Broad beta-CoV immunity and transmission blockade by a single-dose live-attenuated vaccine with atypical codon usage

N Nigeer Te (School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region) A Alex Wing Hong Chin (School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region) H Haogao Gu (School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region) J Janice Zhirong Jia (HKU-Pasteur Research Pole, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region) Y Yi Huang (Hubei Cancer Hospital Wuhan China) S Samuel Mo Sheung Cheng (School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region) C Chee Wah Tan (Programme in Emerging Infectious Diseases, Duke–National University of Singapore Medical School) J Jincun Zhao (Guangzhou National Laboratory) K Kenrie Pui Yan Hui (School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region) M Michael Chi Wai Chan (School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region) B Bo Feng A Ahmed Abdul Quadeer (Department of Electrical and Electronic Engineering, University of Melbourne) M Matthew R. McKay (Department of Microbiology and Immunology, University of Melbourne, at the Peter Doherty Institute for Infection and Immunity) L Linfa Wang (Programme in Emerging Infectious Diseases, Duke–National University of Singapore Medical School) S Sophie A. Valkenburg (Department of Microbiology and Immunology, University of Melbourne, at the Peter Doherty Institute for Infection and Immunity) M Malik Peiris (HKU-Pasteur Research Pole, School of Public Health, The University of Hong Kong, Hong Kong Special Administrative Region) L Leo Lit Man Poon (School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region)

Abstract

Current COVID-19 vaccines have saved countless lives but primarily aim to induce immunity to the spike or its RBD protein and often fail to confer broad or durable protection against rapidly evolving variants and prevent transmission. Here, we invented a live-attenuated broad-spectrum coronavirus vaccine (cb1) by changing the codon usage bias of SARS-CoV-2 genome, which maintained amino acid conservation but reduced virulence. A single intranasal dose of cb1 vaccine elicits remarkably broad and potent immunity that overcomes existing parenteral vaccine’s limitations. cb1 induced robust neutralizing antibody and T cell responses that translated into complete protection in animal models, including prevention of viral transmission to unvaccinated contacts. Notably, cb1 provided cross-protection not only against diverse SARS-CoV-2 variants of concern but also against more divergent SARS-CoV-1 and hCoV-OC43, a breadth of immunity unparalleled by current vaccines. These findings highlight the potential of cb1 to address urgent needs for next-generation COVID-19 vaccines that elicit mucosal immunity with broad, long-lasting efficacy, eliminating the necessity for frequent updates.

Article Details

Volume / Issue Vol. 123, Issue 4
Published January 27, 2026
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (17)

N

Nigeer Te

School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region

A

Alex Wing Hong Chin

School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region

H

Haogao Gu

School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region

J

Janice Zhirong Jia

HKU-Pasteur Research Pole, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region

Y

Yi Huang

Hubei Cancer Hospital Wuhan China

S

Samuel Mo Sheung Cheng

School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region

C

Chee Wah Tan

Programme in Emerging Infectious Diseases, Duke–National University of Singapore Medical School

J

Jincun Zhao

Guangzhou National Laboratory

K

Kenrie Pui Yan Hui

School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region

M

Michael Chi Wai Chan

School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region

B

Bo Feng

A

Ahmed Abdul Quadeer

Department of Electrical and Electronic Engineering, University of Melbourne

M

Matthew R. McKay

Department of Microbiology and Immunology, University of Melbourne, at the Peter Doherty Institute for Infection and Immunity

L

Linfa Wang

Programme in Emerging Infectious Diseases, Duke–National University of Singapore Medical School

S

Sophie A. Valkenburg

Department of Microbiology and Immunology, University of Melbourne, at the Peter Doherty Institute for Infection and Immunity

M

Malik Peiris

HKU-Pasteur Research Pole, School of Public Health, The University of Hong Kong, Hong Kong Special Administrative Region

L

Leo Lit Man Poon

School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region