Vaccines (Aug 2021)

Single-Dose Intranasal Administration of AdCOVID Elicits Systemic and Mucosal Immunity against SARS-CoV-2 and Fully Protects Mice from Lethal Challenge

  • R. Glenn King,
  • Aaron Silva-Sanchez,
  • Jessica N. Peel,
  • Davide Botta,
  • Alexandria M. Dickson,
  • Amelia K. Pinto,
  • Selene Meza-Perez,
  • S. Rameeza Allie,
  • Michael D. Schultz,
  • Mingyong Liu,
  • John E. Bradley,
  • Shihong Qiu,
  • Guang Yang,
  • Fen Zhou,
  • Esther Zumaquero,
  • Thomas S. Simpler,
  • Betty Mousseau,
  • John T. Killian,
  • Brittany Dean,
  • Qiao Shang,
  • Jennifer L. Tipper,
  • Christopher A. Risley,
  • Kevin S. Harrod,
  • Tsungwei Feng,
  • Young Lee,
  • Bethlehem Shiberu,
  • Vyjayanthi Krishnan,
  • Isabelle Peguillet,
  • Jianfeng Zhang,
  • Todd J. Green,
  • Troy D. Randall,
  • John J. Suschak,
  • Bertrand Georges,
  • James D. Brien,
  • Frances E. Lund,
  • M. Scot Roberts

DOI
https://doi.org/10.3390/vaccines9080881
Journal volume & issue
Vol. 9, no. 8
p. 881

Abstract

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The coronavirus disease 2019 (COVID-19) pandemic has highlighted the urgent need for effective prophylactic vaccination to prevent the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Intranasal vaccination is an attractive strategy to prevent COVID-19 as the nasal mucosa represents the first-line barrier to SARS-CoV-2 entry. The current intramuscular vaccines elicit systemic immunity but not necessarily high-level mucosal immunity. Here, we tested a single intranasal dose of our candidate adenovirus type 5-vectored vaccine encoding the receptor-binding domain (RBD) of the SARS-CoV-2 spike protein (AdCOVID) in inbred, outbred, and transgenic mice. A single intranasal vaccination with AdCOVID elicited a strong and focused immune response against RBD through the induction of mucosal IgA in the respiratory tract, serum neutralizing antibodies, and CD4+ and CD8+ T cells with a Th1-like cytokine expression profile. A single AdCOVID dose resulted in immunity that was sustained for over six months. Moreover, a single intranasal dose completely protected K18-hACE2 mice from lethal SARS-CoV-2 challenge, preventing weight loss and mortality. These data show that AdCOVID promotes concomitant systemic and mucosal immunity and represents a promising vaccine candidate.

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