Influence of Previous Antigen or Pathogen Exposure on CD4 T Cell Phenotype Following AS01-Adjuvanted Vaccination
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By
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Robbert G. van der Most
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Geert Leroux-Roels
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June 22, 2026
Clinical Report: Influence of Previous Antigen or Pathogen Exposure on CD4 T Cell Phenotype Following AS01-Adjuvanted Vaccination
Background
CD4 T-cell responses are crucial for the efficacy of many vaccines, particularly in the context of infectious diseases. The AS01 adjuvant is utilized in several licensed vaccines, enhancing both the quantity and quality of these immune responses. Understanding how previous exposure to pathogens or antigens affects vaccine responses is essential for developing effective vaccination strategies.
Data Highlights
No numerical data or trial data was provided in the source material.
Key Findings
- AS01 adjuvant enhances antigen-specific polyfunctional CD4 T-cell immunity.
- Prior exposure to pathogens increases the capacity of vaccine-induced CD4 T cells to produce interferon-γ.
- Vaccine responses vary significantly between immunologically naïve and pathogen-primed individuals.
- Pre-existing immune memory influences the quality and quantity of CD4 T-cell responses.
- Different populations, including infants and immunocompromised individuals, show varied responses to AS01-adjuvanted vaccines.
Clinical Implications
Healthcare professionals should consider the immunological background of individuals when administering AS01-adjuvanted vaccines.
Conclusion
Understanding pre-existing immune memory is important for optimizing CD4 T-cell responses to AS01-adjuvanted vaccines.
Related Resources & Content
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- Infection, 2023 -- Identification of Pre-existing Neutralizing Antibodies Against Ad26 in HIV-1-Infected Patients Unresponsive to the Ad26.COV2.S Vaccine
- AREXVY (Respiratory Syncytial Virus Vaccine, Adjuvanted) Prescribing Information, FDA
- Clinical Guidance for RSV Immunizations and Vaccines | RSV | CDC
- Malaria vaccine: WHO position paper – May 2024
- Frontiers in Immunology — Parenteral neonatal priming followed by heterologous mucosal booster favors IgM+ memory B cell induction over systemic plasma cell differentiation
- CDC Guidance on RSV Vaccines
- WHO Malaria Vaccine Position Paper
- AREXVY (Respiratory Syncytial Virus Vaccine, Adjuvanted) Prescribing Information
- Clinical Guidance for RSV Immunizations and Vaccines | RSV | CDC
- Real-world Effectiveness of the Adjuvanted Recombinant Zoster Vaccine in ≥50-year-old Adults With Autoimmune Diseases - PMC
- Statistical report, Malaria Vaccine Pilot Evaluation (MVPE), analysis of data to month 46
- Final Analysis of a Trial of M72/AS01E Vaccine to Prevent Tuberculosis | New England Journal of Medicine
- Adjuvant system AS01: from mode of action to effective vaccines - PubMed
Based on findings from:
CD4 T cell phenotype after AS01-adjuvanted immunization is shaped by prior antigen or pathogen exposure
Robbert G. van der Most, Geert Leroux-Roels. Frontiers In Immunology, 2026.
https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2026.1800411/full
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