Intranasal delivery of engineered anti-SARS-CoV-2 extracellular vesicles therapeutically represses lung infection and inflammation.

Publication date: Jul 17, 2025

Extracellular vesicles (EVs) are amenable to genetic engineering in that EVs can be endowed with surface armaments that can directly bind to target molecules or receptors. We previously developed HEK293 cell-derived EVs that contain a novel fusion tetraspanin protein, CD63, embedded within a highly conserved anti-SARS-CoV-2 nanobody, VHH72. These anti-SARS-CoV-2-enriched EVs bind SARS-CoV-2 spike protein and can functionally neutralize SARS-CoV-2 in vitro. Here, we extend our observations in vivo using EVs derived from neural stem cells (NSCs) and demonstrated the antiviral effectiveness of these direct-acting EVs in the lungs of SARS-CoV-2 infected mice when administered intranasally post-infection. Using NanoString-based immune transcriptomics we showed that these EVs exert mild anti-inflammatory effects on SARS-CoV-2 infected lungs. This is the first demonstration of the effective use of intranasally delivered EVs ladened with anti-SARS-CoV-2 nanobodies in vivo.

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Concepts Keywords
Antiviral Extracellular vesicles
Cd63 Neural stem cell
Nanobodies SARS-CoV-2
Transcriptomics Spike protein
Vivo VHH72

Semantics

Type Source Name
disease MESH infection
disease MESH inflammation
disease IDO cell
disease IDO protein
disease MESH COVID 19
drug DRUGBANK Coenzyme M
drug DRUGBANK Trestolone
pathway KEGG Viral replication
disease MESH Hematological Malignancy
disease IDO facility
drug DRUGBANK Methylcellulose
drug DRUGBANK Formaldehyde
drug DRUGBANK Gentian violet cation
drug DRUGBANK Indoleacetic acid
disease IDO assay
drug DRUGBANK Aspartame
disease IDO production
pathway REACTOME Release
drug DRUGBANK Cysteamine
drug DRUGBANK Tretamine
drug DRUGBANK Water
drug DRUGBANK Copper
drug DRUGBANK Activated charcoal
drug DRUGBANK Medical air
drug DRUGBANK Iodide
drug DRUGBANK Isoflurane
disease IDO nucleic acid
disease IDO algorithm
disease IDO host
disease MESH viral load
disease MESH viremia

Original Article

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