# Challenges and Prospects in the Development of a Universal SARS-CoV-2 Vaccine

**Authors:** Kacper Karczmarzyk, Małgorzata Kęsik-Brodacka

PMC · DOI: 10.3390/vaccines14020173 · Vaccines · 2026-02-13

## TL;DR

Researchers explore how to design a universal SARS-CoV-2 vaccine that offers long-term protection against all variants.

## Contribution

The paper emphasizes conserved epitopes and innovative delivery methods as key to achieving broad vaccine efficacy.

## Key findings

- Nanoparticle-based vaccines show enhanced immunogenicity and broad protection in preclinical models.
- Mucosal vaccine delivery may improve local protection and reduce transmission.
- Next-generation adjuvants boost immune responses beyond traditional formulations.

## Abstract

The development of a universal SARS-CoV-2 vaccine holds great promise for achieving broad and durable protection against existing and future coronavirus variants. The identification, selection, and rational redesign of conserved viral epitopes constitute the direct immunological foundation of universal SARS-CoV-2 vaccine development. The breadth and durability of protection are therefore primarily determined at the level of antigen and epitope design, whereas adjuvants, delivery platforms, and routes of administration serve as enabling and amplifying components rather than primary drivers of universality. Accordingly, this review discusses key determinants of universal vaccine design, including antigen selection, adjuvant utilization, and route of administration. The spike protein, particularly its receptor-binding domain, is a major antigenic target, but its high mutation rate challenges long-term vaccine efficacy. Strategies focusing on conserved epitopes in antigen designs show potential to elicit cross-neutralizing immune responses. Nanoparticle-based vaccines capable of presenting multiple homologous or heterologous antigens have demonstrated enhanced immunogenicity, broad protection in preclinical models and safety in clinical trials. The addition of next-generation adjuvants further amplifies humoral and cellular immunity beyond the capabilities of traditional aluminum-based adjuvants. Moreover, mucosal vaccine delivery may provide superior local protection at viral entry sites and limit transmission. Importantly, integrating these technological advances with epitope-centered antigen design and immunological data from vaccinated individuals will accelerate the identification of conserved epitopes and inform future vaccine design. A multidisciplinary approach combining optimized antigen engineering, novel adjuvant systems, and innovative delivery strategies is essential for the realization of a broadly protective universal SARS-CoV-2 vaccine.

## Linked entities

- **Diseases:** SARS-CoV-2 (MONDO:0100096)

## Full-text entities

- **Genes:** CD4 (CD4 molecule) [NCBI Gene 920] {aka CD4mut, IMD79, Leu-3, OKT4D, T4}, S (surface glycoprotein) [NCBI Gene 43740568] {aka spike glycoprotein}, ORF8 (ORF8 protein) [NCBI Gene 43740577], M (membrane glycoprotein) [NCBI Gene 43740571], IFNB1 (interferon beta 1) [NCBI Gene 3456] {aka IFB, IFF, IFN-beta, IFNB}, ACE2 (angiotensin converting enzyme 2) [NCBI Gene 59272] {aka ACEH}, HLA-A (major histocompatibility complex, class I, A) [NCBI Gene 3105] {aka HLAA}, E (envelope protein) [NCBI Gene 43740570], CD8A (CD8 subunit alpha) [NCBI Gene 925] {aka CD8, CD8alpha, IMD116, Leu2, p32}, HLA-C (major histocompatibility complex, class I, C) [NCBI Gene 3107] {aka D6S204, HLA-JY3, HLAC, HLC-C, MHC, PSORS1}, KRT18 (keratin 18) [NCBI Gene 3875] {aka CK-18, CYK18, K18}, VTN (vitronectin) [NCBI Gene 7448] {aka V75, VN, VNT}, N (nucleocapsid phosphoprotein) [NCBI Gene 43740575]
- **Diseases:** measles (MESH:D008457), autoimmune manifestations (MESH:D012877), smallpox (MESH:D012899), infectious diseases (MESH:D003141), injury to (MESH:D014947), inflammation (MESH:D007249), deaths (MESH:D003643), Coronavirus (MESH:D018352), infected (MESH:D007239), neurological adverse events (MESH:D002318), COVID-19 (MESH:D000086382), varicella (MESH:D002644), rubella (MESH:D012409)
- **Chemicals:** MF59 (MESH:C089950), lipid (MESH:D008055), squalene (MESH:D013185), QS-21 (MESH:C078785), MPL (MESH:C048436), saponin (MESH:D012503), DCFHP (-), aluminum (MESH:D000535), selenium (MESH:D012643), AS03 (MESH:C550253)
- **Species:** Sarbecovirus (subgenus) [taxon 2509511], Gammacoronavirus (genus) [taxon 694013], Merbecovirus (subgenus) [taxon 2509494], Betacoronavirus (genus) [taxon 694002], Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049], Equus caballus (domestic horse, species) [taxon 9796], Human immunodeficiency virus 1 (no rank) [taxon 11676], Severe acute respiratory syndrome-related coronavirus (no rank) [taxon 694009], Coronaviridae (family) [taxon 11118], Orthomyxoviridae (family) [taxon 11308], Human coronavirus HKU1 (no rank) [taxon 290028], Middle East respiratory syndrome-related coronavirus (no rank) [taxon 1335626], Human immunodeficiency virus (species) [taxon 12721], Pseudomonas sp. AN (species) [taxon 534632], Macaca mulatta (rhesus macaque, species) [taxon 9544], human gammaherpesvirus 4 (Epstein Barr virus, no rank) [taxon 10376], Mus musculus (house mouse, species) [taxon 10090], Human papillomavirus (species) [taxon 10566], Cricetus cricetus (black-bellied hamster, species) [taxon 10034], Cricetinae (hamsters, subfamily) [taxon 10026], Clostridium tetani (species) [taxon 1513], Human coronavirus OC43 (no rank) [taxon 31631], Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12945221/full.md

## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12945221/full.md

## References

94 references — full list in the complete paper: https://tomesphere.com/paper/PMC12945221/full.md

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Source: https://tomesphere.com/paper/PMC12945221