COVID-19: Brazilian-made nasal spray could be available until 2022

Researchers at the University of São Paulo (USP), in collaboration with the Federal University of São Paulo (Unifesp) and the Oswaldo Cruz Foundation (Fiocruz), are developing a nasal spray vaccine against COVID-19. Currently in the study phase, the vaccine promises to be inexpensive, protect against variants and block the new virus already in the nose. It will be available until the end of 2022.

“A reaction in the nasal epithelium is already beginning to be induced, as well as the production of an antibody that plays a role in mucous membranes: secretory IgA [immunoglobulin A],” said study coordinator Professor Jorge Elías Kalil Filho, from USP. He is also director of the Clinical Immunology and Allergy Laboratory at Hospital das Clínicas.

In addition to its state-of-the-art inoculation approach, nasal rather than intramuscular, the vaccine also stands out for its antigen. “Instead of employing the Wuhan virus spike, we will only use the RBD [receptor-binding domain] of the 4 variants of concern. Filho. La spike protein, Fiocruz said, is related to the pathogen’s ability to enter human cells and is one of the main targets of neutralizing antibodies produced throughout the human body to prevent the virus.

The researcher then explained that the antigen will bring protein fragments that will stimulate a longer cellular reaction than that mediated by neutralizing antibodies. “We followed another 220 people with the disease, studied the entire genome of the virus and selected the fragments that theoretically induce an intelligent cellular reaction,” he explained.

The vaccine, therefore, should include fragments capable of killing the cell in case it becomes infected. “If the virus enters the cell, the only thing you’ll be able to do is use cells called cytotoxic CD8, which kill the infected cell,” Kalil Filho pointed out. The spray should therefore contain the so-called T CD8+ cytotoxic lymphocytes, which eliminate sick cells, as well as T CD4+ lymphocytes, which help produce antibodies and create a cytotoxic response.

Another innovation is the creation of a sort of nano-particle that adheres to the mucous membrane of the nose. “The mucous membrane has a large number of cilia that won’t let anything stick, but we have found a way to introduce a specif formula through which we can induce an important response from the mucous membrane,” he added.

Regarding its cost, Kalil Filho noted it should be priced at around five dollars, but further analysis is required. “We have some laboratories producing recombinant proteins, but it’s still rather incipient, so we’re talking with pharmaceutical companies to see if we can find one capable of producing with high quality.”

The nasal spray vaccine can be supplemented with existing intramuscular doses. “When the aerosol is ready, it is most likely that a significant portion of the world’s population will be vaccinated. I think it will work as a booster dose,” he said.

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