Evidence map›Paper›PMID 42288894›Full record

ArticleJournal of translational medicine2026

A decoy virus strategy using plant-produced SARS-CoV-2 virus-like-particles to inhibit infection and lung injury.

Jady Liang, Yu Onodera, Yuchong Li, Jianfeng Wu, Sarah McColman, David T Cramb, Julie Khang, Aye Aye Khine, Ya-Wen Chen, Ori D Rotstein and 3 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Jady LiangKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Yu OnoderaKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Yuchong LiKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Jianfeng WuKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Sarah McColmanKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
David T CrambDepartment of Chemistry and Biology, Faculty of Science, Toronto Metropolitan University, Toronto, ON, Canada.
Julie KhangKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Aye Aye KhineKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Ya-Wen ChenBlack Family Stem Cell Institute, Department of Cell, Developmental and Regenerative Biology, Icahn School of Medicine at Mount Sinai, New York, USA.
Ori D RotsteinKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Samira MubarekaDepartment of Medical Microbiology and Infectious Disease, Sunnybrook Health Science Centre, Toronto, ON, Canada.
Arthur S SlutskyKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Haibo ZhangKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada. haibo.zhang@unityhealth.to.ORCID 0000-0002-1714-3038

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rapid emergence of highly transmissible and immune-evasive SARS-CoV-2 variants, including Omicron lineage strains, has reduced the effectiveness of existing vaccines and antiviral therapies. Safe and rapidly deployable biologics capable of limiting viral entry and attenuating early inflammatory responses remains needed, particularly for high-risk exposure settings.

methodsWe evaluated engineered non-replicating SARS-CoV-2 virus-like particles (VLPs), which structurally mimic the native virus, for antiviral and immunomodulatory effects in human induced pluripotent stem cell (iPSC)-derived lung organoids and K18-hACE2 transgenic mice. Cytopathic effects, viral RNA levels, cytokine expression, and lung pathology were quantified, while biodistribution and acute safety were assessed by fluorescence imaging and inflammatory profiling.

resultsPre-exposure of lung organoids to VLPs attenuated SARS-CoV-2-induced cytopathic injury, reduced viral replication and IL-6 expression, and preserved epithelial integrity. Intranasal administration in K18-human angiotensin-converting enzyme 2 (ACE2) mice achieved uniform pulmonary distribution without acute inflammatory responses. A single pre-exposure prophylaxis dose of high-titer VLPs reduced viral burden and IL-6 levels, attenuated lung injury, and improved clinical parameters. Fluorescent VLPs co-localized with ACE2 and underwent cellular uptake in Calu-3 cells, supporting a competitive decoy mechanism, while preservation of ACE2 expression in vivo suggested reduced virus-induced ACE2 downregulation.

conclusionsSARS-CoV-2 VLPs function as safe, non-replicating biologics that limit viral entry and attenuate downstream inflammation under pre-exposure conditions. Their stability, scalability, and intranasal support further development as a pre-exposure prophylactic strategy, while additional studies are required to determine efficacy against contemporary variants and under post-exposure conditions.

Indexed as

COVID-19Lung InjurySARS-CoV-2Angiotensin-Converting Enzyme 2AnimalsAntiviral AgentsFemaleHumansInduced Pluripotent Stem CellsLungMiceMice, TransgenicOrganoidsVirus ReplicationACE2 protein, humanAngiotensin-Converting Enzyme 2Antiviral AgentsCOVID-19Decoy agentsMedical countermeasuresProphylaxisTherapeutic intervention

Identifiers

PMID42288894
PMCPMC13501699

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.