The sixth revolution in pediatric vaccinology: immunoengineering and delivery systems

Dheeraj Soni1,2, Sharan Bobbala3, Sophia Li3

  • 1Precision Vaccines Program, Division of Infectious Diseases, Boston Children's Hospital, Boston, MA, USA.

Pediatric Research
|September 14, 2020
PubMed

Insights

Immunoengineering and advanced delivery systems are revolutionizing pediatric vaccinology, offering new hope for enhancing vaccine responses in infants. These innovations mimic pathogens to improve immunization efficacy in vulnerable populations.

Area of Science:

  • Pediatric Vaccinology
  • Immunoengineering
  • Biomedical Intervention

Background:

  • Infection remains a leading cause of infant mortality, with current vaccines showing suboptimal responses in very young infants.
  • Historical vaccine formulations utilized particulate materials empirically for antigen stabilization and endotoxin reduction.
  • Recent advances in immunoengineering are driving rational design of vaccine delivery systems.

Purpose of the Study:

  • To re-assess Stanley Plotkin's 2005 prediction on the impact of new delivery systems in pediatric vaccinology.
  • To highlight the role of immunoengineering and advanced delivery systems in improving infant vaccine responses.
  • To summarize current and developing vaccine delivery systems and future prospects.

Main Methods:

  • Review of historical and current vaccine formulation strategies.
  • Analysis of immunoengineering principles applied to vaccine design.
  • Assessment of "pathogen-like particles" as advanced delivery systems.

Main Results:

  • Vaccine delivery systems are now rationally engineered to mimic pathogens, enhancing immunogenicity.
  • Immunoengineering offers unique capabilities to boost vaccine responses in vulnerable populations like infants.
  • Significant progress has been made in developing advanced delivery systems since Plotkin's initial assessment.

Conclusions:

  • Immunoengineering and advanced delivery systems represent a new revolution in pediatric vaccinology.
  • These innovations hold significant promise for improving immunization rates and outcomes in infants.
  • The field is rapidly evolving, with "pathogen-like particles" showing particular potential.

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