RT Journal Article SR Electronic T1 Protection of Hamsters Challenged with SARS-CoV-2 Variants of Concern by Two Doses of MVC-COV1901 Vaccine Followed by a Single Dose of Beta Variant Version of MVC-COV1901 JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.09.29.462344 DO 10.1101/2021.09.29.462344 A1 Kuo, Tsun-Yung A1 Lien, Chia-En A1 Lin, Yi-Jiun A1 Lin, Meei-Yun A1 Wu, Chung-Chin A1 Tang, Wei-Hsuan A1 Campbell, John D. A1 Traquina, Paula A1 Chuang, Ya-Shan A1 Liu, Luke Tzu-Chi A1 Chen, Charles YR 2021 UL http://biorxiv.org/content/early/2021/10/15/2021.09.29.462344.abstract AB The current fight against COVID-19 is compounded by the Variants of Concern (VoCs), which can diminish the effectiveness of vaccines and potentially increase viral transmission and severity of disease. MVC-COV1901 is a protein subunit vaccine based on the prefusion SARS-CoV-2 spike protein (S-2P) and is adjuvanted with CpG 1018 and aluminum hydroxide. In this study, we used the Delta variant to challenge hamsters inoculated with S-2P from the Wuhan wildtype and the Beta variant in two-dose or three-dose regimens. Two doses of wildtype S-2P followed by the third dose of Beta variant was shown to induce the highest neutralizing antibody titer against live SARS-CoV-2 of the wildtype as well as all current VoCs. All regimens of vaccination were able to protect hamsters from SARS-CoV-2 Delta variant challenge and resulted in reduced lung live virus titer and pathology. Three doses of vaccination also significantly reduced lung viral RNA titer, regardless of whether the wildtype or Beta variant S-2P was used as the third dose. Based on the immunogenicity and viral challenge data, two doses of wildtype S-2P followed by the third dose of Beta variant S-2P induced a broad and potent immune response against the Alpha, Beta, Gamma, and Delta variants.Competing Interest StatementC. C., T.-Y. K., C.-C. W., W.-.H. T, C.-E. L., Y.-J. L., and M.-Y. L. are co-inventors for US provisional patent applications 63/240,408, 63/240,080, and 63/248,189.