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Antiviral Res . The race toward a universal influenza vaccine: Front runners and the future directions

tetano

Editor, Senior Moderator
Antiviral Res


. 2022 Dec 24;105505.
doi: 10.1016/j.antiviral.2022.105505. Online ahead of print.
The race toward a universal influenza vaccine: Front runners and the future directions


Longbo Hu[SUP] 1 [/SUP], Geqi Lao[SUP] 1 [/SUP], Rui Liu[SUP] 1 [/SUP], Jin Feng[SUP] 1 [/SUP], Fei Long[SUP] 1 [/SUP], Tao Peng[SUP] 2 [/SUP]



Affiliations

Abstract

Influenza virus is the pathogen of influenza (flu) and millions of people suffer from the infection worldwide, posing a significant health risk. The current influenza vaccines induce neutralizing antibodies against hemagglutinin (HA) to achieve strain-specific neutralization. The effectiveness of seasonal vaccines is usually low and unpredictable because of the antigenic variation and genetic plasticity of viruses, as well as the interference of preexisting immunity. A universal influenza vaccine is urgently needed to prevent a wide variety of influenza viruses. Nevertheless, reaching this difficult optimal goal requires a step-by-step approach. Innovative strategies and vaccine platforms are being developed in order to generate robust cross-protective immunity. In this review, we summarize candidate influenza vaccines that meet two criteria: first, they are designed to provide protection against multiple influenza viruses; second, they had passed regulatory evaluations and have entered various stages of clinical trials. We discuss these vaccine candidates based on the different vaccine-production platforms, with the focus on antigen selection, design, adjuvants, immunomodulators, and routes of vaccine delivery in the development of universal influenza vaccines.

Keywords: Clinical trial; Universal influenza vaccine; Vaccine platform.
 
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