Vaccine Branch, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, Maryland, USA.
Department of Chemistry and Biochemistry, University of Maryland, College Park, Maryland, USA.
JCI Insight. 2021 Apr 28;6(10):148494. doi: 10.1172/jci.insight.148494.
Effective SARS-CoV-2 vaccines are urgently needed. Although most vaccine strategies have focused on systemic immunization, here we compared the protective efficacy of 2 adjuvanted subunit vaccines with spike protein S1: an intramuscularly primed/boosted vaccine and an intramuscularly primed/intranasally boosted mucosal vaccine in rhesus macaques. The intramuscular-alum-only vaccine induced robust binding and neutralizing antibody and persistent cellular immunity systemically and mucosally, whereas intranasal boosting with nanoparticles, including IL-15 and TLR agonists, elicited weaker T cell and Ab responses but higher dimeric IgA and IFN-α. Nevertheless, following SARS-CoV-2 challenge, neither group showed detectable subgenomic RNA in upper or lower respiratory tracts versus naive controls, indicating full protection against viral replication. Although mucosal and systemic protective mechanisms may differ, results demonstrate both vaccines can protect against respiratory SARS-CoV-2 exposure. In summary, we have demonstrated that the mucosal vaccine was safe after multiple doses and cleared the input virus more efficiently in the nasal cavity and thus may act as a potent complementary reinforcing boost for conventional systemic vaccines to provide overall better protection.
急需有效的 SARS-CoV-2 疫苗。虽然大多数疫苗策略都集中在全身性免疫上,但在这里,我们比较了两种带有刺突蛋白 S1 的佐剂亚单位疫苗的保护效力:一种肌肉内初免/加强疫苗和一种肌肉内初免/鼻腔内加强黏膜疫苗在恒河猴中的效果。肌肉内仅含铝佐剂的疫苗诱导了全身性和黏膜性的强大结合抗体和中和抗体以及持久的细胞免疫,而用纳米颗粒(包括 IL-15 和 TLR 激动剂)进行鼻腔加强则引起了较弱的 T 细胞和 Ab 反应,但产生了更高的二聚体 IgA 和 IFN-α。然而,在 SARS-CoV-2 挑战后,与对照相比,两组在上呼吸道或下呼吸道均未检测到亚基因组 RNA,表明对病毒复制完全有保护作用。尽管黏膜和系统性保护机制可能不同,但结果表明两种疫苗都能预防呼吸道 SARS-CoV-2 暴露。总之,我们已经证明多次剂量的黏膜疫苗是安全的,并且在鼻腔中更有效地清除了输入的病毒,因此可能作为常规全身疫苗的有效补充加强剂,提供更好的整体保护。
JCI Insight. 2021-4-28
Front Immunol. 2025-2-7
JCI Insight. 2024-5-21
Cell Host Microbe. 2021-2-10
Nature. 2020-9-23
N Engl J Med. 2020-9-2