PT - JOURNAL ARTICLE AU - Yongjun Sui AU - Jianping Li AU - Hanne Andersen AU - Roushu Zhang AU - Sunaina Kiran Prabhu AU - Tanya Hoang AU - David Venzon AU - Anthony Cook AU - Renita Brown AU - Elyse Teow AU - Jason Velasco AU - Laurent Pessaint AU - Ian N. Moore AU - Laurel Lagenaur AU - Jim Talton AU - Matthew W. Breed AU - Josh Kramer AU - Kevin W. Bock AU - Mahnaz Minai AU - Bianca M. Nagata AU - Hyoyoung Choo-Wosoba AU - Mark G. Lewis AU - Lai-Xi Wang AU - Jay A. Berzofsky TI - An intranasally administrated SARS-CoV-2 beta variant subunit booster vaccine prevents beta variant viral replication in rhesus macaques AID - 10.1101/2021.10.19.464990 DP - 2021 Jan 01 TA - bioRxiv PG - 2021.10.19.464990 4099 - http://biorxiv.org/content/early/2021/10/20/2021.10.19.464990.short 4100 - http://biorxiv.org/content/early/2021/10/20/2021.10.19.464990.full AB - Emerging of SARS-CoV-2 variants and waning of vaccine/infection-induced immunity poses threats to curbing the COVID-19 pandemic. An effective, safe, and convenient booster vaccine will be needed. We hypothesized that a variant-modified mucosal booster vaccine might induce local immunity to prevent SARS-CoV-2 infection at the port of entry. The beta-variant is hardest to cross-neutralize. Herein we assessed the protective efficacy of an intranasal booster composed of beta variant-spike protein S1 with IL-15 and TLR agonists in previously immunized macaques. The macaques were first vaccinated with Wuhan strain S1 with the same adjuvant. One year later, negligibly detectable SARS-CoV-2-specific antibody remained. Nevertheless, the booster induced vigorous humoral immunity including serum- and bronchoalveolar lavage (BAL)-IgG, secretory nasal- and BAL-IgA, and neutralizing antibody against the original strain and/or beta variant. Beta-variant S1-specifc CD4+ and CD8+ T cell responses were also elicited in PBMC and BAL. Following SARS-CoV-2 beta variant challenge, the vaccinated group demonstrated significant protection against viral replication in the upper and lower respiratory tracts, with almost full protection in the nasal cavity. The fact that one intranasal beta-variant booster administrated one year after the first vaccination provoked protective immunity against beta variant infections may inform future SARS-CoV-2 booster design and administration timing.Competing Interest StatementThe authors have declared no competing interest.