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. 2021 Oct 19;33(8):101648. doi: 10.1016/j.jksus.2021.101648

Table 1.

Summary of potential vaccines for SARS-CoV & MER-CoV.

Type of Vaccines Target Procs Cons Reference
Deoxyribonucleic acid (DNA) Spike protein Avoids handling of infectious virus, high thermal stability, rapid scale up possible, cheap production, human test conducted (SARS-CoV). Delivery vehicles needed to obtain high immunogenicity. (Zhao et al., 2004)
Ribonucleic acid (RNA) Spike protein Avoids handling of infectious virus, highly immunogenic, rapid scale up possible. High reactivity of vaccine. (Du et al., 2009)
S-protein (Full length) Spike protein Produces good T-cell response, neutralizing antibodies and protective immunity. May cause liver damage and enhance infection. (Czub et al., 2005)
Viral-vector Spike protein Produces good quality neutralizing antibodies, protective immunity and/ or T-cell responses. ADE effect could be induced in susceptible cases. (Bisht et al., 2004)
Recombinant S-protein Spike protein Avoids handling of infectious virus, adjuvants could increase immunogenicity. Avoids handling of infectious virus, adjuvants could increase immunogenicity. (Wang et al., 2014)
Receptor-Binding-Domain (RBD) Entire virion Produces protective immunity, neutralizing antibodies and T-cell response Unknown (Du et al., 2008)
Deoxyribonucleic acid (DNA) Entire virion Produces good quality neutralizing antibodies, protective immunity and/ or T-cell responses. Limited response; mutants could not be neutralized. (Liu et al., 2007)
Recombinant Receptor-Binding-Domain (rRBD) Entire virion Results in cross protection, provides protective immunity, produces neutralizing antibodies and T-cell response; More safe and effective vaccine than other RBD based vaccines. More doses are required as adjuvants (Zakhartchouk et al., 2007)
Killed vaccine (An inactivated) Entire virion Existing production process for licensed vaccines could be utilized; No need for additional infrastructure; immunogenicity could be improved with the use of adjuvants. Utlization of high concentration of virus (attenuated virus could solve this issue); Integrity of epitope/ antigen is an issue. (Bolles et al., 2011)
An attenuated vaccine (Live) Entire virion Existing production process for licensed vaccines could be utilized; No need for additional infrastructure. Longer duration to obtain attenuated coronavirus vaccine seeds; extensive testing required for safety issues. (Lamirande et al., 2008)