Evidence map›Paper›PMID 42506605›Full record

ArticleVaccines2026

Rationally Modified SARS-CoV-2 Spike Protein Impairs ACE2 Binding While Preserving Immunogenicity in Mice.

Elia Tamagnini, Luca Simonelli, Martin Palus, Tanja Rezzonico Jost, Edoardo Lazzarini, Davide Mangani, Václav Hönig, Markéta Dvořáková, Dominik Arbon, Federica Gambini and 6 more

Abstract read
In one paragraph

Article in Vaccines, 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
–field-weighted citation impact
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

16 authors.

Elia TamagniniInstitute for Research in Biomedicine, Università della Svizzera italiana (USI), 6500 Bellinzona, Switzerland.
Luca SimonelliInstitute for Research in Biomedicine, Università della Svizzera italiana (USI), 6500 Bellinzona, Switzerland.
Martin PalusLaboratory of Arbovirology, Institute of Parasitology, Biology Centre of the Czech Academy of Sciences, CZ-37005 České Budějovice, Czech Republic.ORCID 0000-0002-4279-7092
Tanja Rezzonico JostInstitute of Oncology Research, 6500 Bellinzona, Switzerland.ORCID 0009-0000-2146-2237
Edoardo LazzariniInstitute for Translational Research (IRT), Faculty of Biomedical Sciences, Università Svizzera Italiana (USI), Ente Ospedaliero Cantonale (EOC), 6500 Bellinzona, Switzerland.ORCID 0000-0001-6369-5442
Davide ManganiInstitute for Research in Biomedicine, Università della Svizzera italiana (USI), 6500 Bellinzona, Switzerland.ORCID 0000-0001-5297-0234
Václav HönigLaboratory of Arbovirology, Institute of Parasitology, Biology Centre of the Czech Academy of Sciences, CZ-37005 České Budějovice, Czech Republic.ORCID 0000-0003-0469-4604
Markéta DvořákováLaboratory of Arbovirology, Institute of Parasitology, Biology Centre of the Czech Academy of Sciences, CZ-37005 České Budějovice, Czech Republic.ORCID 0009-0000-0276-9065
Dominik ArbonCzech Centre for Phenogenomics, Institute of Molecular Genetics of the Czech Academy of Sciences, 252 50 Vestec, Czech Republic.ORCID 0000-0002-2459-5446
Federica GambiniLaboratory of Transgenic Models of Diseases, Institute of Molecular Genetics of the Czech Academy of Sciences, 142 20 Prague, Czech Republic.
Sara LestaniInstitute for Research in Biomedicine, Università della Svizzera italiana (USI), 6500 Bellinzona, Switzerland.ORCID 0009-0000-9485-7838
Fabio GrassiNational Institute for Molecular Genetics "Romeo ed Enrica Invernizzi" INGM, 20122 Milan, Italy.ORCID 0000-0003-3348-1712
Lucio BarileInstitute for Translational Research (IRT), Faculty of Biomedical Sciences, Università Svizzera Italiana (USI), Ente Ospedaliero Cantonale (EOC), 6500 Bellinzona, Switzerland.ORCID 0000-0002-5827-0439
Mattia PedottiInstitute for Research in Biomedicine, Università della Svizzera italiana (USI), 6500 Bellinzona, Switzerland.
Radislav SedlacekCzech Centre for Phenogenomics, Institute of Molecular Genetics of the Czech Academy of Sciences, 252 50 Vestec, Czech Republic.ORCID 0000-0002-3352-392X
Luca VaraniInstitute for Research in Biomedicine, Università della Svizzera italiana (USI), 6500 Bellinzona, Switzerland.

Funding

Czech Academy of Sciences 'Development of modern vaccines against viral infections, Strategy AV21-Virology and Antiviral TherapySPOPROVIR - Centre for Applied Research and Development of Diagnostic and Thera-peutic Procedures and Surveillance of Viral Infectious Disease CZ.02.01.01/00/23_021/0012621SPOPROVIR - Centre for Applied Research and Development of Diagnostic and Thera-peutic Procedures and Surveillance of Viral Infectious Disease and European Union CZ.02.01.01/00/23_020/0008499Swiss National Science Foundation 310030E_205323
6 · The paper itself

Abstract

backgroundWhile vaccines are designed to elicit targeted immune responses, in some cases, the immunogenic molecules employed can inherently interact with broader host cellular pathways as a secondary consequence. This phenomenon can be exemplified by COVID-19 vaccines. COVID-19 vaccines, including mRNA platforms, use the SARS-CoV-2 spike protein as an immunogen to induce the production of neutralizing antibodies. The spike protein binds the ACE2 (angiotensin-converting enzyme 2) receptor on human cells, mediating viral entry and infection. ACE2 is widely expressed across multiple tissues and is a key component of the renin-angiotensin-aldosterone system (RAAS) that acts as a homeostatic regulator of systemic and local blood flow, blood pressure, cardiac function, fluid balance and immunity. Some studies have proposed the interaction between the spike protein and ACE2 as a possible contributing factor to rare adverse effects observed following COVID-19 vaccination, including myocarditis, pericarditis, thrombosis, and reported alterations in blood pressure, though these mechanisms remain to be fully elucidated.

objectivesAs a proof-of-concept approach in vaccine antigen development, we engineered SARS-CoV-2 spike mutants with impaired binding to the host receptor ACE2.

methodsBy rational design, we produced and validated in vitro and in vivo spike point mutants that do not effectively bind ACE2.

resultsThe engineered spike mutants do not effectively bind the human entry receptor ACE2 while retaining the immunogenic properties equal to or better than the wild type spike and thus generate a protective response in animals when used as a vaccination agent.

conclusionsBy establishing a straightforward molecular strategy for rational vaccine design, this work demonstrates the feasibility of limiting specific antigen-host receptor interactions while maintaining immunogenicity. This approach may be applicable to future vaccination strategies where antigen interaction with host cells could potentially interfere with physiological pathways.

Indexed as

ACE2 receptoroff-target interferenceprotein engineeringSARS-CoV-2spike proteinvaccine design

Identifiers

PMID42506605
PMCPMC13418380

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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.