Key result
Intranasal 3Rs-NC vaccine cuts lung viral load ~168-fold versus saline and protects mice from lethal challenge.
Why the study?
The recurrent emergence of ACE2-using sarbecoviruses underscores the need for a broadly protective vaccine.
Effect estimate: 168-fold reduction
A modular 'three-in-one' mucosal vaccine adjuvanted with KFD provides broad and durable protection against multiple ACE2-using sarbecoviruses in mice.
Does not support clinical use; extends preclinical evidence for broad mucosal sarbecovirus vaccines.
The recurrent emergence of ACE2‑using sarbecovirus underscores the need for a broadly protective vaccine. Here, we mapped the antigenic landscape of sarbecovirus receptor-binding domains (RBDs) and identified three distinct clusters. We then engineered a single “three‑in‑one” immunogen, 3Rs-NC, incorporating representative RBDs from each cluster into a single scaffold. Intranasal administration of 3Rs-NC with a flagellin-derived mucosal adjuvant (KFD), which possess excellent safety profile potential for clinical usage, elicited high titers of RBD-specific serum IgG and mucosal IgA, as well as potent neutralizing antibody responses in mice. Furthermore, KFD-adjuvanted 3Rs-NC conferred sustained protection in both the upper and lower respiratory tracts against SARS-CoV-2 Omicron BA.1 and SARS-like coronavirus WIV1. Additionally, 3Rs-NC immunization protected mice from lethal challenge of SARS-like coronavirus rRsSHC014S, with more efficient protection observed in female mice than male mice. This needle-free formulation offers a potent, broad-spectrum vaccine candidate against current and emerging ACE2-using sarbecoviruses, functioning as a modular “three-in-one” vaccine platform ready for rapid deployment in future coronavirus outbreaks.
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Liu et al. (2026) studied Sarbecovirus infection. 3Rs-NC mucosal vaccine with KFD adjuvant vs. Saline, 3Rs-NC+ALi.m, 3Ro-NC, Ro+Rs+Rw was evaluated on Viral genome copies in lungs (Omicron BA.1 challenge) (168-fold reduction). Intranasal administration of the 3Rs-NC vaccine with KFD adjuvant reduced Omicron BA.1 viral genome copies in the lungs by 168-fold compared to saline and protected mice from lethal sarbecovirus challenge.
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