Intranasal COVID-19 vaccines: From bench to bed

Summary: Currently licensed COVID-19 vaccines are all designed for intramuscular (IM) immunization. However, vaccination today failed to prevent the virus infection through the upper respiratory tract, which is partially due to the absence of mucosal immunity activation. Despite the emerging severe...

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Main Authors: Aqu Alu, Li Chen, Hong Lei, Yuquan Wei, Xiaohe Tian, Xiawei Wei
Format: Article
Language:English
Published: Elsevier 2022-02-01
Series:EBioMedicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352396422000251
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author Aqu Alu
Li Chen
Hong Lei
Yuquan Wei
Xiaohe Tian
Xiawei Wei
author_facet Aqu Alu
Li Chen
Hong Lei
Yuquan Wei
Xiaohe Tian
Xiawei Wei
author_sort Aqu Alu
collection DOAJ
description Summary: Currently licensed COVID-19 vaccines are all designed for intramuscular (IM) immunization. However, vaccination today failed to prevent the virus infection through the upper respiratory tract, which is partially due to the absence of mucosal immunity activation. Despite the emerging severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants, the next generation of COVID-19 vaccine is in demand and intranasal (IN) vaccination method has been demonstrated to be potent in inducing both mucosal and systemic immune responses. Presently, although not licensed, various IN vaccines against SARS-CoV-2 are under intensive investigation, with 12 candidates reaching clinical trials at different phases. In this review, we give a detailed description about current status of IN COVID-19 vaccines, including virus-vectored vaccines, recombinant subunit vaccines and live attenuated vaccines. The ongoing clinical trials for IN vaccines are highlighted. Additionally, the underlying mechanisms of mucosal immunity and potential mucosal adjuvants and nasal delivery devices are also summarized.
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spelling doaj.art-958ddb8a14f040a59fa725990891b6472022-12-22T04:09:32ZengElsevierEBioMedicine2352-39642022-02-0176103841Intranasal COVID-19 vaccines: From bench to bedAqu Alu0Li Chen1Hong Lei2Yuquan Wei3Xiaohe Tian4Xiawei Wei5Laboratory of Aging Research and Cancer Drug Target, State Key Laboratory of Biotherapy and Cancer Center, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, ChinaLaboratory of Aging Research and Cancer Drug Target, State Key Laboratory of Biotherapy and Cancer Center, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, ChinaLaboratory of Aging Research and Cancer Drug Target, State Key Laboratory of Biotherapy and Cancer Center, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, ChinaLaboratory of Aging Research and Cancer Drug Target, State Key Laboratory of Biotherapy and Cancer Center, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, ChinaCorresponding authors.; Laboratory of Aging Research and Cancer Drug Target, State Key Laboratory of Biotherapy and Cancer Center, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, ChinaCorresponding authors.; Laboratory of Aging Research and Cancer Drug Target, State Key Laboratory of Biotherapy and Cancer Center, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, ChinaSummary: Currently licensed COVID-19 vaccines are all designed for intramuscular (IM) immunization. However, vaccination today failed to prevent the virus infection through the upper respiratory tract, which is partially due to the absence of mucosal immunity activation. Despite the emerging severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants, the next generation of COVID-19 vaccine is in demand and intranasal (IN) vaccination method has been demonstrated to be potent in inducing both mucosal and systemic immune responses. Presently, although not licensed, various IN vaccines against SARS-CoV-2 are under intensive investigation, with 12 candidates reaching clinical trials at different phases. In this review, we give a detailed description about current status of IN COVID-19 vaccines, including virus-vectored vaccines, recombinant subunit vaccines and live attenuated vaccines. The ongoing clinical trials for IN vaccines are highlighted. Additionally, the underlying mechanisms of mucosal immunity and potential mucosal adjuvants and nasal delivery devices are also summarized.http://www.sciencedirect.com/science/article/pii/S2352396422000251COVID-19SARS-CoV-2Intranasal vaccineMucosalAdjuvant
spellingShingle Aqu Alu
Li Chen
Hong Lei
Yuquan Wei
Xiaohe Tian
Xiawei Wei
Intranasal COVID-19 vaccines: From bench to bed
EBioMedicine
COVID-19
SARS-CoV-2
Intranasal vaccine
Mucosal
Adjuvant
title Intranasal COVID-19 vaccines: From bench to bed
title_full Intranasal COVID-19 vaccines: From bench to bed
title_fullStr Intranasal COVID-19 vaccines: From bench to bed
title_full_unstemmed Intranasal COVID-19 vaccines: From bench to bed
title_short Intranasal COVID-19 vaccines: From bench to bed
title_sort intranasal covid 19 vaccines from bench to bed
topic COVID-19
SARS-CoV-2
Intranasal vaccine
Mucosal
Adjuvant
url http://www.sciencedirect.com/science/article/pii/S2352396422000251
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AT lichen intranasalcovid19vaccinesfrombenchtobed
AT honglei intranasalcovid19vaccinesfrombenchtobed
AT yuquanwei intranasalcovid19vaccinesfrombenchtobed
AT xiaohetian intranasalcovid19vaccinesfrombenchtobed
AT xiaweiwei intranasalcovid19vaccinesfrombenchtobed