An intranasal vaccine durably protects against SARS-CoV-2 variants in mice

Hassan, Ahmed O.; Shrihari, Swathi; Gorman, Matthew J.; Ying, Baoling; Yuan, Dansu; Raju, Saravanan; Chen, Rita E.; Dmitriev, Igor P.; Kashentseva, Elena; Adams, Lucas J.; Shi, Pei-Yong; Fremont, Daved H.; Curiel, David T.; Alter, Galit; Diamond, Michael S.

SARS-CoV-2 variants that attenuate antibody neutralization could jeopardize vaccine efficacy and the end of the COVID-19 pandemic. We recently reported the protective activity of a single-dose intranasally-administered spike protein-based chimpanzee adenovirus-vectored vaccine (ChAd-SARS-CoV-2-S) in animals, which has advanced to human trials. Here, we assessed its durability, dose-response, and cross-protective activity in mice. A single intranasal dose of ChAd-SARS-CoV-2-S induced durably high neutralizing and Fc effector antibody responses in serum and S-specific IgG and IgA secreting long-lived plasma cells in the bone marrow. Protection against a historical SARS-CoV-2 strain was observed across a 100-fold vaccine dose range and over a 200-day period. At 6 weeks or 9 months after vaccination, serum antibodies neutralized SARS-CoV-2 strains with B.1.351 and B.1.1.28 spike proteins and conferred almost complete protection in the upper and lower respiratory tracts after challenge. Thus, in mice, intranasal immunization with ChAd-SARS-CoV-2-S provides durable protection against historical and emerging SARS-CoV-2 strains.