supporting this possibility. First, EM images
of ab-propiolactone–inactivated SARS-CoV-2
virus preparation purified by a potassium
tartrate–glycerol density gradient appeared
to have lost all S1 subunits, leaving only the
postfusion S2 on the virion surfaces ( 43 ). Like-
wise, EM images of ab-propiolactone–inactivated
SARS-CoV-2 virus vaccine candidate (PiCoVacc)
also showed needle-like spikes on its surfaces
( 44 ). Second, spontaneous shedding of SARS-
CoV-2 S1 from pseudoviruses in the absence of
ACE2 has been reported ( 39 ). Third, binding
antibodies against S2 are readily detectable
in COVID-19 patients ( 45 ), suggesting that S2
is more exposed to the host immune system
than indicated by the unprotected surfaces on
the prefusion structures ( 22 , 23 ) (Fig. 2). We
therefore suggest that postfusion S2 trimers
may have a protective function by constituting
part of the crown on the surface of mature and
infectious SARS-CoV-2 virion (Fig. 5). The
postfusion S2 spikes are probably formed after
spontaneous dissociation of S1 independently
of the target cells.
Membrane fusion
We identify a structure near the fusion pep-
tide, the FPPR, that may play a critical role
in the fusogenic structural rearrangements of
the S protein. There appears to be cross-talk
between the RBD and the FPPR, mediated by
CTD1, because a structured FPPR clamps down
the RBD whereas an RBD-up conformation
disorders the FPPR. Moreover, the FPPR is
close to the S1/S2 boundary and the S2' cleav-
age site and thus might be the center of ac-
tivities relevant to conformational changes in
S. One possibility is that one FPPR occasion-
ally flips out of position due to intrinsic pro-
tein dynamics, allowing the RBDs to sample
the up conformation. A fluctuation of this kind
would loosen the entire S trimer, as observed in
modified soluble S trimer constructs ( 22 , 23 ).
Once an RBD is fixed in the up position by
binding to ACE2 on the surface of a target cell,
a flexible FPPR may enable exposure of the S2'
cleavage site immediately upstream of the ad-
jacent fusion peptide. The phenotype of the
D614G mutation appears to be consistent
with the notion that the FPPR is involved in
membrane fusion ( 39 , 40 ). Cleavage at the
S2' site releases the structural constraints on
the fusion peptide, which may initiate a cas-
cade of refolding events in S2, including for-
mation of the long, central, three-stranded
coiled coil; folding back of HR2; and ultimately
membrane fusion. Cleavage at the S1/S2 site
allows complete dissociation of S1, which may
also facilitate S2 refolding.
Questions regarding membrane fusion re-
main because the regions near the viral mem-
brane are still not visible in the reconstructions.
However, these regions all play critical struc-
tural and functional roles. For example, the
conserved hydrophobic region immediately
preceding the TM domain, and possibly the
TM itself, have been shown to be crucial for
S protein trimerization and membrane fu-
sion ( 31 ). The cytoplasmic tail, containing a
palmitoylated, cysteine-rich region, is believed
to be involved in viral assembly and cell-cell
fusion ( 32 – 35 ). Whether other viral proteins,
such as M protein, may help to stabilize the
spike by interacting with HR2 remains an open
question. Thus, we still need a high-resolution
structureofanintactSproteininthecontext
of the membrane and other viral components
to answer such questions.
Considerations for vaccine development
Asafeandeffectivevaccineistheprimarymed-
ical option to reduce or eliminate the threat
posed by SARS-CoV-2. The first round of vac-
cine candidates with various forms of the S
protein of the virus are passing rapidly through
preclinical studies in animal models and clin-
ical trials in humans. Our study raises several
potential concerns about the current vaccine
strategies. First, vaccines using the full-length
wild-typesequenceoftheSproteinmayproduce
the various forms in vivo that we have observed
here. The postfusion conformations could ex-
pose immunodominant, non-neutralizing epi-
topes that distract the host immune system, as
documented for other viruses such as HIV-1
and RSV ( 46 , 47 ). Second, the approach to sta-
bilizing the prefusion conformation by intro-
ducing proline mutations at residues 986 and
987 may not be optimal because the K986P
mutation may break a salt bridge between
protomers that contributes to trimer stability.
The resulting S trimer structure with a relaxed
apex may induce antibodies that could not
efficiently recognize S trimer spikes on the
virus,althoughitmaybemoreeffectiveinin-
ducing anti-RBD–neutralizing responses than
the closed form. Third, considering the pos-
sibility that the postfusion S2 is present on
infectious virions, vaccines usingb-propiolactone–
inactivated viruses may require additional
quality control tests. Although the PiCoVacc
appears to provide protection against challenges
in nonhuman primates after three immuniza-
tions ( 44 ), it is unclear how to minimize the
number of the postfusion S2 trimers to avoid
batch variations. Structure-guided immunogen
designmaybeparticularlycriticalifSARS-CoV-2
becomes seasonal and returns with antigenic
drift, as do influenza viruses ( 48 ).
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ACKNOWLEDGMENTS
We thank M. Liao for generous advice; the SBGrid team for
technical support; and S. Harrison, M. Liao, A. Carfi, and D. Barouch
for critical reading of the manuscript. Negative-stain and cryo-EM data
were collected at the Molecular Electron Microscopy Suite and the
Harvard Cryo-EM Center for Structural Biology, respectively, at
Harvard Medical School.Funding:This work was supported by NIH
grants AI147884 (to B.C.), 3R01AI147884-01A1S1 (to B.C), AI141002
(to B.C.), and AI127193 (to B.C. and James Chou), as well as a
COVID-19 Award by Massachusetts Consortium on Pathogen
Readiness (MassCPR; to B.C.).Author contributions:B.C. and Y.C.
conceived the project. Y.C. and H.P. expressed and purified the full-
length S protein. T.X. expressed and purified soluble ACE2 and
performed SPR and cell-cell fusion experiments. Y.C. and J.Z.
performed negative-stain EM analysis. J.Z. prepared cryo-EM grids
and performed EM data collection with contributions from S.M.S. and
R.M.W. J.Z. processed the cryo-EM data and built and refined the
atomic models for the prefusion S trimer and the postfusion
S2 trimer. Y.C. processed the S1 data. S.R. contributed to data
processing for S1 and provided computational support. S.R.-V.
contributed to cell culture and protein production. All authors
analyzed the data. B.C., Y.C., J.Z., and T.X. wrote the manuscript with
input from all other authors.Competing interests:The authors
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