“…While RBD+alum induces significant immune responses, it has been suggested that its immunogenicity should be increased. Different approaches have been proposed to increase its immunogenicity, such as (i) expression as dimer ( 43 , 49 , 65 , 67 ) or trimers ( 45 ), (ii) fusion to carrier proteins like human IgG Fc moiety ( 44 , 67 ), tetanus toxoid ( 12 ), and interferon-α ( 67 ), (iii) addition of pan HLA-DR-binding epitope to enhance helper T cell responses ( 67 ), (iv) using nanoparticles as delivery system ( 42 , 46 , 48 , 53 , 59 ), or (v) addition of immunopotentiators as CpG ( 42 , 43 , 47 , 59 ), MPLA ( 44 ), 3M-052, or a TLR-7/8 agonist ( 45 , 59 ). Here, we demonstrated that the addition of U-Omp19 to RBD + alum formulation was able to increase the induction and breadth of SARS-CoV-2 neutralizing antibody responses, increase the frequency of RBD-specific germinal center B cells, and induce antigen-specific Th1 and CD8 + T cells.…”