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August 30, 2026npj VirusesOpen Access

CpG 1018 and alum synergistically enhance systemic and mucosal immunity to an N2 neuraminidase vaccine

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Authors

IHIrene HoxieKVKirill VasilevJCJordan Clark

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Overview

Preclinical study reveals that combining CpG 1018 and alum enhances mucosal and systemic immunity against N2 influenza in mice, suggesting optimal protection via nasal delivery.

Key Points

  • To assess the immunogenicity, cellular profile, and protective efficacy of an engineered N2 recombinant neuraminidase vaccine adjuvanted with CpG 1018 and alum across intramuscular and intranasal prime-boost regimens.
  • Immunized mice with an engineered N2 neuraminidase construct (N2-MPP) formulated with the TLR9 agonist CpG 1018 and alum using intramuscular and intranasal prime-boost combinations.
  • Profiled systemic cross-reactive neuraminidase-inhibiting antibodies, mucosal IgA titers from nasal washes and broncho-alveolar lavage fluids, and splenic and pulmonary CD4+ T-cell responses.
  • Evaluated viral clearance, lung tissue inflammation, and cross-protection following homologous and within-subtype (N2) influenza virus challenges.
  • CpG 1018 and alum acted synergistically to elicit high serum titers of cross-reactive neuraminidase-inhibiting antibodies and induced strong mucosal IgA responses via intranasal prime and boost combinations.
  • Intranasal administration drove lung tissue-resident memory CD4+ T-cell accumulation, with CpG 1018 specifically required to generate polyfunctional IFNγ/TNFα/IL-2-producing memory T cells.
  • The combination adjuvant accelerated viral clearance across prime-boost regimens, achieved sterilizing immunity upon homologous challenge with intranasal delivery, and conferred superior within-subtype cross-protection compared with intramuscular vaccination.

Cite This Study

Hoxie et al. (2026) studied this question.

synapsesocial.com/papers/6a93f0ce6c1a8fb52e79d550https://doi.org/10.1038/s44298-026-00225-1
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