2021
DOI: 10.3390/pathogens10030355
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Squalene-Based Influenza Vaccine Adjuvants and Their Impact on the Hemagglutinin-Specific B Cell Response

Abstract: Influenza infections continue to cause significant annual morbidity and mortality despite ongoing influenza vaccine research. Adjuvants are administered in conjunction with influenza vaccines to enhance the immune response and strengthen protection against disease. Squalene-based emulsion adjuvants including MF59, AS03, and AF03, are registered for administration with influenza vaccines and are widely used in many countries. Squalene-based emulsion adjuvants induce a strong innate immune response, enhancing an… Show more

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Cited by 30 publications
(24 citation statements)
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References 85 publications
(77 reference statements)
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“…Vaccines are a major achievement of modern science, having saved millions of lives from infectious diseases. Vaccines are composed by pathogen components, such as protein fragments, or by live attenuated or inactivated viruses, as in influenza seasonal vaccines [ 16 ]. More recently, pathogen mRNA fragments have been used as antigens, as in the case of some anti-SARS-CoV2 vaccines recently developed [ 34 ].…”
Section: Squalene-based Formulations As Vaccine Adjuvantsmentioning
confidence: 99%
See 1 more Smart Citation
“…Vaccines are a major achievement of modern science, having saved millions of lives from infectious diseases. Vaccines are composed by pathogen components, such as protein fragments, or by live attenuated or inactivated viruses, as in influenza seasonal vaccines [ 16 ]. More recently, pathogen mRNA fragments have been used as antigens, as in the case of some anti-SARS-CoV2 vaccines recently developed [ 34 ].…”
Section: Squalene-based Formulations As Vaccine Adjuvantsmentioning
confidence: 99%
“…Still, the most widely established application of squalene in pharmaceutical formulations is in the field of vaccine adjuvants. The squalene-based oil-in-water ( o / w ) emulsions MF59 (Novartis), AS03 (GlaxoSmithKline, GSK), and AF03 (Sanofi) have been used as adjuvants in vaccines against influenza virus [ 16 ]. These formulations function as antigen delivery systems and potentiators of innate and adaptive immune responses (Table 1; [ 17 , 18 ]).…”
Section: Introductionmentioning
confidence: 99%
“…A famous w/o squalene-based emulsion MF59® has been licensed and commonly used in vaccine development and has been proven to be a safe and potent adjuvant for use in influenza vaccines (O'Hagan 2007). Adjuvants AS03 and AF03, also squalenebased emulsions, are registered for administration with influenza vaccines (Nguyen-Contant et al 2021). Squalenebased adjuvants modulate the innate immunity and the T cell component of adaptive immunity, leading to enhanced antibody response outcomes.…”
Section: Emulsionsmentioning
confidence: 99%
“…However, adjuvant use in humans remains very limited, mainly due to safety concerns [127][128][129][130]. Table 1 lists adjuvants that are currently in use, being tested in clinical trials, or of research interest, and describes their influence on Tfh cells.…”
Section: Vaccination Strategies To Promote Tfh Cell Developmentmentioning
confidence: 99%