RT Journal Article SR Electronic T1 Low-dose bivalent mRNA vaccine is highly effective against different SARS-CoV-2 variants in a transgenic mouse model JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.04.20.485440 DO 10.1101/2022.04.20.485440 A1 Björn Corleis A1 Donata Hoffmann A1 Susanne Rauch A1 Charlie Fricke A1 Nicole Roth A1 Janina Gergen A1 Kristina Kovacikova A1 Kore Schlottau A1 Nico Joel Halwe A1 Lorenz Ulrich A1 Jacob Schön A1 Kerstin Wernike A1 Marek Widera A1 Sandra Ciesek A1 Stefan O. Mueller A1 Thomas C. Mettenleiter A1 Benjamin Petsch A1 Martin Beer A1 Anca Dorhoi YR 2022 UL http://biorxiv.org/content/early/2022/04/20/2022.04.20.485440.abstract AB Combining optimized spike (S) protein-encoding mRNA vaccines to target multiple SARS-CoV-2 variants could improve COVID-19 control. We compared monovalent and bivalent mRNA vaccines encoding B.1.351 (Beta) and/or B.1.617.2 (Delta) SARS-CoV-2 S-protein, primarily in a transgenic mouse model and a Wistar rat model. The low-dose bivalent mRNA vaccine contained half the mRNA of each respective monovalent vaccine, but induced comparable neutralizing antibody titres, enrichment of lung-resident memory CD8+ T cells, specific CD4+ and CD8+ responses, and fully protected transgenic mice from SARS-CoV-2 lethality. The bivalent mRNA vaccine significantly reduced viral replication in both Beta- and Delta-challenged mice. Sera from bivalent mRNA vaccine immunized Wistar rats also contained neutralizing antibodies against the B.1.1.529 (Omicron BA.1) variant. These data suggest that low-dose and fit-for-purpose multivalent mRNA vaccines encoding distinct S-proteins is a feasible approach for increasing the potency of vaccines against emerging and co-circulating SARS-CoV-2 variants.Competing Interest StatementB Corleis, A Dorhoi, B Petsch and M Beer declare institutional funding for the work. SO Mueller and B Petsch declare holding company shares or stock options. The remaining authors declare no competing interests.