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Variation between Populations in the Innate Immune Response to Vaccine Adjuvants
1Division of Infectious and Immunological Diseases, Department of Paediatrics, University of British Columbia Vancouver, BC, Canada.
Insights
Millions of infants die from preventable infections due to incomplete vaccination and varied immune responses. This review examines global population differences in innate immune responses to vaccines and adjuvants to improve infant immunization strategies.
Area of Science:
- Immunology
- Vaccinology
- Public Health
Background:
- The Expanded Program of Immunization (EPI) has shown success, but millions of infants still die annually from vaccine-preventable infections.
- Gaps exist in current immunization programs, including delayed or incomplete vaccine administration and variable infant immune responses.
- Existing vaccines do not cover all infectious threats, necessitating the development of new vaccines and improved administration methods.
Purpose of the Study:
- To review current knowledge on population-based differences in innate immune responses to vaccines and adjuvants.
- To inform the development of age-optimized vaccine schedules and formulations tailored to diverse populations.
- To address challenges in infant immunization, including suboptimal protection and vaccine-preventable deaths.
Main Methods:
- Literature review of studies investigating innate immune responses to vaccines and adjuvants across different global populations.
- Analysis of factors contributing to variable immune responses in infants.
- Synthesis of data on existing and novel vaccine adjuvants.
Main Results:
- Significant population-based variations exist in innate immune responses to vaccines and adjuvants.
- These differences can impact vaccine efficacy and the protective immune response developed by infants.
- Understanding these variations is crucial for optimizing vaccine strategies.
Conclusions:
- New vaccine development and optimized administration schedules are essential to reduce infant mortality from preventable infections.
- Incorporating population-specific immune response data into vaccine design and implementation is critical for global health equity.
- Further research into innate immunity variations can lead to more effective and universally protective vaccines.
Abstract:
The success of the World Health Organization recommended "Expanded Program of Immunization" (EPI) and similar regional or national programs has been astounding. However, infectious threats currently not covered by these programs continue to infect millions of infants around the world. Furthermore, many infants do not receive existing vaccines either on time or for the required number of doses to provide optimal protection. Nor do all infants around the world develop the same protective immune response to the same vaccine. As a result approximately three million infants die every year from vaccine preventable infections. To tackle these issues, new vaccines need to be developed as well as existing ones made easier to administer. This requires identification of age-optimized vaccine schedules and formulations. In order to be most effective this approach will need to take population-based differences in response to vaccines and adjuvants into account. This review summarizes what is currently known about differences between populations around the world in the innate immune response to existing as well as new and promising vaccine adjuvants.
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