COVID-19 vaccination: The road ahead

Science. 2022 Mar 11;375(6585):1127-1132. doi: 10.1126/science.abn1755. Epub 2022 Mar 10.

Abstract

A diverse array of successful, first-generation SARS-CoV-2 vaccines have played a huge role in efforts to bring the COVID-19 pandemic under control, even though inequitable distribution still leaves many vulnerable. Additional challenges loom for the next phase. These include optimizing the immunological rationale for boosting-how often and with what-and the best approaches for building a future-proofed, durable immune repertoire to protect against oncoming viral variants, including in children. The landscape of vaccine producers and technologies is likely to become even more heterogeneous. There is a need now for appraisal of future approaches: While some favor frequent boosting with the first-generation, ancestral spike vaccines, others propose frequent readjustment using current variant sequences, polyvalent vaccines, or pan-coronavirus strategies.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Antigens, Viral / genetics
  • Antigens, Viral / immunology
  • COVID-19 / prevention & control*
  • COVID-19 Vaccines* / administration & dosage
  • COVID-19 Vaccines* / adverse effects
  • COVID-19 Vaccines* / immunology
  • Child
  • Humans
  • Immune Evasion
  • Immunization, Secondary*
  • Immunogenicity, Vaccine
  • Mass Vaccination
  • SARS-CoV-2 / immunology
  • SARS-CoV-2 / pathogenicity
  • Vaccination Hesitancy
  • Vaccine Development

Substances

  • Antigens, Viral
  • COVID-19 Vaccines

Supplementary concepts

  • COVID-19 vaccine booster shot
  • SARS-CoV-2 variants