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The avian influenza vaccine Emerflu. Why did it fail?

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Tsai-Teng Tzeng, Kit Man Chai, I-Hua Chen, Ray-Yuan Chang, Jen-Ron Chiang & Shih-Jen Liu. (2023) A TLR9 agonist synergistically enhances protective immunity induced by an Alum-adjuvanted H7N9 inactivated whole-virion vaccine. Emerging Microbes & Infections 12:2.
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Yongping Ma. (2016) Recent advances in nontoxic Escherichia coli heat-labile toxin and its derivative adjuvants. Expert Review of Vaccines 15:11, pages 1361-1371.
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Hai Xu, Ling Li, Ruiting Li, Zijie Guo, Mengzhou Lin, Yu Lu, Jibo Hou, Roshini Govinden, Bihua Deng & Hafizah Y. Chenia. (2022) Evaluation of dendritic cell-targeting T7 phages as a vehicle to deliver avian influenza virus H5 DNA vaccine in SPF chickens. Frontiers in Immunology 13.
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Noopur Bhatnagar, Ki-Hye Kim, Jeeva Subbiah, Bo Ryoung Park, Pengfei Wang, Harvinder Singh Gill, Bao-Zhong Wang & Sang-Moo Kang. (2022) Adjuvant Effects of a New Saponin Analog VSA-1 on Enhancing Homologous and Heterosubtypic Protection by Influenza Virus Vaccination. Vaccines 10:9, pages 1383.
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Jenny E. Hernandez-Davies, Emmanuel P. Dollinger, Egest J. Pone, Jiin Felgner, Li Liang, Shirin Strohmeier, Sharon Jan, Tyler J. Albin, Aarti Jain, Rie Nakajima, Algimantas Jasinskas, Florian Krammer, Aaron Esser-Kahn, Philip L. Felgner, Qing Nie & D. Huw Davies. (2022) Magnitude and breadth of antibody cross-reactivity induced by recombinant influenza hemagglutinin trimer vaccine is enhanced by combination adjuvants. Scientific Reports 12:1.
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Noopur Bhatnagar, Ki-Hye Kim, Jeeva Subbiah, Bo Ryoung Park, Eun-Ju Ko, Baik-Lin Seong & Sang-Moo Kang. (2022) Comparison of the effects of different potent adjuvants on enhancing the immunogenicity and cross-protection by influenza virus vaccination in young and aged mice. Antiviral Research 197, pages 105229.
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Jessica K. Fiege, Katharine E. Block, Mark J. Pierson, Hezkiel Nanda, Frances K. Shepherd, Clayton K. Mickelson, J. Michael Stolley, William E. Matchett, Sathi Wijeyesinghe, David K. Meyerholz, Vaiva Vezys, Steven S. Shen, Sara E. Hamilton, David Masopust & Ryan A. Langlois. (2021) Mice with diverse microbial exposure histories as a model for preclinical vaccine testing. Cell Host & Microbe 29:12, pages 1815-1827.e6.
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Han Zhang, Huaguo Zheng, Peng Guo, Liuyi Hu, Zihao Wang, Jiuru Wang, Ying Ju & Songdong Meng. (2021) Broadly Protective CD8 + T Cell Immunity to Highly Conserved Epitopes Elicited by Heat Shock Protein gp96-Adjuvanted Influenza Monovalent Split Vaccine . Journal of Virology 95:12.
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Ki-Hye Kim, Young-Man Kwon, Young-Tae Lee, Hye Suk Hwang, Min-Chul Kim, Eun-Ju Ko, Bao-Zhong Wang, Fu-Shi Quan & Sang-Moo Kang. (2018) Virus-like particles presenting flagellin exhibit unique adjuvant effects on eliciting T helper type 1 humoral and cellular immune responses to poor immunogenic influenza virus M2e protein vaccine. Virology 524, pages 172-181.
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Eun-Ju Ko, Youri Lee, Young-Tae Lee, Yu-Jin Kim, Ki-Hye Kim & Sang-Moo Kang. (2018) MPL and CpG combination adjuvants promote homologous and heterosubtypic cross protection of inactivated split influenza virus vaccine. Antiviral Research 156, pages 107-115.
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Stéphane Pillet, Éric Aubin, Sonia Trépanier, Jean-François Poulin, Bader Yassine-Diab, Jan ter Meulen, Brian J. Ward & Nathalie Landry. (2018) Humoral and cell-mediated immune responses to H5N1 plant-made virus-like particle vaccine are differentially impacted by alum and GLA-SE adjuvants in a Phase 2 clinical trial. npj Vaccines 3:1.
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Neal Van Hoeven, Christopher B. Fox, Brian Granger, Tara Evers, Sharvari W. Joshi, Ghislain I. Nana, Sarah C. Evans, Susan Lin, Hong Liang, Li Liang, Rie Nakajima, Philip L. Felgner, Richard A. Bowen, Nicole Marlenee, Airn Hartwig, Susan L. Baldwin, Rhea N. Coler, Mark Tomai, James Elvecrog, Steven G. Reed & Darrick Carter. (2017) A Formulated TLR7/8 Agonist is a Flexible, Highly Potent and Effective Adjuvant for Pandemic Influenza Vaccines. Scientific Reports 7:1.
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Eun-Ju Ko, Young-Tae Lee, Ki-Hye Kim, Youri Lee, Yu-Jin Jung, Min-Chul Kim, Yu-Na Lee, Taeuk Kang & Sang-Moo Kang. (2017) Roles of Aluminum Hydroxide and Monophosphoryl Lipid A Adjuvants in Overcoming CD4+ T Cell Deficiency To Induce Isotype-Switched IgG Antibody Responses and Protection by T-Dependent Influenza Vaccine. The Journal of Immunology 198:1, pages 279-291.
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Eun-Ju Ko, Young-Tae Lee, Ki-Hye Kim, Yu-Jin Jung, Youri Lee, Timothy L. Denning & Sang-Moo Kang. (2016) Effects of MF59 Adjuvant on Induction of Isotype-Switched IgG Antibodies and Protection after Immunization with T-Dependent Influenza Virus Vaccine in the Absence of CD4 + T Cells . Journal of Virology 90:15, pages 6976-6988.
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