Q3 · MEDICINE
Article
Author: Packiriswamy, Nandakumar  ; Muñoz-Alía, Miguel Á  ; Narjari, Riya  ; Zhang, Lianwen  ; Recker, Jordan  ; Suksanpaisan, Lukkana  ; Sevola, Kara  ; Russell, Luke  ; Haselton, Michelle  ; Sakuma, Toshie  ; Graham, Melanie L  ; Ziegler, Christopher  ; Balakrishnan, Baskar  ; Lee, Rachael M  ; Russell, Stephen J  ; Reiter, Samantha  ; Gnanadurai, Clement  ; Petro, Christopher D  ; Vandergaast, Rianna  ; Waniger, Scott  ; Tesfay, Mulu  ; Kyratsous, Christos A  ; Janecek, Jody L  ; Carey, Timothy  ; Lech, Patrycja  ; Krotova, Karina  ; Baum, Alina  ; Ramachandran, Sabarinathan  ; Peng, Kah-Whye  ; Lathrum, Chase 
An orally active vaccine capable of boosting SARS-CoV-2 immune responses in previously infected or vaccinated individuals would help efforts to achieve and sustain herd immunity. Unlike mRNA-loaded lipid nanoparticles and recombinant replication-defective adenoviruses, replicating vesicular stomatitis viruses with SARS-CoV-2 spike glycoproteins (VSV-SARS2) were poorly immunogenic after intramuscular administration in clinical trials. Here, by G protein trans-complementation, we generated VSV-SARS2(+G) virions with expanded target cell tropism. Compared to parental VSV-SARS2, G-supplemented viruses were orally active in virus-naive and vaccine-primed cynomolgus macaques, powerfully boosting SARS-CoV-2 neutralizing antibody titers. Clinical testing of this oral VSV-SARS2(+G) vaccine is planned.