Advax adjuvant formulations promote protective immunity against aerosol Mycobacterium tuberculosis in the absence of deleterious inflammation and reactogenicity

Advax adjuvant formulations promote protective immunity against aerosol Mycobacterium tuberculosis in the absence of deleterious inflammation and reactogenicity.

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Item Type: Article
Status: Published
Official URL: https://doi.org/10.1016/j.vaccine.2021.02.041
Journal or Publication Title: Vaccine
Volume: 39
Number: 14
Page Range: pp. 1990-1996
Date: 2021
Divisions: Tuberculosis
Depositing User: General Admin
Identification Number: 10.1016/j.vaccine.2021.02.041
ISSN: 0264410X
Date Deposited: 10 Jun 2021 00:00
Abstract:

The development of safe and effective adjuvants is a critical goal of vaccine development programs. In this report, we defined the immunostimulatory profile and protective effect against aerosol Mycobacterium tuberculosis infection of vaccine formulations incorporating the semi-crystalline adjuvant δ-inulin (Advax). Advax formulated with CpG oligonucleotide and the QS-21 saponin (AdvaxCpQS) was the most effective combination, demonstrated by the capacity of CysVac2/AdvaxCpQS to significantly reduce the bacterial burden in the lungs of M. tuberculosis-infected mice. CysVac2/AdvaxCpQS protection was associated with rapid influx of neutrophils, macrophages and monocytes to the site of vaccination and the induction of antigen-specific IFN-γ+/IL-2+/TNF+ polyfunctional CD4+ T cells in the lung. When compared to the highly potent adjuvant combination of monophosphoryl lipid A and dimethyldioctadecylammonium bromide (MPL/DDA), AdvaxCpQS imparted a similar level of protective efficacy yet without the profound stimulation of inflammatory cytokines and vaccination site ulceration observed with MPL/DDA. Addition of DDA to CysVac2/AdvaxCpQS further improved the protective effect of the vaccine, which correlated with increased polyfunctional CD4+ T cells in the lung but with no increase in vaccine reactogenicity. The data demonstrate that Advax formulations can decouple protective tuberculosis immunity from reactogenicity, making them ideal candidates for human application.

Keywords: Adjuvant; Advax; Protective vaccine; Reactogenicity; Tuberculosis.

Copyright © 2021 Elsevier Ltd. All rights reserved.

Creators:
Creators
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Quan, Diana H.
UNSPECIFIED
Counoupas, Claudio
UNSPECIFIED
Nagalingam, Gayathri
UNSPECIFIED
Pinto, Rachel
UNSPECIFIED
Petrovsky, Nikolai
UNSPECIFIED
Britton, Warwick J.
UNSPECIFIED
Triccas, James A.
UNSPECIFIED
Last Modified: 10 Jun 2021 00:00
URI: https://eprints.centenary.org.au/id/eprint/1005

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