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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front. Med.    2023, Vol. 17 Issue (6) : 1096-1116    https://doi.org/10.1007/s11684-023-1034-6
Innovation-driven trend shaping COVID-19 vaccine development in China
Yuntao Zhang1, Yuxiu Zhao1, Hongyang Liang1, Ying Xu1, Chuge Zhou1, Yuzhu Yao1, Hui Wang1(), Xiaoming Yang1,2()
1. China National Biotec Group Company Limited, Beijing 100029, China
2. National Engineering Technology Research Center of Combined Vaccines, Wuhan 430207, China
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Abstract

Confronted with the coronavirus disease 2019 (COVID-19) pandemic, China has become an asset in tackling the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission and mutation, with several innovative platforms, which provides various technical means in this persisting combat. Derived from collaborated researches, vaccines based on the spike protein of SARS-CoV-2 or inactivated whole virus are a cornerstone of the public health response to COVID-19. Herein, we outline representative vaccines in multiple routes, while the merits and plights of the existing vaccine strategies are also summarized. Likewise, new technologies may provide more potent or broader immunity and will contribute to fight against hypermutated SARS-CoV-2 variants. All in all, with the ultimate aim of delivering robust and durable protection that is resilient to emerging infectious disease, alongside the traditional routes, the discovery of innovative approach to developing effective vaccines based on virus properties remains our top priority.

Keywords SARS-CoV-2      COVID-19 vaccine      vaccine development     
Corresponding Author(s): Hui Wang,Xiaoming Yang   
Just Accepted Date: 14 November 2023   Online First Date: 18 December 2023    Issue Date: 06 February 2024
 Cite this article:   
Yuntao Zhang,Yuxiu Zhao,Hongyang Liang, et al. Innovation-driven trend shaping COVID-19 vaccine development in China[J]. Front. Med., 2023, 17(6): 1096-1116.
 URL:  
https://academic.hep.com.cn/fmd/EN/10.1007/s11684-023-1034-6
https://academic.hep.com.cn/fmd/EN/Y2023/V17/I6/1096
Fig.1  Schematic diagram of the SARS-CoV-2 virus particle and spike (S) protein. A schematic representation shows the SARS-CoV-2 and spike, the residue numbers of each region correspond to their positions in the S proteins of SARS-CoV-2.
Fig.2  An overview of the different platforms in vaccine development against COVID-19. A schematic representation shows the traditional vaccine platforms that are widely used in public health, and next-generation platforms, where very few have been licensed for use. COVID-19 vaccine tracker and landscape (who.int) are available to follow these representative vaccines through the clinical development and licensing process.
Type Name of vaccine Manufacturer Development stage References
Inactivated vaccine BBIBP-CorV Sinopharm/Beijing Institute of Biological Products Conditional market approval [23]
CoronaVac Sinovac Biotech Conditional market approval [24]
WIBP-CorV/COVILO Sinopharm/Wuhan Institute of Biological Products Conditional market approval [25]
KCONVAC Shenzhen Kangtai Biological Products EUA in China [26]
IMBCAMS, China Institute of Medical Biology, Chinese Academy of Medical Sciences EUA in China [27]
Protein subunit vaccine SCB-2019 Clover Biopharmaceuticals EUA in China [28]
ZF2001 Zhi Fei Biological + Institute of Microbiology, Chinese Academy of Sciences EUA in China [29]
V-01 Zhuhai Lizumab Biotechnology + Institute of Biophysics, Chinese Academy of Sciences EUA in China [30]
ReCOV Reike Biology EUA in Mongolia [31]
Viral vector vaccine Ad5-nCoV/Convidecia CanSino Biologics Conditional market approval [32]
Influenza Virus Vector COVID-19 Vaccine for Intranasal Spray WANTAI BioPharm + Xiamen University + University of Hong Kong EUA in China [33]
SYS6006 CSPC Pharmaceutical Group EUA in China [34]
AWcorna/ARCoV Walvax Biotechnology + Abogen Biosciences Phase 3 [35]
LVRNA009 AIM Vaccine Phase 2/3 [36]
Nucleic acid vaccine (DNA) INO-4800 Inovio Pharmaceuticals (USA) + Advaccine Biopharmaceuticals Phase 3 [37]
Tab.1  Representative COVID-19 vaccines approved or in clinical stage in China (as of March 2023)
VOC Origin/detected time Mutations on Spike Transmissibility (compared with W.T.) Immunity evasion
Alpha (B.1.1.7) U.K., 2020.9 Δ69/70,E484K, N501Y, D614G, P681H Increased affinity of spike protein to ACE2 receptor [111] Increased [112]
Beta (B.1.351) South Africa, 2020.9 K417N, E484K, N501Y, D614G, A701V Improved binding affinity to the ACE2 receptor, higher risk of transmission [113] Reduced neutralization by mAb, recovery serum and post-vaccination serum [114]
Gamma (P.1) Brazil, 2020.12 K417T, E484K, N501Y, D614G, H655Y Increased [115] Reduced neutralization by mAb, recovery serum and post-vaccination serum [116]
Delta (B.1.617.2) India, 2020.12 L452R, T478K, D614G, P681R Better human adaptability, faster transmission, higher viral load [117] Slightly increased [118]
Omicron Shared substitutions
G142D, G339D, S373P, S375F, K417N, N440K, S477N, T478, E484A, Q493R, Q498R, N501Y, Y55H, D614G, H655Y, N679K, P681H, N764K, D796Y, Q954H, N969K
Rapid transmission, higher infectivity, significantly lower rate of severe illness, risk of reinfection [118,119] Reduced vaccine protection, reduced protection of previous infection [104108]
BA.1 South Africa, 2021.11 A67V, △69-70, T95I, △143-145, △211,Ins214EPE, S371L, G446S, G486S, T547K, N856K, L981F
BA.2 South Africa, 2021.12 T19I, L24S, △25-27, V213G, S371F, T376A, D405N, R408S
BA.4/5 South Africa, 2021.12–2022.4 BA.2 +△69-70, L452R, F486V, Q493
BF.7 India, 2022.9 BA.4/5+R346T
XBB U.S., 2022.9 V83A, 144, H146Q, Q183E, V213E, G339H, R346T, L368I, V445P, G446S, N460K, F486S, F490S, R493Q
Tab.2  Summary of major variants of concern (VOC) for SARS-CoV-2
Vaccine type Manufacturer Target Development stage
Inactived vaccine Sinopharm (Beijing) Omicron Approval for clinical trials
Sinopharm (Wuhan) Omicron Approval for clinical trials
Sinovac Omicron Approval for clinical trials
mRNA vaccine Sinopharm (Virogin ) Omicron Approval for clinical trials
RHEGEN Omicron Approval for clinical trials
Haichang Bio Omicron FDA IND Application
Walvax/Abogenbio Omicron Approval for clinical trials
CSPC (SYS6006) Omicron BA.5 EUA in China
Moderna Omicron (mRNA-1273.529) Bivalent vaccine against Omicron was approved for EUA in the U.S.
Prototype+Beta (mRNA-1273.211)
Beta+Delta (mRNA-1273.213)
Delta (mRNA-1273.617.2)
Prototype+Delta (mRNA-1273.214)
Prototype+Omicron BA.1
Prototype+Omicron BA.4/BA.5
Pfizer-BioNTech Prototype+Omicron BA.1 Bivalent vaccine against Omicron was approved for EUA in the U.S.
Prototype+Omicron BA.2
Prototype+Omicron BA.4/BA.5
StemiRNA Including D614G EUA in Laos
Inactived vaccine Sinopharm (Beijing) HB02-Delta-OmicronHB02-OmicronDelta-OmicronHB02-Omicron (BA.5) Pre-Clinical
Sinovac HB02-Delta-Omicron Approval for clinical trials
Recombinant subunit vaccine Sinopharm (Beijing) HB02-Delta-Gamma EUA in UAE
SinoCellTechSCTV01CSCTV01E Alpha/Beta S Trimer EUA in China
Alpha/Beta/Delta/Omicron S Trimer
Novavax Prototype+Omicron Clinical trial III
Livzon Beta+Delta Pre IND
ZFSW Delta-Omicron Pre IND
Adenovirus vectored vaccine CanSinoBIO Prototype+Omicron BA.4/BA.5 Approval for clinical trials
Tab.3  Representative vaccine targeted VOCs in development
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