“…Although M2e is small (∼23 aa) and poorly immunogenic, it can be conjugated to large molecular carriers to elicit antibody responses that effectively reduce viral replication . Unlike HA and NA, M2e-specific antibodies protect via FcγR-dependent mechanisms, such as antibody-dependent cellular cytotoxicity (ADCC) and phagocytosis (ADCP), rather than direct virus neutralization. ,− Various carriers have been used to increase the immunogenicity of M2e vaccines, including hepatitis B core protein (HBc), tobacco mosaic virus (TMV) coat protein, keyhole limpet hemocyanin (KLH), rotavirus NSP4, GCN4, bacterial flagellin, liposomes, polymers, − and gold nanoparticles (NPs). , Early human trials confirmed the immunogenicity and tolerance of M2e vaccines but also revealed several weaknesses. For example, an adjuvanted M2e-HBc fusion vaccine induced a short-lived anti-M2e antibody response, and an M2e-flagellin fusion vaccine caused undesirable side effects at higher doses.…”