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Proc Natl Acad Sci U S A . Vectored immunoprophylaxis and treatment of SARS-CoV-2 infection in a preclinical model

tetano

Editor, Senior Moderator
Proc Natl Acad Sci U S A


. 2023 Jun 6;120(23):e2303509120.
doi: 10.1073/pnas.2303509120. Epub 2023 May 30. Vectored immunoprophylaxis and treatment of SARS-CoV-2 infection in a preclinical model

Takuya Tada[SUP] 1 [/SUP], Julia Minnee[SUP] 1 [/SUP], Nathaniel R Landau[SUP] 1 [/SUP]



Affiliations
Abstract

Vectored immunoprophylaxis was first developed as a means of establishing engineered immunity to HIV using an adenoassociated viral vector expressing a broadly neutralizing antibody. We applied this concept to establish long-term prophylaxis against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a mouse model using adenoassociated virus and lentiviral vectors expressing a high-affinity angiotensin-converting enzyme 2 (ACE2) decoy. Administration of decoy-expressing (adenoassociated virus) AAV2.retro and AAV6.2 vectors by intranasal instillation or intramuscular injection protected mice against high-titered SARS-CoV-2 infection. AAV and lentiviral vectored immunoprophylaxis was durable and was active against SARS-CoV-2 Omicron subvariants. The AAV vectors were also effective therapeutically when administered postinfection. Vectored immunoprophylaxis could be of value for immunocompromised individuals for whom vaccination is not practical and as a means to rapidly establish protection from infection. Unlike monoclonal antibody therapy, the approach is expected to remain active despite continued evolution viral variants.

Keywords: AAV vector; ACE2 decoy; SARS-CoV-2; immunoprophylaxis; lentiviral vector.

 
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