Progress and challenges in the clinical evaluation of immune responses to respiratory mucosal vaccines

Introduction Following the coronavirus disease pandemic, respiratory mucosal vaccines that elicit both mucosal and systemic immune responses have garnered increasing attention. However, human physiological characteristics pose significant challenges in the evaluation of mucosal immunity, which direc...

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Main Authors: Xuanxuan Zhang, Jialu Zhang, Si Chen, Qian He, Yu Bai, Jianyang Liu, Zhongfang Wang, Zhenglun Liang, Ling Chen, Qunying Mao, Miao Xu
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Expert Review of Vaccines
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Online Access:https://www.tandfonline.com/doi/10.1080/14760584.2024.2326094
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author Xuanxuan Zhang
Jialu Zhang
Si Chen
Qian He
Yu Bai
Jianyang Liu
Zhongfang Wang
Zhenglun Liang
Ling Chen
Qunying Mao
Miao Xu
author_facet Xuanxuan Zhang
Jialu Zhang
Si Chen
Qian He
Yu Bai
Jianyang Liu
Zhongfang Wang
Zhenglun Liang
Ling Chen
Qunying Mao
Miao Xu
author_sort Xuanxuan Zhang
collection DOAJ
description Introduction Following the coronavirus disease pandemic, respiratory mucosal vaccines that elicit both mucosal and systemic immune responses have garnered increasing attention. However, human physiological characteristics pose significant challenges in the evaluation of mucosal immunity, which directly impedes the development and application of respiratory mucosal vaccines.Areas Covered This study summarizes the characteristics of immune responses in the respiratory mucosa and reviews the current status and challenges in evaluating immune response to respiratory mucosal vaccines.Expert Opinion Secretory Immunoglobulin A (S-IgA) is a major effector molecule at mucosal sites and a commonly used indicator for evaluating respiratory mucosal vaccines. However, the unique physiological structure of the respiratory tract pose significant challenges for the clinical collection and detection of S-IgA. Therefore, it is imperative to develop a sampling method with high collection efficiency and acceptance, a sensitive detection method, reference materials for mucosal antibodies, and to establish a threshold for S-IgA that correlates with clinical protection. Sample collection is even more challenging when evaluating mucosal cell immunity. Therefore, a mucosal cell sampling method with high operability and high tolerance should be established. Targets of the circulatory system capable of reflecting mucosal cellular immunity should also be explored.
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issn 1476-0584
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language English
publishDate 2024-12-01
publisher Taylor & Francis Group
record_format Article
series Expert Review of Vaccines
spelling doaj-art-59640d3b85b14c95b034c26e101fbe2a2024-12-04T09:49:47ZengTaylor & Francis GroupExpert Review of Vaccines1476-05841744-83952024-12-0123136237010.1080/14760584.2024.2326094Progress and challenges in the clinical evaluation of immune responses to respiratory mucosal vaccinesXuanxuan Zhang0Jialu Zhang1Si Chen2Qian He3Yu Bai4Jianyang Liu5Zhongfang Wang6Zhenglun Liang7Ling Chen8Qunying Mao9Miao Xu10State Key Laboratory of Drug Regulatory Science, Institute of Biological Products, National Institutes for Food and Drug Control, Beijing, ChinaNational Engineering Laboratory for AIDS Vaccine, School of Life Sciences, Jilin University, Changchun, ChinaDrug and Vaccine Research Center, Guangzhou National Laboratory, Guangzhou, ChinaState Key Laboratory of Drug Regulatory Science, Institute of Biological Products, National Institutes for Food and Drug Control, Beijing, ChinaState Key Laboratory of Drug Regulatory Science, Institute of Biological Products, National Institutes for Food and Drug Control, Beijing, ChinaState Key Laboratory of Drug Regulatory Science, Institute of Biological Products, National Institutes for Food and Drug Control, Beijing, ChinaDrug and Vaccine Research Center, Guangzhou National Laboratory, Guangzhou, ChinaState Key Laboratory of Drug Regulatory Science, Institute of Biological Products, National Institutes for Food and Drug Control, Beijing, ChinaDrug and Vaccine Research Center, Guangzhou National Laboratory, Guangzhou, ChinaState Key Laboratory of Drug Regulatory Science, Institute of Biological Products, National Institutes for Food and Drug Control, Beijing, ChinaState Key Laboratory of Drug Regulatory Science, Institute of Biological Products, National Institutes for Food and Drug Control, Beijing, ChinaIntroduction Following the coronavirus disease pandemic, respiratory mucosal vaccines that elicit both mucosal and systemic immune responses have garnered increasing attention. However, human physiological characteristics pose significant challenges in the evaluation of mucosal immunity, which directly impedes the development and application of respiratory mucosal vaccines.Areas Covered This study summarizes the characteristics of immune responses in the respiratory mucosa and reviews the current status and challenges in evaluating immune response to respiratory mucosal vaccines.Expert Opinion Secretory Immunoglobulin A (S-IgA) is a major effector molecule at mucosal sites and a commonly used indicator for evaluating respiratory mucosal vaccines. However, the unique physiological structure of the respiratory tract pose significant challenges for the clinical collection and detection of S-IgA. Therefore, it is imperative to develop a sampling method with high collection efficiency and acceptance, a sensitive detection method, reference materials for mucosal antibodies, and to establish a threshold for S-IgA that correlates with clinical protection. Sample collection is even more challenging when evaluating mucosal cell immunity. Therefore, a mucosal cell sampling method with high operability and high tolerance should be established. Targets of the circulatory system capable of reflecting mucosal cellular immunity should also be explored.https://www.tandfonline.com/doi/10.1080/14760584.2024.2326094Respiratory tractmucosal vaccinemucosal antibodymucosal cellular immunityclinical evaluation
spellingShingle Xuanxuan Zhang
Jialu Zhang
Si Chen
Qian He
Yu Bai
Jianyang Liu
Zhongfang Wang
Zhenglun Liang
Ling Chen
Qunying Mao
Miao Xu
Progress and challenges in the clinical evaluation of immune responses to respiratory mucosal vaccines
Expert Review of Vaccines
Respiratory tract
mucosal vaccine
mucosal antibody
mucosal cellular immunity
clinical evaluation
title Progress and challenges in the clinical evaluation of immune responses to respiratory mucosal vaccines
title_full Progress and challenges in the clinical evaluation of immune responses to respiratory mucosal vaccines
title_fullStr Progress and challenges in the clinical evaluation of immune responses to respiratory mucosal vaccines
title_full_unstemmed Progress and challenges in the clinical evaluation of immune responses to respiratory mucosal vaccines
title_short Progress and challenges in the clinical evaluation of immune responses to respiratory mucosal vaccines
title_sort progress and challenges in the clinical evaluation of immune responses to respiratory mucosal vaccines
topic Respiratory tract
mucosal vaccine
mucosal antibody
mucosal cellular immunity
clinical evaluation
url https://www.tandfonline.com/doi/10.1080/14760584.2024.2326094
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