Molecular Therapy: Methods & Clinical Development (Dec 2024)

mRNA vaccines encoding membrane-anchored RBDs of SARS-CoV-2 mutants induce strong humoral responses and can overcome immune imprinting

  • Hareth A. Al-Wassiti,
  • Stewart A. Fabb,
  • Samantha L. Grimley,
  • Ruby Kochappan,
  • Joan K. Ho,
  • Chinn Yi Wong,
  • Chee Wah Tan,
  • Thomas J. Payne,
  • Asuka Takanashi,
  • Chee Leng Lee,
  • Rekha Shandre Mugan,
  • Horatio Sicilia,
  • Serena L.Y. Teo,
  • Julie McAuley,
  • Paula Ellenberg,
  • James P. Cooney,
  • Kathryn C. Davidson,
  • Richard Bowen,
  • Marc Pellegrini,
  • Steven Rockman,
  • Dale I. Godfrey,
  • Terry M. Nolan,
  • Lin-fa Wang,
  • Georgia Deliyannis,
  • Damian F.J. Purcell,
  • Colin W. Pouton

Journal volume & issue
Vol. 32, no. 4
p. 101380

Abstract

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We investigated mRNA vaccines encoding a membrane-anchored receptor-binding domain (RBD), each a fusion of a variant RBD, the transmembrane (TM) and cytoplasmic tail fragments of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike protein. In naive mice, RBD-TM mRNA vaccines against SARS-CoV-2 variants induced strong humoral responses against the target RBD. Multiplex surrogate viral neutralization (sVNT) assays revealed broad neutralizing activity against a range of variant RBDs. In the setting of a heterologous boost, against the background of exposure to ancestral whole-spike vaccines, sVNT studies suggested that BA.1 and BA.5 RBD-TM vaccines had the potential to overcome the detrimental effects of immune imprinting. A subsequent heterologous boost study using XBB.1.5 booster vaccines was evaluated using both sVNT and authentic virus neutralization. Geometric mean XBB.1.5 neutralization values after third-dose RBD-TM or whole-spike XBB.1.5 booster vaccines were compared with those after a third dose of ancestral spike booster vaccine. Fold-improvement over ancestral vaccine was just 1.3 for the whole-spike XBB.1.5 vaccine, similar to data published using human serum samples. In contrast, the fold-improvement achieved by the RBD-TM XBB.1.5 vaccine was 16.3, indicating that the RBD-TM vaccine induced the production of antibodies that neutralize the XBB.1.5 variant despite previous exposure to ancestral spike protein.

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