“…The high potential of LAVs for COVID-19 prevention is supported by the observation that hybrid immunity (vaccination followed by a breakthrough infection) and SARS-CoV-2 reinfections reduce the risk of subsequent infections caused by the Omicron variant by 60% and 85%, respectively). Meanwhile, boosterization by breakthrough Omicron infection induces higher levels of memory B-cell and SARS-CoV-2-speci c T-cells, particularly against the Omicron variant, compared with booster immunization with inactivated or vector vaccines(Yu et al, 2023).Noteworthy, practically all developers of LAVs against COVID-19 achieve effective protection against challenges with the virulent strain by intranasal administration(Abdoli et al, 2022b;Faizuloev et al, 2023; Oral and intranasal administration of these vaccines provides not only induction of systemic cellular and humoral adaptive immune response but also the formation of mucosal (local) immunity, including secretion of speci c IgA-antibodies in the respiratory or intestinal mucosa. During intranasal immunization followed by infection with a virulent strain, speci c secretory IgA-antibodies neutralize the virus directly on the mucosa of the respiratory tract, which is the site of entry of infection, suppressing its adhesive ability and reducing the e ciency of transmission(Jacobson and Poland, 2002;Nian et al, 2022;Nouailles et al, 2023).…”