Targeting SARS-CoV-2 receptor-binding domain to cells expressing CD40 improves protection to infection in convalescent macaques

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Marlin, Romain | Godot, Veronique | Cardinaud, Sylvain | Galhaut, Mathilde | Coleon, Severin | Zurawski, Sandra | Dereuddre-Bosquet, Nathalie | Cavarelli, Mariangela | Gallouët, Anne-Sophie | Maisonnasse, Pauline | Dupaty, Léa | Fenwick, Craig | Naninck, Thibaut | Lemaitre, Julien | Gomez-Pacheco, Mario | Kahlaoui, Nidhal | Contreras, Vanessa | Relouzat, Francis | Ho Tsong Fang, Raphaël | Wang, Zhiqing | Ellis, Jerome | Chapon, Catherine | Centlivre, Mireille | Wiedemann, Aurelie | Lacabaratz, Christine | Surenaud, Mathieu | Szurgot, Inga | Liljeström, Peter | Planas, Delphine | Bruel, Timothée | Schwartz, Olivier | van Der Werf, Sylvie | Pantaleo, Giuseppe | Prague, Mélanie | Thiébaut, Rodolphe | Zurawski, Gerard | Lévy, Yves | Le Grand, Roger

Edité par CCSD ; Nature Publishing Group -

International audience. Abstract Achieving sufficient worldwide vaccination coverage against SARS-CoV-2 will require additional approaches to currently approved viral vector and mRNA vaccines. Subunit vaccines may have distinct advantages when immunizing vulnerable individuals, children and pregnant women. Here, we present a new generation of subunit vaccines targeting viral antigens to CD40-expressing antigen-presenting cells. We demonstrate that targeting the receptor-binding domain (RBD) of the SARS-CoV-2 spike protein to CD40 (αCD40.RBD) induces significant levels of specific T and B cells, with long-term memory phenotypes, in a humanized mouse model. Additionally, we demonstrate that a single dose of the αCD40.RBD vaccine, injected without adjuvant, is sufficient to boost a rapid increase in neutralizing antibodies in convalescent non-human primates (NHPs) exposed six months previously to SARS-CoV-2. Vaccine-elicited antibodies cross-neutralize different SARS-CoV-2 variants, including D614G, B1.1.7 and to a lesser extent B1.351. Such vaccination significantly improves protection against a new high-dose virulent challenge versus that in non-vaccinated convalescent animals.

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