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. 2022 Jul 12;36(5):573–589. doi: 10.1007/s40259-022-00544-8

Table 1.

Examples of recently developed human vaccines in plants (within the last 5 years)

Year reported Target pathogen Type of vaccine Antigen Plant host Animal trials Human trials References
2019 Hepatitis B virus (HBV) VLP HBcAg N. benthamiana and L. sativa Mice—prime oral boost with lettuce stimulated predominant Th1 response with Th2 after boost ND [88]
2021 Hepatitis E virus (HEV) Chimaeric VLPs HBcAg-ORF2 AA551-AA607 immunogenic epitope N. benthamiana ND ND [89]
2020 Poliovirus (PV) Subunit VP1, VP2, VP3, VP4 N. tabacum Mice—SC prime and oral boost with lyophilised leaf material stimulated a humoral response ND [61]
2021 Dengue virus (DENV) VLPs C-pRM-E + NSP truncated (lacking NS5) N. benthamiana Mice—prime-boost elicited anti-DENV1 antibodies ND [90]
2019 DENV Antigen-display VLPs HBcAg-DENV EDIII N. benthamiana Mice—animals showed some seroconversion ND [91]
2018 West Nile virus (WNV) Soluble protein WNV EDIII N. benthamiana Mice—potent humoral and cellular response and protection against WNV challenge ND [63]
2021 WNV Antigen display VLPS Phage AP205-WNV EDIII N. benthamiana Mice—potent humoral response ND [51]
2020 Zika virus (ZIKV) RIC ZIKV mAb and cognate Ag N. benthamiana Mice—strong specific antibody titers correlating with Zika neutralisation ND [57]
2018 Yellow fever virus (YFV) Subunit E alone & E fused to lichenase N. benthamiana Mice & monkeys—strong NAbs stimulated ND [96]
2021 Rotavirus (RV) VLPs VP2, VP6, VP7 N. benthamiana Rats—stimulated robust Nabs Adults, toddlers and infants—IgG response and NAbs in infants [98, 99]
2020 Norovirus (NoV) Not specified Not specified N. benthamiana ND Adults >18 years—results not yet available [138]
2022 NoV VLPs GI & GIII.4 capsid proteins N. benthamiana Rabbits—stimulated strong specific antibody and blocking antibody titers ND [102]
2021 Rabies virus (RABV) Subunit RG2 protein N. benthamiana Mice—stimulated strong specific antibody titers ND [64]
2022 Anthrax Subunit Bacillus anthracis pp-PA83 N. benthamiana

Mice & rabbits—strong NAbs stimulated

Rabbits—protection against B. anthracis challenge

Adults >18 years— seroconverted [66]
2018 Malaria VLPs Pfs25 protein N. benthamiana Mice—strong humoral response and transmission blocking activity Adults >18 years—good antibody responses but low transmission reducing activity [105, 106]
2019 Human papillomavirus (HPV) Chimaeric VLPs HPV-16 L1-L2 N. benthamiana Mice—stimulated HPV-16 L1 NAbs and cross-protection against HPV-58 and -18 ND [43]
2018/2021 Influenza virus VLPs H5N1 of 4 different circulating strains—quadrivalent vaccine N. benthamiana Mice—strong immunity and protection against challenge Adults >18 years—strong HI antibody titers and CD4+ T-cell response [117, 119, 126]
2021 Influenza virus VLPs H5N1 quadrivalent vaccine N. benthamiana ND ND [120]
2021 SARS-CoV-2 VLPs Modified S1 glycoprotein N. benthamiana ND ND [125]
2021 SARS-CoV-2 Antigen display VLPs CoV-RBD121 N. benthamiana Mice—strong NAbs stimulated Approval for Phase I [128]
2021 SARS-CoV-2 VLPs E, M & S1 N. benthamiana ND ND [130]
2020 SARS-CoV-2 Soluble protein S1, RBD & N N. benthamiana Mice—antigen-specific immunogenicity ND [131]
2022 SARS-CoV-2 Soluble protein Truncated S1 N. benthamiana Mice—low cellular and humoral immunogenicity ND [132]
2021 SARS-CoV-2 Subunit RBD fused to human IgG1-Fc N. benthamiana Mice & monkeys—strong NAbs stimulated ND [67, 68]

EdIII envelope protein domain III, HBcAg hepatitis B core antigen, mAb monoclonal antibody, NAbs neutralising antibodies, ND not done, NSP non-structural protein, RBD receptor-binding domain, RIC recombinant immune complex, SC subcutaneous, VLP virus-like particle, WNV West Nile virus