2020
DOI: 10.1038/s41577-020-00479-7
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A guide to vaccinology: from basic principles to new developments

Abstract: Immunization is a cornerstone of public health policy and is demonstrably highly cost-effective when used to protect child health. Although it could be argued that immunology has not thus far contributed much to vaccine development, in that most of the vaccines we use today were developed and tested empirically, it is clear that there are major challenges ahead to develop new vaccines for difficult-to-target pathogens, for which we urgently need a better understanding of protective immunity. Moreover, recognit… Show more

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Cited by 943 publications
(940 citation statements)
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“…The protection of fast-dividing pathogens relies on LLPC, while the spread of slower pathogens gives enough time for memory B cells to proliferate and differentiate, such as in the case of hepatitis B and probably of SARS-CoV-2 viruses [ 84 ]. In the case of an extremely slow pathogen spread (such as rabies), there is sufficient time for a vaccine to elicit a primary response and in these cases, the active immune response may be protective even when given after infection [ 85 ] (called post-exposure prophylaxis).…”
Section: T Dependent B Cell Memory Intrafollicular B Cell Activatmentioning
confidence: 99%
“…The protection of fast-dividing pathogens relies on LLPC, while the spread of slower pathogens gives enough time for memory B cells to proliferate and differentiate, such as in the case of hepatitis B and probably of SARS-CoV-2 viruses [ 84 ]. In the case of an extremely slow pathogen spread (such as rabies), there is sufficient time for a vaccine to elicit a primary response and in these cases, the active immune response may be protective even when given after infection [ 85 ] (called post-exposure prophylaxis).…”
Section: T Dependent B Cell Memory Intrafollicular B Cell Activatmentioning
confidence: 99%
“…Recently, two lipid nanoparticle-formulated, nucleoside-modified RNA vaccines were developed against SARS-CoV-2 [48,50]. These vaccines, BNT162b1 and BNT162b2, containing mRNA encoding the SARS-CoV-2 receptor-binding domain and membrane-anchored SARS-CoV-2 full-length spike protein, respectively, were tested in clinical studies (Clinicaltrials.gov, NCT04368728, NCT04368728) and were shown to be safe and immunogenic [57]. This demonstrates that NVs can be used as a platform for developing vaccines against emerging infections, given their desired features including prolonged stability, immunogenicity and a non-invasive route of administration [58][59][60].…”
Section: Vaccine Delivery Systemsmentioning
confidence: 99%
“…The efforts to create effective adjuvants have focused on the use of microbial compounds and selective TLR ligands [42][43][44]. However, PRRs are not only expressed on APCs but on a wide variety of myeloid cells, including neutrophils [45], monocytes [46,47], and macrophages [46], as well as nonimmune cells such as endothelial cells [48].…”
Section: Dcs Are Crucial For Effective Helper and Cytotoxic T-cell Acmentioning
confidence: 99%