RT Journal Article SR Electronic T1 A synthetic peptide CTL vaccine targeting nucleocapsid confers protection from SARS-CoV-2 challenge in rhesus macaques JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.04.24.441228 DO 10.1101/2021.04.24.441228 A1 Paul E. Harris A1 Trevor Brasel A1 Christopher Massey A1 C. V. Herst A1 Scott Burkholz A1 Peter Lloyd A1 Tikoes Blankenberg A1 Thomas M. Bey A1 Richard Carback A1 Thomas Hodge A1 Serban Ciotlos A1 Lu Wang A1 Jason E. Comer A1 Reid Rubsamen YR 2021 UL http://biorxiv.org/content/early/2021/04/26/2021.04.24.441228.abstract AB Background Persistent transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has given rise to a COVID-19 pandemic. Several vaccines, evoking protective spike antibody responses, conceived in 2020, are being deployed in mass public health vaccination programs. Recent data suggests, however, that as sequence variation in the spike genome accumulates, some vaccines may lose efficacy.Methods Using a macaque model of SARS-CoV-2 infection, we tested the efficacy of a peptide-based vaccine targeting MHC Class I epitopes on the SARS-CoV-2 nucleocapsid protein. We administered biodegradable microspheres with synthetic peptides and adjuvants to rhesus macaques. Unvaccinated control and vaccinated macaques were challenged with 1 x 108 TCID50 units of SARS-CoV-2, followed by assessment of clinical symptoms, viral load, chest radiographs, sampling of peripheral blood and bronchoalveolar lavage (BAL) fluid for downstream analysis.Results Vaccinated animals were free of pneumonia-like infiltrates characteristic of SARS-CoV-2 infection and presented with lower viral loads relative to controls. Gene expression in cells collected from BAL samples of vaccinated macaques revealed a unique signature associated with enhanced development of adaptive immune responses relative to control macaques.Conclusions We demonstrate that a room temperature stable peptide vaccine based on known immunogenic HLA Class I bound CTL epitopes from the nucleocapsid protein can provide protection against SARS-CoV-2 infection in non-human primates.Competing Interest StatementRR, TBl, SB, SC, RC, TH, LW, PL and CVH are employees of Flow Pharma. PH and TBe are Flow Pharma stockholders. The remaining authors declare no conflict of interest.