Evaluation of adenoviral vector Ad19a encoding RSV-F as novel vaccine against respiratory syncytial virus

Jana Fuchs1, Julian Hübner1, Anna Schmidt1

  • 1Institute of Clinical and Molecular Virology, University Hospital Erlangen, Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Schlossgarten 4, 91054, Erlangen, Germany.

NPJ Vaccines
|October 30, 2024
PubMed

Insights

New adenoviral vector vaccines offer protection against respiratory syncytial virus (RSV). Intranasal delivery induced protective immunity, but intramuscular delivery with rAd19a vectors caused enhanced disease, highlighting the importance of mucosal immunity for respiratory pathogen vaccines.

Area of Science:

  • Virology and Immunology
  • Vaccine Development

Background:

  • Respiratory syncytial virus (RSV) is a major cause of severe lower respiratory tract infections in infants.
  • Natural RSV infections do not provide lasting immunity, necessitating the development of effective vaccines.
  • Adenoviral vectors are being explored for vaccine delivery against respiratory pathogens.

Purpose of the Study:

  • To evaluate a novel adenoviral vector (rAd19a) vaccine for respiratory syncytial virus (RSV) immunogenicity and efficacy.
  • To compare the performance of rAd19a vectors against the established rAd5 vector.
  • To investigate the impact of different immunization routes (intranasal vs. intramuscular) on vaccine-induced immune responses and protection.

Main Methods:

  • Mice were primed with DNA vaccines and boosted with either rAd19a or rAd5 vectors encoding the RSV F protein.
  • Vaccine immunogenicity was assessed by measuring antibody and T-cell responses.
  • Efficacy was evaluated by challenging vaccinated mice with RSV and assessing protection and disease enhancement.

Main Results:

  • Both intranasal rAd19a and rAd5 vector boosts provided protection against RSV challenge.
  • Intramuscular immunization with rAd19a vectors resulted in vaccine-enhanced disease following RSV infection.
  • Intranasal vaccination induced protective mucosal IgA antibodies and tissue-resident memory T-cells, controlling viral replication.

Conclusions:

  • Adenoviral vector vaccines encoding the RSV F protein can elicit protective immunity.
  • Intranasal delivery promotes protective mucosal immunity, while intramuscular delivery may lead to detrimental immune enhancement.
  • Developing effective mucosal vaccines is crucial for combating respiratory pathogens like RSV.