Active Infection & Immunity Lungs & Breathing

Innovative nasal vaccines to prevent pathogen colonization and infection in the upper respiratory tract

In plain English

AI plain-English summary

Needles are failing to stop respiratory infections because injected vaccines cannot block the germs from taking hold in the nose and throat. The NOSEVAC consortium, a collaboration of 12 research teams from the EU, UK and Switzerland, is developing nasal spray vaccines that target the earliest stage of infection: colonisation of the upper respiratory tract. Current injected vaccines against pneumonia, whooping cough, influenza and COVID-19 reduce severe disease but do not prevent the pathogen from establishing itself in the nose, meaning vaccinated people can still spread the infection. The project will design RNA- and protein-based vaccine formulations for nasal delivery, discover bacterial surface proteins that help pathogens stick to airway tissues, and identify the immune factors needed for long-term protection in humans. The consortium aims to deliver two nasal vaccine candidates against *Streptococcus pneumoniae* and *Bordetella pertussis*, plus a single bivalent spray to protect against both influenza and COVID-19. If successful, the work could shift vaccination strategy from disease prevention to transmission prevention, reducing the silent spread that keeps respiratory pathogens circulating through communities. The project will also assess public and stakeholder acceptability of nasal vaccination, generating evidence to guide policy decisions.

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Bacterial and viral respiratory infections are a leading cause of morbidity and mortality worldwide. Streptococcus pneumoniae and Bordetella pertussis, influenza virus and SARS-CoV-2, are responsible for diseases with major public health impact: communityacquired pneumonia, whooping cough, influenza and COVID-19, respectively. Vaccines against some of these diseases, administered by intramuscular or subcutaneous injection, do not prevent colonization or infection of the upper respiratory tract (URT), and therefore have limited impact on pathogen transmission. The NOSEVAC consortium aims to develop and assess innovative nasal vaccine platforms as a novel concept to block the earliest stage of infection, thereby inhibiting URT colonisation, transmission and disease. The project builds on a unique consortium of 12 renowned and complementary teams from the EU, UK and Switzerland. NOSEVAC’s objectives are to: • Develop vaccine formulations for nasal delivery of RNA- and protein-based antigens • Discover bacterial antigens that promote colonization of the URT • Use a combination of in vitro and in vivo models for optimal evaluation of vaccines efficacy • Identify key host immune factors required for long-term protection of the URT in human • Deliver two nasal vaccine candidates to fight S. pneumoniae and B. pertussis infection, and a single bivalent vaccine to prevent influenza and COVID-19 • Address acceptability of nasal vaccination Expected outcomes include (1) strengthening innovation in Europe by enriching the pipeline for novel vaccines against (new) respiratory infections, (2) increasing knowledge on the mechanisms underlying URT colonization, infection and immunity, and (3) evaluating nasal vaccine acceptability by stakeholders. NOSEVAC will develop strategic research avenues to fight respiratory pathogens including those with epidemic potential and will facilitate evidence-based decision making to policy makers and investors.

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Original classification

EU-Funded

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