George F. Gao’s research while affiliated with Beijing Film Academy and other places

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Publications (793)


A SARS‐CoV and SARS‐CoV‐2 RBD Heterodimer Vaccine Candidate
  • Article

May 2025

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3 Reads

Journal of Medical Virology

Rong Zhang

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Dedong Li

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Pengyue Gao

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[...]

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George F. Gao

The continuous evolution of SARS‐CoV‐2 through accumulating mutations, combined with the persistent risk of zoonotic sarbecovirus transmission events, highlights the critical demand for broadly protective vaccines. Building on our previous findings that a heterodimeric receptor‐binding domain (RBD) design substantially improves cross‐reactive immunogenicity in vaccine candidates, we propose this strategy as a foundation for developing pan‐sarbecovirus vaccines with cross‐neutralizing capacity against diverse and emerging variants. In this study, we developed a sarbecovirus immunogen, utilizing a heterodimeric strategy incorporating the RBDs from both SARS‐CoV and SARS‐CoV‐2. Pseudovirus neutralization assays revealed that mice immunized with the SARS‐CoV‐2 prototype (PT)‐SARS‐CoV heterodimer (PT‐SARS) developed 39.9‐ to 305.6‐fold higher neutralizing antibody (NAb) titers against SARS‐CoV‐2 sub‐variants compared to the SARS‐CoV RBD homodimer (SARS‐SARS). Furthermore, PT‐SARS elicited 17.6‐ and 31.2‐fold enhanced neutralization against WIV1 and SARS‐CoV, respectively, relative to the SARS‐CoV‐2 PT homodimer (PT‐PT). To address evolving Omicron sub‐variants, we further updated BA.1‐SARS and BA.2‐SARS immunogens. Notably, BA.2‐SARS exhibited a 6.2‐fold increase in neutralizing potency against BA.2.86 compared to PT‐SARS. Crucially, the heterodimeric immunogen induced balanced and broadly reactive NAbs against multiple sarbecoviruses, including RaTG13, Pangolin GD, SARS‐CoV, and SARS‐CoV‐2 variants/sub‐variants, demonstrating its potential as a sarbecovirus immunogen candidate.



Structural basis of DNA replication fidelity of the Mpox virus

March 2025

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33 Reads

Proceedings of the National Academy of Sciences

The Mpox virus (MPXV) is an orthopoxvirus that caused a global outbreak in 2022. The poxvirus DNA polymerase complex is responsible for the replication and integrity of the viral genome; however, the molecular mechanisms underlying DNA replication fidelity are still unclear. In this study, we determined the cryoelectron microscopy (cryo-EM) structures of the MPXV F8–A22–E4 polymerase holoenzyme in its editing state, in complex with mismatched primer–template DNA and DNA containing uracil deoxynucleotide. We showed that the MPXV polymerase has a similar replication-to-edit transition mechanism to proofread the mismatched nucleotides like the B-family DNA polymerases of other species. The unique processivity cofactor A22–E4 undergoes conformational changes in different working states and might affect the proofreading process. Moreover, we elucidated the base excision repair (BER) function of E4 as a uracil-DNA glycosylase and the coupling mechanism of genome replication and BER, characteristic of poxviruses. Our findings greatly enhance our molecular understanding of DNA replication fidelity of orthopoxviruses and will stimulate the development of broad-spectrum antiviral drugs.


Figure 3. Receptor binding properties and molecular characteristics of the human-
Figure legends:
A human-infecting H10N5 avian influenza virus: Clinical features, virus reassortment, receptor-binding affinity, and possible transmission routes
  • Article
  • Full-text available

March 2025

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48 Reads

Journal of Infection

Download

Microbial relative abundance and histopathological changes in affected birds. (A) The heatmap of microbial relative abundance in each sample. Organ samples were collected from six dead wild birds, with the same organs mixed together for meta‐transcriptomic sequencing, as well as the throat and cloacal swabs. Sequencing data from the 12 samples (lung, intestine, heart, spleen, kidney, liver, and six swabs) were analyzed. BHG, black headed gull; CS, common shelduck; K, throat swab; GK, throat and cloacal mixed swab; RS, ruddy shelduck. (B–D) Histopathological changes detected by hematoxylin and eosin (H&E) staining of dead birds. The small intestine and lung tissues of CS (B) and RS (C,D) showed typical lesions, including lymphocyte infiltration, cellulose exudation, intestinal mucosa shedding, and severe congestion of lung tissue. Scale bars, 100 μm.
Avian tuberculosis identified as the potential disease in an outbreak in wild migratory birds in China

February 2025

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33 Reads

Impact statement This study identifies avian tuberculosis as a potential cause of mass mortality in wild migratory birds in Inner Mongolia, China. Combining meta‐transcriptomic sequencing and histopathological analysis, it reveals one of the rare instances of tuberculosis‐associated outbreaks in avian populations. These findings underscore the importance of surveillance on wildlife diseases to mitigate the risk of interspecies transmission of the disease associated pathogens and their broader implications for biodiversity and public health.


Structural basis of receptor-binding adaptation of human-infecting H3N8 influenza A virus

February 2025

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24 Reads

Recent avian-origin H3N8 influenza A virus (IAV) that have infected humans pose a potential public health concern. Alterations in the viral surface glycoprotein, hemagglutinin (HA), are typically required for IAVs to cross the species barrier for adaptation to a new host, but whether H3N8 has adapted to infect humans remains elusive. The observation of a degenerative codon in position 228 of HA in human H3N8 A/Henan/4-10/2022 protein sequence, which could be residue G or S, suggests a dynamic viral adaptation for human infection. Previously, we found this human-isolated virus has shown the ability to transmit between ferrets via respiratory droplets, with the HA-G228S substitution mutation emerging as a critical determinant for the airborne transmission of the virus in ferrets. Here, we investigated the receptor-binding properties of these two H3N8 HAs. Our results showed H3N8 HAs have dual receptor-binding properties with a preference for avian receptor binding, and G228S slightly increased binding to human receptors. Cryo-electron microscopy structures of the two H3N8 HAs with avian and human receptor analogs revealed the basis for dual receptor binding. Mutagenesis studies reveal that the Q226L mutation shifts H3N8 HA’s receptor preference from avian to human, while the G228S substitution enhances binding to both receptor types. H3N8 exhibits distinct antigenic sites compared to H3N2, prompting concerns regarding vaccine efficacy. These findings suggest that the current H3N8 human isolates are yet to adapt for efficient human-to-human transmission and further continuous surveillance should be implemented. IMPORTANCE Influenza virus transmission remains a public health concern currently. H3N8 subtype influenza A viruses infect humans and their HAs acquire the ability to bind to both human and avian receptors, posing a threat to human health. We have solved and analyzed the structural basis of dual receptor binding of recently human-infecting H3N8 HA, and we demonstrate that the G228S enhances human receptor binding and adaptation. We also found that HN/4-10 H3N8 HA has distinct antigenic sites, which challenges vaccine efficacy. Taken together, our work is critical to the prevention and control of human H3 influenza virus infection.



A Structural Voyage Toward the Landscape of Humoral and Cellular Immune Escapes of SARS‐CoV‐2

February 2025

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52 Reads

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1 Citation

Immunological Reviews

The genome‐based surveillance of severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) in the past nearly 5 years since its emergence has refreshed our understanding of virus evolution, especially on convergent co‐evolution with the host. SARS‐CoV‐2 evolution has been characterized by the emergence of sets of mutations that affect the functional properties of the virus by altering its infectivity, virulence, transmissibility, and interactions with host immunity. This poses a huge challenge to global prevention and control measures based on drug treatment and vaccine application. As one of the key evasion strategies in response to the immune profile of the human population, there are overwhelming amounts of evidence for the reduced antibody neutralization of SARS‐CoV‐2 variants. Additionally, data also suggest that the levels of CD4⁺ and CD8⁺ T‐cell responses against variants or sub‐variants decrease in the populations, although non‐negligible cross‐T‐cell responses are maintained. Herein, from the perspectives of structural immunology, we outline the characteristics and mechanisms of the T cell and antibody responses to SARS‐CoV and its variants/sub‐variants. The molecular bases for the impact of the immune escaping variants on the interaction of the epitopes with the key receptors in adaptive immunity, that is, major histocompatibility complex (MHC), T‐cell receptor (TCR), and antibody are summarized and discussed, the knowledge of which will widen our understanding of this pandemic‐threatening virus and assist the preparedness for Pathogen X in the future.



T cell immune evasion by SARS-CoV-2 JN.1 escapees targeting two cytotoxic T cell epitope hotspots

January 2025

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42 Reads

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3 Citations

Nature Immunology

Although antibody escape is observed in emerging severe acute respiratory syndrome coronavirus 2 variants, T cell escape, especially after the global circulation of BA.2.86/JN.1, is unexplored. Here we demonstrate that T cell evasion exists in epitope hotspots spanning BA.2.86/JN.1 mutations. The newly emerging Q229K at this conserved nucleocapsid protein site impairs HLA-A2 epitope hotspot recognition. The association between HLA-A24 convalescents and T cell immune escape points to the spike (S) protein epitope S448–456NYNYLYRLF, with multiple mutations from Delta to JN.1, including L452Q, L452R, F456L, N450D and L452W, and N450D, L452W and L455S. A cliff drop of immune responses was observed for S448–456NYNYRYRLF (Delta/BA.5.2) and S448–456NYDYWYRSF (JN.1), but with immune preservation of S448–456NYDYWYRLF (BA.2.86). Structural analyses showed that hydrophobicity exposure determines the pronounced escape of L452R and L455S mutants, which was further confirmed by T cell receptor binding. This study highlights the characteristics and molecular mechanisms of the T cell immune escape for JN.1 and provides new insights into understanding the dominant circulation of variants, from the viewpoint of cytotoxic T cell evasion.


Citations (70)


... The variant spikes exhibited relatively similar sensitivities to the human ACE2 mutants tested within our panel, so any adaptations to human ACE2 binding were likely minor tweaks rather than gross shifts in compatibility. This is also reflected in more traditional binding affinity measurements made between purified SARS-CoV-2 spike RBDs and human ACE2, wherein the published dissociation constant (K D ) values for SARS-CoV-2 spike variant RBDs interacting with human ACE2 consistently measured in the low nM range [25,26] . In contrast, some spike mutations, such as E484K present in the Beta and Gamma RBDs, abolish binding to certain spike-targeting antibodies [27,28] . ...

Reference:

Pseudotyped virus infection of multiplexed ACE2 libraries reveals SARS-CoV-2 variant shifts in receptor usage
Higher binding affinity and structural basis of human ACE2 to currently-circulating Omicron SARS-CoV-2 sub-variants BA.2 and BA.1.1
  • Citing Article
  • February 2025

... During the SARS-CoV-2 global pandemic there were spill-back infections from animals to humans resulting new viral variants such as mink-adapted SARS-CoV-2 [45]. There were also reports of many different zoo species contracting SARS-CoV-2 infections from human to animal transmission [46,47]. This emphasized the importance of the ability to vaccinate animal species alongside humans to minimise virus transmission and evolution. ...

A brief history of human infections with H5Ny avian influenza viruses
  • Citing Article
  • February 2025

Cell Host & Microbe

... A major evolutionary shift occurred in late 2021, with the emergence of the Omicron BA.1 variant that differed by more than 32 amino acids in the Spike glycoproteins from previous strains [7]. Since then, all the dominant SARS-CoV-2 variants have been phylogenetically derived from Omicron, with adaptation to preexisting immunity becoming a major selective pressure for variant replacement [8] [9]. ...

A Structural Voyage Toward the Landscape of Humoral and Cellular Immune Escapes of SARS‐CoV‐2

Immunological Reviews

... Raloxifene has shown promising results in treating Ebola, influenza A, and hepatitis C viruses, while also displaying potential for repurposing against SARS-CoV-2 infection [27][28][29]. Notably, RdRP plays a crucial role in the proliferation of SARS-CoV-2 [30], hepatitis C [31], influenza A [32], and Ebola [33] viruses. Our computational findings suggesting that raloxifene can inhibit RdRP activity provide a mechanistic explanation for its previously observed broad antiviral properties, indicating that raloxifene may prevent viral proliferation through RdRP inhibition. ...

Influenza A virus NS2 protein acts on vRNA-resident polymerase to drive the transcription to replication switch

Nucleic Acids Research

... This is evident from the close association between MHC-I surface expression and the adaptive immune response to virus-infected cells. Previous studies have reported that many viruses reduce MHC-I surface expression to evade T cell recognition (9)(10)(11). Mechanisms such as inhibition of proteasome function, TAPmediated transport, retention of MHC-I in the ER, and interference with MHC-I synthesis and degradation regulate MHC-I surface expression. ...

T cell immune evasion by SARS-CoV-2 JN.1 escapees targeting two cytotoxic T cell epitope hotspots

Nature Immunology

... Natural infection and animal experiments showed that cats are susceptible to SARS-CoV-2, but only present mild symptoms [57,58]. In our recent study, we conducted a comparative structural analysis involving cat MHC class I molecule FLA-K*00701 complexed to one peptide derived from SARS-CoV-2 and its corresponding peptide at the same position of FECV, which exhibit variations at positions P3 and P4 of the peptides [59]. The overall structures of the two peptides showed strikingly similar conformations when presented by FLA-K*00701. ...

Precise motif and cross-presentation of coronavirus peptides by feline MHC class I: implications for the mild infection of SARS-CoV-2
  • Citing Article
  • January 2025

The Journal of Immunology

... This H5N1 virus quickly spread to dairy herds in 11 states, and bovine-to-human transmission subsequently occurred (Garg et al., 2024). As of 17 January 2025, there have been 67 cases of human infection with H5N1 avian influenza viruses from dairy cattle (Song et al., 2025). The US Centers for Disease Control and Prevention (CDC)also found that the viral hemagglutinin (HA) protein from California's recently confirmed H5N1 avian influenza cases had undergone different changes, and HA glutamine(Q)226leucine(L) mutation enhanced virus replication . ...

Receptor binding, structure, and tissue tropism of cattle-infecting H5N1 avian influenza virus hemagglutinin
  • Citing Article
  • January 2025

Cell

... Structural studies showed that key mutations in the RBD improved the ability to bind to the ACE2 receptor and avoid neutralizing antibodies [34,35]. KP.2, a descendant of JN.1, emerged with additional mutations, such as R346T and F456L, which further boosted its ability to evade immunity and spread more efficiently [36][37][38]. Similarly, KP.3, another subvariant of JN.1, carried mutations like Q493E and F456L, which worked together to strengthen ACE2 binding and increase resistance to antibodies [39-41]. ...

Neutralization of SARS-CoV-2 KP.1, KP.1.1, KP.2 and KP.3 by human and murine sera

npj Vaccines

... While considerable research has focused on the predictable assembly of gut microbiota in healthy infants [4][5][6][7][8][9][10][11], environmental factors, including maternal microbiome [12,13], lifestyle [4,14] and pathogenic infections [15][16][17], profoundly shape the gut microbiome. Among these factors, the ongoing implications of COVID- 19 have become particularly concerning, especially regarding long COVID, which affects 10% to 30% of individuals in China even five years after the pandemic began [18]. Despite increasing attention, the role of gut microbiota dysfunction as a mechanism behind long COVID remains poorly understood [19,20]. ...

Long COVID facts and findings: a large-scale online survey in 74,075 Chinese participants

The Lancet Regional Health - Western Pacific

... In another research, Kong et al. (2024) developed trivalent mRNA-LNP vaccines that encode single-chain immunogens containing soluble regions of the MPXV antigens A35R, B6R, and M1R; these vaccines were called AMAB-wt, AMAB-C140S, and AMB-C140S. Strong neutralizing antibodies against VACV and MPXV were noticed with the three vaccines. ...

Single-chain A35R-M1R-B6R trivalent mRNA vaccines protect mice against both mpox virus and vaccinia virus

EBioMedicine