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A single subcutaneous or intranasal immunization with adenovirus-based SARS-CoV-2 vaccine induces robust humoral and cellular immune responses in mice
Authors:Eun Kim  Florian J. Weisel  Stephen C. Balmert  Muhammad S. Khan  Shaohua Huang  Geza Erdos  Thomas W. Kenniston  Cara Donahue Carey  Stephen M. Joachim  Laura J. Conter  Nadine M. Weisel  Nisreen M. A. Okba  Bart L. Haagmans  Elena Percivalle  Irene Cassaniti  Fausto Baldanti  Emrullah Korkmaz  Mark J. Shlomchik  Louis D. Falo Jr  Andrea Gambotto
Affiliation:1. Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

Mark J. Shlomchik, Louis D. Falo Jr, and Andrea Gambotto are cosenior authors.;2. Department of Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

Mark J. Shlomchik, Louis D. Falo Jr, and Andrea Gambotto are cosenior authors.;3. Department of Dermatology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA;4. Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

Department of Infectious Diseases and Microbiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA;5. Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA;6. Department of Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA;7. Department of Viroscience, Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands;8. Molecular Virology Unit, Microbiology and Virology Department, IRCCS Policlinico San Matteo, Pavia, Italy;9. Molecular Virology Unit, Microbiology and Virology Department, IRCCS Policlinico San Matteo, Pavia, Italy

Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy;10. Department of Dermatology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

Department of Bioengineering, University of Pittsburgh Swanson School of Engineering, Pittsburgh, PA, USA;11. Department of Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

Eun Kim and Florian J. Weisel equally contributed to this work.;12. Department of Dermatology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

Department of Bioengineering, University of Pittsburgh Swanson School of Engineering, Pittsburgh, PA, USA

Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, PA, USA

The McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA, USA

UPMC Hillman Cancer Center, Pittsburgh, PA, USA

Eun Kim and Florian J. Weisel equally contributed to this work.

Abstract:
Optimal vaccines are needed for sustained suppression of SARS-CoV-2 and other novel coronaviruses. Here, we developed a recombinant type 5 adenovirus vector encoding the gene for the SARS-CoV-2 S1 subunit antigen (Ad5.SARS-CoV-2-S1) for COVID-19 immunization and evaluated its immunogenicity in mice. A single immunization with Ad5.SARS-CoV-2-S1 via S.C. injection or I.N delivery induced robust antibody and cellular immune responses. Vaccination elicited significant S1-specific IgG, IgG1, and IgG2a endpoint titers as early as 2 weeks, and the induced antibodies were long lasting. I.N. and S.C. administration of Ad5.SARS-CoV-2-S1 produced S1-specific GC B cells in cervical and axillary LNs, respectively. Moreover, I.N. and S.C. immunization evoked significantly greater antigen-specific T-cell responses compared to unimmunized control groups with indications that S.C. injection was more effective than I.N. delivery in eliciting cellular immune responses. Mice vaccinated by either route demonstrated significantly increased virus-specific neutralization antibodies on weeks 8 and 12 compared to control groups, as well as BM antibody forming cells (AFC), indicative of long-term immunity. Thus, this Ad5-vectored SARS-CoV-2 vaccine candidate showed promising immunogenicity following delivery to mice by S.C. and I.N. routes of administration, supporting the further development of Ad-based vaccines against COVID-19 and other infectious diseases for sustainable global immunization programs.
Keywords:Adenovirus  COVID-19  Infectious diseases  Recombinant DNA vaccines  SARS-CoV-2
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