Analyze Diet
Acta biomaterialia2025; 203; 578-590; doi: 10.1016/j.actbio.2025.07.042

Equine influenza antigen-based particle vaccine protects mice against homologous and heterosubtypic viral challenges.

Abstract: Influenza virus is a common source of respiratory illness and poses a major public health burden globally. Significant efforts have been dedicated towards developing and deploying effective vaccines. However, since being licensed in 1945, influenza vaccines have made limited progress and still suffer from several limitations, including suboptimal efficacy against variants. In this work, we report on two influenza A polyanhydride particle- and pentablock copolymer-based vaccine formulations intended for intranasal or subcutaneous administration. These nanovaccines are based on a newly discovered equine influenza A H3N8 hemagglutinin antigen (A/equine/1/KY/91), A/HK/1/68 nucleoprotein antigen, and a small molecule adjuvant. When these nanovaccines were administered to naïve mice, both formulations induced robust humoral and cellular immune responses that were protective against lethal challenges with influenza A/HK/1/68 (H3N2) or A/PR/8/34 (H1N1). This protection was characterized by reduced viral load, reduced airway disruption, and preservation of weight post-infection. Further studies with immunization and challenge of CD8T cell depleted mice and passive serum transfer into recipient mice reinforced that the observed protection was due to a combination of both vaccine-induced antibody responses and CD8T cell immunity. These findings demonstrate that intranasal and subcutaneous polymeric particle-based vaccines based on potentially universal influenza antigens are effective and promising platforms for supra-seasonal influenza vaccines. STATEMENT OF SIGNIFICANCE: We designed two influenza virus vaccine formulations based on polyanhydride microparticles and pentablock copolymer micelles for intranasal and subcutaneous administration. The intranasal vaccine is based on polyanhydride microparticles while the subcutaneous vaccine contains both polyanhydride microparticles and pentablock copolymer micelles. Both vaccines contain a newly discovered equine influenza H3N8 hemagglutinin antigen, a nucleoprotein antigen, and an adjuvant. Both vaccines induced robust antibodies and cellular immune responses and protected mice upon lethal challenge. The use of CD8T cell depleted mice and passive transfer of sera from vaccinated mice to recipient mice reinforced that the protection was driven by vaccine-induced antibody and CD8T cell responses. These findings demonstrate that polymeric particle- and micelle-based vaccines are promising supra-seasonal influenza vaccines.
Publication Date: 2025-07-22 PubMed ID: 40706783PubMed Central: PMC12798653DOI: 10.1016/j.actbio.2025.07.042Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

Equine influenza antigen-based nanovaccines were developed and shown to provide effective protection against different strains of influenza virus in mice by inducing strong antibody and cellular immune responses.

Background and Rationale

  • Influenza virus causes widespread respiratory illness and poses a significant public health challenge worldwide.
  • Current influenza vaccines, licensed since 1945, have limited effectiveness, especially against emerging viral variants.
  • There is a need for improved influenza vaccines that provide broader and more durable immunity against multiple virus subtypes.

Vaccine Design and Formulations

  • Two vaccine formulations were created using nanotechnology platforms: polyanhydride microparticles and pentablock copolymer-based micelles.
  • The vaccines were designed for two administration routes: intranasal and subcutaneous.
  • Antigen components included:
    • A newly identified hemagglutinin (HA) antigen from equine influenza A H3N8 strain (A/equine/1/KY/91), representing a novel source potentially providing broader cross-reactivity.
    • Nucleoprotein (NP) antigen from influenza A/HK/1/68 (H3N2), a conserved viral protein important for cellular immunity.
    • A small molecule adjuvant to enhance immune response.
  • The intranasal vaccine utilized only polyanhydride microparticles, while the subcutaneous vaccine combined polyanhydride microparticles and pentablock copolymer micelles.

Immune Responses Elicited

  • Both vaccine formulations elicited strong humoral (antibody) responses in naïve mice.
  • Robust cellular immune responses were also induced, including activation of CD8+ T cells critical for viral clearance.

Protection Against Influenza Virus Challenges

  • Mice vaccinated with these formulations were challenged with lethal doses of influenza virus strains:
    • Influenza A/HK/1/68 (H3N2) – homologous strain.
    • Influenza A/PR/8/34 (H1N1) – heterosubtypic strain (different subtype).
  • Vaccinated mice exhibited:
    • Reduced viral loads in the respiratory tract.
    • Less damage and disruption in airway tissues.
    • Preserved body weight, indicating reduced illness severity.

Mechanisms of Protection

  • Protection was determined to rely on both antibody and cellular immunity:
    • Experiments depleting CD8+ T cells in vaccinated mice reduced protection, indicating the importance of T cell immunity.
    • Passive transfer of serum from vaccinated mice to naïve mice provided partial protection, highlighting the role of antibodies.
  • The combination of humoral and cellular immune responses contributed to broad protection against both matched and mismatched influenza virus strains.

Implications and Significance

  • This study demonstrates that polymeric particle-based vaccines, incorporating conserved and novel influenza antigens, are promising platforms for developing supra-seasonal (broadly protective and lasting) influenza vaccines.
  • Nanoparticle and micelle delivery platforms effectively enhance immune responses and allow for different routes of administration (intranasal and subcutaneous).
  • The use of the equine H3N8 hemagglutinin antigen may contribute to cross-protection and offers a new antigen source for vaccine design.
  • Overall, these vaccines could improve protection against evolving influenza virus variants and reduce the limitations of existing seasonal vaccines.

Cite This Article

APA
Siddoway AC, Van Zanten A, Verhoeven D, Wannemuehler MJ, Mallapragada SK, Narasimhan B. (2025). Equine influenza antigen-based particle vaccine protects mice against homologous and heterosubtypic viral challenges. Acta Biomater, 203, 578-590. https://doi.org/10.1016/j.actbio.2025.07.042

Publication

ISSN: 1878-7568
NlmUniqueID: 101233144
Country: England
Language: English
Volume: 203
Pages: 578-590
PII: S1742-7061(25)00539-2

Researcher Affiliations

Siddoway, A C
  • Department of Chemical & Biological Engineering, Iowa State University, Ames, IA 50011, USA; Nanovaccine Institute, Iowa State University, Ames, IA 50011, USA.
Van Zanten, A
  • Department of Chemical & Biological Engineering, Iowa State University, Ames, IA 50011, USA.
Verhoeven, D
  • Department of Veterinary Microbiology & Preventive Medicine, Iowa State University, Ames, IA 50011, USA; Nanovaccine Institute, Iowa State University, Ames, IA 50011, USA.
Wannemuehler, M J
  • Department of Veterinary Microbiology & Preventive Medicine, Iowa State University, Ames, IA 50011, USA; Nanovaccine Institute, Iowa State University, Ames, IA 50011, USA.
Mallapragada, S K
  • Department of Chemical & Biological Engineering, Iowa State University, Ames, IA 50011, USA; Nanovaccine Institute, Iowa State University, Ames, IA 50011, USA.
Narasimhan, B
  • Department of Chemical & Biological Engineering, Iowa State University, Ames, IA 50011, USA; Nanovaccine Institute, Iowa State University, Ames, IA 50011, USA. Electronic address: nbalaji@iastate.edu.

MeSH Terms

  • Animals
  • Influenza Vaccines / immunology
  • Influenza Vaccines / pharmacology
  • Orthomyxoviridae Infections / prevention & control
  • Orthomyxoviridae Infections / immunology
  • Horses
  • Mice
  • Female
  • Antigens, Viral / immunology
  • Mice, Inbred BALB C
  • Influenza A Virus, H3N8 Subtype / immunology
  • Influenza A Virus, H1N1 Subtype / immunology
  • Influenza A Virus, H3N2 Subtype / immunology

Grant Funding

  • R01 AI141196 / NIAID NIH HHS
  • R01 AI154458 / NIAID NIH HHS

Conflict of Interest Statement

Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Balaji Narasimhan and Michael Wannemuehler are co-founders of ImmunoNanoMed Inc., a start-up with business interests in the development of particle-based vaccines against infectious diseases. Surya Mallapragada also has a financial interest in ImmunoNanoMed Inc. David Verhoeven is a co-founder of Syntherna.

References

This article includes 60 references
  1. World Health Organisation. Global Influenza Strategy Summary 2019–2030. Influenza 1 (2019) 1.
  2. Jordan K, Murchu EO, Comber L, Hawkshaw S, Marshall L, O’Neill M, Teljeur C, Harrington P, Carnahan A, Pérez-Martín JJ, Robertson AH, Johansen K, de Jonge J, Krause T, Nicolay N, Nohynek H, Pavlopoulou I, Pebody R, Penttinen P, Soler-Soneira M, Wichmann O, Ryan M. Systematic review of the efficacy, effectiveness and safety of cell-based seasonal influenza vaccines for the prevention of laboratory-confirmed influenza in individuals ≥18 years of age. Rev Med Virol 33 (2023): e2332.
    pubmed: 35137512
  3. Trombetta CM, Kistner O, Montomoli E, Viviani S, Marchi S. Influenza Viruses and Vaccines: The role of vaccine effectiveness studies for evaluation of the benefits of influenza vaccines. Vaccines 10 (2022); e714.
    pmc: PMC9143275pubmed: 35632470
  4. Chung JR, Shirk P, Gaglani M, Mutnal MB, Nowalk MP, Moehling Geffel K, House SL, Curley T, Wernli KJ, Kiniry EL, Martin ET, Vaughn IA, Murugan V, Lim ES, Saade E, Faryar K, Williams OL, Walter EB, Price AM, Barnes JR, DaSilva J, Kondor R, Ellington S, Flannery B. Late-season influenza vaccine effectiveness against medically attended outpatient illness, United States, December 2022–April 2023. Influenza Other Respir Viruses 18 (2024) e13342.
    pmc: PMC11194453pubmed: 38923314
  5. Price AM, Flannery B, Talbot HK, Grijalva CG, Wernli KJ, Phillips CH, Monto AS, Martin ET, Belongia EA, McLean HQ, Gaglani M, Mutnal M, Geffel KM, Nowalk MP, Tartof SY, Florea A, McLean C, Kim SS, Patel MM, Chung JR. Influenza vaccine effectiveness against influenza A(H3N2)-related illness in the United States during the 2021–2022 influenza season. Clinical Infectious Diseases 76 (2023) pp. 1358–1363.
    pmc: PMC10893961pubmed: 36504336
  6. Tenforde MW, Garten Kondor RJ, Chung JR, Zimmerman RK, Nowalk MP, Jackson ML, Jackson LA, Monto AS, Martin ET, Belongia EA, McLean HQ, Gaglani M, Rao A, Kim SS, Stark TJ, Barnes JR, Wentworth DE, Patel MM, Flannery B. Effect of antigenic drift on influenza vaccine effectiveness in the United States—2019–2020. Clinical Infectious Diseases 73 (2021) pp. 4244–4250.
    pmc: PMC8664438pubmed: 33367650
  7. Kumru OS, Joshi SB, Smith DE, Middaugh CR, Prusik T, Volkin DB. Vaccine instability in the cold chain: mechanisms, analysis and formulation strategies. Biologicals 42 (2014) pp. 237–259.
    pubmed: 24996452
  8. Ashok A, Brison M, LeTallec Y. Improving cold chain systems: Challenges and solutions. Vaccine 35 (2017) pp. 2217–2223.
    pubmed: 27670076
  9. Lin Q, Zhao Q, Lev B. Cold chain transportation decision in the vaccine supply chain. Eur J Oper Res 283 (2020) pp. 182–195.
  10. Estrada LD, Schultz-Cherry S. Development of a universal influenza vaccine. The Journal of Immunology 202 (2019) pp. 392–398.
    pmc: PMC6327971pubmed: 30617121
  11. Nachbagauer R, Palese P. Is a universal influenza virus vaccine possible?. Annu Rev Med 71 (2020) pp. 315–327.
    pubmed: 31600454
  12. Altenburg AF, Rimmelzwaan GF, de Vries RD. Virus-specific T cells as correlate of (cross-)protective immunity against influenza. Vaccine 33 (2015) pp. 500–506.
    pubmed: 25498210
  13. La Gruta NL, Turner SJ. T cell mediated immunity to influenza: Mechanisms of viral control. Trends Immunol 35 (2014) pp. 396–402.
    pubmed: 25043801
  14. Verhoeven D, Sponseller BA, Crowe JE, Bangaru S, Webby RJ, Lee BM. Use of equine H3N8 hemagglutinin as a broadly protective influenza vaccine immunogen. NPJ Vaccines 9 (2024) pp. 247.
    pmc: PMC11659547pubmed: 39702334
  15. Knight ML, Fan H, Bauer DLV, Grimes JM, Fodor E, Keown JR. Structure of an H3N2 influenza virus nucleoprotein. Acta Crystallogr F Struct Biol Commun 77 (2021) pp. 208–214.
    pmc: PMC8248822pubmed: 34196611
  16. McGee MC, Huang W. Evolutionary conservation and positive selection of influenza A nucleoprotein CTL epitopes for universal vaccination. J Med Virol 94 (2022) pp. 2578–2587.
    pmc: PMC9052727pubmed: 35171514
  17. Adams JR, Senapati S, Haughney SL, Wannemuehler MJ, Narasimhan B, Mallapragada SK. Safety and biocompatibility of injectable vaccine adjuvants composed of thermogelling block copolymer gels. J Biomed Mater Res A 107 (2019) pp. 1754–1762.
    pubmed: 30972906
  18. Huntimer L, Ramer-Tait AE, Petersen LK, Ross KA, Walz KA, Wang C, Hostetter J, Narasimhan B, Wannemuehler MJ. Evaluation of biocompatibility and administration site reactogenicity of polyanhydride-particle-based platform for vaccine delivery. Adv Healthc Mater 2 (2013) pp. 369–378.
    pubmed: 23184561
  19. Agarwal A, Unfer R, Mallapragada SK. Investigation of in vitro biocompatibility of novel pentablock copolymers for gene delivery. J Biomed Mater Res A 79 (2006) pp. 963–973.
    pubmed: 17109414
  20. Ross K, Senapati S, Alley J, Darling R, Goodman J, Jefferson M, Uz M, Guo B, Yoon KJ, Verhoeven D, Kohut M, Mallapragada S, Wannemuehler M, Narasimhan B. Single dose combination nanovaccine provides protection against influenza A virus in young and aged mice. Biomater Sci 7 (2019) pp. 809–821.
    pubmed: 30663733
  21. Ross K, Adams J, Loyd H, Ahmed S, Sambol A, Broderick S, Rajan K, Kohut M, Bronich T, Wannemuehler MJ, Carpenter S, Mallapragada S, Narasimhan B. Combination nanovaccine demonstrates synergistic enhancement in efficacy against influenza. ACS Biomater Sci Eng 2 (2016) pp. 368–374.
    pubmed: 33429541
  22. Ross KA, Loyd H, Wu W, Huntimer L, Wannemuehler MJ, Carpenter S, Narasimhan B. Structural and antigenic stability of H5N1 hemagglutinin trimer upon release from polyanhydride nanoparticles. J Biomed Mater Res A 102 (2014) pp. 4161–4168.
    pubmed: 24443139
  23. Siddoway AC, Verhoeven D, Ross KA, Wannemuehler MJ, Mallapragada SK, Narasimhan B. Structural stability and antigenicity of universal equine H3N8 hemagglutinin trimer upon release from polyanhydride nanoparticles and pentablock copolymer hydrogels. ACS Biomater Sci Eng 8 (2022) pp. 2500–2507.
    pmc: PMC12108903pubmed: 35604784
  24. Carrillo-Conde BR, Darling RJ, Seiler SJ, Ramer-Tait AE, Wannemuehler MJ, Narasimhan B. Sustained release and stabilization of therapeutic antibodies using amphiphilic polyanhydride nanoparticles. Chem Eng Sci 125 (2015) pp. 98–107.
  25. Chuang TH, Lai CY, Tseng PH, Yuan CJ, Hsu LC. Development of CpG-oligodeoxynucleotides for effective activation of rabbit TLR9 mediated immune responses. PLoS One 9 (2014) e108808.
    pmc: PMC4182578pubmed: 25269083
  26. Iho S, Maeyama JI, Suzuki F. CpG oligodeoxynucleotides as mucosal adjuvants. Hum Vaccin Immunother 11 (2015) pp. 755–760.
    pmc: PMC4514178pubmed: 25751765
  27. Bode C, Zhao G, Steinhagen F, Kinjo T, Klinman DM. CpG DNA as a vaccine adjuvant. Expert Reviews Vaccines 10 (2011) pp. 499–511.
    pmc: PMC3108434pubmed: 21506647
  28. Ulery BD, Phanse Y, Sinha A, Wannemuehler MJ, Narasimhan B, Bellaire BH. Polymer chemistry influences monocytic uptake of polyanhydride nanospheres. Pharm Res 26 (2009) pp. 683–690.
    pubmed: 18987960
  29. Phanse Y, Lueth P, Ramer-Tait AE, Carrillo-Conde BR, Wannemuehler MJ, Narasimhan B, Bellaire BH. Cellular internalization mechanisms of polyanhydride particles: Implications for rational design of drug delivery vehicles. J Biomed Nanotechnol 12 (2016) pp. 1544–1552.
    pubmed: 29337493
  30. Senapati S, Darling RJ, Loh D, Schneider IC, Wannemuehler MJ, Narasimhan B, Mallapragada SK. Pentablock copolymer micelle nanoadjuvants enhance cytosolic delivery of antigen and improve vaccine efficacy while inducing low inflammation. ACS Biomater Sci Eng 5 (2019) pp. 1332–1342.
    pmc: PMC8627116pubmed: 33405651
  31. Jenal U, Reinders A, Lori C. Cyclic di-GMP: Second messenger extraordinaire. Nat Rev Microbiol 15 (2017) pp. 271–284.
    pubmed: 28163311
  32. Ananya A, Holden KG, Gu Z, Nettleton D, Mallapragada SK, Wannemuehler MJ, Kohut ML, Narasimhan B. “Just right” combinations of adjuvants with nanoscale carriers activate aged dendritic cells without overt inflammation. Immunity and Ageing 20 (2023) pp. 1–16.
    pmc: PMC9996592pubmed: 36895007
  33. Lopez CE, Legge KL. Influenza a virus vaccination: Immunity, protection, and recent advances toward a universal vaccine. Vaccines 8 (2020) pp. 1–23.
    pmc: PMC7565301pubmed: 32756443
  34. Hemann EA, Kang S-M, Legge KL. Protective CD8 T Cell–mediated immunity against influenza A virus infection following influenza virus–like particle vaccination. The Journal of Immunology 191 (2013) pp. 2486–2494.
    pmc: PMC3777857pubmed: 23885108
  35. Torres MP, Vogel BM, Narasimhan B, Mallapragada SK. Synthesis and characterization of novel polyanhydrides with tailored erosion mechanisms. J Biomed Mater Res A 76 (2006) pp. 102–110.
    pubmed: 16138330
  36. Siddoway AC, White BM, Narasimhan B, Mallapragada SK. Synthesis and optimization of next-generation low-molecular-weight pentablock copolymer nanoadjuvants. Vaccines 11 (2023) p. 1572.
    pmc: PMC10611236pubmed: 37896975
  37. Determan MD, Cox JP, Seifert S, Thiyagarajan P, Mallapragada SK. Synthesis and characterization of temperature and pH-responsive pentablock copolymers. Polymer (Guildf) 46 (2005) pp. 6933–6946.
  38. Determan AS, Trewyn BG, Lin VS-Y, Nilsen-Hamilton M, Narasimhan B. Encapsulation, stabilization, and release of BSA-FITC from polyanhydride microspheres. Journal of Controlled Release 100 (2004) pp. 97–109.
    pubmed: 15491814
  39. Zacharias ZR, Ross KA, Hornick EE, Goodman JT, Narasimhan B, Waldschmidt TJ, Legge KL. Polyanhydride nanovaccine induces robust pulmonary B and T cell immunity and confers protection against homologous and heterologous influenza A virus infections. Front Immunol 9 (2018) p. 1953.
    pmc: PMC6127617pubmed: 30233573
  40. Liu X, Zhao T, Wang L, Yang Z, Luo C, Li M, Luo H, Sun C, Yan H, Shu Y. A mosaic influenza virus-like particles vaccine provides broad humoral and cellular immune responses against influenza A viruses. NPJ Vaccines 8 (2023) p. 132.
    pmc: PMC10485063pubmed: 37679361
  41. Liu X, Luo C, Yang Z, Zhao T, Yuan L, Xie Q, Liao Q, Liao X, Wang L, Yuan J, Wu N, Sun C, Yan H, Luo H, Shu Y. A recombinant mosaic as influenza vaccine elicits broad-spectrum immune response and protection of influenza a viruses. Vaccines 12 (2024) p. 1008.
    pmc: PMC11435869pubmed: 39340038
  42. Carter DM, Darby CA, Lefoley BC, Crevar CJ, Alefantis T, Oomen R, Anderson SF, Strugnell T, Cortés-Garcia G, Vogel TU, Parrington M, Kleanthous H, Ross TM. Design and characterization of a computationally optimized broadly reactive hemagglutinin vaccine for H1N1 influenza viruses. J Virol 90 (2016) pp. 4720–4734.
    pmc: PMC4836330pubmed: 26912624
  43. Strauch EM, Bernard SM, La D, Bohn AJ, Lee PS, Anderson CE, Nieusma T, Holstein CA, Garcia NK, Hooper KA, Ravichandran R, Nelson JW, Sheffler W, Bloom JD, Lee KK, Ward AB, Yager P, Fuller DH, Wilson IA, Baker D. Computational design of trimeric influenza-neutralizing proteins targeting the hemagglutinin receptor binding site. Nat Biotechnol 35 (2017) pp. 667–671.
    pmc: PMC5512607pubmed: 28604661
  44. Wang Y, Ma Q, Li M, Mai Q, Ma L, Zhang H, Zhong H, Mai K, Cheng N, Feng P, Guan P, Wu S, Zhang L, Dai J, Zhang B, Pan W, Yang Z. A decavalent composite mRNA vaccine against both influenza and COVID-19. MBio 15 (2024) e0066824.
    pmc: PMC11389412pubmed: 39105586
  45. Pecetta S, Rappuoli R. mRNA, the beginning of a new influenza vaccine game. Proc Natl Acad Sci U S A 119 (2022) e2217533119.
    pmc: PMC9897424pubmed: 36469761
  46. Lopez CE, Zacharias ZR, Ross KA, Narasimhan B, Waldschmidt TJ, Legge KL. Polyanhydride nanovaccine against H3N2 influenza A virus generates mucosal resident and systemic immunity promoting protection. NPJ Vaccines 9 (2024) p. 96.
    pmc: PMC11143372pubmed: 38822003
  47. Verhoeven D, Trujillo JD, Sponseller B. Universal mammalian influenza vaccine patent application. US20190321459A1, 2019.
  48. Senapati S, Darling RJ, Ross KA, Wannemeuhler MJ, Narasimhan B, Mallapragada SK. Self-assembling synthetic nanoadjuvant scaffolds cross-link B cell receptors and represent new platform technology for therapeutic antibody production. Science advances 7 (2021) e1691.
    pmc: PMC8336949pubmed: 34348905
  49. Trottier M, Kallio P, Wang W, Lipton HL. High numbers of viral RNA copies in the central nervous system of mice during persistent infection with Theiler’s Virus. J Virol 75 (2001) pp. 7420–7428.
    pmc: PMC114977pubmed: 11462014
  50. Sender R, Bar-On YM, Gleizer S, Bernshtein B, Flamholz A, Phillips R, Milo R. The total number and mass of SARS-CoV-2 virions. 118 (2020) e2024815118.
    pmc: PMC8237675pubmed: 34083352
  51. Fonville JM, Marshall N, Tao H, Steel J, Lowen AC. Influenza virus reassortment Is enhanced by semi-infectious particles but can be suppressed by defective interfering particles. PLoS Pathog 11 (2015) e1005204.
    pmc: PMC4595279pubmed: 26440404
  52. Jacobs NT, Onuoha NO, Antia A, Steel J, Antia R, Lowen AC. Incomplete influenza A virus genomes occur frequently but are readily complemented during localized viral spread. Nat Commun 10 (2019) p. 3526.
    pmc: PMC6684657pubmed: 31387995
  53. Van Wesenbeeck L, D’Haese D, Tolboom J, Meeuws H, Dwyer DE, Holmes M, Ison MG, Katz K, McGeer A, Sadoff J, Weverling GJ, Stuyver L. A downward trend of the ratio of influenza RNA copy number to infectious viral titer in hospitalized influenza a-infected patients. Open Forum Infect Dis 2 (2015) p. ofv166.
    pmc: PMC4680923pubmed: 26677457
  54. Pronier C, Gacouin A, Lagathu G, Le Tulzo Y, Tadié JM, Thibault V. Respiratory influenza viral load as a marker of poor prognosis in patients with severe symptoms. Journal of Clinical Virology 136 (2021) p. 104761.
    pubmed: 33609934
  55. Roth GA, Saouaf OM, Smith AAA, Gale EC, Hernandez MA, Idoyaga J, Appel EA. Prolonged codelivery of hemagglutinin and a TLR7/8 agonist in a supramolecular polymer−nanoparticle hydrogel enhances potency and breadth of influenza vaccination. ACS Biomater Sci Eng 7 (2021) pp. 1889–1899.
    pmc: PMC8153386pubmed: 33404236
  56. Fischer NO, Rasley A, Corzett M, Hwang MH, Hoeprich PD, Blanchette CD. Colocalized delivery of adjuvant and antigen using nanolipoprotein particles enhances the immune response to recombinant antigens. J Am Chem Soc 135 (2013) pp. 2044–2047.
    pubmed: 23331082
  57. Wang ZB, Xu J. Better adjuvants for better vaccines: Progress in adjuvant delivery systems, modifications, and adjuvant–antigen codelivery. Vaccines 8 (2020) p. 128.
    pmc: PMC7157724pubmed: 32183209
  58. Whitlock F, Murcia PR, Newton JR. A review on equine influenza from a human influenza perspective. Viruses 14 (2022) p. 1312.
    pmc: PMC9229935pubmed: 35746783
  59. Lewis NS, Daly JM, Russell CA, Horton DL, Skepner E, Bryant NA, Burke DF, Rash AS, Wood JLN, Chambers TM, Fouchier RAM, Mumford JA, Elton DM, Smith DJ. Antigenic and genetic evolution of equine influenza A (H3N8) virus from 1968 to 2007. J Virol 85 (2011) pp. 12742–12749.
    pmc: PMC3209411pubmed: 21937642
  60. Cullinane A, Elton D, Mumford J. Equine influenza - surveillance and control. Influenza Other Respir Viruses 4 (2010) pp. 339–344.
    pmc: PMC4634605pubmed: 20958927

Citations

This article has been cited 0 times.