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Publication : An FcRn-targeted mucosal vaccine against SARS-CoV-2 infection and transmission.

First Author  Li W Year  2023
Journal  Nat Commun Volume  14
Issue  1 Pages  7114
PubMed ID  37932271 Mgi Jnum  J:342391
Mgi Id  MGI:7547868 Doi  10.1038/s41467-023-42796-0
Citation  Li W, et al. (2023) An FcRn-targeted mucosal vaccine against SARS-CoV-2 infection and transmission. Nat Commun 14(1):7114
abstractText  SARS-CoV-2 is primarily transmitted through droplets and airborne aerosols, and in order to prevent infection and reduce viral spread vaccines should elicit protective immunity in the airways. The neonatal Fc receptor (FcRn) transfers IgG across epithelial barriers and can enhance mucosal delivery of antigens. Here we explore FcRn-mediated respiratory delivery of SARS-CoV-2 spike (S). A monomeric IgG Fc was fused to a stabilized spike; the resulting S-Fc bound to S-specific antibodies and FcRn. Intranasal immunization of mice with S-Fc and CpG significantly induced antibody responses compared to the vaccination with S alone or PBS. Furthermore, we intranasally immunized mice or hamsters with S-Fc. A significant reduction of virus replication in nasal turbinate, lung, and brain was observed following nasal challenges with SARS-CoV-2 and its variants. Intranasal immunization also significantly reduced viral airborne transmission in hamsters. Nasal IgA, neutralizing antibodies, lung-resident memory T cells, and bone-marrow S-specific plasma cells mediated protection. Hence, FcRn delivers an S-Fc antigen effectively into the airway and induces protection against SARS-CoV-2 infection and transmission.
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