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Vaccines (Basel) . Adjuvantation of Influenza Vaccines to Induce Cross-Protective Immunity

tetano

Editor, Senior Moderator
Vaccines (Basel)


. 2021 Jan 21;9(2):75.
doi: 10.3390/vaccines9020075.
Adjuvantation of Influenza Vaccines to Induce Cross-Protective Immunity


Zhuofan Li[SUP] 1 [/SUP], Yiwen Zhao[SUP] 1 [/SUP], Yibo Li[SUP] 1 [/SUP], Xinyuan Chen[SUP] 1 [/SUP]



Affiliations

Abstract

Influenza poses a huge threat to global public health. Influenza vaccines are the most effective and cost-effective means to control influenza. Current influenza vaccines mainly induce neutralizing antibodies against highly variable globular head of hemagglutinin and lack cross-protection. Vaccine adjuvants have been approved to enhance seasonal influenza vaccine efficacy in the elderly and spare influenza vaccine doses. Clinical studies found that MF59 and AS03-adjuvanted influenza vaccines could induce cross-protective immunity against non-vaccine viral strains. In addition to MF59 and AS03 adjuvants, experimental adjuvants, such as Toll-like receptor agonists, saponin-based adjuvants, cholera toxin and heat-labile enterotoxin-based mucosal adjuvants, and physical adjuvants, are also able to broaden influenza vaccine-induced immune responses against non-vaccine strains. This review focuses on introducing the various types of adjuvants capable of assisting current influenza vaccines to induce cross-protective immunity in preclinical and clinical studies. Mechanisms of licensed MF59 and AS03 adjuvants to induce cross-protective immunity are also introduced. Vaccine adjuvants hold a great promise to adjuvant influenza vaccines to induce cross-protective immunity.

Keywords: AS03; MF59; cross-protection; influenza vaccine; physical adjuvant; vaccine adjuvant.
 
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