Adjuvant Biology

The development of vaccine adjuvants has been described as one of the slowest processes in the history of medicine1. Following its introduction in the 1920s, alum remained the only adjuvant licensed for human use for the next 70 years. Since the 1990s, a further five adjuvants have been included in licensed vaccines, but the molecular mechanisms by which many of these adjuvants work remain poorly understood. Therefore, a major goal of our research is to discover the mechanisms by which adjuvants stimulate the innate immune system to elicit broad and durable immune responses2-8. In addition, we are working with adjuvant manufacturers to design and test novel adjuvants. Our work revealed the capacity of the TLR7/8 ligand (3M-052) to stimulate remarkably durable antibody responses and bone marrow plasma cells in nonhuman primates, leading to its current evaluation as a vaccine adjuvant in the clinic3.  Furthermore, our work on the comparative assessment of different adjuvants with a subunit COVID vaccine4-7has resulted in the approval of the AS03 adjuvanted SKYCovioneTM vaccine. In addition, our work has revealed new mechanisms by which adjuvants induce broad antiviral defense by epigenetic imprinting of innate immunity9, a discovery that has led to the concept of “epigenetic adjuvants,” that is currently being assessed.

References: (1) Nat Rev Drug Discov. 2021 Jun;20(6):454-475. (2) Nat Commun. 2022 Jan 27;13(1):549; (3) Sci Immunol. 2020 Jun 19;5(48). (4) Nature. 2021 Jun;594(7862):253-258; (5) NPJ Vaccines. 2022 May 23;7(1):55; (6) Sci Transl Med. 2022 Aug 17;14(658):eabq4130; (7) Sci Transl Med. 2023 May 10;15(695); (8) Sci Immunol. 2024 Apr 5;9(94):eadi8039. (9) Cell. 2021 Jul 22;184(15):3915-3935.e21.