Key result
Intranasal MVA vaccines reduce respiratory SARS-CoV-2 viral load more effectively than intramuscular delivery in mice.
Why the study?
SARS-CoV-2 vaccines prevent severe disease but are less efficient in preventing infection and transmission of variant strains, necessitating exploration of enhanced protection methods.
Does intranasal administration of rMVAs expressing matched or mismatched SARS-CoV-2 S proteins improve protection against SARS-CoV-2 variants in K18-hACE2 mice?
Does intranasal administration of rMVAs expressing matched or mismatched SARS-CoV-2 S proteins improve protection against SARS-CoV-2 variants in K18-hACE2 mice?
Intranasal administration of recombinant MVA SARS-CoV-2 vaccines provides superior reduction of viral load in the respiratory tract compared to intramuscular delivery in a mouse model, even with mismatched strains.
Intranasal rMVA merits human trials for mucosal protection; leaves open translation to clinical efficacy against SARS-CoV-2 variants.
SARS-CoV-2 vaccines prevent severe disease but are less efficient in averting infection and transmission of variant strains, making it imperative to explore ways of enhancing protection. Use of inbred mice expressing the human SARS-CoV-2 receptor facilitates such investigations. We employed recombinant MVAs (rMVAs) expressing modified S of several SARS-CoV-2 strains and compared their ability to neutralize variants, bind S proteins and protect K18-hACE2 mice against SARS-CoV-2 challenge when administered intramuscularly or intranasally. The rMVAs expressing Wuhan, Beta and Delta S induced substantial cross neutralizing activities to each other but very low neutralization of Omicron; while rMVA expressing Omicon S induced neutralizing antibody predominanly to Omicron. In mice primed and boosted with rMVA expressing the Wuhan S, neutralizing antibodies to Wuhan increased after one immunization with rMVA expressing Omicron S due to original antigenic sin, but substantial neutralizing antibody to Omicron required a second immunization. Nevertheless, monovalent vaccines with S mismatched to the challenge virus still protected against severe disease and reduced the amounts of virus and subgenomic RNAs in the lungs and nasal turbinates, though not as well as vaccines with matched S. Passive transfer of Wuhan immune serum with Omicron S binding but undetectable neutralizing activity reduced infection of the l-ungs by Omicron suggesting additional effector functions. Notably, there was less infectious virus and viral subgenomic RNAs in the nasal turbinates and lungs when the rMVAs were administered intranasally rather than intramuscularly and this held true for vaccines that were matched or mismatched to the challenge strain of SARS-CoV-2.
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Cotter et al. (2023) studied SARS-CoV-2 infection. Recombinant MVAs expressing SARS-CoV-2 Spike proteins vs. Parental MVA control was evaluated on Viral load and subgenomic RNAs in lungs and nasal turbinates. Intranasal administration of recombinant MVAs expressing matched or mismatched SARS-CoV-2 spike proteins reduced infectious virus and viral subgenomic RNAs in the nasal turbinates and lungs of mice more effectively than intramuscular administration.
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