npj Vaccines (Mar 2024)

An intranasal combination vaccine induces systemic and mucosal immunity against COVID-19 and influenza

  • Man Xing,
  • Gaowei Hu,
  • Xiang Wang,
  • Yihan Wang,
  • Furong He,
  • Weiqian Dai,
  • Xinyu Wang,
  • Yixin Niu,
  • Jiaojiao Liu,
  • Hui Liu,
  • Xiaoyan Zhang,
  • Jianqing Xu,
  • Qiliang Cai,
  • Dongming Zhou

DOI
https://doi.org/10.1038/s41541-024-00857-5
Journal volume & issue
Vol. 9, no. 1
pp. 1 – 14

Abstract

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Abstract Despite prolonged surveillance and interventions, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and influenza viruses continue to pose a severe global health burden. Thus, we developed a chimpanzee adenovirus-based combination vaccine, AdC68-HATRBD, with dual specificity against SARS-CoV-2 and influenza virus. When used as a standalone vaccine, intranasal immunization with AdC68-HATRBD induced comprehensive and potent immune responses consisting of immunoglobin (Ig) G, mucosal IgA, neutralizing antibodies, and memory T cells, which protected the mice from BA.5.2 and pandemic H1N1 infections. When used as a heterologous booster, AdC68-HATRBD markedly improved the protective immune response of the licensed SARS-CoV-2 or influenza vaccine. Therefore, whether administered intranasally as a standalone or booster vaccine, this combination vaccine is a valuable strategy to enhance the overall vaccine efficacy by inducing robust systemic and mucosal immune responses, thereby conferring dual lines of immunological defenses for these two viruses.