BIOQUAL, Inc., 9600 Medical Center Drive, Rockville, MD 20850-3336, USA.
Vaxine Pty Ltd., 11-13 Walkley Avenue, Warradale, SA 5046, Australia.
Vaccine. 2024 Feb 15;42(5):1122-1135. doi: 10.1016/j.vaccine.2024.01.034. Epub 2024 Jan 22.
BACKGROUND: With SARS-CoV-2 continuing to evolve, there is a need to adapt COVID-19 vaccines to enhance mucosal immunity and better address immune-evasive variants. This pilot study was performed in mice and rhesus macaques to compare Advax-adjuvanted monovalent and bivalent recombinant spike protein vaccines, including when delivered via a combination of intramuscular (IM) and intrapulmonary (IPM) or oral routes. METHODS: Mice were first used to compare the immunogenicity of monovalent and bivalent vaccines containing a variety of spike protein variants. Then, rhesus macaques (n = 23) were divided into 5 groups to receive COVID-19 vaccines via different routes. Clinical signs, local vaccination site reactions, body weight, food consumption, serum, alveolar lavage, nasal and oral antibody levels, and nasal and alveolar lavage virus loads were assessed in response to a heterologous Omicron BA.5 virus challenge. RESULTS: The Wuhan + Mu bivalent vaccine gave the most broadly cross-neutralizing antibody responses. Robust serum neutralizing antibodies against Wuhan, Delta and Lambda variants were obtained, but BA.5 neutralizing antibodies were not detectable pre-challenge. Overall, the IM x3 and the IM x2 plus oral x2 vaccines delivered the best protection, with reduced lung virus load versus unimmunized controls across Days 2, 4 and 7. CONCLUSIONS: Advax-adjuvanted monovalent or bivalent recombinant spike protein vaccines given via parenteral and/or mucosal routes protected against a heterologous BA.5 challenge, despite absent serum BA.5 neutralizing antibody, pre-challenge. The possibility of using an oral Advax-adjuvanted protein booster to provide broad protection against newer SARS-CoV-2 variants warrants further investigation.
背景:随着 SARS-CoV-2 的持续进化,有必要对 COVID-19 疫苗进行改造以增强黏膜免疫并更好地应对免疫逃避变体。本研究在小鼠和恒河猴中进行,旨在比较 Advax 佐剂单价和双价重组刺突蛋白疫苗,包括通过肌肉内(IM)和肺内(IPM)或口服途径联合给药的情况。
方法:首先,在小鼠中比较了含有多种刺突蛋白变体的单价和双价疫苗的免疫原性。然后,将 23 只恒河猴分为 5 组,通过不同途径接种 COVID-19 疫苗。在异源 Omicron BA.5 病毒攻击后,评估临床症状、局部接种部位反应、体重、食物消耗、血清、肺泡灌洗液、鼻和口腔抗体水平以及鼻和肺泡灌洗液病毒载量。
结果:武汉+缪毒株双价疫苗产生最广泛的交叉中和抗体反应。获得了针对武汉、Delta 和 Lambda 变体的强大血清中和抗体,但在挑战前未检测到 BA.5 中和抗体。总体而言,IM x3 和 IM x2 加口服 x2 疫苗的保护效果最好,与未免疫对照相比,肺病毒载量在第 2、4 和 7 天均降低。
结论:通过肌内和/或黏膜途径给予 Advax 佐剂单价或双价重组刺突蛋白疫苗可预防异源 BA.5 挑战,尽管在挑战前血清中未检测到 BA.5 中和抗体。使用口服 Advax 佐剂蛋白加强剂提供针对新型 SARS-CoV-2 变体的广泛保护的可能性值得进一步研究。
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