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  • Intranasal Boosting with Sp...
    Cai, Jian-Piao; Luo, Cuiting; Wang, Kun; Cao, Hehe; Chen, Lin-Lei; Zhang, Xiaojuan; Han, Yuting; Yin, Feifei; Zhang, Anna Jinxia; Chu, Hin; Yuan, Shuofeng; Kok, Kin-Hang; To, Kelvin Kai-Wang; Chen, Honglin; Chen, Zhiwei; Jin, Dong-Yan; Yuen, Kwok-Yung; Chan, Jasper Fuk-Woo

    Viruses, 03/2023, Letnik: 15, Številka: 3
    Journal Article

    The emergence of new immune-evasive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants and subvariants outpaces the development of vaccines specific against the dominant circulating strains. In terms of the only accepted immune correlate of protection, the inactivated whole-virion vaccine using wild-type SARS-CoV-2 spike induces a much lower serum neutralizing antibody titre against the Omicron subvariants. Since the inactivated vaccine given intramuscularly is one of the most commonly used coronavirus disease 2019 (COVID-19) vaccines in developing regions, we tested the hypothesis that intranasal boosting after intramuscular priming would provide a broader level of protection. Here, we showed that one or two intranasal boosts with the Fc-linked trimeric spike receptor-binding domain from wild-type SARS-CoV-2 can induce significantly higher serum neutralizing antibodies against wild-type SARS-CoV-2 and the Omicron subvariants, including BA.5.2 and XBB.1, with a lower titre in the bronchoalveolar lavage of vaccinated Balb/c mice than vaccination with four intramuscular doses of inactivated whole virion vaccine. The intranasally vaccinated K18-hACE2-transgenic mice also had a significantly lower nasal turbinate viral load, suggesting a better protection of the upper airway, which is the predilected site of infection by Omicron subvariants. This intramuscular priming and intranasal boosting approach that achieves broader cross-protection against Omicron variants and subvariants may lengthen the interval required for changing the vaccine immunogen from months to years.