COVID-19 Vaccine: Washington University’s Nasal Vaccine Shows Preventive Effectiveness In Mice, Study Progresses To Non-Human Primates
: Researchers from Washington University School of Medicine-St. Louis have developed a vaccine that targets the SARS-CoV-2 coronavirus and can be administered through the nose in one dose.
Studies in mice models susceptible to the SARS-CoV-2 coronavirus have proven to be effective in preventing infection.
The study team next plans to test the vaccine in nonhuman primates and humans to see if it is safe and effective in preventing COVID-19 infection.
The study findings have been published in the journal: Cell.
The new vaccine is unlike other COVID-19 vaccines currently in development as it is delivered via the nose, often the initial site of infection.
The researchers found that the nasal delivery route created a strong immune response throughout the body in the new study, but it was particularly effective in the nose and respiratory tract, preventing the infection from taking hold in the body.
Senior author Dr Michael S. Diamond, MD, Ph.D., the Herbert S. Gasser Professor of Medicine and a Professor of molecular microbiology, and of pathology and immunology told Thailand Medical News, "We were happily surprised to see a strong immune response in the cells of the inner lining of the nose and upper airway and a profound protection from infection with this virus.”
He added, "These mice were well protected from disease. And in some of the mice, we saw evidence of sterilizing immunity, where there is no sign of infection whatsoever after the mouse is challenged with the virus."
In order to develop the vaccine, the researchers inserted the virus' spike protein, which coronavirus uses to invade cells, inside another virus called an adenovirus that causes the common cold. But the study team tweaked the adenovirus, rendering it unable to cause illness. The harmless adenovirus carries the spike protein into the nose, enabling the body to mount an immune defense against the SARS-CoV-2 virus without becoming sick. In another innovation beyond nasal delivery, the new vaccine incorporates two mutations into the spike protein that stabilize it in a specific shape that is most conducive to forming antibodies against it.
Co-senior author Dr David T. Curiel, MD, Ph.D., the Distinguished Professor of Radiation Oncology added, "Adenoviruses are the basis for many investigational vaccines for COVID-19 and other infectious diseases, such as Ebola virus and tuberculosis, and they have good safety and efficacy records, but not much research has been done with nasal delivery of these vaccines.”
He also added, “All of the other adenovirus vaccines in development for COVID-19 are delivered by injection into the arm or thigh muscle. The nose is a novel route, so our results are surprising and promising. It's also important that a single d
ose produced such a robust immune response. Vaccines that require two doses for full protection are less effective because some people, for various reasons, never receive the second dose."
There is currently an influenza vaccine called FluMist that is delivered through the nose, it uses a weakened form of the live influenza virus and can't be administered to certain groups, including those whose immune systems are compromised by illnesses such as cancer, HIV and diabetes.
However, in contrast, the new COVID-19 intranasal vaccine in this study does not use a live virus capable of replication, presumably making it safer.
The study team compared this vaccine administered to the mice in two ways ie in the nose and through intramuscular injection.
Although the injection induced an immune response that prevented pneumonia, it did not prevent infection in the nose and lungs. Such a vaccine might reduce the severity of COVID-19, but it would not totally block infection or prevent infected individuals from spreading the virus. In contrast, the nasal delivery route prevented infection in both the upper and lower respiratory tract, the nose and lungs suggesting that vaccinated individuals would not spread the virus or develop infections elsewhere in the body.
The team said the study is promising but cautioned that the vaccine so far has only been studied in mice.
Dr Diamond added, "We will soon begin a study to test this intranasal vaccine in nonhuman primates with a plan to move into human clinical trials as quickly as we can.”
He added, “We are optimistic, but this needs to continue going through the proper evaluation pipelines. In these mouse models, the vaccine is highly protective. We're looking forward to beginning the next round of studies and ultimately testing it in people to see if we can induce the type of protective immunity that we think not only will prevent infection but also curb pandemic transmission of this virus."
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