Lung directed antibody gene transfer confers protection against SARS-CoV-2 infection

<p><strong>Background</strong> The COVID-19 pandemic continues to be a worldwide threat and effective antiviral drugs and vaccines are being developed in a joint global effort. However, some elderly and immune-compromised populations are unable to raise an effective immune response...

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Main Authors: Yue, D, Miah, KM, Habib, O, Meyer-Berg, H, Conway, CC, Viegas, MA, Dean, R, Satyapertiwi, D, Zhao, J, Wang, Y, Temperton, NJ, Gamlen, TPE, Gill, DR, Hyde, SC
Format: Journal article
Language:English
Published: BMJ Publishing Group 2022
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author Yue, D
Miah, KM
Habib, O
Meyer-Berg, H
Conway, CC
Viegas, MA
Dean, R
Satyapertiwi, D
Zhao, J
Wang, Y
Temperton, NJ
Gamlen, TPE
Gill, DR
Hyde, SC
author_facet Yue, D
Miah, KM
Habib, O
Meyer-Berg, H
Conway, CC
Viegas, MA
Dean, R
Satyapertiwi, D
Zhao, J
Wang, Y
Temperton, NJ
Gamlen, TPE
Gill, DR
Hyde, SC
author_sort Yue, D
collection OXFORD
description <p><strong>Background</strong> The COVID-19 pandemic continues to be a worldwide threat and effective antiviral drugs and vaccines are being developed in a joint global effort. However, some elderly and immune-compromised populations are unable to raise an effective immune response against traditional vaccines.</p> <p><strong>Aims</strong> We hypothesised that passive immunity engineered by the in vivo expression of anti-SARS-CoV-2 monoclonal antibodies (mAbs), an approach termed vectored-immunoprophylaxis (VIP), could offer sustained protection against COVID-19 in all populations irrespective of their immune status or age.</p> <p><strong>Methods</strong> We developed three key reagents to evaluate VIP for SARS-CoV-2: (i) we engineered standard laboratory mice to express human ACE2 via rAAV9 in vivo gene transfer, to allow in vivo assessment of SARS-CoV-2 infection, (ii) to simplify in vivo challenge studies, we generated SARS-CoV-2 Spike protein pseudotyped lentiviral vectors as a simple mimic of authentic SARS-CoV-2 that could be used under standard laboratory containment conditions and (iii) we developed in vivo gene transfer vectors to express anti-SARS-CoV-2 mAbs.</p> <p><strong>Conclusions</strong> A single intranasal dose of rAAV9 or rSIV.F/HN vectors expressing anti-SARS-CoV-2 mAbs significantly reduced SARS-CoV-2 mimic infection in the lower respiratory tract of hACE2-expressing mice. If translated, the VIP approach could potentially offer a highly effective, long-term protection against COVID-19 for highly vulnerable populations; especially immune-deficient/senescent individuals, who fail to respond to conventional SARS-CoV-2 vaccines. The in vivo expression of multiple anti-SARS-CoV-2 mAbs could enhance protection and prevent rapid mutational escape.</p>
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spelling oxford-uuid:8f0c4f1c-525a-4f47-9cc2-33f78e64f0212022-11-28T10:34:47ZLung directed antibody gene transfer confers protection against SARS-CoV-2 infectionJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8f0c4f1c-525a-4f47-9cc2-33f78e64f021EnglishSymplectic ElementsBMJ Publishing Group2022Yue, DMiah, KMHabib, OMeyer-Berg, HConway, CCViegas, MADean, RSatyapertiwi, DZhao, JWang, YTemperton, NJGamlen, TPEGill, DRHyde, SC<p><strong>Background</strong> The COVID-19 pandemic continues to be a worldwide threat and effective antiviral drugs and vaccines are being developed in a joint global effort. However, some elderly and immune-compromised populations are unable to raise an effective immune response against traditional vaccines.</p> <p><strong>Aims</strong> We hypothesised that passive immunity engineered by the in vivo expression of anti-SARS-CoV-2 monoclonal antibodies (mAbs), an approach termed vectored-immunoprophylaxis (VIP), could offer sustained protection against COVID-19 in all populations irrespective of their immune status or age.</p> <p><strong>Methods</strong> We developed three key reagents to evaluate VIP for SARS-CoV-2: (i) we engineered standard laboratory mice to express human ACE2 via rAAV9 in vivo gene transfer, to allow in vivo assessment of SARS-CoV-2 infection, (ii) to simplify in vivo challenge studies, we generated SARS-CoV-2 Spike protein pseudotyped lentiviral vectors as a simple mimic of authentic SARS-CoV-2 that could be used under standard laboratory containment conditions and (iii) we developed in vivo gene transfer vectors to express anti-SARS-CoV-2 mAbs.</p> <p><strong>Conclusions</strong> A single intranasal dose of rAAV9 or rSIV.F/HN vectors expressing anti-SARS-CoV-2 mAbs significantly reduced SARS-CoV-2 mimic infection in the lower respiratory tract of hACE2-expressing mice. If translated, the VIP approach could potentially offer a highly effective, long-term protection against COVID-19 for highly vulnerable populations; especially immune-deficient/senescent individuals, who fail to respond to conventional SARS-CoV-2 vaccines. The in vivo expression of multiple anti-SARS-CoV-2 mAbs could enhance protection and prevent rapid mutational escape.</p>
spellingShingle Yue, D
Miah, KM
Habib, O
Meyer-Berg, H
Conway, CC
Viegas, MA
Dean, R
Satyapertiwi, D
Zhao, J
Wang, Y
Temperton, NJ
Gamlen, TPE
Gill, DR
Hyde, SC
Lung directed antibody gene transfer confers protection against SARS-CoV-2 infection
title Lung directed antibody gene transfer confers protection against SARS-CoV-2 infection
title_full Lung directed antibody gene transfer confers protection against SARS-CoV-2 infection
title_fullStr Lung directed antibody gene transfer confers protection against SARS-CoV-2 infection
title_full_unstemmed Lung directed antibody gene transfer confers protection against SARS-CoV-2 infection
title_short Lung directed antibody gene transfer confers protection against SARS-CoV-2 infection
title_sort lung directed antibody gene transfer confers protection against sars cov 2 infection
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