Complete protection by a single-dose skin patch-delivered SARS-CoV-2 spike vaccine.

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McMillan, Christopher LD
Choo, Jovin JY
Idris, Adi
Supramaniam, Aroon
Modhiran, Naphak
Amarilla, Alberto A
Isaacs, Ariel
Cheung, Stacey TM
Liang, Benjamin
Bielefeldt-Ohmann, Helle
Azuar, Armira
Acharya, Dhruba
Kelly, Gabrielle
Fernando, Germain JP
Landsberg, Michael J
et al.
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2021
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Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has infected more than 160 million people and resulted in more than 3.3 million deaths, and despite the availability of multiple vaccines, the world still faces many challenges with their rollout. Here, we use the high-density microarray patch (HD-MAP) to deliver a SARS-CoV-2 spike subunit vaccine directly to the skin. We show that the vaccine is thermostable on the patches, with patch delivery enhancing both cellular and antibody immune responses. Elicited antibodies potently neutralize clinically relevant isolates including the Alpha and Beta variants. Last, a single dose of HD-MAP–delivered spike provided complete protection from a lethal virus challenge in an ACE2-transgenic mouse model. Collectively, these data show that HD-MAP delivery of a SARS-CoV-2 vaccine was superior to traditional needle-and-syringe vaccination and may be a significant addition to the ongoing COVID-19 (coronavirus disease 2019) pandemic.

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Science Advances

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7

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44

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© 2021 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. Distributed under a Creative Commons Attribution License 4.0 (CC BY).

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Epidemiology

Virology

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McMillan, CLD; Choo, JJY; Idris, A; Supramaniam, A; Modhiran, N; Amarilla, AA; Isaacs, A; Cheung, STM; Liang, B; Bielefeldt-Ohmann, H; Azuar, A; Acharya, D; Kelly, G; Fernando, GJP; Landsberg, MJ; et al., Complete protection by a single-dose skin patch-delivered SARS-CoV-2 spike vaccine, Science Advances, 2021, 7 (44), pp. eabj8065

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