Article
作者: Fumagalli, Valeria  ; Iannacone, Matteo  ; Capobianchi, Maria Rosaria  ; Chiarini, Valerio  ; Maffei, Mariano  ; Marotta, Davide  ; Castilletti, Concetta  ; Compagnone, Mirco  ; Pinto, Eleonora  ; Cappelletti, Manuela  ; Roscilli, Giuseppe  ; Kuka, Mirela  ; Aurisicchio, Luigi  ; De Francesco, Raffaele  ; Sala, Eleonora  ; Marra, Emanuele  ; Palombo, Fabio  ; Seidel, Alina  ; Giustini, Leonardo  ; Criscuolo, Elena  ; Paterson, Jemma  ; Conti, Matteo  ; Caselli, Gianfranco  ; Conforti, Antonella  ; Ferrara, Fabiana Fosca  ; Ravà, Micol  ; Pavoni, Emiliano  ; D'Acunto, Emanuela  ; Clementi, Nicola  ; Bucci, Federica  ; Guidotti, Luca G  ; Ippolito, Giuseppe  ; Donnici, Lorena  ; Stoppoloni, Daniela  ; Vitagliano, Grazia  ; Bono, Elisa  ; Mancini, Nicasio  ; Muzi, Alessia  ; Luberto, Laura  ; Colavita, Francesca  ; Pacello, Maria Lucrezia  ; Münch, Jan  ; Groß, Rüdiger  ; Wettstein, Lukas  ; Ciliberto, Gennaro  ; Nyska, Abraham  ; Perucchini, Chiara  ; Di Lucia, Pietro  ; Arriga, Roberto  ; Salvatori, Erika  ; Ryan, Kathryn Ann  ; Rovati, Lucio  ; Matusali, Giulia  ; Lione, Lucia  ; Challis, Amy-Rose 
The COVID-19 pandemic caused by SARS-CoV-2 has made the development of safe and effective vaccines a critical priority. To date, four vaccines have been approved by European and American authorities for preventing COVID-19, but the development of additional vaccine platforms with improved supply and logistics profiles remains a pressing need. Here we report the preclinical evaluation of a novel COVID-19 vaccine candidate based on the electroporation of engineered, synthetic cDNA encoding a viral antigen in the skeletal muscle. We constructed a set of prototype DNA vaccines expressing various forms of the SARS-CoV-2 spike (S) protein and assessed their immunogenicity in animal models. Among them, COVID-eVax-a DNA plasmid encoding a secreted monomeric form of SARS-CoV-2 S protein receptor-binding domain (RBD)-induced the most potent anti-SARS-CoV-2 neutralizing antibody responses (including against the current most common variants of concern) and a robust T cell response. Upon challenge with SARS-CoV-2, immunized K18-hACE2 transgenic mice showed reduced weight loss, improved pulmonary function, and lower viral replication in the lungs and brain. COVID-eVax conferred significant protection to ferrets upon SARS-CoV-2 challenge. In summary, this study identifies COVID-eVax as an ideal COVID-19 vaccine candidate suitable for clinical development. Accordingly, a combined phase I-II trial has recently started.