Protective Efficacy of Gastrointestinal SARS-CoV-2 Delivery against Intranasal and Intratracheal SARS-CoV-2 Challenge in Rhesus Macaques

Jingyou Yu, Natalie D. Collins, Noe B. Mercado, Katherine McMahan, Abishek Chandrashekar, Jinyan Liu, Tochi Anioke, Aiquan Chang, Victoria M. Giffin, David L. Hope, Daniel Sellers, Felix Nampanya, Sarah Gardner, Julia Barrett, Huahua Wan, Jason Velasco, Elyse Teow, Anthony Cook, Alex van Ry, Laurent PessaintHanne Andersen, Mark G. Lewis, Christian Hofer, Donald S. Burke, Erica K. Barkei, Hannah A.D. King, Caroline Subra, Diane Bolton, Kayvon Modjarrad, Nelson L. Michael, Dan H. Barouch*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Live oral vaccines have been explored for their protective efficacy against respiratory viruses, particularly for adenovirus serotypes 4 and 7. The potential of a live oral vaccine against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), however, remains unclear. In this study, we assessed the immunogenicity of live SARS-CoV-2 delivered to the gastrointestinal tract in rhesus macaques and its protective efficacy against intranasal and intratracheal SARS-CoV-2 challenge. Postpyloric administration of SARS-CoV-2 by esophagogastroduodenoscopy resulted in limited virus replication in the gastrointestinal tract and minimal to no induction of mucosal antibody titers in rectal swabs, nasal swabs, and bronchoalveolar lavage fluid. Low levels of serum neutralizing antibodies were induced and correlated with modestly diminished viral loads in nasal swabs and bronchoalveolar lavage fluid following intranasal and intratracheal SARS-CoV-2 challenge. Overall, our data show that postpyloric inoculation of live SARS-CoV-2 is weakly immunogenic and confers partial protection against respiratory SARS-CoV-2 challenge in rhesus macaques.

Original languageEnglish
Article numbere01599-21
JournalJournal of Virology
Volume96
Issue number2
DOIs
StatePublished - Jan 2022
Externally publishedYes

Keywords

  • COVID-19
  • Immunogenicity
  • Live oral vaccine
  • Protective efficacy
  • SARS-CoV-2

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