mRNA-1273 protects against SARS-CoV-2 beta infection in nonhuman primates

Kizzmekia S Corbett1,2, Anne P Werner1, Sarah O' Connell1

  • 1Vaccine Research Center; National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.

Nature Immunology
|August 21, 2021
PubMed

Insights

Two doses of the mRNA-1273 vaccine provide critical protection against SARS-CoV-2 variants. This immunization strategy is essential for upper and lower airway defense against concerning strains.

Area of Science:

  • Immunology
  • Virology
  • Vaccinology

Background:

  • The B.1.351 variant of SARS-CoV-2 exhibits significant resistance to antibody neutralization.
  • Understanding the impact of vaccine dosage and immunization schedules is crucial for effective protection.

Purpose of the Study:

  • To evaluate the influence of dose and number of immunizations with Moderna's mRNA-1273 vaccine on protection against SARS-CoV-2 variants.
  • To assess the neutralizing antibody titers and in vivo protection conferred by different mRNA-1273 vaccination regimens.

Main Methods:

  • Nonhuman primates were administered varying doses (30 or 100 µg) and numbers (single or two doses) of mRNA-1273 vaccine or received no vaccine.
  • Serum samples were analyzed for neutralizing antibody titers against live SARS-CoV-2 strains, including B.1.351.
  • Following challenge with the B.1.351 variant, viral load in respiratory tracts was quantified.

Main Results:

  • Two 100 µg doses of mRNA-1273 induced high neutralizing antibody titers against SARS-CoV-2 strains, including B.1.351.
  • Two-dose regimens elicited superior neutralizing responses compared to single doses, particularly against variants like B.1.617.2.
  • Vaccinated nonhuman primates showed significant reductions in viral RNA and replication after B.1.351 challenge, especially in the two-dose groups.

Conclusions:

  • A two-dose regimen of mRNA-1273 is critical for robust protection against SARS-CoV-2 variants.
  • The vaccine's efficacy extends to both upper and lower airway protection.
  • Vaccine dose and schedule significantly influence the level of protection achieved against resistant SARS-CoV-2 strains.