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Effectiveness of information interventions in reducing HPV vaccine hesitancy: a randomized survey experiment in China 信息干预在减少HPV疫苗犹豫中的有效性:中国的随机调查实验
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-13 DOI: 10.1016/j.vaccine.2026.128205
Yunshu Lu , Wei Zhao , Sen Xu , Chengzhou Tang , Iltaf Hussain , Muhtar Kadirhaz , Yi Dong , Miaomiao Xu , Da Feng , Shunping Li , Yu Fang , Jie Chang
<div><h3>Introduction</h3><div>In September 2025 China announced the inclusion of HPV vaccination in its national immunization program; parental hesitancy remains the major modifiable barrier to rapid coverage expansion among school-age girls. Our study assessed the effectiveness of safety-focused, personal benefit, and collective benefit information interventions (vs. basic information alone) on parental HPV vaccine hesitancy.</div></div><div><h3>Methods</h3><div>This double-blind, parallel-group randomized online survey was conducted in mainland China (November–December 2023). Parents of unvaccinated girls aged 9–14 years were recruited by quota sampling. Parents were screened as slight or high hesitancy by a single screening question and randomized to four groups. All received basic vaccine information, with groups additionally received: none (control), safety-focused, personal benefit, or collective benefit information. HPV vaccine hesitancy (VHS-HPV) was the primary outcome, parental willingness to pay (WTP) the secondary. Intervention effects were analyzed using generalized linear models with multiple-comparison–adjusted <em>P</em> values.</div></div><div><h3>Results</h3><div>A total of 1062 parents were randomized into four parallel groups (control, safety-focused, personal benefit, and collective benefit), with 1002 completing the survey and included in the analysis. Compared with the control group, VHS-HPV scores were significantly lower in groups exposed to the personal benefit message (difference, −0.85; 95 % CI, −1.69 to −0.19; adjusted <em>P</em> = 0.045) and the collective benefit message (difference, −1.08; 95 % CI, −1.89 to −0.27; adjusted <em>P</em> = 0.009). In contrast, no statistically significant difference was observed in the safety message group (−0.36; 95 % CI, −1.23 to 0.50; adjusted <em>P</em> = 0.410). The effects were more pronounced among parents with higher hesitancy, with significant differences of −2.39 (95 % CI, −4.36 to −0.42; adjusted <em>P</em> = 0.018) for the personal benefit group and − 3.02 (95 % CI, −4.96 to −1.08; adjusted <em>P</em> = 0.003) for the collective benefit group compared to the control, while no significant difference was observed for the safety message group in this subgroup (−1.32; 95 % CI, −3.42 to 0.78, adjusted <em>P</em> = 0.219). Moreover, no intervention significantly altered WTP.</div></div><div><h3>Conclusions</h3><div>In this large online experiment, brief personal or collective benefit messages reduced parental HPV vaccine hesitancy beyond basic information alone, particularly among highly hesitant parents, without affecting WTP. Embedding such messaging into official digital communications could accelerate uptake under China's newly launched national program.</div></div><div><h3>Trial registration</h3><div>Registered with the China Clinical Trial Registry under registration number ChiCTR2300073106 (Registered on July 1, 2023; Last Refreshed on: 2023-12-17. Available from: <span><
2025年9月,中国宣布将HPV疫苗接种纳入国家免疫规划;父母的犹豫不决仍然是迅速扩大学龄女童覆盖率的主要可改变障碍。我们的研究评估了以安全为中心、个人利益和集体利益信息干预(相对于单独的基本信息)对父母HPV疫苗犹豫的有效性。方法于2023年11 - 12月在中国大陆地区进行双盲、平行组随机在线调查。通过配额抽样招募未接种疫苗的9-14岁女童的父母。通过单一筛选问题筛选轻度或高度犹豫的家长,并随机分为四组。所有人都获得了基本的疫苗信息,另外还获得了:无(对照)、以安全为重点、个人利益或集体利益信息。HPV疫苗犹豫(VHS-HPV)是主要结局,父母支付意愿(WTP)是次要结局。采用多重比较校正P值的广义线性模型分析干预效果。结果1062名家长随机分为对照组、安全组、个人利益组和集体利益组,其中1002名家长完成调查并纳入分析。与对照组相比,暴露于个人利益信息组(差异,- 0.85;95% CI, - 1.69至- 0.19;调整后P = 0.045)和集体利益信息组(差异,- 1.08;95% CI, - 1.89至- 0.27;调整后P = 0.009)的VHS-HPV评分显着降低。相比之下,安全信息组无统计学差异(- 0.36;95% CI, - 1.23至0.50;调整后P = 0.410)。与对照组相比,在个人利益组和集体利益组中,这种影响在犹豫不决的父母中更为明显,显著差异为- 2.39 (95% CI, - 4.36至- 0.42;校正P = 0.018)和- 3.02 (95% CI, - 4.96至- 1.08;校正P = 0.003),而在该亚组中,安全信息组没有显著差异(- 1.32;95% CI, - 3.42至0.78,校正P = 0.219)。此外,没有干预显著改变WTP。结论:在这项大型在线实验中,简短的个人或集体利益信息减少了父母对HPV疫苗的犹豫,而不仅仅是基本信息,特别是在高度犹豫的父母中,而不影响WTP。在中国新推出的国家计划下,将此类信息嵌入官方数字通信可能会加速普及。试验注册:在中国临床试验注册中心注册,注册号为ChiCTR2300073106(注册日期:2023年7月1日;最后刷新日期:2023-12-17)。可从:https://www.chictr.org.cn/showproj.html?proj=198347)。
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引用次数: 0
Microneedle array patch delivery of Shigella flexneri 2a GMMA 微针阵列贴片递送福氏志贺氏菌2a GMMA。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-12 DOI: 10.1016/j.vaccine.2026.128221
Yoona Choi , In-Jeong Choi , Doo Hee Shim , Hye-Ran Cha , Francesca Mancini , Diletta Collalto , Emilia Cappelletti , Carlo Giannelli , Omar Rossi , Francesca Micoli , Danbi Kwon , Aram Kang , Hyeongdeok Sun , Ji Seok Kim , Jeong-Eun Choi , Seung-Ki Baek , Hae-Eun Lim , Byung-Hoo Lee , Jung-Hwan Park , Jae Myun Lee
Shigella infections have long been a significant contributor to global diarrheal mortality, yet no approved Shigella vaccines are currently available. Generalized Modules for Membrane Antigens (GMMA) has emerged as an innovative platform for developing vaccines against Shigella. Here, for the first time, this technology was combined with a microneedle array patch (MAP), a transdermal vaccine delivery system, as an attractive method to overcome the drawbacks of parenteral administration routes. First, we demonstrated that two types of MAPs, the coated (C-MAP) and powder-attached (P-MAP) formats, loaded with Shigella flexneri 2a GMMA maintained their quality throughout the manufacturing process and was stable during storage for one month. Next, we evaluated the immunogenicity induced by the two GMMA MAP vaccines in mice. Both C-MAP and P-MAP elicited anti-OAg serum IgG and bactericidal antibodies comparable to those obtained via intramuscular (IM) injection of 5 μg/dose of OAg. Furthermore, P-MAP elicited the strongest long-term immunogenicity. Ultimately, P-MAP delivery of S. flexneri 2a GMMA induced the most robust and durable immune response, suggesting the possibility of combining these two platforms for Shigella vaccine development.
志贺氏菌感染长期以来一直是全球腹泻死亡的重要原因,但目前还没有获得批准的志贺氏菌疫苗。广义膜抗原模块(GMMA)已成为开发志贺氏菌疫苗的创新平台。在这里,这项技术首次与微针阵列贴片(MAP)(一种透皮疫苗递送系统)相结合,作为一种有吸引力的方法,克服了肠外给药途径的缺点。首先,我们证明了两种类型的map,涂覆(C-MAP)和粉末附着(P-MAP)格式,加载了志贺氏菌flexneri 2a GMMA,在整个制造过程中保持其质量,并在一个月的储存期间保持稳定。接下来,我们评估了两种GMMA MAP疫苗对小鼠的免疫原性。C-MAP和P-MAP诱导的抗OAg血清IgG和杀菌抗体与肌内注射5 μg/剂量OAg获得的抗体相当。此外,P-MAP引起最强的长期免疫原性。最终,P-MAP递送S. flexneri 2a GMMA诱导了最强大和持久的免疫反应,这表明将这两个平台结合起来开发志贺氏菌疫苗的可能性。
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引用次数: 0
TLR5 versus TLR7/8 agonist-dependent modulation of the early gene expression response to inactivated influenza virus vaccine in newborn nonhuman primates 新生非人灵长类动物TLR5与TLR7/8激动剂依赖性早期基因表达对灭活流感病毒疫苗反应的调节
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-12 DOI: 10.1016/j.vaccine.2025.128163
Courtney L. Page , Beth C. Holbrook , Lance D. Miller , Jason M. Grayson , Martha A. Alexander-Miller
There is an urgent need for strategies that can improve vaccine immunogenicity, especially for vulnerable populations such as newborns and young infants. Growing evidence supports Toll-Like Receptor agonists (TLRa) as potent stimulatory molecules to increase vaccine efficacy. We have previously demonstrated that the inclusion of either flagellin (TLR5a) or R848 (TLR7/8a) in an inactivated influenza virus vaccine can improve responses in newborn NHP, with R848 being superior at providing protection upon challenge. This study aimed to identify early immune events triggered by either inactivated virus alone or in combination with R848 or flagellin using scRNA-seq analysis of draining lymph nodes (dLN) collected 24 h after vaccination. Our study reveals that globally, R848 enhanced gene expression associated with B cell activation, while flagellin was a stronger modulator of T cells. Analysis of distinct lymph node populations showed that surprisingly, while APCs had a potent transcriptional response to inactivated virus, we observed minimal additional changes in transcriptional activity with addition of a TLRa. In contrast, R848 had a potent effect on cellular translation, while flagellin resulted in increased expression of type I interferon genes in B cells. All vaccines resulted in a population of T cells bearing an interferon response signature that was further modified by TLRa inclusion. R848 uniquely increased the expression of genes involved with cellular migration and inflammation in this population, while flagellin increased genes involved in vesicular trafficking, cAMP responsiveness, and calcium signaling. Together, these results suggest R848 promotes newborn B cell activation and enhanced migration/retention in the dLN. In contrast, flagellin amplifies the type I interferon signature of B cells and had broad impacts on the responding T cell population. Our findings provide new insights into the modulation of early vaccine responses in newborns following administration of inactivated influenza virus, R848 and flagellin.
迫切需要制定能够改善疫苗免疫原性的战略,特别是针对新生儿和幼儿等脆弱人群。越来越多的证据支持toll样受体激动剂(TLRa)作为有效的刺激分子来提高疫苗效力。我们之前已经证明,在灭活流感病毒疫苗中加入鞭毛蛋白(TLR5a)或R848 (TLR7/8a)可以改善新生儿NHP的应答,其中R848在抵抗挑战时提供更好的保护。本研究旨在通过接种24小时后收集的引流淋巴结(dLN)的scRNA-seq分析,确定灭活病毒单独或与R848或鞭毛蛋白联合引发的早期免疫事件。我们的研究表明,在全球范围内,R848增强了与B细胞活化相关的基因表达,而鞭毛蛋白是T细胞更强的调节剂。对不同淋巴结群体的分析显示,令人惊讶的是,虽然apc对灭活病毒有强烈的转录反应,但我们观察到添加TLRa后转录活性的额外变化很小。相比之下,R848对细胞翻译有强有力的影响,而鞭毛蛋白导致B细胞中I型干扰素基因的表达增加。所有疫苗都能产生具有干扰素应答特征的T细胞群,该特征被TLRa内含物进一步修饰。R848独特地增加了与细胞迁移和炎症有关的基因的表达,而鞭毛蛋白增加了与囊泡运输、cAMP反应性和钙信号传导有关的基因的表达。综上所述,这些结果表明R848促进新生B细胞的激活和增强dLN中的迁移/保留。相比之下,鞭毛蛋白放大了B细胞的I型干扰素信号,并对应答的T细胞群有广泛的影响。我们的研究结果为新生儿接种灭活流感病毒、R848和鞭毛蛋白后早期疫苗反应的调节提供了新的见解。
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引用次数: 0
Parental perceptions of adverse events associated with the whole-cell pertussis vaccine in Brazil 巴西父母对全细胞百日咳疫苗相关不良事件的看法
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-12 DOI: 10.1016/j.vaccine.2025.128184
José Cassio de Moraes , Karina Braga Ribeiro , Juan C. Vargas-Zambrano , Maria Josefa Penón Rújula

Aim

To better understand parents/caregivers' perceptions of adverse events (AEs) associated with the whole-cell pertussis vaccine and the impact of family routine activities.

Methods

This cross-sectional study was conducted in the city of São Paulo, Brazil, using a parent-reported outcomes approach to describe the perception of AEs following immunization with the whole-cell pertussis vaccine.

Results

A total of 1260 parents/caregivers of children who received a whole-cell pentavalent vaccine were enrolled in the study. The most frequently reported AE was tenderness/pain at the injection site (72.4%). Parents/caregivers also reported at least some grade (a little bit more, moderate, or significant/severe) of redness at the injection site (25.2%), swelling (32.4%), a fever ≥38 °C (41.9%), vomiting (7%), and changes in appetite (27.1%), sleeping (34%), and crying (43.7%) patterns. Overall, 86.8% of the parents/caregivers reported at least one AE or change in the child's behavior. A significant positive gradient was observed, i.e., the higher the income, the higher the frequency of AEs/behavior change perceived by the parents/caregivers. The analysis by dose did not show significant differences, except for local pain/tenderness (77.6% vs. 73.5% for D1 and 65.4% for D3, p = 0.001) and changes in child's appetite (34.3% vs. 22.9% for D1 and 26% for D3, p = 0.001) that were more frequent among children receiving the first booster, while changes in child's sleeping (39.1% vs. 26% for D3 and 34.3% for the first booster, p < 0.001) and crying (49% vs. 37.7% for D3 and 42.2% for the first booster, p = 0.003) patterns were more frequent among those receiving D1.

Conclusions

Our study showed that the reported AEs following wP-pentavalent vaccine significantly impact Brazilian children and their families. The switch to less reactogenic vaccines, such as aP hexavalent vaccine, can diminish this impact and contribute to recovering high VCR rates, avoiding outbreaks of vaccine-preventable diseases (VPDs).
目的:更好地了解父母/照顾者对全细胞百日咳疫苗相关不良事件(ae)的看法以及家庭常规活动的影响。方法:这项横断面研究是在巴西圣保罗市进行的,采用家长报告的结果方法来描述全细胞百日咳疫苗免疫后ae的感知。结果:共有1260名接受了全细胞五价疫苗的儿童的父母/照顾者参加了这项研究。最常见的AE是注射部位的压痛/疼痛(72.4%)。家长/看护人还报告了注射部位至少有一定程度(稍高、中度或显著/严重)的发红(25.2%)、肿胀(32.4%)、发烧≥38°C(41.9%)、呕吐(7%)、食欲变化(27.1%)、睡眠(34%)和哭泣(43.7%)模式。总体而言,86.8%的父母/照顾者报告了至少一次AE或儿童行为的改变。结果表明,家庭收入越高,父母/照顾者的不良行为/行为改变频率越高。剂量分析没有显示出显著差异,除了局部疼痛/压痛(D1组77.6%比73.5%,D3组65.4%,p = 0.001)和儿童食欲变化(D1组34.3%比22.9%,D3组26%,p = 0.001)在接受第一次增强剂的儿童中更常见,而儿童睡眠变化(D3组39.1%比26%,D3组34.3%,p = 0.001), p。我们的研究表明,wp -五价疫苗接种后报告的不良反应对巴西儿童及其家庭有显著影响。改用反应性较低的疫苗,如aP六价疫苗,可以减少这种影响,并有助于恢复高VCR率,避免疫苗可预防疾病(VPDs)的暴发。
{"title":"Parental perceptions of adverse events associated with the whole-cell pertussis vaccine in Brazil","authors":"José Cassio de Moraes ,&nbsp;Karina Braga Ribeiro ,&nbsp;Juan C. Vargas-Zambrano ,&nbsp;Maria Josefa Penón Rújula","doi":"10.1016/j.vaccine.2025.128184","DOIUrl":"10.1016/j.vaccine.2025.128184","url":null,"abstract":"<div><h3>Aim</h3><div>To better understand parents/caregivers' perceptions of adverse events (AEs) associated with the whole-cell pertussis vaccine and the impact of family routine activities.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted in the city of São Paulo, Brazil, using a parent-reported outcomes approach to describe the perception of AEs following immunization with the whole-cell pertussis vaccine.</div></div><div><h3>Results</h3><div>A total of 1260 parents/caregivers of children who received a whole-cell pentavalent vaccine were enrolled in the study. The most frequently reported AE was tenderness/pain at the injection site (72.4%). Parents/caregivers also reported at least some grade (a little bit more, moderate, or significant/severe) of redness at the injection site (25.2%), swelling (32.4%), a fever ≥38 °C (41.9%), vomiting (7%), and changes in appetite (27.1%), sleeping (34%), and crying (43.7%) patterns. Overall, 86.8% of the parents/caregivers reported at least one AE or change in the child's behavior. A significant positive gradient was observed, i.e., the higher the income, the higher the frequency of AEs/behavior change perceived by the parents/caregivers. The analysis by dose did not show significant differences, except for local pain/tenderness (77.6% vs. 73.5% for D1 and 65.4% for D3, <em>p</em> = 0.001) and changes in child's appetite (34.3% vs. 22.9% for D1 and 26% for D3, <em>p</em> = 0.001) that were more frequent among children receiving the first booster, while changes in child's sleeping (39.1% vs. 26% for D3 and 34.3% for the first booster, <em>p</em> &lt; 0.001) and crying (49% vs. 37.7% for D3 and 42.2% for the first booster, <em>p</em> = 0.003) patterns were more frequent among those receiving D1.</div></div><div><h3>Conclusions</h3><div>Our study showed that the reported AEs following wP-pentavalent vaccine significantly impact Brazilian children and their families. The switch to less reactogenic vaccines, such as aP hexavalent vaccine, can diminish this impact and contribute to recovering high VCR rates, avoiding outbreaks of vaccine-preventable diseases (VPDs).</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"74 ","pages":"Article 128184"},"PeriodicalIF":4.5,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145968316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hepatitis B core antigen-based trivalent VLP vaccine against porcine viral diarrhea 猪病毒性腹泻乙型肝炎核心抗原三价VLP疫苗。
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-10 DOI: 10.1016/j.vaccine.2026.128210
Shouzhi Sheng , Yixue Sun , Jiayi Qin , Jinghui Zhao , Ao He , Siqi Li , Chao Gao , Yanlong Cong
Porcine viral diarrhea imposes substantial economic burdens on the swine industry. The commercial triplex-attenuated vaccine against TGEV, PEDV, and PoRV infections has limitations in preparation and efficacy. The Hepatitis B virus core antigen (HBcAg), known for its ability to self-assemble into virus-like particles (VLPs) in vitro and stably present exogenous antigens, serves as a critical technical foundation for the development of innovative nano-vaccines. In this study, we strategically concatenated truncated and full-length monomers of HBcAg, with the conserved linear neutralizing epitopes from TGEV, PEDV, and PoRV being respectively integrated exclusively into the truncated variants to develop a trivalent-VLP (triVLP) vaccine candidate for porcine viral diarrhea. The immunogenicity of triVLPs at two distinct dosages (25 μg and 50 μg) was then evaluated in BALB/c mice following their administration. Notably, the higher dosage of 50 μg triVLP was found to significantly enhance cellular immunity compared to the 25 μg triVLP group, as evidenced by the substantial increase in serum levels of IFN-γ and IL-4 observed at 35 days post-immunization (dpi). Furthermore, at 35 dpi, the IgG and virus neutralizing (VN) antibody titers against TGEV, PEDV, and PoRV in the 50 μg triVLP group were significantly higher than those observed in the group receiving the commercial triplex-attenuated vaccine, indicating a pronounced humoral immune response. Collectively, our data indicate that HBcAg-based trivalent VLPs elicit potent cellular and humoral immunity, positioning them as a prospective vaccine candidate for porcine viral diarrhea.
猪病毒性腹泻给养猪业带来了巨大的经济负担。针对TGEV、PEDV和PoRV感染的商用三联减毒疫苗在制备和效力方面存在局限性。乙型肝炎病毒核心抗原(HBcAg)以其在体外自组装成病毒样颗粒(vlp)并稳定呈递外源抗原的能力而闻名,是开发创新型纳米疫苗的关键技术基础。在这项研究中,我们战略性地连接HBcAg的截断和全长单分子,将TGEV、PEDV和PoRV的保守线性中和表位分别整合到截断的变体中,以开发猪病毒性腹泻的三价vlp (triVLP)候选疫苗。然后在给药后对两种不同剂量(25 μg和50 μg)的BALB/c小鼠进行免疫原性评价。值得注意的是,与25 μg triVLP组相比,高剂量50 μg triVLP组显著增强了细胞免疫,免疫后35天血清中IFN-γ和IL-4水平显著升高。此外,在35 dpi时,50 μg三联减毒疫苗组抗TGEV、PEDV和PoRV的IgG和病毒中和(VN)抗体滴度显著高于商用三联减毒疫苗组,表明有明显的体液免疫应答。总的来说,我们的数据表明,基于hbsag的三价VLPs可引发有效的细胞和体液免疫,使其成为猪病毒性腹泻的潜在候选疫苗。
{"title":"Hepatitis B core antigen-based trivalent VLP vaccine against porcine viral diarrhea","authors":"Shouzhi Sheng ,&nbsp;Yixue Sun ,&nbsp;Jiayi Qin ,&nbsp;Jinghui Zhao ,&nbsp;Ao He ,&nbsp;Siqi Li ,&nbsp;Chao Gao ,&nbsp;Yanlong Cong","doi":"10.1016/j.vaccine.2026.128210","DOIUrl":"10.1016/j.vaccine.2026.128210","url":null,"abstract":"<div><div>Porcine viral diarrhea imposes substantial economic burdens on the swine industry. The commercial triplex-attenuated vaccine against TGEV, PEDV, and PoRV infections has limitations in preparation and efficacy. The Hepatitis B virus core antigen (HBcAg), known for its ability to self-assemble into virus-like particles (VLPs) in vitro and stably present exogenous antigens, serves as a critical technical foundation for the development of innovative nano-vaccines. In this study, we strategically concatenated truncated and full-length monomers of HBcAg, with the conserved linear neutralizing epitopes from TGEV, PEDV, and PoRV being respectively integrated exclusively into the truncated variants to develop a trivalent-VLP (triVLP) vaccine candidate for porcine viral diarrhea. The immunogenicity of triVLPs at two distinct dosages (25 μg and 50 μg) was then evaluated in BALB/c mice following their administration. Notably, the higher dosage of 50 μg triVLP was found to significantly enhance cellular immunity compared to the 25 μg triVLP group, as evidenced by the substantial increase in serum levels of IFN-γ and IL-4 observed at 35 days post-immunization (dpi). Furthermore, at 35 dpi, the IgG and virus neutralizing (VN) antibody titers against TGEV, PEDV, and PoRV in the 50 μg triVLP group were significantly higher than those observed in the group receiving the commercial triplex-attenuated vaccine, indicating a pronounced humoral immune response. Collectively, our data indicate that HBcAg-based trivalent VLPs elicit potent cellular and humoral immunity, positioning them as a prospective vaccine candidate for porcine viral diarrhea.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"74 ","pages":"Article 128210"},"PeriodicalIF":4.5,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145954620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mind the gap: A qualitative assessment of limitations in school-age immunisation programme delivery for Orthodox Jewish children in northeast London 注意差距:对伦敦东北部正统犹太儿童学龄免疫接种项目实施限制的定性评估
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-09 DOI: 10.1016/j.vaccine.2025.128193
Ben Kasstan-Dabush , Tehseen Khan , Vanessa Saliba , Tracey Chantler

Introduction

School-based vaccine programme delivery offers convenience to parents, and reduces the burden on primary care capacity. Vaccine coverage among school-age children is lower in Hackney (northeast London), and post-pandemic coverage recovery has been limited in Hackney compared to London and England. Hackney is home to the largest Orthodox Jewish (OJ) population in Europe where most children attend independent faith schools. This study aimed to assess (i): vaccine programme delivery gaps via independent OJ schools in Hackney; and (ii) the primary care catch-up and commissioning strategies undertaken to help close gaps.

Methods

Qualitative evaluations of national incident responses for poliovirus and measles tailored to underserved communities in northeast London (2022–24). Data consisted of in-depth semi-structured interviews (n = 53) with public health professionals, healthcare practitioners, community partners, and OJ parents. Vaccine clinic visits (n = 11) were conducted in northeast London, affording additional (n = 43) focused and opportunistic interviews with OJ parents attending for catch-up.

Results

Evaluating the delivery of routine and outbreak vaccination campaigns to school-age children demonstrates that independent OJ schools in Hackney are a key programme delivery gap, directly impacting access to catch-up and routine adolescent programmes. OJ parents reported that they did not receive relevant vaccine programme information and invitations for school-age children via independent faith schools. Primary care-led outreach clinics were hosted to offer school-age immunisations to OJ adolescents, but did not offer HPV vaccines. Sub-commissioning community organisations to liaise with independent schools may be a strategy to help resolve this delivery gap, but would require responsibilities within school-age immunisation partnerships to be clearly assigned.

Conclusion

Limitations in vaccine programme delivery via independent faith schools in northeast London may play a role in suboptimal vaccination coverage. Programme gaps must be addressed to help ensure that every eligible child is invited for, and can access, routine vaccination via accessible pathways.
以学校为基础的疫苗规划的实施为家长提供了便利,并减轻了初级保健能力的负担。哈克尼(伦敦东北部)学龄儿童的疫苗覆盖率较低,与伦敦和英格兰相比,大流行后哈克尼的疫苗覆盖率恢复有限。哈克尼是欧洲最大的正统犹太人(OJ)人口的家园,大多数孩子都在独立的宗教学校上学。本研究旨在评估(i):通过哈克尼的独立OJ学校提供疫苗规划的差距;(ii)为帮助缩小差距而采取的初级保健追赶和委托战略。方法针对伦敦东北部服务不足社区定制的国家脊髓灰质炎病毒和麻疹事件应对(2022-24)进行定性评估。数据包括与公共卫生专业人员、医疗从业人员、社区合作伙伴和OJ父母的深度半结构化访谈(n = 53)。在伦敦东北部进行了疫苗诊所访问(n = 11),提供了额外的(n = 43)重点和机会性访谈,与参加的OJ父母进行了跟进。结果对向学龄儿童提供常规和暴发疫苗接种运动的评估表明,哈克尼的独立OJ学校是一个关键的方案提供差距,直接影响到获得追赶和常规青少年方案。OJ父母报告说,他们没有通过独立的宗教学校收到有关疫苗方案的信息和学龄儿童的邀请。以初级保健为主导的外展诊所为OJ青少年提供学龄免疫接种,但不提供HPV疫苗。委托社区组织与私立学校联系可能是帮助解决这一交付差距的一种策略,但这需要明确分配学龄免疫伙伴关系中的责任。结论伦敦东北部独立宗教学校疫苗接种计划的局限性可能是疫苗接种覆盖率不理想的原因之一。必须填补规划空白,以帮助确保每一个符合条件的儿童都被邀请并能够通过无障碍途径获得常规疫苗接种。
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引用次数: 0
Differences in influenza vaccine effectiveness by sex among adults hospitalized with acute respiratory illness—IVY network, January 24, 2022–September 1, 2024 急性呼吸道疾病住院成人流感疫苗有效性的性别差异——ivy网络,2022年1月24日- 2024年9月1日
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-09 DOI: 10.1016/j.vaccine.2025.128192
Elizabeth J. Harker , Nathaniel M. Lewis , Cassandra A. Johnson , Yuwei Zhu , Wesley H. Self , Natasha Halasa , James D. Chappell , Carlos G. Grijalva , Basmah Safdar , Manju Gaglani , Cristie Columbus , Jay Steingrub , Nathan Shapiro , Abhijit Duggal , Lawrence Busse , Laurynn Giles , Ithan Peltan , David Hager , Amira Mohamed , Matthew Exline , Sascha Ellington
This analysis assessed differences in influenza vaccine effectiveness (VE) and severe in-hospital outcomes between U.S. male and female adults hospitalized with laboratory-confirmed influenza in a multi-center network during 2022–2024. Compared with men, women hospitalized with influenza were less likely to smoke (21.5 % vs 25.3 %, P = 0.02), to have COPD (21.9 % vs 22.7 %, P < 0.001), and to be admitted to an intensive care unit once hospitalized (17.3 % vs 20.7 %, P = 0.04). Influenza VE (95 % confidence interval [CI]) was significantly higher in women aged ≥50 years compared with men aged ≥50 years (48.5 % [39.2 %–56.4 %] vs 26.2 % [13.0 %–37.5 %]). VE was slightly lower in women aged 18–49 years compared with women ≥50 years (46.2 % [95 % CI: 24.2 %–61.8 % vs 61.3 % [41.0 %–74.6 %]) but significantly lower in men aged ≥50 years compared with men aged 18–49 years (61.3 % [41.0 %–74.6 %] vs 26.2 % [13.0 %–37.5 %]). Disaggregation of sex should be considered in future influenza VE studies.
该分析评估了2022-2024年在多中心网络中因实验室确诊流感住院的美国男性和女性成人之间流感疫苗有效性(VE)和严重住院结局的差异。与男性相比,因流感住院的女性吸烟(21.5%对25.3%,P = 0.02)、患慢性阻塞性肺病(21.9%对22.7%,P < 0.001)和住院后入住重症监护病房(17.3%对20.7%,P = 0.04)的可能性较小。≥50岁女性的流感VE(95%可信区间[CI])明显高于≥50岁男性(48.5% [39.2% - 56.4%]vs 26.2%[13.0% - 37.5%])。与≥50岁的女性相比,18-49岁女性的VE略低(46.2% [95% CI: 24.2% - 61.8% vs 61.3%[41.0% - 74.6%]),但与18-49岁男性相比,≥50岁男性的VE显著降低(61.3% [41.0% - 74.6%]vs 26.2%[13.0% - 37.5%])。在未来的流感VE研究中应考虑性别分类。
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引用次数: 0
Next-generation live vector vaccine targeting Mycoplasma synoviae and Mycoplasma gallisepticum via recombinant Salmonella 重组沙门氏菌靶向滑膜支原体和鸡脓毒支原体的新一代活载体疫苗
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-09 DOI: 10.1016/j.vaccine.2026.128211
Rabia Sabir , Mingxing Liu , Hussain Ahmad Saeed , Ze Deng , Sirui Jia , Jinsheng Tang , Zhe Ma , Hongjie Fan , Huixing Lin
Avian mycoplasmosis has a considerable financial impact on the global chicken industry with Mycoplasma synoviae (MS) and Mycoplasma gallisepticum (MG) being the dominant causes. Currently, inactivated vaccines provide minimal cross-protection and can't induce high levels of mucosal immunity, indicating the need to develop more effective immunisation platforms. This study aimed at designing and testing rationally engineered live recombinant vaccines using Salmonella enterica serovar Typhimurium expressing MS- and MG-specific antigens, GrpE and CrmA, to produce a robust immune response. Three recombinant Salmonella ΔphoPQ strains, including SG1 (GrpE), SG2 (CrmA), and SFGs (GrpE + CrmA), were designed and verified by western blotting. The humoral (IgG), mucosal (IgA), cytokine (IFN- α, IL-1β, TNF- α), and innate immune (TLR15, iNOS) responses were determined using ELISA and qRT-PCR. The effectiveness of protection was determined by the use of clinical indicators, bacterial load measurements, histological examination, and survival parameters following the homologous challenge of MS or MG. The results showed that SG1 and SG2 significantly increased mucosal IgA titers (OD: 0.82 ± 0.02 and 0.77 ± 0.01, respectively) and antigen-specific IgG (mean OD: 1.66 ± 0.03 and 3.17 ± 0.06, respectively) relative to inactivated vaccine and control groups (p < 0.0001). The IgG (1.24 ± 0.04) and IgA (0.73 ± 0.01) of SFGs were moderate, indicating a dual expression of antigens in them. These reactions were accompanied by the upregulation of IFN-alpha, IL-1beta, TNF-alpha, TLR15, and iNOS gene expression, indicating the activation of Th1-biased and innate immune responses. Recombinant strains showed strong protective performance, with a survival rate of 90 to 95% after challenge and also reduced shedding of bacteria as well as histological changes. As a result, strains of Recombinant Salmonella expressing GrpE and CrmA resulted in robust humoral, innate, and mucosal immune responses, which provide significant protection against MS and MG.
禽支原体病对全球养鸡业有相当大的经济影响,其中滑膜支原体(MS)和鸡败支原体(MG)是主要原因。目前,灭活疫苗提供最小的交叉保护,不能诱导高水平的粘膜免疫,这表明需要开发更有效的免疫平台。本研究旨在设计和测试利用表达MS和mg特异性抗原GrpE和CrmA的肠炎沙门氏菌血清型鼠伤寒沙门氏菌合理工程化的活重组疫苗,以产生强大的免疫应答。设计了SG1 (GrpE)、SG2 (CrmA)和SFGs (GrpE + CrmA) 3株重组沙门氏菌ΔphoPQ菌株,并进行了western blotting验证。采用ELISA和qRT-PCR检测小鼠体液(IgG)、黏膜(IgA)、细胞因子(IFN- α、IL-1β、TNF- α)和先天免疫(TLR15、iNOS)应答。通过使用临床指标、细菌负荷测量、组织学检查和MS或MG同源攻击后的生存参数来确定保护的有效性。结果显示,与灭活疫苗和对照组相比,SG1和SG2显著提高了粘膜IgA滴度(OD值分别为0.82±0.02和0.77±0.01)和抗原特异性IgG滴度(OD值分别为1.66±0.03和3.17±0.06)(p < 0.0001)。SFGs的IgG(1.24±0.04)和IgA(0.73±0.01)均为中等水平,表明其存在双重抗原表达。这些反应伴随着ifn - α、il -1 β、tnf - α、TLR15和iNOS基因表达的上调,表明th1偏向性和先天免疫反应的激活。重组菌株表现出较强的保护作用,攻毒后存活率为90 ~ 95%,菌体脱落量减少,组织学改变减少。因此,表达GrpE和CrmA的重组沙门氏菌菌株产生了强大的体液、先天和粘膜免疫反应,对MS和MG提供了显著的保护。
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引用次数: 0
A novel calcium influx inducer and a TLR7 agonist are synergistic co-adjuvants that enhance cross-reactive immunity against influenza in young and aged mice 一种新的钙内流诱导剂和TLR7激动剂是协同佐剂,可增强年轻和老年小鼠对流感的交叉反应性免疫
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-08 DOI: 10.1016/j.vaccine.2025.128189
Yumi Yokoyama , Shiyin Yao , Renna Cozza , Fernando Gil , Ian Mclaughlin , Paola Anguiano Quiroz , Tyler Brown , Nikunj M. Shukla , Michael Chan , Karen Messer , Minya Pu , Maripat Corr , Dennis A. Carson , Tomoko Hayashi
Vaccine adjuvants play a crucial role in the efficacy of vaccines, particularly in immunocompromised populations. Newer agents and combination strategies are needed for adequate defense against emerging pathogens and their evolving variants. Here we report the benefit of a synergistic combination of two adjuvants: a Toll-like receptor 7 agonist, 1V270, and a calcium influx inducer, 2G272, that elicit Th1 and Th2 biased immune responses, respectively. In vitro, 2G272 significantly enhanced cytokine production induced by 1V270 in human and mouse primary cells, compared to a low activity analog, 2E281, identified from structure-activity relationship studies. Using A/California/07/2009 (H1N1) inactivated influenza A virus (IIAV) as the antigen, the combination adjuvant (2G272 + 1V270) magnified IgG1 and IgG2a responses against hemagglutinin (HA) accompanied by greater hemagglutinin inhibition titers and increased germinal center formation in the draining lymph nodes of immunized BALB/c mice at comparable levels to FDA-approved comparators, MF59 and AS01B. The combination adjuvant also enhanced H1 HA-specific T cell responses, augmenting antigen-specific IFNγ secretion. Importantly, the 2G272 + 1V270 combined adjuvant promoted cross-reactive antibody and cellular immune responses against other HAs in phylogenic Group 1: H5, H11, and in Group 2: H3. C57BL/6 aged mice immunized with H1N1 IIAV and 2G272 + 1V270 generated significant anti-H1 IgG1 responses and IFNγ splenic T cell responses to H1 which were cross-reactive with H5 and H3. Collectively, our findings suggest that 2G272 + 1V270 may be a versatile vaccine co-adjuvant system for promoting a larger breadth of cross reactive Th1/Th2 immune responses and robust GC B cell formation, including in the elderly population.
疫苗佐剂在疫苗的效力中起着至关重要的作用,特别是在免疫功能低下的人群中。需要更新的药物和联合策略来充分防御新出现的病原体及其进化变体。在这里,我们报告了两种佐剂协同组合的益处:toll样受体7激动剂1V270和钙内流诱导剂2G272,它们分别引发Th1和Th2偏向性免疫反应。在体外,与低活性的类似物2E281相比,2G272在人和小鼠原代细胞中显著增强了1V270诱导的细胞因子的产生。以A/California/07/2009 (H1N1)灭活甲型流感病毒(IIAV)为抗原,联合佐剂(2G272 + 1V270)增强了免疫BALB/c小鼠的IgG1和IgG2a对血凝素(HA)的应答,同时提高了血凝素抑制滴度,并增加了引流淋巴结中生发中心的形成,其水平与fda批准的比较剂MF59和AS01B相当。联合佐剂还增强H1 ha特异性T细胞反应,增加抗原特异性IFNγ分泌。重要的是,2G272 + 1V270联合佐剂促进了系统发育组1:H5、H11和组2:H3中针对其他ha的交叉反应抗体和细胞免疫应答。经H1N1 IIAV和2G272 + 1V270免疫的C57BL/6老龄小鼠产生了显著的抗H1 IgG1反应和对H1的IFNγ脾T细胞反应,并与H5和H3交叉反应。总的来说,我们的研究结果表明,2G272 + 1V270可能是一种通用的疫苗共佐剂系统,可促进更大范围的交叉反应性Th1/Th2免疫应答和强大的GC B细胞形成,包括在老年人中。
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引用次数: 0
Robust immunoreaction induced by a subunit vaccine of PEDV spike protein based on GEM surface-display system 基于GEM表面展示系统的PEDV刺突蛋白亚单位疫苗诱导的强效免疫反应
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-08 DOI: 10.1016/j.vaccine.2026.128204
Xuwen Qiao , Luping Du , Zhu Qin , Yuanpeng Zhang , Lan Li , Yiwei Wang , Jibo Hou , Jin Chen , Qisheng Zheng
The global porcine epidemic diarrhea (PED) pandemic underscores the urgent need for safe, effective, and readily deployable subunit vaccines against porcine epidemic diarrhea virus (PEDV). In this study, we developed a subunit vaccine by displaying the PEDV spike (S) protein on Gram-positive enhancer matrix (GEM) particles via a protein anchor (PA), resulting in stable particulate antigen complexes designated GEM-S. The immunogenicity of GEM-S was evaluated in mice. Immune responses in lymph nodes (LNs), spleen, and serum were assessed using reverse transcription-quantitative polymerase chain reaction (RT-qPCR), flow cytometry, enzyme-linked immunosorbent assay (ELISA), and virus neutralization assays. Compared to soluble S protein, both GEM-S and the oil-adjuvanted control 206-S significantly upregulated cytokine/chemokine expression, increased antigen-presenting cell (APC) numbers in LNs, enhanced co-stimulatory molecule expression on dendritic cells (DCs), and elevated systemic antibody titers. Notably, GEM-S induced a higher IgG2a/IgG1 ratio, stronger intestinal mucosal IgA production, and a more sustained antibody response than 206-S, despite generating lower total IgG levels. These findings indicate that the particulate GEM-S formulation can effectively elicit robust PEDV-specific humoral and mucosal immune responses in mice, supporting its further investigation as a promising subunit vaccine candidate against PEDV.
全球猪流行性腹泻(PED)大流行强调了对安全、有效和易于部署的猪流行性腹泻病毒(PEDV)亚单位疫苗的迫切需要。在这项研究中,我们开发了一种亚单位疫苗,通过蛋白质锚定(PA)在革兰氏阳性增强子基质(GEM)颗粒上显示PEDV刺突(S)蛋白,从而产生稳定的颗粒抗原复合物,称为GEM-S。小鼠免疫原性评价。采用逆转录定量聚合酶链反应(RT-qPCR)、流式细胞术、酶联免疫吸附试验(ELISA)和病毒中和试验评估淋巴结(LNs)、脾脏和血清的免疫反应。与可溶性S蛋白相比,GEM-S和油佐剂对照206-S均能显著上调细胞因子/趋化因子的表达,增加LNs中抗原呈递细胞(APC)的数量,增强树突状细胞(dc)上共刺激分子的表达,并提高全身抗体滴度。值得注意的是,与206-S相比,GEM-S诱导了更高的IgG2a/IgG1比率,更强的肠黏膜IgA产生,以及更持久的抗体反应,尽管产生的总IgG水平较低。这些发现表明,颗粒状GEM-S制剂可以有效地在小鼠体内引发强大的PEDV特异性体液和粘膜免疫反应,支持其作为一种有希望的PEDV亚单位候选疫苗的进一步研究。
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引用次数: 0
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Vaccine
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