Author: Corbett, Kizzmekia S.; Nason, Martha C.; Flach, Britta; Gagne, Matthew; O’ Connell, Sarah; Johnston, Timothy S.; Shah, Shruti N.; Edara, Venkata Viswanadh; Floyd, Katharine; Lai, Lilin; McDanal, Charlene; Francica, Joseph R.; Flynn, Barbara; Wu, Kai; Choi, Angela; Koch, Matthew; Abiona, Olubukola M.; Werner, Anne P.; Alvarado, Gabriela S.; Andrew, Shayne F.; Donaldson, Mitzi M.; Fintzi, Jonathan; Flebbe, Dillon R.; Lamb, Evan; Noe, Amy T.; Nurmukhambetova, Saule T.; Provost, Samantha J.; Cook, Anthony; Dodson, Alan; Faudree, Andrew; Greenhouse, Jack; Kar, Swagata; Pessaint, Laurent; Porto, Maciel; Steingrebe, Katelyn; Valentin, Daniel; Zouantcha, Serge; Bock, Kevin W.; Minai, Mahnaz; Nagata, Bianca M.; Moliva, Juan I.; van de Wetering, Renee; Boyoglu-Barnum, Seyhan; Leung, Kwanyee; Shi, Wei; Yang, Eun Sung; Zhang, Yi; Todd, John-Paul M.; Wang, Lingshu; Andersen, Hanne; Foulds, Kathryn E.; Edwards, Darin K.; Mascola, John R.; Moore, Ian N.; Lewis, Mark G.; Carfi, Andrea; Montefiori, David; Suthar, Mehul S.; McDermott, Adrian; Sullivan, Nancy J.; Roederer, Mario; Douek, Daniel C.; Graham, Barney S.; Seder, Robert A.
                    Title: Immune Correlates of Protection by mRNA-1273 Immunization against SARS-CoV-2 Infection in Nonhuman Primates  Cord-id: v1aekhm7  Document date: 2021_4_23
                    ID: v1aekhm7
                    
                    Snippet: Immune correlates of protection can be used as surrogate endpoints for vaccine efficacy. The nonhuman primate (NHP) model of SARS-CoV-2 infection replicates key features of human infection and may be used to define immune correlates of protection following vaccination. Here, NHP received either no vaccine or doses ranging from 0.3 – 100 μg of mRNA-1273, a mRNA vaccine encoding the prefusion-stabilized SARS-CoV-2 spike (S-2P) protein encapsulated in a lipid nanoparticle. mRNA-1273 vaccination 
                    
                    
                    
                     
                    
                    
                    
                    
                        
                            
                                Document: Immune correlates of protection can be used as surrogate endpoints for vaccine efficacy. The nonhuman primate (NHP) model of SARS-CoV-2 infection replicates key features of human infection and may be used to define immune correlates of protection following vaccination. Here, NHP received either no vaccine or doses ranging from 0.3 – 100 μg of mRNA-1273, a mRNA vaccine encoding the prefusion-stabilized SARS-CoV-2 spike (S-2P) protein encapsulated in a lipid nanoparticle. mRNA-1273 vaccination elicited robust circulating and mucosal antibody responses in a dose-dependent manner. Viral replication was significantly reduced in bronchoalveolar lavages and nasal swabs following SARS-CoV-2 challenge in vaccinated animals and was most strongly correlated with levels of anti-S antibody binding and neutralizing activity. Consistent with antibodies being a correlate of protection, passive transfer of vaccine-induced IgG to naïve hamsters was sufficient to mediate protection. Taken together, these data show that mRNA-1273 vaccine-induced humoral immune responses are a mechanistic correlate of protection against SARS-CoV-2 infection in NHP. One-Sentence Summary mRNA-1273 vaccine-induced antibody responses are a mechanistic correlate of protection against SARS-CoV-2 infection in NHP.
 
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