A single-dose intranasal live-attenuated codon deoptimized vaccine provides broad protection against SARS-CoV-2 and its variants.

Publication date: Aug 26, 2024

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) continues its significant health and economic impact globally. Despite the success of spike-protein vaccines in preventing severe disease, long-lasting protection against emerging variants and the prevention of breakthrough infections and transmission remain elusive. We generate an intranasal live-attenuated SARS-CoV-2 vaccine, CDO-7N-1, using codon deoptimization. CDO-7N-1 shows highly attenuated replication and minimal or no lung pathology in vivo over multiple passages. It induces robust mucosal and systemic neutralizing antibody and T-cell subset responses, in mice (female K18-hACE2 and male HFH4-hACE2 mice), hamsters, and macaques triggered by a single immunization. Mice and hamsters vaccinated with CDO-7N-1 are protected from challenge with wild-type (WT) SARS-CoV-2 and other variants of concern. Serum from vaccinated animals neutralizes WT SARS-CoV-2, variants of concern (beta and delta), variants of interest (omicron XBB. 1.5) and SARS-CoV-1. Antibody responses are sustained and enhanced by repeated immunization or infection with WT SARS-CoV-2. Immunity against all SARS-CoV-2 proteins by CDO-7N-1 should improve efficacy against future SARS-CoV-2 variants.

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Concepts Keywords
Hfh4 Administration, Intranasal
Live Animals
Mice Antibodies, Neutralizing
Pathology Antibodies, Neutralizing
Vaccines Antibodies, Viral
Antibodies, Viral
Chlorocebus aethiops
Codon
Codon
COVID-19
COVID-19 Vaccines
COVID-19 Vaccines
Cricetinae
Female
Humans
Male
Mice
SARS-CoV-2
Spike Glycoprotein, Coronavirus
Spike Glycoprotein, Coronavirus
spike protein, SARS-CoV-2
T-Lymphocytes
Vaccines, Attenuated
Vaccines, Attenuated

Semantics

Type Source Name
disease VO dose
disease VO vaccine
disease VO Severe acute respiratory syndrome coronavirus 2
disease MESH COVID-19
drug DRUGBANK Spinosad
disease MESH breakthrough infections
disease IDO replication
disease IDO cell
disease VO immunization
disease VO vaccinated
disease MESH infection
disease MESH Severe acute respiratory syndrome
pathway KEGG Viral replication
disease VO vaccination
disease VO effective
disease VO efficiency
disease VO Viruses
disease VO vaccine candidate
disease VO organ
drug DRUGBANK Coenzyme M
drug DRUGBANK Aminosalicylic Acid
drug DRUGBANK Dimercaprol
disease MESH pulmonary inflammation
drug DRUGBANK L-Arginine
disease VO immunized
disease VO gene
disease VO Glycoprotein
disease IDO homo sapiens
drug DRUGBANK L-Glutamine
drug DRUGBANK L-Isoleucine
drug DRUGBANK Proline
drug DRUGBANK L-Threonine
drug DRUGBANK L-Alanine
drug DRUGBANK Glycine
disease VO frequency
disease IDO assay

Original Article

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