month>11</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Lin, Chen, Chen, Lee and Wu</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Lin, Chen, Chen, Lee and Wu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Glycan-masking the vaccine antigen by mutating the undesired antigenic sites with an additional <italic>N</italic>-linked glycosylation motif can refocus B-cell responses to desired epitopes, without affecting the antigen&#x2019;s overall-folded structure. This study examined the impact of glycan-masking mutants of the N-terminal domain (NTD) and receptor-binding domain (RBD) of SARS-CoV-2, and found that the antigenic design of the S protein increases the neutralizing antibody titers against the Wuhan-Hu-1 ancestral strain and the recently emerged SARS-CoV-2 variants Alpha (B.1.1.7), Beta (B.1.351), and Delta (B.1.617.2). Our results demonstrated that the use of glycan-masking Ad-S-R158N/Y160T in the NTD elicited a 2.8-fold, 6.5-fold, and 4.6-fold increase in the IC-50 NT titer against the Alpha (B.1.1.7), Beta (B.1.351) and Delta (B.1.617.2) variants, respectively. Glycan-masking of Ad-S-D428N in the RBD resulted in a 3.0-fold and 2.0-fold increase in the IC-50 neutralization titer against the Alpha (B.1.1.7) and Beta (B.1.351) variants, respectively. The use of glycan-masking in Ad-S-R158N/Y160T and Ad-S-D428N antigen design may help develop universal COVID-19 vaccines against current and future emerging SARS-CoV-2 variants.</p>
</abstract>
<kwd-group>
<kwd>SARS-CoV-2</kwd>
<kwd>variant</kwd>
<kwd>glycan masking</kwd>
<kwd>COVID-19</kwd>
<kwd>vaccine</kwd>
</kwd-group>
<contract-sponsor id="cn001">Ministry of Science and Technology, Taiwan<named-content content-type="fundref-id">10.13039/501100004663</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Ministry of Science and Technology, Taiwan<named-content content-type="fundref-id">10.13039/501100004663</named-content>
</contract-sponsor>
<contract-sponsor id="cn003">Ministry of Science and Technology, Taiwan<named-content content-type="fundref-id">10.13039/501100004663</named-content>
</contract-sponsor>
<contract-sponsor id="cn004">National Tsing Hua University<named-content content-type="fundref-id">10.13039/501100005057</named-content>
</contract-sponsor>
<contract-sponsor id="cn005">National Tsing Hua University<named-content content-type="fundref-id">10.13039/501100005057</named-content>
</contract-sponsor>
<counts>
<fig-count count="7"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="40"/>
<page-count count="13"/>
<word-count count="7328"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a coronavirus that can evolve within an infected host as a quasi-species with many mutations (within-host variants) arising for virus survival (<xref ref-type="bibr" rid="B1">1</xref>). Multiple SARS-CoV-2 variants have already emerged and are circulating globally, four of which are a cause of serious public health concern, also known as variants of concern: (i) Alpha (B.1.1.7 lineage) variant which originated in the United Kingdom (UK), (ii) Beta (B.1.351 lineage) variant which originated in South Africa, (iii) Gamma (P.1 lineage) variant which originated in Brazil, and (iv) Delta (B.1.617.2 lineage) variant which originated in India (<xref ref-type="bibr" rid="B2">2</xref>). The Alpha (B.1.1.7) variant encodes an S protein with nine mutations (del 69-70, Del 144, N501Y, A570D, D614G, P681H, T716I, S982A, and D1118H), of which N501Y is in the receptor-binding domain (RBD). The Beta (B.1.351) variant encodes an S protein with nine mutations (L18F, D80A, D215G, Del 241-243, K417N, E484K, N501Y, D614G and A701V, three of which (K417N, E484K and N501Y) are in the RBD. The Gamma P.1 variant encodes an S protein with 12 mutations (L18F, T20N, P26S, D138Y, R190S, K417N/T, E484K, N501Y, D614G, H655Y, T1027I, and V1176F), two of which are in the RBD (E484K, and N501Y). The Delta (B.1.617.2) variant encodes an S protein with ten mutations (T19R, G142D, del 156, del 157, R158G, L452R, T478K, D614G, P681R, and D950N), two of which are in the RBD (L452R and T478K). The immunity-evading mutations in the Beta (B1.351) variant include E484K in the RBD of the S protein (<xref ref-type="bibr" rid="B3">3</xref>), while those in the Delta (B.167.2) variant include L19R, del 157, del 158, L452R, and T478K in the S protein (<xref ref-type="bibr" rid="B4">4</xref>&#x2013;<xref ref-type="bibr" rid="B6">6</xref>). In particular, the RBD mutations K417, L452, E484 and N501 may directly form a new interaction with the human angiotensin-converting enzyme 2 (ACE2) receptor (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>). Thus, the emerging SARS-CoV-2 B.1.351 variant can evade antibody-mediated immunity without affecting the virus fitness and disease, as recently reported using convalescent plasma, vaccine-induced sera, and monoclonal antibodies (<xref ref-type="bibr" rid="B9">9</xref>&#x2013;<xref ref-type="bibr" rid="B15">15</xref>). Whether the current authorized or approved vaccines can still provide effective protection against current and future emerging SARS-CoV-2 variants remains unclear.</p>
<p>Glycan-masking the vaccine antigen by mutating the undesired antigenic sites with an additional <italic>N</italic>-linked glycosylation motif can refocus the B-cell responses to the desired epitopes, without affecting the antigen&#x2019;s overall-folded structure (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>). This antigen design strategy has been used to develop vaccines against human immunodeficiency virus (HIV)-1 (<xref ref-type="bibr" rid="B18">18</xref>&#x2013;<xref ref-type="bibr" rid="B23">23</xref>), influenza virus (<xref ref-type="bibr" rid="B24">24</xref>&#x2013;<xref ref-type="bibr" rid="B27">27</xref>), dengue and Zika viruses (<xref ref-type="bibr" rid="B28">28</xref>), and Middle East respiratory syndrome coronavirus (<xref ref-type="bibr" rid="B29">29</xref>). In this study, we used an adenovirus (Ad) vector encoding the full-length <italic>S</italic> gene of the SARS-CoV-2 Wuhan-Hu-1 isolate with a series of site-specific glycan-masking mutations on the N-terminal domain (NTD) and RBD in a mouse immunization model, and then investigated the breadth of neutralizing antibodies elicited against SARS-CoV-2 and its Alpha (B.1.1.7), Beta (B.1.351), and Delta (B.1.617.2) variants. These results can provide useful information for the further development of universal coronavirus disease 2019 (COVID-19) vaccines against current and future emerging SARS-CoV-2 variants.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="s2_1">
<title>Cell Lines</title>
<p>HEK293A and HEK293T cells were obtained from the Bioresource Collection and Research Center (BCRC), Taiwan. These cells were grown in Dulbecco&#x2019;s modified Eagle medium (DMEM) (Thermo Scientific) supplemented with 10% fetal bovine serum (FBS) (Gibco) and 100 units/ml penicillin/streptomycin (P/S), and maintained in an incubator at 37&#xb0;C with 5% CO<sub>2</sub>.</p>
</sec>
<sec id="s2_2">
<title>Selection of Glycan-Masking Sites From the SARS-CoV-2 S Protein Structure</title>
<p>Selection of the glycan-masking sites was based on the 3D-structure of SARS-CoV-2 S protein (PDB ID:7C2L). The exposed loops or the protruding sites of the exposed loops on the NTD and RBD of the S protein were examined using PyMol (The PyMol Molecular Graphics System, version 4.0; Schr&#xf6;dinger, LLC). Glycan-masking sites that are less than 5 &#xc5; from the native glycans and RBD were discarded.</p>
</sec>
<sec id="s2_3">
<title>Preparation of Ad Vectors Expressing SARS-CoV-2 S Gene and Glycan-Masking Mutants</title>
<p>The human codon-optimized S gene of SARS-CoV-2 (Wuhan-Hu-1 isolate, accession number MN908947.3) was obtained from GenScript. Site-directed mutagenesis was used to produce the glycan-masking S mutant genes, with the addition of an <italic>N</italic>-linked glycosylation motif at the S protein residues 135N/N137T, R158N/Y160T, N354/K356T, N370/A372T, G413N, D428N and H519N/P521T. Wild-type S and glycan-masking S genes were first cloned into the pENTR1A vector (Invitrogen), and then cloned into the adenoviral plasmid pAd/CMV/V5-DEST (Invitrogen) using LR ClonaseTM II Enzyme Mix (Invitrogen) to produce the Ad plasmid expressing SARS-CoV-2 S gene. To obtain Ad particles, the Ad plasmids were cleaved with Pac I restriction enzyme to expose the inverted terminal repeats and then transfected into 293A cells separately using TurboFect transfection reagent (Fermentas). After 10-15 d, once the cytopathic effects were visible, the transfected cells and culture media were collected. The cells were disrupted by means of three freeze-thaw cycles to release the intracellular viral particles, and the supernatants of the cell lysates were collected by centrifugation (3000 rpm, 15 min, 4&#xb0;C) to obtain the Ad vectors expressing the SARS-Co-V-2 S proteins. To prepare higher titers, the virus was concentrated using a 30-kDa Amicon Ultra-15 Centrifugal Filter (Millipore). The viral stocks were stored at -80&#xb0;C. To determine the Ad titers, HEK293A cells were seeded into 6-well plates at a density of 10<sup>6</sup> cells/well and incubated at 37&#xb0;C overnight. The 10-fold serially diluted Ad stocks were then added to each well at 37&#xb0;C for 24 h. Next, the media containing the diluted Ad vectors were removed, and 3 mL/well of DMEM containing 0.4% agarose and 100 U/ml P/S was added to the 6-well plates. The plaques were visibly quantified 7-10 d after the cells were infected with Ad vectors, and the pfu count was noted.</p>
</sec>
<sec id="s2_4">
<title>SDS-PAGE and Western Blot</title>
<p>HEK293A cells were infected with Ad-S, Ad-S-F135N/N137T, Ad-S-R158N/Y160T, Ad-N354/K356T, Ad-S-N370/A372T, Ad-S-G413N, Ad-S-D428N and Ad-S-H519N/P521T at an MOI = 5 for 48 h, then lysed with Glo Lysis buffer (Promega), and subjected to centrifugation at 12000 &#xd7; <italic>g</italic> for 5 min at 4&#xb0;C to remove the cell debris. The lysates were heated at 95&#xb0;C for 5 min in reducing sample buffer for 2 h at 37&#xb0;C, and resolved using 10% or 7% SDS-PAGE gels. For western blots, nitrocellulose membranes (Millipore) were blocked in 5% (w/v) skim milk for 1 h at room temperature, followed by three washes with Tris-buffered saline containing 0.05% Tween 20 (TBST). SARS-CoV-2 S proteins were probed with anti-SARS-CoV-2 primary antibodies (GTX135356, GeneTex) overnight at 4&#xb0;C, and detected with horseradish peroxidase (HRP)-conjugated goat anti-rabbit IgG (KPL) for 1 h at room temperature. HRP-catalyzed enhanced chemiluminescence (Millipore) was captured using an X-ray film.</p>
</sec>
<sec id="s2_5">
<title>Mouse Immunization</title>
<p>Groups of female BALB/c mice (6 to 8 weeks old) (n=5 per group) were obtained from the National Laboratory Animal Center, Taipei, Taiwan. Groups of female BALB/c mice (6 to 8 weeks old) (n=5 per group) were immunized with Ad-S, Ad-S-F135N/N137T, Ad-S-R158N/Y160T, Ad-S-N370/A372T, or Ad-S-H519N/P521T vectors at 5 x 10<sup>7</sup> plaque-forming unit (pfu) per dose in PBS (pH 7.4) in the first set of immunization experiments, and immunized with Ad-S, Ad-S-N354/K356T, Ad-S-G413N, and Ad-S-D428N vectors at 1 x 10<sup>8</sup> pfu per dose in the second set of immunization experiments. Intramuscular injections were administered at weeks 0 and 3. Sera were collected 2 weeks after the second immunization dose.</p>
</sec>
<sec id="s2_6">
<title>Enzyme-Linked Immunosorbent Assay (ELISA)</title>
<p>To measure the SARS-CoV-2 specific total IgG titer in the antisera, recombinant S (Wuhan-Hu-1, catalog number 40589-V08H4), RBD (Wuhan-Hu-1, catalog number 40592-V08H), S1 (B.1.1.7 variant, catalog number 40591-VH12), RBD (B.1.1.7 variant, catalog number 40592-V08H82), S1 (B.1.351 variant, catalog number 40591-V08H10), RBD (B.1.351 variant, catalog number 40592-V08H85), S1 (B.1.617.2 variant, catalog number 40591-V49H2-B), RBD (B.1.617.2 variant, catalog number 40592-V08H90) proteins were obtained from Sino Biological Inc., and allowed to coat 96-well plates at a concentration of 2&#x3bc;g/mL in coating buffer (100&#x3bc;L/well) overnight at 4&#xb0;C. Coating buffers were aspirated and washed three times with PBS containing 0.05% Tween 20 (PBST). Each well was blocked with 200&#x3bc;L blocking buffer (1% BSA in PBST) at room temperature for 2 h. Heat-inactivated serum samples were pre-diluted 1:1000, followed by 2-fold serial dilution in dilution buffer (0.05% tween 20 + 1% BSA in PBST). The plates were washed three times with 300 &#xb5;L PBST (PBS with 0.05% Tween-20), and then blocked with 200 &#xb5;L PBS buffer plus 1% BSA for 2 h at room temperature, followed by three additional washes with 300 &#xb5;L PBST. Following this, the plates were incubated with 100 &#xb5;l of HRP) conjugated anti-mouse IgG antibody (1:30000 in dilution buffer) for 1 h at room temperature. After three additional washes with 300 &#xb5;L PBST, 100 &#xb5;L of TMB substrate (BioLegend) was added to each well and incubated in the dark for 15 min. The reaction was stopped by the addition of 100 &#xb5;L of 2 N H<sub>2</sub>SO<sub>4</sub>. The optical density at 450 nm was measured using a TECAN spectrophotometer. The end-point titration values were calculated in terms of a final serial dilution higher than 0.2 optical density value.</p>
</sec>
<sec id="s2_7">
<title>SARS-CoV-2 Pseudotyped Lentivirus Neutralization Assay</title>
<p>To produce SARS-CoV-2 pseudoviruses, a plasmid expressing the full-length S protein (Wuhan-Hu-1, B.1.1.7, or B.1.351) of SARS-CoV-2 was co-transfected into HEK293T cells with packaging and reporter plasmids pCMV&#x394;8.91 and pLAS2w.FLuc.Ppuro (RNAi Core, Academia Sinica), using TransIT-LT1 transfection reagent (Mirus Bio). The medium was harvested and concentrated at 48 h post-transfection, followed by estimation of the pseudovirus titer in terms of the luciferase activity of SARS-CoV2-Spp transduction. Serum samples were serially diluted and incubated with 1,000 TU of SARS-CoV-2-pseudotyped lentivirus in DMEM (supplemented with 1% FBS and 100 U/mL P/S) for 1 h at 37&#xb0;C. The mixture was then inoculated with an equal volume of 10,000 HEK-293T cells stably expressing the ACE2 gene in 96-well plates, which were seeded one day before infection. The culture medium was replaced with fresh complete DMEM (supplemented with 10% FBS, 100 U/mL P/S) at 16 h post-infection and the cells were then continuously cultured for another 48 h before being subjected to a luciferase assay (Promega Bright-GloTM Luciferase Assay System). The percentage of inhibition was calculated as the ratio of the loss of luciferase readout (RLU) in the presence of serum to that of the no serum control. The formula used for the calculation was (RLU Control - RLU Serum)/RLU Control. Neutralization titers (IC-50) were measured as the reciprocal of the serum dilution required to obtain a 50% reduction in RLU compared to a control containing the SARS-CoV-2 S-pseudotyped lentivirus only. Neutralization curves and IC-50 values were analyzed using the GraphPad Prism 5 Software.</p>
</sec>
<sec id="s2_8">
<title>Statistical Analyses</title>
<p>Statistical tests for multiple comparison were performed for all groups (except for the PBS control) in case of the ELISA data. The results were analyzed using the nonparametric Kruskal-Wallis test, with corrected Dunn&#x2019;s multiple comparison test, using GraphPad Prism v6.01. Statistical significance has been expressed as follows: *p &lt; 0.05; **p &lt; 0.01; and ***p &lt; 0.001. Neutralization curves were fitted based on the equation of nonlinear regression log (inhibitor) vs. normalized response &#x2013; variable slope using GraphPad Prism v6.01. The IC-50 values of the neutralization were obtained from the fitting curves using GraphPad Prism v6.01</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>Design of Engineered Glycan-Masking S Antigens in the NTD and RBD for Ad Vector Immunization</title>
<p>The S protein of SARS-CoV-2 is trimeric, and each monomer comprises of S1 and S2 subunits (<xref ref-type="bibr" rid="B30">30</xref>&#x2013;<xref ref-type="bibr" rid="B32">32</xref>). The S1 subunit contains NTD and RBD. To design glycan-masking S antigen(s) for immunization, we used an Ad vector encoding the full-length S gene of the SARS-CoV-2 Wuhan-Hu isolate, by introducing a series of <italic>N</italic>-linked glycosylation motifs into the S1 region of the S protein, to refocus the antibody responses to the RBD (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). The sites of glycan-masking were introduced not only in the RBD, but also in the NTD, as RBD and NTD may spatially interact with each other in the quaternary structure of the intact trimeric S protein (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). The exposed loops or the protruding sites of the exposed loops on the NTD and RBD of the 3-D S protein structure (PDB ID: 7C2L) were chosen for the addition on the glycan-masking sites. Seven glycan-masking <italic>N</italic>-glycan sites were engineered in the Ad-S vector: (#1) Ad-S-F135N/N137T, (#2) Ad-S-R158N/Y160T, (#3) Ad-S-N370/A372T, (#4) Ad-S-H519N/P521T, (#5) Ad-S-N354/K356T, (#6) Ad-S-G413N, and (#7) Ad-S-D428N) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). To characterize the glycan- masking mutations on the S protein, the lysates of HEK293A cells infected with each Ad-S vector were analyzed using 8% SDS-PAGE gels, followed by western blotting with an S1-specific polyclonal antibody. The results indicated the presence of S and S1 in the cell lysates of HEK293A cells infected with Ad-S, Ad-S-F135N/N137T, Ad-S-R158N/Y160T, Ad-S-N354/K356T, Ad-S-N370/A372T, Ad-S-G413N, Ad-S-D428N, and Ad-S-H519N/P521T (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Schematic representation of SARS COV2 spike glycoprotein. <bold>(A)</bold> Positions of the original <italic>N</italic>-linked glycan (red) and the engineered <italic>N</italic>-linked glycan (green) amino-acid sequences shown as branches. Domains of the full-length S protein: N-terminal domain (NTD), receptor binding domain (RBD), furin cleavage site (S1/S2), fusion peptide (FP), heptad repeat 1(HR1), heptad repeat 2 (HR2), transmembrane domain (TM), and cytoplasmic tail (CT); <bold>(B)</bold> The seven engineered <italic>N</italic>-linked glycan sites of (#1) F135N/N137T, (#2) R158N/Y160T, (#3) N354/K356T, (#4) N370/A372T, (#5) G413N, (#6) D428N, and (#7) H519N/P521T are shown in the intact trimeric S structure.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-795741-g001.tif"/>
</fig>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Characterization of Ad-S glycan-masking mutants using SDS-PAGE and western blotting. Cell lysates of HEK-293A cells infected with Ad-S, Ad-S-F135N/N137T, Ad-S-R158N/Y160T, Ad-S-N354/K356T, Ad-S-N370/A372T, Ad-S-G413N, Ad-S-D428N, and Ad-S-H519N/P521T and analyzed using 8% SDS-PAGE and western blotting with an S1-specific polyclonal antibody. The results indicated the presence of S and S1 in the cell lysates.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-795741-g002.tif"/>
</fig>
</sec>
<sec id="s3_2">
<title>Anti-S, Anti-RBD, and Pseudo-Neutralizing Antibody Titers Against the Wuhan-Hu-1 Ancestral Strain</title>
<p>To investigate the antibody responses elicited by these Ad-S vectors, groups of BALB/c mice (n=5 per group) were intramuscularly immunized with two doses of each Ad vector at 5 x 10<sup>7</sup> pfu per dose for the first set of immunization experiments and at 1 x 10<sup>8</sup> pfu per dose for the second set of immunization experiments all in a 3-week interval; PBS-immunized animals were used as control. Sera from these immunized groups were collected after 2 weeks of the second dose and analyzed for the levels of anti-S, anti-RBD, and neutralizing antibodies against the original SARS-CoV-2 Wuhan-Hu-1 isolate. Two separate sets of immunization experiments were conducted in this study: (i) with Ad-S, Ad-S- F135N/N137T, Ad-S-R158N/Y160T, Ad-S- N370/A372T, and Ad-S-H519N/P521T, and (ii) with Ad-S, Ad-S-N354/K356T, Ad-S-G413N, and Ad-S-D428N. In the first set of immunization experiments, the results indicated that the anti-S IgG titer elicited in the Ad-S- F135N/N137T-immunized group was significantly lower than those elicited in the wild-type Ad-S and Ad-S-R158N/Y160T-immunized groups (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). A reduced (but not statistically significant) titer of anti-RBD IgG antibodies was also observed for the Ad-S-F135N/N137T-immunized group, as compared to the other four immunized groups (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). Pseudo-neutralizing antibody titers from the pooled sera of each group (n =5 mice per group) were determined using the SARS-CoV-2 S (Wuhan-Hu-1)-pseudotyped lentivirus assay in triplicate. In the first set of immunization experiments, Ad-S, Ad-S-F135N/N137T, Ad-S-R158N/Y160T, Ad-S-N370/A372T, and Ad-S-H519N/P521T-immunized groups showed dose-response neutralization, while the PBS-immunized control group did not (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>). Antisera from the Ad-S-R158N/Y160T-immunized group showed increased neutralization potency, as compared to those of the Ad-S and Ad-S-N370/A372T-immunized groups, and the lower levels of the Ad-S-F135N/N137T and Ad-S-H519N/P521T-immunized groups (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>). The corresponding IC-50 titer elicited in the Ad-S-R158N/Y160T-immunized group against the Wuhan-Hu-1 ancestral strain was approximately 2.4-fold higher than that elicited in the wild-type Ad-S-immunized group (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>). No significant differences were observed in the anti-S and anti-RBD titers in the second set of immunization experiments with the Ad-S, Ad-S-N354/K356T, Ad-S-G413N, and Ad-S-D428N-immunized groups (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3E, F</bold>
</xref>). Dose-dependent pseudo-neutralization curves were observed for the Ad-S, Ad-S-N370/K356T, Ad-S-G413N, and Ad-S-D428N-immunized groups, but not for the PBS-immunized control (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3G</bold>
</xref>). The IC-50 titers of the Ad-S-N354/K356T and Ad-S-D428N-immunized groups against the Wuhan-Hu-1 ancestral strain were approximately 2.5- and 2.8-fold higher, as compared to that of the wild-type Ad-S-immunized group (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3H</bold>
</xref>). These results indicated that the glycan-masking Ad-S-R158N/Y160T in NTD and glycan-masking Ad-S-N354/K356T and Ad-S-D428N in RBD elicited a 2.4-, 2.5-, and 2.8-fold increase, respectively, in the pseudo-neutralization IC-50 titer against the Wuhan-Hu-1 ancestral strain.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Antibody responses elicited by Ad-S glycan-masking mutants against the SARS-CoV-2 Wuhan-Hu-1 strain. Ad-S immunization regimens in the first and second sets of immunization experiments: <bold>(A)</bold> antisera for anti-S IgG titers from each group of mice (n=5) and tested individually in the first set of immunization experiments; <bold>(B)</bold> antisera for anti-RBD IgG titers from each group of mice (n=5) and tested individually in the first set of immunization experiments; <bold>(C)</bold> the dose-response pseudo-neutralization curves for the pooled sera of each immunized group of mice (n=5) and measured in triplicate the first set of immunization experiments; <bold>(D)</bold> IC-50 NT titer for neutralizing antibodies against the Wuhan-Hu-1 ancestral strain in the first set of immunization experiments; <bold>(E)</bold> antisera for anti-S IgG titers from each group of mice (n=5) and tested individually in the second set of immunization experiments; <bold>(F)</bold> antisera for anti-RBD IgG titers from each group of mice (n=5) and tested individually in the second set of immunization experiments; <bold>(G)</bold> the dose-response pseudo-neutralization curves for the pooled sera of each immunized group of mice (n=5) and measured in triplicate the second set of immunization experiments; <bold>(H)</bold> IC-50 NT titer for neutralizing antibodies against the Wuhan-Hu-1 ancestral strain in the second set of immunization experiments. Fold-changes of the Ad-S glycan-masking mutant IC-50 NT titers against the wild-type Ad-S titer on a linear scale indicated. Statistical tests for multiple comparison of anti-S and anti-RBD IgG titers among the Ad-S immunization groups were performed using the nonparametric test with Kruskal-Wallis with corrected Dunn&#x2019;s multiple comparison. The statistical significance is expressed as follows: *p &lt; 0.05. Neutralization curves were fitted based on the equation of nonlinear regression log (inhibitor) vs. normalized response &#x2013; variable slope using GraphPad Prism v6.01. The IC-50 values of neutralization were obtained from the fitting curves using GraphPad Prism v6.01. Error bars are plotted as standard deviation from the mean value. Not detectable for N.D.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-795741-g003.tif"/>
</fig>
</sec>
<sec id="s3_3">
<title>Anti-S1, Anti-RBD, and Pseudo-Neutralizing Antibody Titers Against SARS-CoV-2 Alpha (B.1.1.7), Beta (B.1.351), and Delta (B.1.617.2) Variants</title>
<p>To further study the neutralization against SARS-CoV-2 variants, the titers of anti-S1, and anti-RBD IgG, and neutralizing antibodies against the Alpha (B.1.1.7), Beta (B.1.351), and Delta (B.1.617.2) variants were measured using the same antisera. In the first set of immunization experiments in the Ad-S, Ad-S-F135N/N137T, Ad-S-R158N/Y160T, Ad-S-N370/A372T, and Ad-S-H519N/P521T-immunized groups, we found that the anti-S1 IgG titers against Alpha (B.1.1.7) variant in the Ad-S-F135N/N137T-immunized group were lower than the wild type Ad-S and Ad-S- N370/A372T-immunized groups (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). A reduced (but not statistically significant) titer of anti-RBD IgG antibodies against Alpha (B.1.1.7) variant was observed for the Ad-S-F135N/N137T-immunized group, as compared to the other four immunized groups (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). The pseudovirus neutralization curve of the Ad-S-R158N/Y160T-immunized group against the Alpha (B.1.1.7) variant was more potent than those of the wild-type Ad-S-immunized group and the three other immunization groups (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>), with an approximately 2.8-fold increase in the neutralization IC-50 titer, as compared to that of the wild-type Ad-S-immunized group (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>). In the second set of immunization experiments in the Ad-S, Ad-S-N354/K356T, Ad-S-G413N, and Ad-S-D428N-immunized groups, no significant differences were observed in the anti-S1 and anti-RBD titers among these four Ad immunization groups <bold>(</bold>
<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4E, F</bold>
</xref>
<bold>)</bold>. However, the Ad-S-D428N-immunized group displayed more potent neutralization against the Alpha (B.1.1.7) variant than the three other groups (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4G</bold>
</xref>), resulting in a 3.0-fold increase in the neutralization IC-50 titer, as compared to that of the wild-type Ad-S-immunized group (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4H</bold>
</xref>). Therefore, the glycan-masking Ad-S-R158N/Y160T in NTD and glycan-masking Ad-S-D428N in RBD were found to elicit increased titers of neutralizing antibodies against the Alpha (B.1.1.7) variant.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Antibody responses elicited by Ad-S glycan-masking mutants against SARS-CoV-2 Alpha (B.1.1.7) variant. <bold>(A)</bold> antisera for anti-S1 IgG titers from each group of mice (n=5) and tested individually in the first set of immunization experiments; <bold>(B)</bold> antisera for anti-RBD IgG titers from each group of mice (n=5) and tested individually in the first set of immunization experiments; <bold>(C)</bold> the dose-response pseudo-neutralization curves for the pooled sera of each immunized group of mice (n=5) and measured in triplicate in the first set of immunization experiments; <bold>(D)</bold> IC-50 NT titer for neutralizing antibodies against Alpha (B.1.1.7) variant; <bold>(E)</bold> antisera for anti-S1 IgG titers from each group of mice (n=5) and tested individually in the second set of immunization experiments; <bold>(F)</bold> antisera for anti-RBD IgG titers from each group of mice (n=5) and tested individually in the second set of immunization experiments; <bold>(G)</bold> the dose-response pseudo-neutralization curves for the pooled sera of each immunized group of mice (n=5) and measured in triplicate for the second set of immunization experiments; <bold>(H)</bold> IC-50 NT titer for neutralizing antibodies against Alpha (B.1.1.7) variant for the second set of immunization experiments. Fold-changes of the Ad-S glycan-masking mutant IC-50 NT titers against the wild-type Ad-S (Alpha, B.1.1.7 variant) titer on a linear scale are indicated. Statistical tests for multiple comparison of anti-S1 and anti-RBD titers among Ad-S immunization groups were performed using the nonparametric test with Kruskal-Wallis with corrected Dunn&#x2019;s multiple comparison. The statistical significance is expressed as follows: *p &lt; 0.05 and **p &lt; 0.01. Neutralization curves were fitted based on the equation of nonlinear regression log (inhibitor) vs. normalized response &#x2013; variable slope using GraphPad Prism v6.01. The IC-50 values of neutralization were obtained from the fitting curves using GraphPad Prism v6.01. Not detectable for N.D. Error bars are plotted as standard deviation from the mean value.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-795741-g004.tif"/>
</fig>
<p>In the case of the Beta (B.1.351) variant in the first set of immunization experiments in the Ad-S, Ad-S-F135N/N137T, Ad-S-R158N/Y160T, Ad-S- N370/A372T, and Ad-S-H519N/P521T-immunizd groups, the Ad-S-F135N/N137T-immunized group had a significantly lower IgG titer of anti-S1 antibodies than those in the wild type Ad-S and Ad-S-N370/A372T-immunized groups (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>). The anti-RBD IgG titer in the Ad-S-F135N/N137T-immunized group was lower, as compared to the titers in the Ad-S-R158N/Y160T and Ad-S-H519N/P521T-immunizd groups (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>). Both the Ad-S-R158N/Y160T and Ad-S-N370/A372T groups showed increased potency for pseudo-neutralization against the Beta (B.1.351) variant, as compared to the three other groups (Ad-S, Ad-S-F135N/N137T, and Ad-S-H519N/P521T-immunized) (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>); the neutralization IC-50 titer was approximately 6.5-fold and 2.8-fold higher in the glycan-masking Ad-S-R158N/Y160T and Ad-S-N370/A372T-immunized groups, respectively (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5D</bold>
</xref>). In the second set of immunization experiments in the Ad-S, Ad-S-N354/K356T, Ad-S-G413N, and Ad-S-D428N-immunized groups, no significant differences were observed in the anti-S1 and anti-RBD titers among these four Ad immunization groups (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5E, F</bold>
</xref>). The Ad-S-D428N-immunized group was more potent in neutralizing the Beta (B.1.351) variant than the other three groups (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5G</bold>
</xref>), resulting in a 2.0-fold increase in the neutralization IC-50 titer, as compared to that of the wild-type Ad-S-immunized group (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5H</bold>
</xref>). Therefore, immunization with the glycan-masking Ad-S-R158N/Y160T in NTD and glycan-masking Ad-S-N370/A372T and Ad-S-D428N in RBD were more potent than that with the wild-type Ad-S in eliciting neutralizing antibodies against the Beta (B.1.351) variant.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Antibody responses elicited by Ad-S glycan-masking mutants against SARS-CoV-2 Beta (B.1.351) variant. <bold>(A)</bold> antisera for anti-S1 IgG titers from each group of mice (n=5) and tested individually in the first set of immunizations; <bold>(B) </bold>antisera for anti-RBD IgG titers from each group of mice (n=5) and tested individually in the first set of immunization experiments; <bold>(C)</bold> the dose-response pseudo-neutralization curves for the pooled sera of each immunized group of mice (n=5) and measured in triplicate for the first set of immunization experiments; <bold>(D)</bold> IC-50 NT titer for neutralizing antibodies against Beta (B.1.351 variant) for the first set of immunization experiments; <bold>(E)</bold> antisera for anti-S1 IgG titers from each group of mice (n=5) and tested individually in the second set of immunizations; <bold>(F) </bold>antisera for anti-RBD IgG titers from each group of mice (n=5) and tested individually in the second set of immunization experiments; <bold>(G)</bold> the dose-response pseudo-neutralization curves for the pooled sera of each immunized group of mice (n=5) and measured in triplicate for the second set of immunization experiments; <bold>(H)</bold> IC-50 NT titer for neutralizing antibodies against Beta (B.1.351 variant) for the first set of immunization experiments. Fold-changes of the Ad-S glycan-masking mutant IC-50 NT titer against the wild-type Ad-S (Beta, B.1.351 variant) titer are indicated. Statistical tests for multiple comparison of anti-S1 and anti-RBD IgG titers among Ad-s immunization groups were performed using the nonparametric test with Kruskal-Wallis with corrected Dunn&#x2019;s multiple comparison. The statistical significance is expressed as follows: *p &lt; 0.05 and **p &lt; 0.01. Neutralization curves were fitted based on the equation of nonlinear regression log (inhibitor) vs. normalized response &#x2013; variable slope using GraphPad Prism v6.01. The IC-50 values of neutralization were obtained from the fitting curves using GraphPad Prism v6.01. Error bars are plotted as standard deviation from the mean value. Not detectable for N.D.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-795741-g005.tif"/>
</fig>
<p>In the case of Delta (B.1.617.2) variant, we found that the anti-S1 IgG titers in the Ad-S-F135N/N137T-immunized group were lower than the wild type Ad-S and Ad-S-R158N/Y160T,-immunized groups (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>). No significant differences in anti-RBD IgG titers were observed among these Ad-immunized groups in the first set of experiments (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>). Both the Ad-S-F135N/N137T and Ad-S-R158N/Y160T-immunized groups elicited more potent pseudo-neutralization against the Delta (B.1.167.2) variant, as compared to the Ad-S, Ad-S-N370/A372T, and Ad-S-H519N/P521T-immunized groups, in the first set of immunization experiments (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>); an approximately 3.7-fold and 4.6-fold increase in the neutralization IC-50 titer was found for the glycan-masking Ad-S-F135N/N137T and Ad-S-R158N/Y160T groups, respectively (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6D</bold>
</xref>). In the second set of immunization experiments among the Ad-S, Ad-S-N354/K356T, Ad-S-G413N, and Ad-S-D428N-immunized groups, the pseudo-neutralization curves of the three glycan-masking groups against the Delta (B.167.2) variant were less potent than that of the wild-type Ad-S-immunized group (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6G</bold>
</xref>) with a reduced IC-50 titers to 0.46, 0.23, and 0.46 fold, respectively (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6H</bold>
</xref>). Therefore, only the glycan-masking Ad-S-F135N/N137T and Ad-S-R158N/Y160T in NTD elicited more potent neutralizing antibody titers against the Delta (B.1.617.2) variant.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Antibody responses elicited by Ad-S glycan-masking mutants against SARS-CoV-2 Delta (B.1.617.2) variant. <bold>(A)</bold> antisera for anti-S1 IgG titers from each group of mice (n=5) and tested individually in the first set of immunization experiments; <bold>(B) </bold>antisera for anti-RBD IgG titers from each group of mice (n=5) and tested individually in the first set of immunization experiments; <bold>(C)</bold> the dose-response pseudo-neutralization curves for the pooled sera of each immunized group of mice (n=5) and measured in triplicate for the first set of immunization experiments; <bold>(D)</bold> IC-50 NT titer for neutralizing antibodies against Delta (B.1.617.2 variant) in the first set of immunization experiments; <bold>(E)</bold> antisera for anti-S1 IgG titers from each group of mice (n=5) and tested individually in the second set of immunization experiments; <bold>(F) </bold>antisera for anti-RBD IgG titers from each group of mice (n=5) and tested individually in the second set of immunization experiments; <bold>(G)</bold> the dose-response pseudo-neutralization curves for the pooled sera of each immunized group of mice (n=5) and measured in triplicate for the second set of immunization experiments; <bold>(H)</bold> IC-50 NT titer for neutralizing antibodies against Delta (B.1.617.2 variant) in the second set of immunization experiments. Fold-changes of the Ad-S glycan-masking mutant IC-50 NT titer against the wild-type Ad-S (Delta, B.1.617.2 variant) titer are indicated. Statistical tests for multiple comparison of anti-S1 and anti-RBD IgG titers among Ad-S immunization groups were performed using the nonparametric test with Kruskal-Wallis with corrected Dunn&#x2019;s multiple comparison. The statistical significance is expressed as follows: *p &lt; 0.05. Neutralization curves were fitted based on the equation of nonlinear regression log (inhibitor) vs. normalized response &#x2013; variable slope using GraphPad Prism v6.01. The IC-50 values of neutralization were obtained from the fitting curves using GraphPad Prism v6.01. Error bars are plotted as standard deviation from the mean value. Not detectable for N.D.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-795741-g006.tif"/>
</fig>
</sec>
<sec id="s3_4">
<title>Comparison of Neutralization IC-50 Titers Elicited by Glycan-Masking Ad-S Mutants Against the Wuhan-Hu-1 Ancestral Strain</title>
<p>To compare these results, the neutralizing IC-50 titers from the two separate sets of immunization experiments were normalized to the titer elicited by the wild-type Ad-S against the Wuhan-Hu-1 ancestral strain from. In the first set of immunization experiments, the neutralization IC-50 titers elicited in the glycan-masking Ad-S-R158N/Y160T-immunized group showed a 2.5-fold increase against the Wuhan-Hu-1 ancestral strain, a 1.8-fold increase against the Alpha (B.1.1.7) variant, a 1.2-fold increase against the Beta (B.1.351) variant, but a 0.6-fold decrease against the Delta (B.1.617.2) variant (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>). The titer for the Ad-S-R158N/Y160T group against the Delta (B.1.617.2) variant was still higher than the titer of Ad-S against the Delta variant (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>). In the second set of immunization experiments, the neutralization IC-50 titers elicited in the Ad-S-D428N-immunized group showed a 2.7-fold increase against the Wuhan-Hu-1 ancestral strain, a 3.2-fold increase against the Alpha (B.1.1.7) variant, a 2.0-fold increase against the Beta (B.1.351) variant, but a 0.2-fold decrease against the Delta (B.1.617.2) variant (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). Therefore, the glycan-masking Ad-S-R158N/Y160T in NTD elicited more potent neutralizing antibodies against the Wuhan-Hu-1 ancestral strain and increased the cross-neutralizing antibody titers against the Alpha (B.1.1.7), Beta (B.1.351), and Delta (B.1.617.2) variants. The glycan-masking Ad-S-D428N in RBD also elicited more potent neutralizing antibodies against the Wuhan-Hu-1 ancestral strain but only increased the cross-neutralizing antibody titers against the Alpha (B.1.1.7) and Beta (B.1.351) variants.</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Comparison of neutralization IC-50 titers elicited by glycan-masking Ad-S mutants against the Wuhan-Hu-1 ancestral strain. <bold>(A)</bold> Fold-changes in the IC-50 NT titers against the Wuhan-Hu-1 ancestral strain in the first set of immunization experiments (5 x 10<sup>7</sup> pfu per dose) with the glycan-masking Ad-S-F135N/N137T, Ad-S-R158N/Y160T, Ad-S-N370/A372T, and Ad-S-H519N/P521T-immunized groups, as compared to the IC-50 titer of the wild-type Ad-S-immunized group; <bold>(B)</bold> Fold-changes in the IC-50 NT titers against the Wuhan-Hu-1 ancestral strain in the second set of immunization experiments (1 x10<sup>8</sup> pfu per dose) with the glycan-masking Ad-S-N354/K356T, Ad-S-G413N, and Ad-S-D428N-immunized groups, as compared to the IC-50 titer of the wild-type Ad-S-immunized group.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-795741-g007.tif"/>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>This study reported the use of glycan-masking antigen design by selective incorporation of an <italic>N</italic>-linked glycosylation motif on the NTD and RBD in the SARS-CoV-2 S gene encoded by the Ad vector, to develop universal COVID-19 vaccines. It has been recently confirmed that the S protein of SARS-CoV-2 is heavily glycosylated, with approximately 22 potential <italic>N</italic>-glycan sites on each S monomer (<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B33">33</xref>). We introduced seven separate <italic>N</italic>-linked glycosylation sites into the S glycoprotein, S-F135N/N137T, S-R158N/Y160T, Ad-S- N354/K356T, S-N370/A372T, Ad-S-G413N, Ad-S-D428N and S-H519N/P521T, in the NTD and RBD. However, we were unable to demonstrate the addition of a single <italic>N</italic>-glycosylation site for these glycan-masking Ad-S mutants using SDS-PAGE gel in western blots. It is possible that SDS-PAGE in the conditions used in this work does not have the resolution to show the addition of a single <italic>N</italic>-glycosylation site when there are already 22 sites. A more advanced use of the selected mutants would warrant thorough site-specific characterization by mass spectrometry. It is also possible that glycan-masking mutations may also affect the S protein stabilization for cell surface expression, S/S1 cleavage, and surface S expression. Thus, there is a need for further characterization of these glycan-masking mutants, particularly Ad-S-R158N/Y160T and Ad-S-D428N expressed S proteins.</p>
<p>Our results showed that the glycan-masking Ad-S-R158N/Y160T at the N3 loop in the NTD and the glycan-masking Ad-S-N354/K356T at the C-3 loop in the RBD (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure 1</bold>
</xref>) elicited a potent neutralizing antibody response against the Wuhan-Hu-1 ancestral strain (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>). Selection of these glycan-masking sites in this investigation was based on visual inspection of the 3-D S protein structure (PDB ID: 7C2L) for the exposed loops or the protruding sites of the exposed loops in NTD and RBD of the S1 subunit (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure 1</bold>
</xref>). The increased IC-50 NT titers against the Wuhan-Hu-1 ancestral strain by the glycan-masking Ad-S-R158N/Y160T-immunized group correlated with the increased neutralization titers against the Alpha (B.1.1.7), Beta (B.1.351) and Delta (B.1.617.2) variant (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4</bold>
</xref>&#x2013;<xref ref-type="fig" rid="f6">
<bold>6</bold>
</xref>). Only the glycan-masking Ad-S-F135N/N137T and Ad-S-R158N/Y160T in NTD were found to increase the neutralization titers against the Delta (B.1.617.2) variant (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6D</bold>
</xref>). Therefore, only the glycan-masking Ad-S-R158N/Y160T in NTD elicited broadly neutralizing antibody titers against Alpha (B.1.1.7), Beta (B.1.351), and Delta (B.1.617.2) variants. It is possible that the refocused antibodies using the glycan-masking Ad-S-R158N/Y160T antigen may target the NTD neutralizing epitopes in the N3 and N5 loops as recently reported (<xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B35">35</xref>). One NTD neutralizing epitope has been shown to associate with the hydrophilic interactions of K147 and K150, the hydrophobic and/or &#x3c0;-&#x3c0; interactions of Y145 and W152, and the <italic>N</italic>-linked glycosylation site of N149 on the N3 loop of the NTD (<xref ref-type="bibr" rid="B34">34</xref>). It is also possible that the glycan-masking R158N/Y160T in the NTD interacts spatially with the RBD of another S1 monomer to affect the RBD up and down conformational structures (<xref ref-type="bibr" rid="B36">36</xref>, <xref ref-type="bibr" rid="B37">37</xref>). The C-type lectins such as L-SIGN and DC-SIGN have been shown to function as attachment receptors by enhancing ACE2-mediated infection, and monoclonal antibodies to NTD or the RBD conserved site can effectively block lectin-facilitated infection (<xref ref-type="bibr" rid="B38">38</xref>). Additionally, the unique <italic>N</italic>-glycan on N149 of NTD can directly bind to the L-SIGN/DC-SIGN lectins as a non-ACE2 receptor for SARS-CoV-2 virus infection (<xref ref-type="bibr" rid="B39">39</xref>). Another report was shown for the N92 glycan on NTD that can enhance the binding to the L-SIGN lectin to interact with the ACE2 receptor to further facilitate SARS-CoV-2 virus entry (<xref ref-type="bibr" rid="B40">40</xref>). It is possible that the glycan-masking Ad-S-R158N/Y160T site which is nearby the N3 loop on NTD (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure 1</bold>
</xref>) can enhance targeting these epitopes to elicit neutralizing antibodies to block the L-SIGN/DC-SIGN receptor binding and/or the interaction between the L-SIGN/DC-SIGN lectin co-receptor with the ACE2 receptor binding for SARS-CoV-2 infection.</p>
<p>Our present findings demonstrated that the glycan-masking Ad-S-R158N/Y160T in NTD resulted in a 2.8-fold, 6.5-fold, and 4.6-fold increase, respectively, in the IC-50 titers against the Alpha (B.1.1.7), Beta (B.1.351) and Delta (B.1.617.2) variants, respectively. The glycan-masking Ad-S-D428N in RBD resulted in a 3.0-fold and 2.0-fold increase, respectively, in the IC-50 NT titer against the Alpha (B.1.1.7) and Beta (B.1.351) variants. The glycan-masking Ad-S-R158N/Y160T site is close to the del 156-157 of the Delta (B.1.617.2) variant and the del 143 and 144V mutation of the Alpha (B.1.1.7) in the N3 loop on NTD (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure 1</bold>
</xref>). The glycan-masking Ad-S-D428N was nearby the K417N mutation of the Beta (B.1.351) variant in the C7 loop on RBD (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure 1</bold>
</xref>). For the Alpha (B.1.1.7) and Beta (B.1.351) variants, the del 69-70, del 144, and del 242-244 deletions in NTD and the K417N/T, E484K, and N501Y mutations in RBD have been shown to increase ACE2 binding affinity and evade antibody-mediated immunity (<xref ref-type="bibr" rid="B7">7</xref>&#x2013;<xref ref-type="bibr" rid="B15">15</xref>). It is likely that selective pressures on the NTD and RBD epitopes of the S1 subunit may ultimately result in immune-evasion variants. Our present findings demonstrated the use of glycan-masking mutations in the neutralization-sensitive NTD and RBD epitopes of S1 subunit can refocus antibody responses to the broadly neutralizing epitope domains to overcome the immune-evasion variants. Therefore, glycan-masking the site-specific NTD and RBD epitopes may help develop universal COVID-19 vaccines against current and future emerging SARS-CoV-2 variants.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics Statement</title>
<p>All experiments were conducted in accordance with the guidelines of the Laboratory Animal Center of the National Tsing Hua University (NTHU). Animal use protocols were reviewed and approved by the NTHU Institutional Animal Care and Use Committee (approval no. 109047).</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author Contributions</title>
<p>Conceptualization: W-SL, I-CC, H-CC, and S-CW. Formal analysis: W-SL, I-CC, and H-CC. Funding acquisition: Y-CL and S-CW. Investigation: W-SL, I-CC, and H-CC. Supervision: S-CW. Writing: S-CW. All authors provided feedback to the final draft. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by the Ministry of Science and Technology, Taiwan (MOST 109-2926-B-030-001, MOST109-2313-B-007-001-MY2, MOST109-2327-B-007-003) and National Tsing Hua University, Taiwan (109R2807E1, 110Q2805E1).</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>S-CW, W-SL, I-CC and Y-CL are co-inventors on a U.S. provisional patent (No. 63/169,268) filed on April 1, 2021.</p>
<p>The remaining author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgments</title>
<p>We thank the RNAi core facility at Academia Sinica for performing the SARS-CoV-2 S-pseudotyped neutralization assay.</p>
</ack>
<sec id="s11" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2021.795741/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2021.795741/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Image_1.tif" id="SF1" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;1</label>
<caption>
<p>Amino acid sequence alignment of SARS-CoV-2 Wuhan-Hu-1, Alpha (B.1.1.7), Beta (B.1.351), and Delta (B.1.617.2) strains. The NTD loops (blue), the CTD loops (green), and the receptor-binding motif (RBM, red) in the S protein are indicated. The glycan-masking sites (yellow) and variant mutation sites (pink) are marked. The CTD loops are the C-terminal domain loops of S1 subunit.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_2.tif" id="SF2" mimetype="image/tiff"/>
<supplementary-material xlink:href="Image_3.tif" id="SF3" mimetype="image/tiff"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lythgoe</surname> <given-names>KA</given-names>
</name>
<name>
<surname>Hall</surname> <given-names>M</given-names>
</name>
<name>
<surname>Ferretti</surname> <given-names>L</given-names>
</name>
<name>
<surname>de Cesare</surname> <given-names>M</given-names>
</name>
<name>
<surname>MacIntyre-Cockett</surname> <given-names>G</given-names>
</name>
<name>
<surname>Trebes</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>SARS-CoV-2 Within-Host Diversity and Transmission</article-title>. <source>Science</source> (<year>2021</year>) <volume>372</volume>(<issue>6539</issue>):<fpage>eabg0821</fpage>. doi: <pub-id pub-id-type="doi">10.1126/science.abg0821</pub-id>
</citation>
</ref>
<ref id="B2">
<label>2</label>
<citation citation-type="web">
<article-title>ViralZone SARS-CoV-2 Circulating Variants</article-title>. Available at: <uri xlink:href="https://viralzone.expasy.org/9556">https://viralzone.expasy.org/9556</uri>.</citation>
</ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Altmann</surname> <given-names>DM</given-names>
</name>
<name>
<surname>Boyton</surname> <given-names>RJ</given-names>
</name>
<name>
<surname>Beale</surname> <given-names>R</given-names>
</name>
</person-group>. <article-title>Immunity to SARS-CoV-2 Variants of Concern</article-title>. <source>Science</source> (<year>2021</year>) <volume>371</volume>(<issue>6534</issue>):<page-range>1102&#x2013;4</page-range>. doi: <pub-id pub-id-type="doi">10.1126/science.abg7404</pub-id>
</citation>
</ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hastie</surname> <given-names>KM</given-names>
</name>
<name>
<surname>Li</surname> <given-names>H</given-names>
</name>
<name>
<surname>Bedinger</surname> <given-names>D</given-names>
</name>
<name>
<surname>Schendel</surname> <given-names>SL</given-names>
</name>
<name>
<surname>Dennison</surname> <given-names>SM</given-names>
</name>
<name>
<surname>Li</surname> <given-names>K</given-names>
</name>
<etal/>
</person-group>. <article-title>Defining Variant-Resistant Epitopes Targeted by SARS-CoV-2 Antibodies: A Global Consortium Study</article-title>. <source>Science</source> (<year>2021</year>) <volume>374</volume>(<issue>6566</issue>):<page-range>472&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/science.abh2315</pub-id>
</citation>
</ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>McCallum</surname> <given-names>M</given-names>
</name>
<name>
<surname>De Marco</surname> <given-names>A</given-names>
</name>
<name>
<surname>Lempp</surname> <given-names>FA</given-names>
</name>
<name>
<surname>Tortorici</surname> <given-names>MA</given-names>
</name>
<name>
<surname>Pinto</surname> <given-names>D</given-names>
</name>
<name>
<surname>Walls</surname> <given-names>AC</given-names>
</name>
<etal/>
</person-group>. <article-title>N-Terminal Domain Antigenic Mapping Reveals a Site of Vulnerability for SARS-CoV-2</article-title>. <source>Cell</source> (<year>2021</year>) <volume>184</volume>(<issue>9</issue>):<fpage>2332</fpage>&#x2013;<lpage>47.e16</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cell.2021.03.028</pub-id>
</citation>
</ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mlcochova</surname> <given-names>P</given-names>
</name>
<name>
<surname>Kemp</surname> <given-names>S</given-names>
</name>
<name>
<surname>Dhar</surname> <given-names>MS</given-names>
</name>
<name>
<surname>Papa</surname> <given-names>G</given-names>
</name>
<name>
<surname>Meng</surname> <given-names>B</given-names>
</name>
<name>
<surname>Ferreira</surname> <given-names>IATM</given-names>
</name>
<etal/>
</person-group>. <article-title>SARS-CoV-2 B.1.617.2 Delta Variant Replication and Immune Evasion</article-title>. <source>Nature</source> (<year>2021</year>) <volume>599</volume>(<issue>7883</issue>):<page-range>114&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41586-021-03944-y</pub-id>
</citation>
</ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Thomson</surname> <given-names>EC</given-names>
</name>
<name>
<surname>Rosen</surname> <given-names>LE</given-names>
</name>
<name>
<surname>Shepherd</surname> <given-names>JG</given-names>
</name>
<name>
<surname>Spreafico</surname> <given-names>R</given-names>
</name>
<name>
<surname>da Silva Filipe</surname> <given-names>A</given-names>
</name>
<name>
<surname>Wojcechowskyj</surname> <given-names>JA</given-names>
</name>
<etal/>
</person-group>. <article-title>Circulating SARS-CoV-2 Spike N439K Variants Maintain Fitness While Evading Antibody-Mediated Immunity</article-title>. <source>Cell</source> (<year>2021</year>) <volume>184</volume>(<issue>5</issue>):<fpage>1171</fpage>&#x2013;<lpage>1187.e20</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cell.2021.01.037</pub-id>
</citation>
</ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yuan</surname> <given-names>M</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>D</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>C-CD</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>NC</given-names>
</name>
<name>
<surname>Jackson</surname> <given-names>AM</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>X</given-names>
</name>
<etal/>
</person-group>. <article-title>Structural and Functional Ramifications of Antigenic Drift in Recent SARS-CoV-2 Variants</article-title>. <source>Science</source> (<year>2021</year>) <volume>373</volume>(<issue>6556</issue>):<page-range>818&#x2013;23</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/science.abh1139</pub-id>
</citation>
</ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>P</given-names>
</name>
<name>
<surname>Nair</surname> <given-names>MS</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>L</given-names>
</name>
<name>
<surname>Iketani</surname> <given-names>S</given-names>
</name>
<name>
<surname>Luo</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Guo</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Antibody Resistance of SARS-CoV-2 Variants B.1.351 and B.1.1.7</article-title>. <source>Nature</source> (<year>2021</year>) <volume>593</volume>(<issue>7857</issue>):<page-range>130&#x2013;5</page-range>. doi: <pub-id pub-id-type="doi">10.1038/s41586-021-03398-2</pub-id>
</citation>
</ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Schmidt</surname> <given-names>F</given-names>
</name>
<name>
<surname>Weisblum</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Muecksch</surname> <given-names>F</given-names>
</name>
<name>
<surname>Barnes</surname> <given-names>CO</given-names>
</name>
<name>
<surname>Finkin</surname> <given-names>S</given-names>
</name>
<etal/>
</person-group>. <article-title>mRNA Vaccine-Elicited Antibodies to SARS-CoV-2 and Circulating Variants</article-title>. <source>Nature</source> (<year>2021</year>) <volume>592</volume>(<issue>7855</issue>):<page-range>616&#x2013;22</page-range>. doi: <pub-id pub-id-type="doi">10.1038/s41586-021-03324-6</pub-id>
</citation>
</ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname> <given-names>RE</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Case</surname> <given-names>JB</given-names>
</name>
<name>
<surname>Winkler</surname> <given-names>ES</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>VanBlargan</surname> <given-names>LA</given-names>
</name>
<etal/>
</person-group>. <article-title>Resistance of SARS-CoV-2 Variants to Neutralization by Monoclonal and Serum-Derived Polyclonal Antibodies</article-title>. <source>Nat Med</source> (<year>2021</year>) <volume>27</volume>(<issue>4</issue>):<page-range>717&#x2013;26</page-range>. doi: <pub-id pub-id-type="doi">10.1038/s41591-021-01294-w</pub-id>
</citation>
</ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Collier</surname> <given-names>DA</given-names>
</name>
<name>
<surname>De Marco</surname> <given-names>A</given-names>
</name>
<name>
<surname>Ferreira</surname> <given-names>IATM</given-names>
</name>
<name>
<surname>Meng</surname> <given-names>B</given-names>
</name>
<name>
<surname>Datir</surname> <given-names>RP</given-names>
</name>
<name>
<surname>Walls</surname> <given-names>AC</given-names>
</name>
<etal/>
</person-group>. <article-title>Sensitivity of SARS-CoV-2 B.1.1.7 to mRNA Vaccine-Elicited Antibodies</article-title>. <source>Nature</source> (<year>2021</year>) <volume>593</volume>(<issue>7857</issue>):<page-range>136&#x2013;41</page-range>. doi: <pub-id pub-id-type="doi">10.1038/s41586-021-03412-7</pub-id>
</citation>
</ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Xia</surname> <given-names>H</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Fontes-Garfias</surname> <given-names>CR</given-names>
</name>
<name>
<surname>Swanson</surname> <given-names>KA</given-names>
</name>
<etal/>
</person-group>. <article-title>Neutralizing Activity of BNT162b2-Elicited Serum</article-title>. <source>N Engl J Med</source> (<year>2021</year>) <volume>384</volume>(<issue>15</issue>):<page-range>1466&#x2013;8</page-range>. doi: <pub-id pub-id-type="doi">10.1056/NEJMc2102017</pub-id>
</citation>
</ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wibmer</surname> <given-names>CK</given-names>
</name>
<name>
<surname>Ayres</surname> <given-names>F</given-names>
</name>
<name>
<surname>Hermanus</surname> <given-names>T</given-names>
</name>
<name>
<surname>Madzivhandila</surname> <given-names>M</given-names>
</name>
<name>
<surname>Kgagudi</surname> <given-names>P</given-names>
</name>
<name>
<surname>Oosthuysen</surname> <given-names>B</given-names>
</name>
<etal/>
</person-group>. <article-title>SARS-CoV-2 501y.V2 Escapes Neutralization by South African COVID-19 Donor Plasma</article-title>. <source>Nat Med</source> (<year>2021</year>) <volume>27</volume>(<issue>4</issue>):<page-range>622&#x2013;5</page-range>. doi: <pub-id pub-id-type="doi">10.1038/s41591-021-01285-x</pub-id>
</citation>
</ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Madhi</surname> <given-names>SA</given-names>
</name>
<name>
<surname>Baillie</surname> <given-names>V</given-names>
</name>
<name>
<surname>Cutland</surname> <given-names>CL</given-names>
</name>
<name>
<surname>Voysey</surname> <given-names>M</given-names>
</name>
<name>
<surname>Koen</surname> <given-names>AL</given-names>
</name>
<name>
<surname>Fairlie</surname> <given-names>L</given-names>
</name>
<etal/>
</person-group>. <article-title>Efficacy of the ChAdOx1 Ncov-19 Covid-19 Vaccine Against the B.1.351 Variant</article-title>. <source>N Engl J Med</source> (<year>2021</year>) <volume>384</volume>(<issue>20</issue>):<page-range>1885&#x2013;98</page-range>. doi: <pub-id pub-id-type="doi">10.1056/NEJMoa2102214</pub-id>
</citation>
</ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nara</surname> <given-names>PL</given-names>
</name>
<name>
<surname>Tobin</surname> <given-names>GJ</given-names>
</name>
<name>
<surname>Chaudhuri</surname> <given-names>AR</given-names>
</name>
<name>
<surname>Trujillo</surname> <given-names>JD</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>G</given-names>
</name>
<name>
<surname>Cho</surname> <given-names>MW</given-names>
</name>
<etal/>
</person-group>. <article-title>How can Vaccines Against Influenza and Other Viral Diseases be Made More Effective</article-title>? <source>PloS Biol</source> (<year>2010</year>) <volume>8</volume>:<fpage>e1000571</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pbio.1000571</pub-id>
</citation>
</ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zolla-Pazner</surname> <given-names>S</given-names>
</name>
<name>
<surname>Cardozo</surname> <given-names>T</given-names>
</name>
</person-group>. <article-title>Structure-Function Relationships of HIV-1 Envelope Sequence-Variable Regions Refocus Vaccine Design</article-title>. <source>Nat Rev Immunol</source> (<year>2010</year>) <volume>10</volume>:<page-range>527&#x2013;35</page-range>. doi: <pub-id pub-id-type="doi">10.1038/nri2801</pub-id>
</citation>
</ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Delves</surname> <given-names>PJ</given-names>
</name>
<name>
<surname>Lund</surname> <given-names>T</given-names>
</name>
<name>
<surname>Roitt</surname> <given-names>IM</given-names>
</name>
</person-group>. <article-title>Can Epitope-Focused Vaccines Select Advantageous Immune Responses</article-title>? <source>Mol Med Today</source> (<year>1997</year>) <volume>3</volume>(<issue>2</issue>):<fpage>55</fpage>&#x2013;<lpage>60</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S1357-4310(96)20036-X</pub-id>
</citation>
</ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Garrity</surname> <given-names>RR</given-names>
</name>
<name>
<surname>Rimmelzwaan</surname> <given-names>G</given-names>
</name>
<name>
<surname>Minassian</surname> <given-names>A</given-names>
</name>
<name>
<surname>Tsai</surname> <given-names>WP</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>G</given-names>
</name>
<name>
<surname>de Jong</surname> <given-names>JJ</given-names>
</name>
<etal/>
</person-group>. <article-title>Refocusing Neutralizing Antibody Response by Targeted Dampening of an Immunodominant Epitope</article-title>. <source>J Immunol</source> (<year>1997</year>) <volume>159</volume>(<issue>1</issue>):<page-range>279&#x2013;89</page-range>.</citation>
</ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chiesa</surname> <given-names>MD</given-names>
</name>
<name>
<surname>Martensen</surname> <given-names>PM</given-names>
</name>
<name>
<surname>Simmons</surname> <given-names>C</given-names>
</name>
<name>
<surname>Porakishvili</surname> <given-names>N</given-names>
</name>
<name>
<surname>Justesen</surname> <given-names>J</given-names>
</name>
<name>
<surname>Dougan</surname> <given-names>G</given-names>
</name>
<etal/>
</person-group>. <article-title>Refocusing of B-Cell Respones Following a Single Amino Acid Substitution in an Antigen</article-title>. <source>Immunology</source> (<year>2001</year>) <volume>103</volume>(<issue>2</issue>):<page-range>172&#x2013;8</page-range>. doi: <pub-id pub-id-type="doi">10.1046/j.1365-2567.2001.01242.x</pub-id>
</citation>
</ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pantophlet</surname> <given-names>R</given-names>
</name>
<name>
<surname>Wilson</surname> <given-names>IA</given-names>
</name>
<name>
<surname>Burton</surname> <given-names>DR</given-names>
</name>
</person-group>. <article-title>Hyperglycosylated Mutants of Human Immunodeficiency Virus (HIV) Type 1 Monomeric Gp120 as Novel Antigens for HIV Vaccine Design</article-title>. <source>J Virol</source> (<year>2003</year>) <volume>77</volume>(<issue>10</issue>):<page-range>5889&#x2013;901</page-range>. doi: <pub-id pub-id-type="doi">10.1128/JVI.77.10.5889-5901.2003</pub-id>
</citation>
</ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Selvarajah</surname> <given-names>S</given-names>
</name>
<name>
<surname>Puffer</surname> <given-names>B</given-names>
</name>
<name>
<surname>Pantophlet</surname> <given-names>R</given-names>
</name>
<name>
<surname>Law</surname> <given-names>M</given-names>
</name>
<name>
<surname>Doms</surname> <given-names>RW</given-names>
</name>
<name>
<surname>Burton</surname> <given-names>DR</given-names>
</name>
</person-group>. <article-title>Comparing Antigenicity and Immunogenicity of Engineered Gp120</article-title>. <source>J Virol</source> (<year>2005</year>) <volume>79</volume>(<issue>19</issue>):<page-range>12148&#x2013;63</page-range>. doi: <pub-id pub-id-type="doi">10.1128/JVI.79.19.12148-12163.2005</pub-id>
</citation>
</ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Duan</surname> <given-names>H</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>X</given-names>
</name>
<name>
<surname>Boyington</surname> <given-names>JC</given-names>
</name>
<name>
<surname>Cheng</surname> <given-names>C</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Jafari</surname> <given-names>AJ</given-names>
</name>
<etal/>
</person-group>. <article-title>Glycan Masking Focuses Immune Responses to the HIV-1 CD4-Binding Site and Enhances Elicitation of VRC01-Class Precursor Antibodies</article-title>. <source>Immunity</source> (<year>2018</year>) <volume>49</volume>(<issue>2</issue>):<fpage>301</fpage>&#x2013;<lpage>11.e5</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.immuni.2018.07.005</pub-id>
</citation>
</ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tobin</surname> <given-names>GJ</given-names>
</name>
<name>
<surname>Trujillo</surname> <given-names>JD</given-names>
</name>
<name>
<surname>Bushnell</surname> <given-names>RV</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>G</given-names>
</name>
<name>
<surname>Chaudhuri</surname> <given-names>AR</given-names>
</name>
<name>
<surname>Long</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Deceptive Imprinting and Immune Refocusing in Vaccine Design</article-title>. <source>Vaccine</source> (<year>2008</year>) <volume>26</volume>(<issue>49</issue>):<page-range>6189&#x2013;99</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.vaccine.2008.09.080</pub-id>
</citation>
</ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lin</surname> <given-names>SC</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>YF</given-names>
</name>
<name>
<surname>Chong</surname> <given-names>P</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>SC</given-names>
</name>
</person-group>. <article-title>Broader Neutralizing Antibodies Against H5N1 Viruses Using Prime-Boost Immunization of Hyperglycosylated Hemagglutinin DNA and Virus-Like Particles</article-title>. <source>PloS One</source> (<year>2012</year>) <volume>7</volume>(<issue>6</issue>):<fpage>e39075</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0039075</pub-id>
</citation>
</ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lin</surname> <given-names>SC</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>WC</given-names>
</name>
<name>
<surname>Jan</surname> <given-names>JT</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>SC</given-names>
</name>
</person-group>. <article-title>Glycan Masking of Hemagglutinin for Adenovirus Vector and Recombinant Protein Immunizations Elicits Broadly Neutralizing Antibodies Against H5N1 Avian Influenza Viruses</article-title>. <source>PloS One</source> (<year>2014</year>) <volume>9</volume>(<issue>3</issue>):<fpage>e92822</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0092822</pub-id>
</citation>
</ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname> <given-names>TH</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>WC</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>CY</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>CC</given-names>
</name>
<name>
<surname>Jan</surname> <given-names>JT</given-names>
</name>
<name>
<surname>Spearman</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>Glycan-Masking Hemagglutinin Antigens From Stable CHO Cell Clones for H5N1 Avian Influenza Vaccine Development</article-title>. <source>Biotechnol Bioeng</source> (<year>2019</year>) <volume>116</volume>(<issue>3</issue>):<fpage>598</fpage>&#x2013;<lpage>609</lpage>. doi: <pub-id pub-id-type="doi">10.1002/bit.26810</pub-id>
</citation>
</ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lin</surname> <given-names>HH</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>SP</given-names>
</name>
<name>
<surname>Tsai</surname> <given-names>MJ</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>GC</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>HC</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>SC</given-names>
</name>
</person-group>. <article-title>Dengue and Zika Virus Domain III-Flagellin Fusion and Glycan-Masking E Antigen for Prime-Boost Immunization</article-title>. <source>Theranostics</source> (<year>2019</year>) <volume>9</volume>(<issue>16</issue>):<page-range>4811&#x2013;26</page-range>. doi: <pub-id pub-id-type="doi">10.7150/thno.35919</pub-id>
</citation>
</ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Du</surname> <given-names>L</given-names>
</name>
<name>
<surname>Tai</surname> <given-names>W</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>G</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>S</given-names>
</name>
<etal/>
</person-group>. <article-title>Introduction of Neutralizing Immunogenicity Index to the Rational Design of MERS Coronavirus Subunit Vaccines</article-title>. <source>Nat Commun</source> (<year>2016</year>) <volume>7</volume>:<fpage>13473</fpage>. doi: <pub-id pub-id-type="doi">10.1038/ncomms13473</pub-id>
</citation>
</ref>
<ref id="B30">
<label>30</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Walls</surname> <given-names>AC</given-names>
</name>
<name>
<surname>Park</surname> <given-names>YJ</given-names>
</name>
<name>
<surname>Tortorici</surname> <given-names>MA</given-names>
</name>
<name>
<surname>Wall</surname> <given-names>A</given-names>
</name>
<name>
<surname>McGuire</surname> <given-names>AT</given-names>
</name>
<name>
<surname>Veesler</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>Structure, Function, and Antigenicity of the SARS-CoV-2 Spike Glycoprotein</article-title>. <source>Cell</source> (<year>2020</year>) <volume>181</volume>(<issue>2</issue>):<fpage>281</fpage>&#x2013;<lpage>92.e6</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cell.2020.02.058</pub-id>
</citation>
</ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wrapp</surname> <given-names>D</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>N</given-names>
</name>
<name>
<surname>Corbett</surname> <given-names>KS</given-names>
</name>
<name>
<surname>Goldsmith</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Hsieh</surname> <given-names>CL</given-names>
</name>
<name>
<surname>Abiona</surname> <given-names>O</given-names>
</name>
<etal/>
</person-group>. <article-title>Cryo-EM Structure of the 2019-Ncov Spike in the Prefusion Conformation</article-title>. <source>Science</source> (<year>2020</year>) <volume>367</volume>(<issue>6483</issue>):<page-range>1260&#x2013;3</page-range>. doi: <pub-id pub-id-type="doi">10.1126/science.abb2507</pub-id>
</citation>
</ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yao</surname> <given-names>H</given-names>
</name>
<name>
<surname>Song</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>N</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>Molecular Architecture of the SARS-CoV-2 Virus</article-title>. <source>Cell</source> (<year>2020</year>) <volume>183</volume>(<issue>3</issue>):<fpage>730</fpage>&#x2013;<lpage>8.e13</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cell.2020.09.018</pub-id>
</citation>
</ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Watanabe</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Allen</surname> <given-names>JD</given-names>
</name>
<name>
<surname>Wrapp</surname> <given-names>D</given-names>
</name>
<name>
<surname>McLellan</surname> <given-names>JS</given-names>
</name>
<name>
<surname>Crispin</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>Site-Specific Glycan Analysis of the SARS-CoV-2 Spike</article-title>. <source>Science</source> (<year>2020</year>) <volume>369</volume>(<issue>6501</issue>):<page-range>330&#x2013;3</page-range>. doi: <pub-id pub-id-type="doi">10.1126/science.abb9983</pub-id>
</citation>
</ref>
<ref id="B34">
<label>34</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chi</surname> <given-names>X</given-names>
</name>
<name>
<surname>Yan</surname> <given-names>R</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>G</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Hao</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>A Neutralizing Human Antibody Binds to the N-Terminal Domain of the Spike Protein of SARS-CoV-2</article-title>. <source>Science</source> (<year>2020</year>) <volume>369</volume>(<issue>6504</issue>):<page-range>650&#x2013;5</page-range>. doi: <pub-id pub-id-type="doi">10.1126/science.abc6952</pub-id>
</citation>
</ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Suryadevara</surname> <given-names>N</given-names>
</name>
<name>
<surname>Shrihari</surname> <given-names>S</given-names>
</name>
<name>
<surname>Gilchuk</surname> <given-names>P</given-names>
</name>
<name>
<surname>VanBlargan</surname> <given-names>LA</given-names>
</name>
<name>
<surname>Binshtein</surname> <given-names>E</given-names>
</name>
<name>
<surname>Zost</surname> <given-names>SJ</given-names>
</name>
<etal/>
</person-group>. <article-title>Neutralizing and Protective Human Monoclonal Antibodies Recognizing the N-Terminal Domain of the SARS-CoV-2 Spike Protein</article-title>. <source>Cell</source> (<year>2021</year>) <volume>184</volume>(<issue>9</issue>):<fpage>2316</fpage>&#x2013;<lpage>31.e15</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cell.2021.03.029</pub-id>
</citation>
</ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cai</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Xiao</surname> <given-names>T</given-names>
</name>
<name>
<surname>Peng</surname> <given-names>H</given-names>
</name>
<name>
<surname>Sterling</surname> <given-names>SM</given-names>
</name>
<name>
<surname>Walsh</surname> <given-names>RM</given-names> <suffix>Jr</suffix>
</name>
<etal/>
</person-group>. <article-title>Distinct Conformational States of SARS-CoV-2 Spike Protein</article-title>. <source>Science</source> (<year>2020</year>) <volume>369</volume>(<issue>6511</issue>):<page-range>1586&#x2013;92</page-range>. doi: <pub-id pub-id-type="doi">10.1126/science.abd4251</pub-id>
</citation>
</ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ray</surname> <given-names>D</given-names>
</name>
<name>
<surname>Le</surname> <given-names>L</given-names>
</name>
<name>
<surname>Andricioaei</surname> <given-names>I</given-names>
</name>
</person-group>. <article-title>Distant Residues Modulate Conformational Opening in SARS-CoV-2 Spike Protein</article-title>. <source>Proc Natl Acad Sci U.S.A.</source> (<year>2021</year>) <volume>118</volume>(<issue>43</issue>):<fpage>e2100943118</fpage>. doi: <pub-id pub-id-type="doi">10.1073/pnas.2100943118</pub-id>
</citation>
</ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lempp</surname> <given-names>FA</given-names>
</name>
<name>
<surname>Soriaga</surname> <given-names>LB</given-names>
</name>
<name>
<surname>Montiel-Ruiz</surname> <given-names>M</given-names>
</name>
<name>
<surname>Benigni</surname> <given-names>F</given-names>
</name>
<name>
<surname>Noack</surname> <given-names>J</given-names>
</name>
<name>
<surname>Park</surname> <given-names>YJ</given-names>
</name>
<etal/>
</person-group>. <article-title>Lectins Enhance SARS-CoV-2 Infection and Influence Neutralizing Antibodies</article-title>. <source>Nature</source> (<year>2021</year>) <volume>598</volume>(<issue>7880</issue>):<page-range>342&#x2013;7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41586-021-03925-1</pub-id>
</citation>
</ref>
<ref id="B39">
<label>39</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Soh</surname> <given-names>WT</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Nakayama</surname> <given-names>EE</given-names>
</name>
<name>
<surname>Ono</surname> <given-names>C</given-names>
</name>
<name>
<surname>Torii</surname> <given-names>S</given-names>
</name>
<name>
<surname>Nakagami</surname> <given-names>H</given-names>
</name>
<etal/>
</person-group>. <article-title>The N-Terminal Domain of Spike Glycoprotein Mediates SARS-CoV-2 Infection by Associating With L-SIGN and DC-SIGN</article-title>. <source>bioRxiv</source> (<year>2020</year>). doi:&#xa0;<pub-id pub-id-type="doi">10.1101/2020.11.05.369264</pub-id>
</citation>
</ref>
<ref id="B40">
<label>40</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Amraei</surname> <given-names>R</given-names>
</name>
<name>
<surname>Yin</surname> <given-names>W</given-names>
</name>
<name>
<surname>Napoleon</surname> <given-names>MA</given-names>
</name>
<name>
<surname>Suder</surname> <given-names>EL</given-names>
</name>
<name>
<surname>Berrigan</surname> <given-names>J</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>Q</given-names>
</name>
<etal/>
</person-group>. <article-title>CD209L/L-SIGN and CD209/DC-SIGN Act as Receptors for SARS-CoV-2</article-title>. <source>ACS Cent Sci</source> (<year>2021</year>) <volume>7</volume>(<issue>7</issue>):<page-range>1156&#x2013;65</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1021/acscentsci.0c01537</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>