id sid tid token lemma pos cord-252443-lclxrwcm 1 1 key key JJ cord-252443-lclxrwcm 1 2 : : : cord-252443-lclxrwcm 1 3 cord-252443-lclxrwcm cord-252443-lclxrwcm NNP cord-252443-lclxrwcm 1 4 authors author NNS cord-252443-lclxrwcm 1 5 : : : cord-252443-lclxrwcm 1 6 Lambe Lambe NNP cord-252443-lclxrwcm 1 7 , , , cord-252443-lclxrwcm 1 8 Teresa Teresa NNP cord-252443-lclxrwcm 1 9 title title NN cord-252443-lclxrwcm 1 10 : : : cord-252443-lclxrwcm 1 11 Novel Novel NNP cord-252443-lclxrwcm 1 12 Viral Viral NNP cord-252443-lclxrwcm 1 13 Vectored vectore VBN cord-252443-lclxrwcm 1 14 Vaccines Vaccines NNPS cord-252443-lclxrwcm 1 15 for for IN cord-252443-lclxrwcm 1 16 the the DT cord-252443-lclxrwcm 1 17 Prevention Prevention NNP cord-252443-lclxrwcm 1 18 of of IN cord-252443-lclxrwcm 1 19 Influenza Influenza NNP cord-252443-lclxrwcm 1 20 date date NN cord-252443-lclxrwcm 1 21 : : : cord-252443-lclxrwcm 1 22 2012 2012 CD cord-252443-lclxrwcm 1 23 - - HYPH cord-252443-lclxrwcm 1 24 06 06 CD cord-252443-lclxrwcm 1 25 - - SYM cord-252443-lclxrwcm 1 26 19 19 CD cord-252443-lclxrwcm 1 27 journal journal NN cord-252443-lclxrwcm 1 28 : : : cord-252443-lclxrwcm 1 29 Molecular molecular JJ cord-252443-lclxrwcm 1 30 Medicine medicine NN cord-252443-lclxrwcm 1 31 DOI doi NN cord-252443-lclxrwcm 1 32 : : : cord-252443-lclxrwcm 1 33 10.2119/ 10.2119/ CD cord-252443-lclxrwcm 2 1 molmed.2012.00147 molmed.2012.00147 NNP cord-252443-lclxrwcm 2 2 sha sha NNP cord-252443-lclxrwcm 2 3 : : : cord-252443-lclxrwcm 3 1 bbcfbfc9f70250c918a6d75a049914544dc6ee3f bbcfbfc9f70250c918a6d75a049914544dc6ee3f NNP cord-252443-lclxrwcm 3 2 doc_id doc_id CD cord-252443-lclxrwcm 3 3 : : : cord-252443-lclxrwcm 3 4 252443 252443 CD cord-252443-lclxrwcm 3 5 cord_uid cord_uid NNS cord-252443-lclxrwcm 3 6 : : : cord-252443-lclxrwcm 4 1 lclxrwcm lclxrwcm NNP cord-252443-lclxrwcm 4 2 Influenza Influenza NNP cord-252443-lclxrwcm 4 3 represents represent VBZ cord-252443-lclxrwcm 4 4 a a DT cord-252443-lclxrwcm 4 5 substantial substantial JJ cord-252443-lclxrwcm 4 6 global global JJ cord-252443-lclxrwcm 4 7 healthcare healthcare NN cord-252443-lclxrwcm 4 8 burden burden NN cord-252443-lclxrwcm 4 9 , , , cord-252443-lclxrwcm 4 10 with with IN cord-252443-lclxrwcm 4 11 annual annual JJ cord-252443-lclxrwcm 4 12 epidemics epidemic NNS cord-252443-lclxrwcm 4 13 resulting result VBG cord-252443-lclxrwcm 4 14 in in IN cord-252443-lclxrwcm 4 15 3–5 3–5 CD cord-252443-lclxrwcm 4 16 million million CD cord-252443-lclxrwcm 4 17 cases case NNS cord-252443-lclxrwcm 4 18 of of IN cord-252443-lclxrwcm 4 19 severe severe JJ cord-252443-lclxrwcm 4 20 illness illness NN cord-252443-lclxrwcm 4 21 with with IN cord-252443-lclxrwcm 4 22 a a DT cord-252443-lclxrwcm 4 23 significant significant JJ cord-252443-lclxrwcm 4 24 associated associate VBN cord-252443-lclxrwcm 4 25 mortality mortality NN cord-252443-lclxrwcm 4 26 . . . cord-252443-lclxrwcm 5 1 In in IN cord-252443-lclxrwcm 5 2 addition addition NN cord-252443-lclxrwcm 5 3 , , , cord-252443-lclxrwcm 5 4 the the DT cord-252443-lclxrwcm 5 5 risk risk NN cord-252443-lclxrwcm 5 6 of of IN cord-252443-lclxrwcm 5 7 a a DT cord-252443-lclxrwcm 5 8 virulent virulent JJ cord-252443-lclxrwcm 5 9 and and CC cord-252443-lclxrwcm 5 10 lethal lethal JJ cord-252443-lclxrwcm 5 11 influenza influenza NN cord-252443-lclxrwcm 5 12 pandemic pandemic NN cord-252443-lclxrwcm 5 13 has have VBZ cord-252443-lclxrwcm 5 14 generated generate VBN cord-252443-lclxrwcm 5 15 widespread widespread JJ cord-252443-lclxrwcm 5 16 and and CC cord-252443-lclxrwcm 5 17 warranted warranted JJ cord-252443-lclxrwcm 5 18 concern concern NN cord-252443-lclxrwcm 5 19 . . . cord-252443-lclxrwcm 6 1 Currently currently RB cord-252443-lclxrwcm 6 2 licensed license VBN cord-252443-lclxrwcm 6 3 influenza influenza NN cord-252443-lclxrwcm 6 4 vaccines vaccine NNS cord-252443-lclxrwcm 6 5 are be VBP cord-252443-lclxrwcm 6 6 limited limit VBN cord-252443-lclxrwcm 6 7 in in IN cord-252443-lclxrwcm 6 8 their -PRON- PRP$ cord-252443-lclxrwcm 6 9 ability ability NN cord-252443-lclxrwcm 6 10 to to TO cord-252443-lclxrwcm 6 11 induce induce VB cord-252443-lclxrwcm 6 12 efficacious efficacious JJ cord-252443-lclxrwcm 6 13 and and CC cord-252443-lclxrwcm 6 14 long long RB cord-252443-lclxrwcm 6 15 - - HYPH cord-252443-lclxrwcm 6 16 lasting last VBG cord-252443-lclxrwcm 6 17 herd herd NN cord-252443-lclxrwcm 6 18 immunity immunity NN cord-252443-lclxrwcm 6 19 . . . cord-252443-lclxrwcm 7 1 In in IN cord-252443-lclxrwcm 7 2 addition addition NN cord-252443-lclxrwcm 7 3 , , , cord-252443-lclxrwcm 7 4 and and CC cord-252443-lclxrwcm 7 5 as as IN cord-252443-lclxrwcm 7 6 evidenced evidence VBN cord-252443-lclxrwcm 7 7 by by IN cord-252443-lclxrwcm 7 8 the the DT cord-252443-lclxrwcm 7 9 H1N1 H1N1 NNP cord-252443-lclxrwcm 7 10 pandemic pandemic NN cord-252443-lclxrwcm 7 11 in in IN cord-252443-lclxrwcm 7 12 2009 2009 CD cord-252443-lclxrwcm 7 13 , , , cord-252443-lclxrwcm 7 14 there there EX cord-252443-lclxrwcm 7 15 can can MD cord-252443-lclxrwcm 7 16 be be VB cord-252443-lclxrwcm 7 17 a a DT cord-252443-lclxrwcm 7 18 significant significant JJ cord-252443-lclxrwcm 7 19 delay delay NN cord-252443-lclxrwcm 7 20 between between IN cord-252443-lclxrwcm 7 21 the the DT cord-252443-lclxrwcm 7 22 emergence emergence NN cord-252443-lclxrwcm 7 23 of of IN cord-252443-lclxrwcm 7 24 a a DT cord-252443-lclxrwcm 7 25 pandemic pandemic NN cord-252443-lclxrwcm 7 26 influenza influenza NN cord-252443-lclxrwcm 7 27 and and CC cord-252443-lclxrwcm 7 28 an an DT cord-252443-lclxrwcm 7 29 effective effective JJ cord-252443-lclxrwcm 7 30 , , , cord-252443-lclxrwcm 7 31 antibody antibody NN cord-252443-lclxrwcm 7 32 - - HYPH cord-252443-lclxrwcm 7 33 inducing induce VBG cord-252443-lclxrwcm 7 34 vaccine vaccine NN cord-252443-lclxrwcm 7 35 . . . cord-252443-lclxrwcm 8 1 There there EX cord-252443-lclxrwcm 8 2 is be VBZ cord-252443-lclxrwcm 8 3 , , , cord-252443-lclxrwcm 8 4 therefore therefore RB cord-252443-lclxrwcm 8 5 , , , cord-252443-lclxrwcm 8 6 a a DT cord-252443-lclxrwcm 8 7 continued continue VBN cord-252443-lclxrwcm 8 8 need need NN cord-252443-lclxrwcm 8 9 for for IN cord-252443-lclxrwcm 8 10 new new JJ cord-252443-lclxrwcm 8 11 , , , cord-252443-lclxrwcm 8 12 efficacious efficacious JJ cord-252443-lclxrwcm 8 13 vaccines vaccine NNS cord-252443-lclxrwcm 8 14 conferring confer VBG cord-252443-lclxrwcm 8 15 cross cross JJ cord-252443-lclxrwcm 8 16 - - JJ cord-252443-lclxrwcm 8 17 clade clade JJ cord-252443-lclxrwcm 8 18 protection protection NN cord-252443-lclxrwcm 8 19 — — : cord-252443-lclxrwcm 8 20 obviating obviate VBG cord-252443-lclxrwcm 8 21 the the DT cord-252443-lclxrwcm 8 22 need need NN cord-252443-lclxrwcm 8 23 for for IN cord-252443-lclxrwcm 8 24 biannual biannual JJ cord-252443-lclxrwcm 8 25 reformulation reformulation NN cord-252443-lclxrwcm 8 26 of of IN cord-252443-lclxrwcm 8 27 seasonal seasonal JJ cord-252443-lclxrwcm 8 28 influenza influenza NN cord-252443-lclxrwcm 8 29 vaccines vaccine NNS cord-252443-lclxrwcm 8 30 . . . cord-252443-lclxrwcm 9 1 Development development NN cord-252443-lclxrwcm 9 2 of of IN cord-252443-lclxrwcm 9 3 such such PDT cord-252443-lclxrwcm 9 4 a a DT cord-252443-lclxrwcm 9 5 vaccine vaccine NN cord-252443-lclxrwcm 9 6 would would MD cord-252443-lclxrwcm 9 7 yield yield VB cord-252443-lclxrwcm 9 8 enormous enormous JJ cord-252443-lclxrwcm 9 9 health health NN cord-252443-lclxrwcm 9 10 benefits benefit NNS cord-252443-lclxrwcm 9 11 to to IN cord-252443-lclxrwcm 9 12 society society NN cord-252443-lclxrwcm 9 13 and and CC cord-252443-lclxrwcm 9 14 also also RB cord-252443-lclxrwcm 9 15 greatly greatly RB cord-252443-lclxrwcm 9 16 reduce reduce VB cord-252443-lclxrwcm 9 17 the the DT cord-252443-lclxrwcm 9 18 associated associate VBN cord-252443-lclxrwcm 9 19 global global JJ cord-252443-lclxrwcm 9 20 healthcare healthcare NN cord-252443-lclxrwcm 9 21 burden burden NN cord-252443-lclxrwcm 9 22 . . . cord-252443-lclxrwcm 10 1 There there EX cord-252443-lclxrwcm 10 2 are be VBP cord-252443-lclxrwcm 10 3 a a DT cord-252443-lclxrwcm 10 4 number number NN cord-252443-lclxrwcm 10 5 of of IN cord-252443-lclxrwcm 10 6 alternative alternative JJ cord-252443-lclxrwcm 10 7 influenza influenza NN cord-252443-lclxrwcm 10 8 vaccine vaccine NN cord-252443-lclxrwcm 10 9 technologies technology NNS cord-252443-lclxrwcm 10 10 being be VBG cord-252443-lclxrwcm 10 11 assessed assess VBN cord-252443-lclxrwcm 10 12 both both DT cord-252443-lclxrwcm 10 13 preclinically preclinically NN cord-252443-lclxrwcm 10 14 and and CC cord-252443-lclxrwcm 10 15 clinically clinically RB cord-252443-lclxrwcm 10 16 . . . cord-252443-lclxrwcm 11 1 In in IN cord-252443-lclxrwcm 11 2 this this DT cord-252443-lclxrwcm 11 3 review review NN cord-252443-lclxrwcm 11 4 we -PRON- PRP cord-252443-lclxrwcm 11 5 discuss discuss VBP cord-252443-lclxrwcm 11 6 viral viral JJ cord-252443-lclxrwcm 11 7 vectored vectore VBN cord-252443-lclxrwcm 11 8 vaccines vaccine NNS cord-252443-lclxrwcm 11 9 , , , cord-252443-lclxrwcm 11 10 either either CC cord-252443-lclxrwcm 11 11 recombinant recombinant JJ cord-252443-lclxrwcm 11 12 live live RB cord-252443-lclxrwcm 11 13 - - HYPH cord-252443-lclxrwcm 11 14 attenuated attenuate VBN cord-252443-lclxrwcm 11 15 or or CC cord-252443-lclxrwcm 11 16 replication replication NN cord-252443-lclxrwcm 11 17 - - HYPH cord-252443-lclxrwcm 11 18 deficient deficient JJ cord-252443-lclxrwcm 11 19 viruses virus NNS cord-252443-lclxrwcm 11 20 , , , cord-252443-lclxrwcm 11 21 which which WDT cord-252443-lclxrwcm 11 22 are be VBP cord-252443-lclxrwcm 11 23 current current JJ cord-252443-lclxrwcm 11 24 lead lead JJ cord-252443-lclxrwcm 11 25 candidates candidate NNS cord-252443-lclxrwcm 11 26 for for IN cord-252443-lclxrwcm 11 27 inducing induce VBG cord-252443-lclxrwcm 11 28 efficacious efficacious JJ cord-252443-lclxrwcm 11 29 and and CC cord-252443-lclxrwcm 11 30 long long RB cord-252443-lclxrwcm 11 31 - - HYPH cord-252443-lclxrwcm 11 32 lasting last VBG cord-252443-lclxrwcm 11 33 immunity immunity NN cord-252443-lclxrwcm 11 34 toward toward IN cord-252443-lclxrwcm 11 35 influenza influenza NN cord-252443-lclxrwcm 11 36 viruses virus NNS cord-252443-lclxrwcm 11 37 . . . cord-252443-lclxrwcm 12 1 These these DT cord-252443-lclxrwcm 12 2 alternate alternate JJ cord-252443-lclxrwcm 12 3 influenza influenza NN cord-252443-lclxrwcm 12 4 vaccines vaccine NNS cord-252443-lclxrwcm 12 5 offer offer VBP cord-252443-lclxrwcm 12 6 real real JJ cord-252443-lclxrwcm 12 7 promise promise NN cord-252443-lclxrwcm 12 8 to to TO cord-252443-lclxrwcm 12 9 deliver deliver VB cord-252443-lclxrwcm 12 10 viable viable JJ cord-252443-lclxrwcm 12 11 alternatives alternative NNS cord-252443-lclxrwcm 12 12 to to IN cord-252443-lclxrwcm 12 13 currently currently RB cord-252443-lclxrwcm 12 14 deployed deploy VBN cord-252443-lclxrwcm 12 15 vaccines vaccine NNS cord-252443-lclxrwcm 12 16 and and CC cord-252443-lclxrwcm 12 17 more more RBR cord-252443-lclxrwcm 12 18 importantly importantly RB cord-252443-lclxrwcm 12 19 may may MD cord-252443-lclxrwcm 12 20 confer confer VB cord-252443-lclxrwcm 12 21 long long RB cord-252443-lclxrwcm 12 22 - - HYPH cord-252443-lclxrwcm 12 23 lasting last VBG cord-252443-lclxrwcm 12 24 and and CC cord-252443-lclxrwcm 12 25 universal universal JJ cord-252443-lclxrwcm 12 26 protection protection NN cord-252443-lclxrwcm 12 27 against against IN cord-252443-lclxrwcm 12 28 influenza influenza JJ cord-252443-lclxrwcm 12 29 viral viral JJ cord-252443-lclxrwcm 12 30 infection infection NN cord-252443-lclxrwcm 12 31 . . . cord-252443-lclxrwcm 13 1 Influenza influenza NN cord-252443-lclxrwcm 13 2 epidemics epidemic NNS cord-252443-lclxrwcm 13 3 are be VBP cord-252443-lclxrwcm 13 4 associated associate VBN cord-252443-lclxrwcm 13 5 with with IN cord-252443-lclxrwcm 13 6 a a DT cord-252443-lclxrwcm 13 7 nontrivial nontrivial JJ cord-252443-lclxrwcm 13 8 morbidity morbidity NN cord-252443-lclxrwcm 13 9 and and CC cord-252443-lclxrwcm 13 10 mortality mortality NN cord-252443-lclxrwcm 13 11 ; ; : cord-252443-lclxrwcm 13 12 up up IN cord-252443-lclxrwcm 13 13 to to IN cord-252443-lclxrwcm 13 14 one one CD cord-252443-lclxrwcm 13 15 billion billion CD cord-252443-lclxrwcm 13 16 infections infection NNS cord-252443-lclxrwcm 13 17 occur occur VBP cord-252443-lclxrwcm 13 18 annually annually RB cord-252443-lclxrwcm 13 19 with with IN cord-252443-lclxrwcm 13 20 upwards upward NNS cord-252443-lclxrwcm 13 21 of of IN cord-252443-lclxrwcm 13 22 a a DT cord-252443-lclxrwcm 13 23 half half PDT cord-252443-lclxrwcm 13 24 a a DT cord-252443-lclxrwcm 13 25 million million CD cord-252443-lclxrwcm 13 26 associated associate VBN cord-252443-lclxrwcm 13 27 deaths death NNS cord-252443-lclxrwcm 13 28 ( ( -LRB- cord-252443-lclxrwcm 13 29 1 1 CD cord-252443-lclxrwcm 13 30 , , , cord-252443-lclxrwcm 13 31 2 2 CD cord-252443-lclxrwcm 13 32 ) ) -RRB- cord-252443-lclxrwcm 13 33 . . . cord-252443-lclxrwcm 14 1 The the DT cord-252443-lclxrwcm 14 2 mortality mortality NN cord-252443-lclxrwcm 14 3 associated associate VBN cord-252443-lclxrwcm 14 4 with with IN cord-252443-lclxrwcm 14 5 the the DT cord-252443-lclxrwcm 14 6 first first JJ cord-252443-lclxrwcm 14 7 influenza influenza NN cord-252443-lclxrwcm 14 8 pandemic pandemic NN cord-252443-lclxrwcm 14 9 of of IN cord-252443-lclxrwcm 14 10 the the DT cord-252443-lclxrwcm 14 11 21st 21st JJ cord-252443-lclxrwcm 14 12 century century NN cord-252443-lclxrwcm 14 13 , , , cord-252443-lclxrwcm 14 14 caused cause VBN cord-252443-lclxrwcm 14 15 by by IN cord-252443-lclxrwcm 14 16 the the DT cord-252443-lclxrwcm 14 17 swine swine NN cord-252443-lclxrwcm 14 18 - - HYPH cord-252443-lclxrwcm 14 19 origin origin NN cord-252443-lclxrwcm 14 20 influenza influenza NN cord-252443-lclxrwcm 14 21 A a DT cord-252443-lclxrwcm 14 22 H1N1/09 h1n1/09 JJ cord-252443-lclxrwcm 14 23 virus virus NN cord-252443-lclxrwcm 14 24 , , , cord-252443-lclxrwcm 14 25 was be VBD cord-252443-lclxrwcm 14 26 not not RB cord-252443-lclxrwcm 14 27 as as RB cord-252443-lclxrwcm 14 28 high high JJ cord-252443-lclxrwcm 14 29 as as IN cord-252443-lclxrwcm 14 30 first first RB cord-252443-lclxrwcm 14 31 anticipated anticipate VBN cord-252443-lclxrwcm 14 32 , , , cord-252443-lclxrwcm 14 33 nor nor CC cord-252443-lclxrwcm 14 34 when when WRB cord-252443-lclxrwcm 14 35 compared compare VBN cord-252443-lclxrwcm 14 36 with with IN cord-252443-lclxrwcm 14 37 the the DT cord-252443-lclxrwcm 14 38 1918 1918 CD cord-252443-lclxrwcm 14 39 pandemic pandemic NN cord-252443-lclxrwcm 14 40 , , , cord-252443-lclxrwcm 14 41 which which WDT cord-252443-lclxrwcm 14 42 claimed claim VBD cord-252443-lclxrwcm 14 43 an an DT cord-252443-lclxrwcm 14 44 estimated estimate VBN cord-252443-lclxrwcm 14 45 15 15 CD cord-252443-lclxrwcm 14 46 - - SYM cord-252443-lclxrwcm 14 47 50 50 CD cord-252443-lclxrwcm 14 48 million million CD cord-252443-lclxrwcm 14 49 lives life NNS cord-252443-lclxrwcm 14 50 worldwide worldwide RB cord-252443-lclxrwcm 14 51 ( ( -LRB- cord-252443-lclxrwcm 14 52 3 3 CD cord-252443-lclxrwcm 14 53 ) ) -RRB- cord-252443-lclxrwcm 14 54 . . . cord-252443-lclxrwcm 15 1 However however RB cord-252443-lclxrwcm 15 2 , , , cord-252443-lclxrwcm 15 3 the the DT cord-252443-lclxrwcm 15 4 continued continued JJ cord-252443-lclxrwcm 15 5 risk risk NN cord-252443-lclxrwcm 15 6 of of IN cord-252443-lclxrwcm 15 7 a a DT cord-252443-lclxrwcm 15 8 lethal lethal JJ cord-252443-lclxrwcm 15 9 and and CC cord-252443-lclxrwcm 15 10 transmissible transmissible JJ cord-252443-lclxrwcm 15 11 influenza influenza NN cord-252443-lclxrwcm 15 12 pandemic pandemic NN cord-252443-lclxrwcm 15 13 has have VBZ cord-252443-lclxrwcm 15 14 generated generate VBN cord-252443-lclxrwcm 15 15 widespread widespread JJ cord-252443-lclxrwcm 15 16 and and CC cord-252443-lclxrwcm 15 17 warranted warranted JJ cord-252443-lclxrwcm 15 18 concern concern NN cord-252443-lclxrwcm 15 19 ( ( -LRB- cord-252443-lclxrwcm 15 20 4 4 CD cord-252443-lclxrwcm 15 21 ) ) -RRB- cord-252443-lclxrwcm 15 22 . . . cord-252443-lclxrwcm 16 1 There there EX cord-252443-lclxrwcm 16 2 are be VBP cord-252443-lclxrwcm 16 3 three three CD cord-252443-lclxrwcm 16 4 genera genus NNS cord-252443-lclxrwcm 16 5 of of IN cord-252443-lclxrwcm 16 6 influenza influenza NN cord-252443-lclxrwcm 16 7 virus virus NN cord-252443-lclxrwcm 16 8 that that WDT cord-252443-lclxrwcm 16 9 infect infect VBP cord-252443-lclxrwcm 16 10 humans human NNS cord-252443-lclxrwcm 16 11 , , , cord-252443-lclxrwcm 16 12 influenza influenza NN cord-252443-lclxrwcm 16 13 A a NN cord-252443-lclxrwcm 16 14 , , , cord-252443-lclxrwcm 16 15 B b NN cord-252443-lclxrwcm 16 16 and and CC cord-252443-lclxrwcm 16 17 C c NN cord-252443-lclxrwcm 16 18 viruses virus NNS cord-252443-lclxrwcm 16 19 . . . cord-252443-lclxrwcm 17 1 Type type VB cord-252443-lclxrwcm 17 2 A a DT cord-252443-lclxrwcm 17 3 influenza influenza NN cord-252443-lclxrwcm 17 4 viruses virus NNS cord-252443-lclxrwcm 17 5 are be VBP cord-252443-lclxrwcm 17 6 the the DT cord-252443-lclxrwcm 17 7 most most RBS cord-252443-lclxrwcm 17 8 virulent virulent JJ cord-252443-lclxrwcm 17 9 influenza influenza NN cord-252443-lclxrwcm 17 10 viruses virus NNS cord-252443-lclxrwcm 17 11 infecting infect VBG cord-252443-lclxrwcm 17 12 humans human NNS cord-252443-lclxrwcm 17 13 and and CC cord-252443-lclxrwcm 17 14 can can MD cord-252443-lclxrwcm 17 15 be be VB cord-252443-lclxrwcm 17 16 divided divide VBN cord-252443-lclxrwcm 17 17 into into IN cord-252443-lclxrwcm 17 18 different different JJ cord-252443-lclxrwcm 17 19 subtypes subtype NNS cord-252443-lclxrwcm 17 20 on on IN cord-252443-lclxrwcm 17 21 the the DT cord-252443-lclxrwcm 17 22 basis basis NN cord-252443-lclxrwcm 17 23 of of IN cord-252443-lclxrwcm 17 24 the the DT cord-252443-lclxrwcm 17 25 antigenic antigenic JJ cord-252443-lclxrwcm 17 26 properties property NNS cord-252443-lclxrwcm 17 27 of of IN cord-252443-lclxrwcm 17 28 the the DT cord-252443-lclxrwcm 17 29 virion virion NN cord-252443-lclxrwcm 17 30 surface surface NN cord-252443-lclxrwcm 17 31 proteins protein NNS cord-252443-lclxrwcm 17 32 , , , cord-252443-lclxrwcm 17 33 hemagglutinin hemagglutinin NN cord-252443-lclxrwcm 17 34 ( ( -LRB- cord-252443-lclxrwcm 17 35 HA HA NNP cord-252443-lclxrwcm 17 36 ) ) -RRB- cord-252443-lclxrwcm 17 37 and and CC cord-252443-lclxrwcm 17 38 neuraminidase neuraminidase NN cord-252443-lclxrwcm 17 39 ( ( -LRB- cord-252443-lclxrwcm 17 40 NA NA NNP cord-252443-lclxrwcm 17 41 ) ) -RRB- cord-252443-lclxrwcm 17 42 ( ( -LRB- cord-252443-lclxrwcm 17 43 5 5 CD cord-252443-lclxrwcm 17 44 , , , cord-252443-lclxrwcm 17 45 6 6 CD cord-252443-lclxrwcm 17 46 ) ) -RRB- cord-252443-lclxrwcm 17 47 . . . cord-252443-lclxrwcm 18 1 Currently currently RB cord-252443-lclxrwcm 18 2 there there EX cord-252443-lclxrwcm 18 3 are be VBP cord-252443-lclxrwcm 18 4 17 17 CD cord-252443-lclxrwcm 18 5 HA HA NNP cord-252443-lclxrwcm 18 6 subtypes subtype NNS cord-252443-lclxrwcm 18 7 and and CC cord-252443-lclxrwcm 18 8 9 9 CD cord-252443-lclxrwcm 18 9 NA NA NNP cord-252443-lclxrwcm 18 10 subtypes subtype NNS cord-252443-lclxrwcm 18 11 identified identify VBN cord-252443-lclxrwcm 18 12 , , , cord-252443-lclxrwcm 18 13 and and CC cord-252443-lclxrwcm 18 14 most most JJS cord-252443-lclxrwcm 18 15 of of IN cord-252443-lclxrwcm 18 16 the the DT cord-252443-lclxrwcm 18 17 possible possible JJ cord-252443-lclxrwcm 18 18 combinations combination NNS cord-252443-lclxrwcm 18 19 have have VBP cord-252443-lclxrwcm 18 20 been be VBN cord-252443-lclxrwcm 18 21 found find VBN cord-252443-lclxrwcm 18 22 circulating circulate VBG cord-252443-lclxrwcm 18 23 in in IN cord-252443-lclxrwcm 18 24 wild wild JJ cord-252443-lclxrwcm 18 25 birds bird NNS cord-252443-lclxrwcm 18 26 ( ( -LRB- cord-252443-lclxrwcm 18 27 5 5 CD cord-252443-lclxrwcm 18 28 ) ) -RRB- cord-252443-lclxrwcm 18 29 ( ( -LRB- cord-252443-lclxrwcm 18 30 6 6 LS cord-252443-lclxrwcm 18 31 ) ) -RRB- cord-252443-lclxrwcm 18 32 ( ( -LRB- cord-252443-lclxrwcm 18 33 7 7 CD cord-252443-lclxrwcm 18 34 ) ) -RRB- cord-252443-lclxrwcm 18 35 . . . cord-252443-lclxrwcm 19 1 However however RB cord-252443-lclxrwcm 19 2 , , , cord-252443-lclxrwcm 19 3 the the DT cord-252443-lclxrwcm 19 4 majority majority NN cord-252443-lclxrwcm 19 5 of of IN cord-252443-lclxrwcm 19 6 influenza influenza NN cord-252443-lclxrwcm 19 7 in in IN cord-252443-lclxrwcm 19 8 humans human NNS cord-252443-lclxrwcm 19 9 is be VBZ cord-252443-lclxrwcm 19 10 caused cause VBN cord-252443-lclxrwcm 19 11 by by IN cord-252443-lclxrwcm 19 12 only only RB cord-252443-lclxrwcm 19 13 three three CD cord-252443-lclxrwcm 19 14 subtypes subtype NNS cord-252443-lclxrwcm 19 15 of of IN cord-252443-lclxrwcm 19 16 HA HA NNP cord-252443-lclxrwcm 19 17 ( ( -LRB- cord-252443-lclxrwcm 19 18 H1 h1 NN cord-252443-lclxrwcm 19 19 , , , cord-252443-lclxrwcm 19 20 H2 H2 NNP cord-252443-lclxrwcm 19 21 and and CC cord-252443-lclxrwcm 19 22 H3 H3 NNP cord-252443-lclxrwcm 19 23 ) ) -RRB- cord-252443-lclxrwcm 19 24 and and CC cord-252443-lclxrwcm 19 25 two two CD cord-252443-lclxrwcm 19 26 subtypes subtype NNS cord-252443-lclxrwcm 19 27 of of IN cord-252443-lclxrwcm 19 28 NA NA NNP cord-252443-lclxrwcm 19 29 ( ( -LRB- cord-252443-lclxrwcm 19 30 N1 N1 NNP cord-252443-lclxrwcm 19 31 and and CC cord-252443-lclxrwcm 19 32 N2 N2 NNP cord-252443-lclxrwcm 19 33 ) ) -RRB- cord-252443-lclxrwcm 19 34 ( ( -LRB- cord-252443-lclxrwcm 20 1 8) 8) NNP cord-252443-lclxrwcm 20 2 . . . cord-252443-lclxrwcm 21 1 Indeed indeed RB cord-252443-lclxrwcm 21 2 , , , cord-252443-lclxrwcm 21 3 recent recent JJ cord-252443-lclxrwcm 21 4 pandemics pandemic NNS cord-252443-lclxrwcm 21 5 have have VBP cord-252443-lclxrwcm 21 6 been be VBN cord-252443-lclxrwcm 21 7 caused cause VBN cord-252443-lclxrwcm 21 8 by by IN cord-252443-lclxrwcm 21 9 three three CD cord-252443-lclxrwcm 21 10 subtypes subtype NNS cord-252443-lclxrwcm 21 11 , , , cord-252443-lclxrwcm 21 12 namely namely RB cord-252443-lclxrwcm 21 13 : : : cord-252443-lclxrwcm 21 14 H1N1 H1N1 NNP cord-252443-lclxrwcm 21 15 ( ( -LRB- cord-252443-lclxrwcm 21 16 in in IN cord-252443-lclxrwcm 21 17 1918 1918 CD cord-252443-lclxrwcm 21 18 and and CC cord-252443-lclxrwcm 21 19 2009 2009 CD cord-252443-lclxrwcm 21 20 , , , cord-252443-lclxrwcm 21 21 the the DT cord-252443-lclxrwcm 21 22 Spanish spanish JJ cord-252443-lclxrwcm 21 23 and and CC cord-252443-lclxrwcm 21 24 Swine Swine NNP cord-252443-lclxrwcm 21 25 flu flu NN cord-252443-lclxrwcm 21 26 pandemics pandemic NNS cord-252443-lclxrwcm 21 27 , , , cord-252443-lclxrwcm 21 28 respectively respectively RB cord-252443-lclxrwcm 21 29 ) ) -RRB- cord-252443-lclxrwcm 21 30 , , , cord-252443-lclxrwcm 21 31 H2N2 H2N2 NNP cord-252443-lclxrwcm 21 32 ( ( -LRB- cord-252443-lclxrwcm 21 33 in in IN cord-252443-lclxrwcm 21 34 1957 1957 CD cord-252443-lclxrwcm 21 35 , , , cord-252443-lclxrwcm 21 36 known know VBN cord-252443-lclxrwcm 21 37 as as IN cord-252443-lclxrwcm 21 38 the the DT cord-252443-lclxrwcm 21 39 Asian asian JJ cord-252443-lclxrwcm 21 40 flu flu NN cord-252443-lclxrwcm 21 41 ) ) -RRB- cord-252443-lclxrwcm 21 42 and and CC cord-252443-lclxrwcm 21 43 H3N2 H3N2 NNP cord-252443-lclxrwcm 21 44 ( ( -LRB- cord-252443-lclxrwcm 21 45 in in IN cord-252443-lclxrwcm 21 46 1968 1968 CD cord-252443-lclxrwcm 21 47 , , , cord-252443-lclxrwcm 21 48 known know VBN cord-252443-lclxrwcm 21 49 as as IN cord-252443-lclxrwcm 21 50 the the DT cord-252443-lclxrwcm 21 51 Hong Hong NNP cord-252443-lclxrwcm 21 52 Kong Kong NNP cord-252443-lclxrwcm 21 53 flu flu NN cord-252443-lclxrwcm 21 54 ) ) -RRB- cord-252443-lclxrwcm 22 1 ( ( -LRB- cord-252443-lclxrwcm 22 2 8) 8) NNP cord-252443-lclxrwcm 22 3 . . . cord-252443-lclxrwcm 23 1 In in IN cord-252443-lclxrwcm 23 2 contrast contrast NN cord-252443-lclxrwcm 23 3 to to IN cord-252443-lclxrwcm 23 4 influenza influenza NN cord-252443-lclxrwcm 23 5 A a DT cord-252443-lclxrwcm 23 6 viruses virus NNS cord-252443-lclxrwcm 23 7 , , , cord-252443-lclxrwcm 23 8 B b NN cord-252443-lclxrwcm 23 9 viruses virus NNS cord-252443-lclxrwcm 23 10 mutate mutate VBP cord-252443-lclxrwcm 23 11 slowly slowly RB cord-252443-lclxrwcm 23 12 ( ( -LRB- cord-252443-lclxrwcm 23 13 9 9 CD cord-252443-lclxrwcm 23 14 ) ) -RRB- cord-252443-lclxrwcm 23 15 . . . cord-252443-lclxrwcm 24 1 At at IN cord-252443-lclxrwcm 24 2 present present JJ cord-252443-lclxrwcm 24 3 , , , cord-252443-lclxrwcm 24 4 there there EX cord-252443-lclxrwcm 24 5 are be VBP cord-252443-lclxrwcm 24 6 two two CD cord-252443-lclxrwcm 24 7 antigenically antigenically RB cord-252443-lclxrwcm 24 8 distinct distinct JJ cord-252443-lclxrwcm 24 9 type type NN cord-252443-lclxrwcm 24 10 B b NN cord-252443-lclxrwcm 24 11 influenza influenza NN cord-252443-lclxrwcm 24 12 lineages lineage NNS cord-252443-lclxrwcm 24 13 ( ( -LRB- cord-252443-lclxrwcm 24 14 Victoria Victoria NNP cord-252443-lclxrwcm 24 15 and and CC cord-252443-lclxrwcm 24 16 Yamagata Yamagata NNP cord-252443-lclxrwcm 24 17 ) ) -RRB- cord-252443-lclxrwcm 24 18 , , , cord-252443-lclxrwcm 24 19 which which WDT cord-252443-lclxrwcm 24 20 are be VBP cord-252443-lclxrwcm 24 21 concurrently concurrently RB cord-252443-lclxrwcm 24 22 circulating circulate VBG cord-252443-lclxrwcm 24 23 ( ( -LRB- cord-252443-lclxrwcm 24 24 10 10 CD cord-252443-lclxrwcm 24 25 , , , cord-252443-lclxrwcm 24 26 11 11 CD cord-252443-lclxrwcm 24 27 ) ) -RRB- cord-252443-lclxrwcm 24 28 , , , cord-252443-lclxrwcm 24 29 and and CC cord-252443-lclxrwcm 24 30 individuals individual NNS cord-252443-lclxrwcm 24 31 exposed expose VBN cord-252443-lclxrwcm 24 32 to to IN cord-252443-lclxrwcm 24 33 one one CD cord-252443-lclxrwcm 24 34 lineage lineage NN cord-252443-lclxrwcm 24 35 have have VBP cord-252443-lclxrwcm 24 36 limited limit VBN cord-252443-lclxrwcm 24 37 cross cross JJ cord-252443-lclxrwcm 24 38 - - JJ cord-252443-lclxrwcm 24 39 protective protective JJ cord-252443-lclxrwcm 24 40 immunity immunity NN cord-252443-lclxrwcm 24 41 because because IN cord-252443-lclxrwcm 24 42 of of IN cord-252443-lclxrwcm 24 43 antigenic antigenic JJ cord-252443-lclxrwcm 24 44 dissimilarity dissimilarity NN cord-252443-lclxrwcm 24 45 between between IN cord-252443-lclxrwcm 24 46 strains strain NNS cord-252443-lclxrwcm 24 47 ( ( -LRB- cord-252443-lclxrwcm 24 48 11 11 CD cord-252443-lclxrwcm 24 49 ) ) -RRB- cord-252443-lclxrwcm 24 50 . . . cord-252443-lclxrwcm 25 1 The the DT cord-252443-lclxrwcm 25 2 burden burden NN cord-252443-lclxrwcm 25 3 of of IN cord-252443-lclxrwcm 25 4 disease disease NN cord-252443-lclxrwcm 25 5 due due IN cord-252443-lclxrwcm 25 6 to to IN cord-252443-lclxrwcm 25 7 influenza influenza NN cord-252443-lclxrwcm 25 8 B b NN cord-252443-lclxrwcm 25 9 viral viral JJ cord-252443-lclxrwcm 25 10 infection infection NN cord-252443-lclxrwcm 25 11 falls fall VBZ cord-252443-lclxrwcm 25 12 largely largely RB cord-252443-lclxrwcm 25 13 on on IN cord-252443-lclxrwcm 25 14 children child NNS cord-252443-lclxrwcm 25 15 and and CC cord-252443-lclxrwcm 25 16 young young JJ cord-252443-lclxrwcm 25 17 adults adult NNS cord-252443-lclxrwcm 25 18 , , , cord-252443-lclxrwcm 25 19 and and CC cord-252443-lclxrwcm 25 20 this this DT cord-252443-lclxrwcm 25 21 influenza influenza NN cord-252443-lclxrwcm 25 22 virus virus NN cord-252443-lclxrwcm 25 23 causes cause VBZ cord-252443-lclxrwcm 25 24 seasonal seasonal JJ cord-252443-lclxrwcm 25 25 influenza influenza NN cord-252443-lclxrwcm 25 26 epidemics epidemic NNS cord-252443-lclxrwcm 25 27 every every DT cord-252443-lclxrwcm 25 28 2 2 CD cord-252443-lclxrwcm 25 29 - - SYM cord-252443-lclxrwcm 25 30 4 4 CD cord-252443-lclxrwcm 25 31 years year NNS cord-252443-lclxrwcm 25 32 ( ( -LRB- cord-252443-lclxrwcm 25 33 11 11 CD cord-252443-lclxrwcm 25 34 ) ) -RRB- cord-252443-lclxrwcm 25 35 . . . cord-252443-lclxrwcm 26 1 By by IN cord-252443-lclxrwcm 26 2 contrast contrast NN cord-252443-lclxrwcm 26 3 , , , cord-252443-lclxrwcm 26 4 influenza influenza NN cord-252443-lclxrwcm 26 5 C c NN cord-252443-lclxrwcm 26 6 virus virus NN cord-252443-lclxrwcm 26 7 , , , cord-252443-lclxrwcm 26 8 although although IN cord-252443-lclxrwcm 26 9 a a DT cord-252443-lclxrwcm 26 10 common common JJ cord-252443-lclxrwcm 26 11 cause cause NN cord-252443-lclxrwcm 26 12 of of IN cord-252443-lclxrwcm 26 13 mild mild JJ cord-252443-lclxrwcm 26 14 upper upper JJ cord-252443-lclxrwcm 26 15 respiratory respiratory JJ cord-252443-lclxrwcm 26 16 illness illness NN cord-252443-lclxrwcm 26 17 , , , cord-252443-lclxrwcm 26 18 rarely rarely RB cord-252443-lclxrwcm 26 19 causes cause VBZ cord-252443-lclxrwcm 26 20 severe severe JJ cord-252443-lclxrwcm 26 21 illness illness NN cord-252443-lclxrwcm 26 22 or or CC cord-252443-lclxrwcm 26 23 local local JJ cord-252443-lclxrwcm 26 24 epidemics epidemic NNS cord-252443-lclxrwcm 26 25 because because IN cord-252443-lclxrwcm 26 26 most most JJS cord-252443-lclxrwcm 26 27 people people NNS cord-252443-lclxrwcm 26 28 acquire acquire VBP cord-252443-lclxrwcm 26 29 protective protective JJ cord-252443-lclxrwcm 26 30 antibodies antibody NNS cord-252443-lclxrwcm 26 31 early early RB cord-252443-lclxrwcm 26 32 in in IN cord-252443-lclxrwcm 26 33 life life NN cord-252443-lclxrwcm 26 34 ( ( -LRB- cord-252443-lclxrwcm 26 35 12 12 CD cord-252443-lclxrwcm 26 36 ) ) -RRB- cord-252443-lclxrwcm 26 37 . . . cord-252443-lclxrwcm 27 1 southern southern JJ cord-252443-lclxrwcm 27 2 hemisphere hemisphere NN cord-252443-lclxrwcm 27 3 . . . cord-252443-lclxrwcm 28 1 Routinely routinely RB cord-252443-lclxrwcm 28 2 , , , cord-252443-lclxrwcm 28 3 formulations formulation NNS cord-252443-lclxrwcm 28 4 contain contain VBP cord-252443-lclxrwcm 28 5 two two CD cord-252443-lclxrwcm 28 6 human human JJ cord-252443-lclxrwcm 28 7 influenza influenza NN cord-252443-lclxrwcm 28 8 A a DT cord-252443-lclxrwcm 28 9 subtypes subtype NNS cord-252443-lclxrwcm 28 10 ( ( -LRB- cord-252443-lclxrwcm 28 11 H3N2 H3N2 NNP cord-252443-lclxrwcm 28 12 and and CC cord-252443-lclxrwcm 28 13 H1N1 H1N1 NNP cord-252443-lclxrwcm 28 14 ) ) -RRB- cord-252443-lclxrwcm 28 15 and and CC cord-252443-lclxrwcm 28 16 one one CD cord-252443-lclxrwcm 28 17 of of IN cord-252443-lclxrwcm 28 18 the the DT cord-252443-lclxrwcm 28 19 two two CD cord-252443-lclxrwcm 28 20 influenza influenza NN cord-252443-lclxrwcm 28 21 B b NN cord-252443-lclxrwcm 28 22 lineages lineage NNS cord-252443-lclxrwcm 28 23 ( ( -LRB- cord-252443-lclxrwcm 28 24 Yamagata Yamagata NNP cord-252443-lclxrwcm 28 25 or or CC cord-252443-lclxrwcm 28 26 Victoria Victoria NNP cord-252443-lclxrwcm 28 27 ) ) -RRB- cord-252443-lclxrwcm 28 28 ( ( -LRB- cord-252443-lclxrwcm 28 29 2 2 CD cord-252443-lclxrwcm 28 30 ) ) -RRB- cord-252443-lclxrwcm 28 31 . . . cord-252443-lclxrwcm 29 1 Many many JJ cord-252443-lclxrwcm 29 2 countries country NNS cord-252443-lclxrwcm 29 3 have have VBP cord-252443-lclxrwcm 29 4 implemented implement VBN cord-252443-lclxrwcm 29 5 influenza influenza JJ cord-252443-lclxrwcm 29 6 healthcare healthcare NN cord-252443-lclxrwcm 29 7 strategies strategy NNS cord-252443-lclxrwcm 29 8 in in IN cord-252443-lclxrwcm 29 9 which which WDT cord-252443-lclxrwcm 29 10 the the DT cord-252443-lclxrwcm 29 11 vaccination vaccination NN cord-252443-lclxrwcm 29 12 is be VBZ cord-252443-lclxrwcm 29 13 administered administer VBN cord-252443-lclxrwcm 29 14 to to IN cord-252443-lclxrwcm 29 15 discrete discrete JJ cord-252443-lclxrwcm 29 16 population population NN cord-252443-lclxrwcm 29 17 cohorts cohort NNS cord-252443-lclxrwcm 29 18 at at IN cord-252443-lclxrwcm 29 19 risk risk NN cord-252443-lclxrwcm 29 20 of of IN cord-252443-lclxrwcm 29 21 complications complication NNS cord-252443-lclxrwcm 29 22 , , , cord-252443-lclxrwcm 29 23 the the DT cord-252443-lclxrwcm 29 24 very very RB cord-252443-lclxrwcm 29 25 young young JJ cord-252443-lclxrwcm 29 26 and and CC cord-252443-lclxrwcm 29 27 the the DT cord-252443-lclxrwcm 29 28 elderly elderly JJ cord-252443-lclxrwcm 29 29 . . . cord-252443-lclxrwcm 30 1 The the DT cord-252443-lclxrwcm 30 2 global global JJ cord-252443-lclxrwcm 30 3 burden burden NN cord-252443-lclxrwcm 30 4 of of IN cord-252443-lclxrwcm 30 5 influenza influenza NN cord-252443-lclxrwcm 30 6 disease disease NN cord-252443-lclxrwcm 30 7 mainly mainly RB cord-252443-lclxrwcm 30 8 occurs occur VBZ cord-252443-lclxrwcm 30 9 in in IN cord-252443-lclxrwcm 30 10 infants infant NNS cord-252443-lclxrwcm 30 11 aged age VBN cord-252443-lclxrwcm 30 12 5 5 CD cord-252443-lclxrwcm 30 13 years year NNS cord-252443-lclxrwcm 30 14 or or CC cord-252443-lclxrwcm 30 15 under under IN cord-252443-lclxrwcm 30 16 ; ; , cord-252443-lclxrwcm 30 17 accounting account VBG cord-252443-lclxrwcm 30 18 for for IN cord-252443-lclxrwcm 30 19 90 90 CD cord-252443-lclxrwcm 30 20 million million CD cord-252443-lclxrwcm 30 21 infections infection NNS cord-252443-lclxrwcm 30 22 annually annually RB cord-252443-lclxrwcm 30 23 ( ( -LRB- cord-252443-lclxrwcm 30 24 13 13 CD cord-252443-lclxrwcm 30 25 , , , cord-252443-lclxrwcm 30 26 14 14 CD cord-252443-lclxrwcm 30 27 ) ) -RRB- cord-252443-lclxrwcm 30 28 . . . cord-252443-lclxrwcm 31 1 Children child NNS cord-252443-lclxrwcm 31 2 shed shed VBP cord-252443-lclxrwcm 31 3 virus virus NN cord-252443-lclxrwcm 31 4 at at IN cord-252443-lclxrwcm 31 5 a a DT cord-252443-lclxrwcm 31 6 high high JJ cord-252443-lclxrwcm 31 7 rate rate NN cord-252443-lclxrwcm 31 8 and and CC cord-252443-lclxrwcm 31 9 routinely routinely RB cord-252443-lclxrwcm 31 10 congregate congregate VBP cord-252443-lclxrwcm 31 11 in in IN cord-252443-lclxrwcm 31 12 high high JJ cord-252443-lclxrwcm 31 13 numbers number NNS cord-252443-lclxrwcm 31 14 ( ( -LRB- cord-252443-lclxrwcm 31 15 for for IN cord-252443-lclxrwcm 31 16 example example NN cord-252443-lclxrwcm 31 17 , , , cord-252443-lclxrwcm 31 18 schools school NNS cord-252443-lclxrwcm 31 19 , , , cord-252443-lclxrwcm 31 20 nurseries nursery NNS cord-252443-lclxrwcm 31 21 ) ) -RRB- cord-252443-lclxrwcm 31 22 , , , cord-252443-lclxrwcm 31 23 thus thus RB cord-252443-lclxrwcm 31 24 facilitating facilitate VBG cord-252443-lclxrwcm 31 25 easy easy JJ cord-252443-lclxrwcm 31 26 dissemination dissemination NN cord-252443-lclxrwcm 31 27 of of IN cord-252443-lclxrwcm 31 28 the the DT cord-252443-lclxrwcm 31 29 virus virus NN cord-252443-lclxrwcm 31 30 to to IN cord-252443-lclxrwcm 31 31 family family NN cord-252443-lclxrwcm 31 32 members member NNS cord-252443-lclxrwcm 31 33 and and CC cord-252443-lclxrwcm 31 34 in in IN cord-252443-lclxrwcm 31 35 turn turn VB cord-252443-lclxrwcm 31 36 the the DT cord-252443-lclxrwcm 31 37 wider wide JJR cord-252443-lclxrwcm 31 38 public public NN cord-252443-lclxrwcm 31 39 . . . cord-252443-lclxrwcm 32 1 The the DT cord-252443-lclxrwcm 32 2 question question NN cord-252443-lclxrwcm 32 3 of of IN cord-252443-lclxrwcm 32 4 whether whether IN cord-252443-lclxrwcm 32 5 to to TO cord-252443-lclxrwcm 32 6 mass mass NN cord-252443-lclxrwcm 32 7 vaccinate vaccinate VB cord-252443-lclxrwcm 32 8 young young JJ cord-252443-lclxrwcm 32 9 children child NNS cord-252443-lclxrwcm 32 10 against against IN cord-252443-lclxrwcm 32 11 influenza influenza NN cord-252443-lclxrwcm 32 12 is be VBZ cord-252443-lclxrwcm 32 13 a a DT cord-252443-lclxrwcm 32 14 point point NN cord-252443-lclxrwcm 32 15 of of IN cord-252443-lclxrwcm 32 16 considerable considerable JJ cord-252443-lclxrwcm 32 17 debate debate NN cord-252443-lclxrwcm 32 18 among among IN cord-252443-lclxrwcm 32 19 both both CC cord-252443-lclxrwcm 32 20 the the DT cord-252443-lclxrwcm 32 21 clinical clinical JJ cord-252443-lclxrwcm 32 22 immunology immunology NN cord-252443-lclxrwcm 32 23 and and CC cord-252443-lclxrwcm 32 24 public public JJ cord-252443-lclxrwcm 32 25 health health NN cord-252443-lclxrwcm 32 26 communities community NNS cord-252443-lclxrwcm 32 27 ( ( -LRB- cord-252443-lclxrwcm 32 28 15 15 CD cord-252443-lclxrwcm 32 29 ) ) -RRB- cord-252443-lclxrwcm 32 30 , , , cord-252443-lclxrwcm 32 31 and and CC cord-252443-lclxrwcm 32 32 at at IN cord-252443-lclxrwcm 32 33 present present NN cord-252443-lclxrwcm 32 34 there there EX cord-252443-lclxrwcm 32 35 is be VBZ cord-252443-lclxrwcm 32 36 no no DT cord-252443-lclxrwcm 32 37 clear clear JJ cord-252443-lclxrwcm 32 38 consensus consensus NN cord-252443-lclxrwcm 32 39 . . . cord-252443-lclxrwcm 33 1 Supporters supporter NNS cord-252443-lclxrwcm 33 2 of of IN cord-252443-lclxrwcm 33 3 vaccinating vaccinate VBG cord-252443-lclxrwcm 33 4 children child NNS cord-252443-lclxrwcm 33 5 against against IN cord-252443-lclxrwcm 33 6 influenza influenza NN cord-252443-lclxrwcm 33 7 argue argue VBP cord-252443-lclxrwcm 33 8 that that IN cord-252443-lclxrwcm 33 9 conferring confer VBG cord-252443-lclxrwcm 33 10 protection protection NN cord-252443-lclxrwcm 33 11 to to IN cord-252443-lclxrwcm 33 12 this this DT cord-252443-lclxrwcm 33 13 segment segment NN cord-252443-lclxrwcm 33 14 of of IN cord-252443-lclxrwcm 33 15 society society NN cord-252443-lclxrwcm 33 16 will will MD cord-252443-lclxrwcm 33 17 not not RB cord-252443-lclxrwcm 33 18 only only RB cord-252443-lclxrwcm 33 19 benefit benefit VB cord-252443-lclxrwcm 33 20 children child NNS cord-252443-lclxrwcm 33 21 , , , cord-252443-lclxrwcm 33 22 but but CC cord-252443-lclxrwcm 33 23 will will MD cord-252443-lclxrwcm 33 24 also also RB cord-252443-lclxrwcm 33 25 benefit benefit VB cord-252443-lclxrwcm 33 26 the the DT cord-252443-lclxrwcm 33 27 wider wide JJR cord-252443-lclxrwcm 33 28 adult adult NN cord-252443-lclxrwcm 33 29 population population NN cord-252443-lclxrwcm 33 30 ( ( -LRB- cord-252443-lclxrwcm 33 31 1 1 CD cord-252443-lclxrwcm 33 32 , , , cord-252443-lclxrwcm 33 33 15 15 CD cord-252443-lclxrwcm 33 34 , , , cord-252443-lclxrwcm 33 35 16 16 CD cord-252443-lclxrwcm 33 36 ) ) -RRB- cord-252443-lclxrwcm 33 37 . . . cord-252443-lclxrwcm 34 1 Opposition opposition NN cord-252443-lclxrwcm 34 2 to to IN cord-252443-lclxrwcm 34 3 this this DT cord-252443-lclxrwcm 34 4 healthcare healthcare NN cord-252443-lclxrwcm 34 5 strategy strategy NN cord-252443-lclxrwcm 34 6 hinges hinge NNS cord-252443-lclxrwcm 34 7 on on IN cord-252443-lclxrwcm 34 8 the the DT cord-252443-lclxrwcm 34 9 idea idea NN cord-252443-lclxrwcm 34 10 that that IN cord-252443-lclxrwcm 34 11 individuals individual NNS cord-252443-lclxrwcm 34 12 , , , cord-252443-lclxrwcm 34 13 including include VBG cord-252443-lclxrwcm 34 14 children child NNS cord-252443-lclxrwcm 34 15 , , , cord-252443-lclxrwcm 34 16 may may MD cord-252443-lclxrwcm 34 17 accrue accrue VB cord-252443-lclxrwcm 34 18 better well JJR cord-252443-lclxrwcm 34 19 heterosubtypic heterosubtypic JJ cord-252443-lclxrwcm 34 20 immunity immunity NN cord-252443-lclxrwcm 34 21 through through IN cord-252443-lclxrwcm 34 22 natural natural JJ cord-252443-lclxrwcm 34 23 exposure exposure NN cord-252443-lclxrwcm 34 24 to to IN cord-252443-lclxrwcm 34 25 influenza influenza NN cord-252443-lclxrwcm 34 26 virus virus NN cord-252443-lclxrwcm 34 27 as as IN cord-252443-lclxrwcm 34 28 opposed oppose VBN cord-252443-lclxrwcm 34 29 to to IN cord-252443-lclxrwcm 34 30 vaccination vaccination NN cord-252443-lclxrwcm 34 31 ( ( -LRB- cord-252443-lclxrwcm 34 32 17 17 CD cord-252443-lclxrwcm 34 33 ) ) -RRB- cord-252443-lclxrwcm 34 34 ( ( -LRB- cord-252443-lclxrwcm 34 35 18 18 CD cord-252443-lclxrwcm 34 36 ) ) -RRB- cord-252443-lclxrwcm 34 37 ( ( -LRB- cord-252443-lclxrwcm 34 38 19 19 CD cord-252443-lclxrwcm 34 39 ) ) -RRB- cord-252443-lclxrwcm 34 40 ( ( -LRB- cord-252443-lclxrwcm 34 41 20 20 CD cord-252443-lclxrwcm 34 42 ) ) -RRB- cord-252443-lclxrwcm 34 43 ( ( -LRB- cord-252443-lclxrwcm 34 44 21 21 CD cord-252443-lclxrwcm 34 45 ) ) -RRB- cord-252443-lclxrwcm 34 46 ( ( -LRB- cord-252443-lclxrwcm 34 47 22 22 CD cord-252443-lclxrwcm 34 48 ) ) -RRB- cord-252443-lclxrwcm 34 49 ( ( -LRB- cord-252443-lclxrwcm 34 50 23 23 CD cord-252443-lclxrwcm 34 51 ) ) -RRB- cord-252443-lclxrwcm 34 52 . . . cord-252443-lclxrwcm 35 1 Heterosubtypic Heterosubtypic NNP cord-252443-lclxrwcm 35 2 , , , cord-252443-lclxrwcm 35 3 or or CC cord-252443-lclxrwcm 35 4 cross cross NN cord-252443-lclxrwcm 35 5 - - NN cord-252443-lclxrwcm 35 6 clade clade JJ cord-252443-lclxrwcm 35 7 , , , cord-252443-lclxrwcm 35 8 memory memory NN cord-252443-lclxrwcm 35 9 can can MD cord-252443-lclxrwcm 35 10 be be VB cord-252443-lclxrwcm 35 11 broadly broadly RB cord-252443-lclxrwcm 35 12 classified classify VBN cord-252443-lclxrwcm 35 13 as as IN cord-252443-lclxrwcm 35 14 protection protection NN cord-252443-lclxrwcm 35 15 induced induce VBN cord-252443-lclxrwcm 35 16 to to IN cord-252443-lclxrwcm 35 17 an an DT cord-252443-lclxrwcm 35 18 influenza influenza NN cord-252443-lclxrwcm 35 19 subtype subtype NN cord-252443-lclxrwcm 35 20 or or CC cord-252443-lclxrwcm 35 21 strain strain NN cord-252443-lclxrwcm 35 22 that that WDT cord-252443-lclxrwcm 35 23 confers confer VBZ cord-252443-lclxrwcm 35 24 protection protection NN cord-252443-lclxrwcm 35 25 against against IN cord-252443-lclxrwcm 35 26 other other JJ cord-252443-lclxrwcm 35 27 strains strain NNS cord-252443-lclxrwcm 35 28 and and CC cord-252443-lclxrwcm 35 29 can can MD cord-252443-lclxrwcm 35 30 be be VB cord-252443-lclxrwcm 35 31 mediated mediate VBN cord-252443-lclxrwcm 35 32 by by IN cord-252443-lclxrwcm 35 33 both both DT cord-252443-lclxrwcm 35 34 humoral humoral JJ cord-252443-lclxrwcm 35 35 and and CC cord-252443-lclxrwcm 35 36 cellular cellular JJ cord-252443-lclxrwcm 35 37 immunity immunity NN cord-252443-lclxrwcm 35 38 ( ( -LRB- cord-252443-lclxrwcm 35 39 24 24 CD cord-252443-lclxrwcm 35 40 ) ) -RRB- cord-252443-lclxrwcm 35 41 ( ( -LRB- cord-252443-lclxrwcm 35 42 25 25 CD cord-252443-lclxrwcm 35 43 ) ) -RRB- cord-252443-lclxrwcm 35 44 ( ( -LRB- cord-252443-lclxrwcm 35 45 26 26 CD cord-252443-lclxrwcm 35 46 ) ) -RRB- cord-252443-lclxrwcm 35 47 ( ( -LRB- cord-252443-lclxrwcm 35 48 27 27 CD cord-252443-lclxrwcm 35 49 ) ) -RRB- cord-252443-lclxrwcm 35 50 . . . cord-252443-lclxrwcm 36 1 Approximately approximately RB cord-252443-lclxrwcm 36 2 90 90 CD cord-252443-lclxrwcm 36 3 % % NN cord-252443-lclxrwcm 36 4 of of IN cord-252443-lclxrwcm 36 5 influenza influenza NN cord-252443-lclxrwcm 36 6 - - HYPH cord-252443-lclxrwcm 36 7 related relate VBN cord-252443-lclxrwcm 36 8 deaths death NNS cord-252443-lclxrwcm 36 9 , , , cord-252443-lclxrwcm 36 10 outside outside IN cord-252443-lclxrwcm 36 11 of of IN cord-252443-lclxrwcm 36 12 pandemic pandemic NN cord-252443-lclxrwcm 36 13 settings setting NNS cord-252443-lclxrwcm 36 14 , , , cord-252443-lclxrwcm 36 15 occur occur VBP cord-252443-lclxrwcm 36 16 among among IN cord-252443-lclxrwcm 36 17 people people NNS cord-252443-lclxrwcm 36 18 aged age VBN cord-252443-lclxrwcm 36 19 65 65 CD cord-252443-lclxrwcm 36 20 years year NNS cord-252443-lclxrwcm 36 21 or or CC cord-252443-lclxrwcm 36 22 older old JJR cord-252443-lclxrwcm 36 23 and and CC cord-252443-lclxrwcm 36 24 this this DT cord-252443-lclxrwcm 36 25 heightened heightened JJ cord-252443-lclxrwcm 36 26 susceptibility susceptibility NN cord-252443-lclxrwcm 36 27 is be VBZ cord-252443-lclxrwcm 36 28 increased increase VBN cord-252443-lclxrwcm 36 29 as as IN cord-252443-lclxrwcm 36 30 individuals individual NNS cord-252443-lclxrwcm 36 31 age age NN cord-252443-lclxrwcm 36 32 ; ; : cord-252443-lclxrwcm 36 33 persons person NNS cord-252443-lclxrwcm 36 34 aged age VBN cord-252443-lclxrwcm 36 35 85 85 CD cord-252443-lclxrwcm 36 36 years year NNS cord-252443-lclxrwcm 36 37 or or CC cord-252443-lclxrwcm 36 38 older old JJR cord-252443-lclxrwcm 36 39 are be VBP cord-252443-lclxrwcm 36 40 16 16 CD cord-252443-lclxrwcm 36 41 times time NNS cord-252443-lclxrwcm 36 42 more more RBR cord-252443-lclxrwcm 36 43 likely likely JJ cord-252443-lclxrwcm 36 44 to to TO cord-252443-lclxrwcm 36 45 die die VB cord-252443-lclxrwcm 36 46 of of IN cord-252443-lclxrwcm 36 47 an an DT cord-252443-lclxrwcm 36 48 influenza influenza NN cord-252443-lclxrwcm 36 49 - - HYPH cord-252443-lclxrwcm 36 50 related relate VBN cord-252443-lclxrwcm 36 51 death death NN cord-252443-lclxrwcm 36 52 compared compare VBN cord-252443-lclxrwcm 36 53 with with IN cord-252443-lclxrwcm 36 54 those those DT cord-252443-lclxrwcm 36 55 aged age VBN cord-252443-lclxrwcm 36 56 65 65 CD cord-252443-lclxrwcm 36 57 to to TO cord-252443-lclxrwcm 36 58 69 69 CD cord-252443-lclxrwcm 36 59 years year NNS cord-252443-lclxrwcm 36 60 ( ( -LRB- cord-252443-lclxrwcm 36 61 13 13 CD cord-252443-lclxrwcm 36 62 , , , cord-252443-lclxrwcm 36 63 28 28 CD cord-252443-lclxrwcm 36 64 ) ) -RRB- cord-252443-lclxrwcm 36 65 . . . cord-252443-lclxrwcm 37 1 The the DT cord-252443-lclxrwcm 37 2 progressive progressive JJ cord-252443-lclxrwcm 37 3 decline decline NN cord-252443-lclxrwcm 37 4 of of IN cord-252443-lclxrwcm 37 5 the the DT cord-252443-lclxrwcm 37 6 immune immune JJ cord-252443-lclxrwcm 37 7 system system NN cord-252443-lclxrwcm 37 8 is be VBZ cord-252443-lclxrwcm 37 9 thought think VBN cord-252443-lclxrwcm 37 10 to to TO cord-252443-lclxrwcm 37 11 be be VB cord-252443-lclxrwcm 37 12 the the DT cord-252443-lclxrwcm 37 13 principle principle JJ cord-252443-lclxrwcm 37 14 cause cause NN cord-252443-lclxrwcm 37 15 of of IN cord-252443-lclxrwcm 37 16 increased increase VBN cord-252443-lclxrwcm 37 17 susceptibility susceptibility NN cord-252443-lclxrwcm 37 18 to to IN cord-252443-lclxrwcm 37 19 infection infection NN cord-252443-lclxrwcm 37 20 in in IN cord-252443-lclxrwcm 37 21 the the DT cord-252443-lclxrwcm 37 22 older old JJR cord-252443-lclxrwcm 37 23 adult adult NN cord-252443-lclxrwcm 37 24 . . . cord-252443-lclxrwcm 38 1 The the DT cord-252443-lclxrwcm 38 2 age age NN cord-252443-lclxrwcm 38 3 - - HYPH cord-252443-lclxrwcm 38 4 related relate VBN cord-252443-lclxrwcm 38 5 decline decline NN cord-252443-lclxrwcm 38 6 in in IN cord-252443-lclxrwcm 38 7 immune immune JJ cord-252443-lclxrwcm 38 8 responses response NNS cord-252443-lclxrwcm 38 9 ( ( -LRB- cord-252443-lclxrwcm 38 10 immunosenescence immunosenescence NNP cord-252443-lclxrwcm 38 11 ) ) -RRB- cord-252443-lclxrwcm 38 12 affects affect VBZ cord-252443-lclxrwcm 38 13 both both CC cord-252443-lclxrwcm 38 14 the the DT cord-252443-lclxrwcm 38 15 innate innate JJ cord-252443-lclxrwcm 38 16 and and CC cord-252443-lclxrwcm 38 17 adaptive adaptive JJ cord-252443-lclxrwcm 38 18 immune immune JJ cord-252443-lclxrwcm 38 19 response response NN cord-252443-lclxrwcm 38 20 ( ( -LRB- cord-252443-lclxrwcm 38 21 29 29 CD cord-252443-lclxrwcm 38 22 ) ) -RRB- cord-252443-lclxrwcm 38 23 . . . cord-252443-lclxrwcm 39 1 Although although IN cord-252443-lclxrwcm 39 2 influenza influenza NN cord-252443-lclxrwcm 39 3 vaccines vaccine NNS cord-252443-lclxrwcm 39 4 have have VBP cord-252443-lclxrwcm 39 5 undoubtedly undoubtedly RB cord-252443-lclxrwcm 39 6 saved save VBN cord-252443-lclxrwcm 39 7 numerous numerous JJ cord-252443-lclxrwcm 39 8 lives life NNS cord-252443-lclxrwcm 39 9 during during IN cord-252443-lclxrwcm 39 10 both both DT cord-252443-lclxrwcm 39 11 pandemic pandemic NN cord-252443-lclxrwcm 39 12 and and CC cord-252443-lclxrwcm 39 13 epidemic epidemic NN cord-252443-lclxrwcm 39 14 outbreaks outbreak NNS cord-252443-lclxrwcm 39 15 , , , cord-252443-lclxrwcm 39 16 there there EX cord-252443-lclxrwcm 39 17 remains remain VBZ cord-252443-lclxrwcm 39 18 considerable considerable JJ cord-252443-lclxrwcm 39 19 variation variation NN cord-252443-lclxrwcm 39 20 in in IN cord-252443-lclxrwcm 39 21 how how WRB cord-252443-lclxrwcm 39 22 influenza influenza NN cord-252443-lclxrwcm 39 23 vaccines vaccine NNS cord-252443-lclxrwcm 39 24 are be VBP cord-252443-lclxrwcm 39 25 used use VBN cord-252443-lclxrwcm 39 26 and and CC cord-252443-lclxrwcm 39 27 the the DT cord-252443-lclxrwcm 39 28 efficacy efficacy NN cord-252443-lclxrwcm 39 29 achieved achieve VBN cord-252443-lclxrwcm 39 30 in in IN cord-252443-lclxrwcm 39 31 targeted target VBN cord-252443-lclxrwcm 39 32 population population NN cord-252443-lclxrwcm 39 33 cohorts cohort NNS cord-252443-lclxrwcm 39 34 . . . cord-252443-lclxrwcm 40 1 As as IN cord-252443-lclxrwcm 40 2 such such JJ cord-252443-lclxrwcm 40 3 , , , cord-252443-lclxrwcm 40 4 influenza influenza NN cord-252443-lclxrwcm 40 5 and and CC cord-252443-lclxrwcm 40 6 its -PRON- PRP$ cord-252443-lclxrwcm 40 7 associated associate VBN cord-252443-lclxrwcm 40 8 complications complication NNS cord-252443-lclxrwcm 40 9 still still RB cord-252443-lclxrwcm 40 10 represent represent VBP cord-252443-lclxrwcm 40 11 a a DT cord-252443-lclxrwcm 40 12 considerable considerable JJ cord-252443-lclxrwcm 40 13 global global JJ cord-252443-lclxrwcm 40 14 healthcare healthcare NN cord-252443-lclxrwcm 40 15 burden burden NN cord-252443-lclxrwcm 40 16 . . . cord-252443-lclxrwcm 41 1 For for IN cord-252443-lclxrwcm 41 2 instance instance NN cord-252443-lclxrwcm 41 3 , , , cord-252443-lclxrwcm 41 4 in in IN cord-252443-lclxrwcm 41 5 healthy healthy JJ cord-252443-lclxrwcm 41 6 adults adult NNS cord-252443-lclxrwcm 41 7 , , , cord-252443-lclxrwcm 41 8 the the DT cord-252443-lclxrwcm 41 9 efficacy efficacy NN cord-252443-lclxrwcm 41 10 of of IN cord-252443-lclxrwcm 41 11 inactivated inactivate VBN cord-252443-lclxrwcm 41 12 vaccines vaccine NNS cord-252443-lclxrwcm 41 13 is be VBZ cord-252443-lclxrwcm 41 14 estimated estimate VBN cord-252443-lclxrwcm 41 15 at at IN cord-252443-lclxrwcm 41 16 50 50 CD cord-252443-lclxrwcm 41 17 - - SYM cord-252443-lclxrwcm 41 18 75 75 CD cord-252443-lclxrwcm 41 19 % % NN cord-252443-lclxrwcm 41 20 ( ( -LRB- cord-252443-lclxrwcm 41 21 30 30 CD cord-252443-lclxrwcm 41 22 , , , cord-252443-lclxrwcm 41 23 31 31 CD cord-252443-lclxrwcm 41 24 ) ) -RRB- cord-252443-lclxrwcm 41 25 , , , cord-252443-lclxrwcm 41 26 whereas whereas IN cord-252443-lclxrwcm 41 27 in in IN cord-252443-lclxrwcm 41 28 children child NNS cord-252443-lclxrwcm 41 29 under under IN cord-252443-lclxrwcm 41 30 the the DT cord-252443-lclxrwcm 41 31 age age NN cord-252443-lclxrwcm 41 32 of of IN cord-252443-lclxrwcm 41 33 2 2 CD cord-252443-lclxrwcm 41 34 years year NNS cord-252443-lclxrwcm 41 35 , , , cord-252443-lclxrwcm 41 36 efficacy efficacy NN cord-252443-lclxrwcm 41 37 associated associate VBN cord-252443-lclxrwcm 41 38 with with IN cord-252443-lclxrwcm 41 39 trivalent trivalent JJ cord-252443-lclxrwcm 41 40 influenza influenza NN cord-252443-lclxrwcm 41 41 vaccine vaccine NN cord-252443-lclxrwcm 41 42 ( ( -LRB- cord-252443-lclxrwcm 41 43 TIV TIV NNP cord-252443-lclxrwcm 41 44 ) ) -RRB- cord-252443-lclxrwcm 41 45 vaccination vaccination NN cord-252443-lclxrwcm 41 46 is be VBZ cord-252443-lclxrwcm 41 47 comparable comparable JJ cord-252443-lclxrwcm 41 48 to to IN cord-252443-lclxrwcm 41 49 placebo placebo NN cord-252443-lclxrwcm 41 50 ( ( -LRB- cord-252443-lclxrwcm 41 51 32 32 CD cord-252443-lclxrwcm 41 52 ) ) -RRB- cord-252443-lclxrwcm 41 53 . . . cord-252443-lclxrwcm 42 1 In in IN cord-252443-lclxrwcm 42 2 the the DT cord-252443-lclxrwcm 42 3 elderly elderly JJ cord-252443-lclxrwcm 42 4 , , , cord-252443-lclxrwcm 42 5 the the DT cord-252443-lclxrwcm 42 6 validity validity NN cord-252443-lclxrwcm 42 7 of of IN cord-252443-lclxrwcm 42 8 using use VBG cord-252443-lclxrwcm 42 9 inactivated inactivate VBN cord-252443-lclxrwcm 42 10 influenza influenza NN cord-252443-lclxrwcm 42 11 vaccines vaccine NNS cord-252443-lclxrwcm 42 12 has have VBZ cord-252443-lclxrwcm 42 13 been be VBN cord-252443-lclxrwcm 42 14 questioned question VBN cord-252443-lclxrwcm 42 15 ( ( -LRB- cord-252443-lclxrwcm 42 16 33 33 CD cord-252443-lclxrwcm 42 17 ) ) -RRB- cord-252443-lclxrwcm 42 18 , , , cord-252443-lclxrwcm 42 19 with with IN cord-252443-lclxrwcm 42 20 a a DT cord-252443-lclxrwcm 42 21 recent recent JJ cord-252443-lclxrwcm 42 22 systematic systematic JJ cord-252443-lclxrwcm 42 23 review review NN cord-252443-lclxrwcm 42 24 asserting assert VBG cord-252443-lclxrwcm 42 25 that that IN cord-252443-lclxrwcm 42 26 there there EX cord-252443-lclxrwcm 42 27 is be VBZ cord-252443-lclxrwcm 42 28 no no DT cord-252443-lclxrwcm 42 29 conclusive conclusive JJ cord-252443-lclxrwcm 42 30 evidence evidence NN cord-252443-lclxrwcm 42 31 regarding regard VBG cord-252443-lclxrwcm 42 32 efficacy efficacy NN cord-252443-lclxrwcm 42 33 or or CC cord-252443-lclxrwcm 42 34 effectiveness effectiveness NN cord-252443-lclxrwcm 42 35 of of IN cord-252443-lclxrwcm 42 36 influenza influenza NN cord-252443-lclxrwcm 42 37 vaccines vaccine NNS cord-252443-lclxrwcm 42 38 for for IN cord-252443-lclxrwcm 42 39 people people NNS cord-252443-lclxrwcm 42 40 aged age VBN cord-252443-lclxrwcm 42 41 65 65 CD cord-252443-lclxrwcm 42 42 years year NNS cord-252443-lclxrwcm 42 43 or or CC cord-252443-lclxrwcm 42 44 older old JJR cord-252443-lclxrwcm 42 45 ( ( -LRB- cord-252443-lclxrwcm 42 46 34 34 CD cord-252443-lclxrwcm 42 47 ) ) -RRB- cord-252443-lclxrwcm 42 48 . . . cord-252443-lclxrwcm 43 1 Compared compare VBN cord-252443-lclxrwcm 43 2 with with IN cord-252443-lclxrwcm 43 3 inactivated inactivate VBN cord-252443-lclxrwcm 43 4 vaccines vaccine NNS cord-252443-lclxrwcm 43 5 , , , cord-252443-lclxrwcm 43 6 efficacy efficacy NN cord-252443-lclxrwcm 43 7 for for IN cord-252443-lclxrwcm 43 8 live live JJ cord-252443-lclxrwcm 43 9 vaccines vaccine NNS cord-252443-lclxrwcm 43 10 in in IN cord-252443-lclxrwcm 43 11 children child NNS cord-252443-lclxrwcm 43 12 is be VBZ cord-252443-lclxrwcm 43 13 considerably considerably RB cord-252443-lclxrwcm 43 14 higher high JJR cord-252443-lclxrwcm 43 15 ( ( -LRB- cord-252443-lclxrwcm 43 16 approximately approximately RB cord-252443-lclxrwcm 43 17 82 82 CD cord-252443-lclxrwcm 43 18 % % NN cord-252443-lclxrwcm 43 19 ) ) -RRB- cord-252443-lclxrwcm 43 20 ; ; : cord-252443-lclxrwcm 43 21 however however RB cord-252443-lclxrwcm 43 22 , , , cord-252443-lclxrwcm 43 23 live live JJ cord-252443-lclxrwcm 43 24 vaccines vaccine NNS cord-252443-lclxrwcm 43 25 are be VBP cord-252443-lclxrwcm 43 26 also also RB cord-252443-lclxrwcm 43 27 associated associate VBN cord-252443-lclxrwcm 43 28 with with IN cord-252443-lclxrwcm 43 29 low low JJ cord-252443-lclxrwcm 43 30 effectiveness effectiveness NN cord-252443-lclxrwcm 43 31 ( ( -LRB- cord-252443-lclxrwcm 43 32 approximately approximately RB cord-252443-lclxrwcm 43 33 33 33 CD cord-252443-lclxrwcm 43 34 % % NN cord-252443-lclxrwcm 43 35 ) ) -RRB- cord-252443-lclxrwcm 43 36 ( ( -LRB- cord-252443-lclxrwcm 43 37 32 32 CD cord-252443-lclxrwcm 43 38 ) ) -RRB- cord-252443-lclxrwcm 43 39 . . . cord-252443-lclxrwcm 44 1 Moreover moreover RB cord-252443-lclxrwcm 44 2 , , , cord-252443-lclxrwcm 44 3 LAIV LAIV NNP cord-252443-lclxrwcm 44 4 is be VBZ cord-252443-lclxrwcm 44 5 not not RB cord-252443-lclxrwcm 44 6 licensed license VBN cord-252443-lclxrwcm 44 7 in in IN cord-252443-lclxrwcm 44 8 children child NNS cord-252443-lclxrwcm 44 9 under under IN cord-252443-lclxrwcm 44 10 2 2 CD cord-252443-lclxrwcm 44 11 years year NNS cord-252443-lclxrwcm 44 12 of of IN cord-252443-lclxrwcm 44 13 age age NN cord-252443-lclxrwcm 44 14 because because IN cord-252443-lclxrwcm 44 15 it -PRON- PRP cord-252443-lclxrwcm 44 16 is be VBZ cord-252443-lclxrwcm 44 17 associated associate VBN cord-252443-lclxrwcm 44 18 with with IN cord-252443-lclxrwcm 44 19 an an DT cord-252443-lclxrwcm 44 20 increased increase VBN cord-252443-lclxrwcm 44 21 risk risk NN cord-252443-lclxrwcm 44 22 of of IN cord-252443-lclxrwcm 44 23 associated associated JJ cord-252443-lclxrwcm 44 24 wheezing wheezing NN cord-252443-lclxrwcm 44 25 ( ( -LRB- cord-252443-lclxrwcm 44 26 32 32 CD cord-252443-lclxrwcm 44 27 ) ) -RRB- cord-252443-lclxrwcm 44 28 , , , cord-252443-lclxrwcm 44 29 and and CC cord-252443-lclxrwcm 44 30 in in IN cord-252443-lclxrwcm 44 31 adults adult NNS cord-252443-lclxrwcm 44 32 over over IN cord-252443-lclxrwcm 44 33 the the DT cord-252443-lclxrwcm 44 34 age age NN cord-252443-lclxrwcm 44 35 of of IN cord-252443-lclxrwcm 44 36 49 49 CD cord-252443-lclxrwcm 44 37 years year NNS cord-252443-lclxrwcm 44 38 , , , cord-252443-lclxrwcm 44 39 LAIV LAIV NNP cord-252443-lclxrwcm 44 40 is be VBZ cord-252443-lclxrwcm 44 41 not not RB cord-252443-lclxrwcm 44 42 licensed license VBN cord-252443-lclxrwcm 44 43 owing owing NN cord-252443-lclxrwcm 44 44 to to IN cord-252443-lclxrwcm 44 45 a a DT cord-252443-lclxrwcm 44 46 lack lack NN cord-252443-lclxrwcm 44 47 of of IN cord-252443-lclxrwcm 44 48 corroborated corroborate VBN cord-252443-lclxrwcm 44 49 efficacy efficacy NN cord-252443-lclxrwcm 44 50 ( ( -LRB- cord-252443-lclxrwcm 44 51 35 35 CD cord-252443-lclxrwcm 44 52 ) ) -RRB- cord-252443-lclxrwcm 44 53 . . . cord-252443-lclxrwcm 45 1 Thus thus RB cord-252443-lclxrwcm 45 2 , , , cord-252443-lclxrwcm 45 3 there there EX cord-252443-lclxrwcm 45 4 is be VBZ cord-252443-lclxrwcm 45 5 a a DT cord-252443-lclxrwcm 45 6 clear clear JJ cord-252443-lclxrwcm 45 7 need need NN cord-252443-lclxrwcm 45 8 to to TO cord-252443-lclxrwcm 45 9 develop develop VB cord-252443-lclxrwcm 45 10 effective effective JJ cord-252443-lclxrwcm 45 11 and and CC cord-252443-lclxrwcm 45 12 efficacious efficacious JJ cord-252443-lclxrwcm 45 13 influenza influenza NN cord-252443-lclxrwcm 45 14 vaccines vaccine NNS cord-252443-lclxrwcm 45 15 for for IN cord-252443-lclxrwcm 45 16 both both DT cord-252443-lclxrwcm 45 17 infants infant NNS cord-252443-lclxrwcm 45 18 and and CC cord-252443-lclxrwcm 45 19 the the DT cord-252443-lclxrwcm 45 20 elderly elderly JJ cord-252443-lclxrwcm 45 21 . . . cord-252443-lclxrwcm 46 1 Before before IN cord-252443-lclxrwcm 46 2 being be VBG cord-252443-lclxrwcm 46 3 able able JJ cord-252443-lclxrwcm 46 4 to to TO cord-252443-lclxrwcm 46 5 do do VB cord-252443-lclxrwcm 46 6 this this DT cord-252443-lclxrwcm 46 7 , , , cord-252443-lclxrwcm 46 8 however however RB cord-252443-lclxrwcm 46 9 , , , cord-252443-lclxrwcm 46 10 we -PRON- PRP cord-252443-lclxrwcm 46 11 must must MD cord-252443-lclxrwcm 46 12 understand understand VB cord-252443-lclxrwcm 46 13 what what WP cord-252443-lclxrwcm 46 14 factors factor NNS cord-252443-lclxrwcm 46 15 underpin underpin VBP cord-252443-lclxrwcm 46 16 the the DT cord-252443-lclxrwcm 46 17 current current JJ cord-252443-lclxrwcm 46 18 limitations limitation NNS cord-252443-lclxrwcm 46 19 of of IN cord-252443-lclxrwcm 46 20 licensed license VBN cord-252443-lclxrwcm 46 21 influenza influenza NN cord-252443-lclxrwcm 46 22 vaccines vaccine NNS cord-252443-lclxrwcm 46 23 . . . cord-252443-lclxrwcm 47 1 Humoral Humoral NNP cord-252443-lclxrwcm 47 2 immune immune JJ cord-252443-lclxrwcm 47 3 response response NN cord-252443-lclxrwcm 47 4 . . . cord-252443-lclxrwcm 48 1 Currently currently RB cord-252443-lclxrwcm 48 2 licensed license VBN cord-252443-lclxrwcm 48 3 influenza influenza NN cord-252443-lclxrwcm 48 4 vaccines vaccine NNS cord-252443-lclxrwcm 48 5 induce induce VBP cord-252443-lclxrwcm 48 6 a a DT cord-252443-lclxrwcm 48 7 relatively relatively RB cord-252443-lclxrwcm 48 8 narrow narrow JJ cord-252443-lclxrwcm 48 9 adaptive adaptive JJ cord-252443-lclxrwcm 48 10 immune immune JJ cord-252443-lclxrwcm 48 11 response response NN cord-252443-lclxrwcm 48 12 with with IN cord-252443-lclxrwcm 48 13 limited limited JJ cord-252443-lclxrwcm 48 14 cross cross JJ cord-252443-lclxrwcm 48 15 - - JJ cord-252443-lclxrwcm 48 16 clade clade JJ cord-252443-lclxrwcm 48 17 immunity immunity NN cord-252443-lclxrwcm 48 18 . . . cord-252443-lclxrwcm 49 1 Cross cross NN cord-252443-lclxrwcm 49 2 - - JJ cord-252443-lclxrwcm 49 3 clade clade JJ cord-252443-lclxrwcm 49 4 protection protection NN cord-252443-lclxrwcm 49 5 refers refer VBZ cord-252443-lclxrwcm 49 6 to to IN cord-252443-lclxrwcm 49 7 protective protective JJ cord-252443-lclxrwcm 49 8 immunity immunity NN cord-252443-lclxrwcm 49 9 against against IN cord-252443-lclxrwcm 49 10 one one CD cord-252443-lclxrwcm 49 11 influenza influenza NN cord-252443-lclxrwcm 49 12 isolate isolate NN cord-252443-lclxrwcm 49 13 , , , cord-252443-lclxrwcm 49 14 which which WDT cord-252443-lclxrwcm 49 15 subsequently subsequently RB cord-252443-lclxrwcm 49 16 confers confer VBZ cord-252443-lclxrwcm 49 17 protective protective JJ cord-252443-lclxrwcm 49 18 efficacy efficacy NN cord-252443-lclxrwcm 49 19 upon upon IN cord-252443-lclxrwcm 49 20 exposure exposure NN cord-252443-lclxrwcm 49 21 to to IN cord-252443-lclxrwcm 49 22 different different JJ cord-252443-lclxrwcm 49 23 isolates isolate NNS cord-252443-lclxrwcm 49 24 . . . cord-252443-lclxrwcm 50 1 The the DT cord-252443-lclxrwcm 50 2 majority majority NN cord-252443-lclxrwcm 50 3 of of IN cord-252443-lclxrwcm 50 4 humoral humoral JJ cord-252443-lclxrwcm 50 5 responses response NNS cord-252443-lclxrwcm 50 6 following follow VBG cord-252443-lclxrwcm 50 7 influenza influenza NN cord-252443-lclxrwcm 50 8 vaccination vaccination NN cord-252443-lclxrwcm 50 9 are be VBP cord-252443-lclxrwcm 50 10 directed direct VBN cord-252443-lclxrwcm 50 11 toward toward IN cord-252443-lclxrwcm 50 12 HA HA NNP cord-252443-lclxrwcm 50 13 , , , cord-252443-lclxrwcm 50 14 principally principally RB cord-252443-lclxrwcm 50 15 toward toward IN cord-252443-lclxrwcm 50 16 the the DT cord-252443-lclxrwcm 50 17 globular globular JJ cord-252443-lclxrwcm 50 18 head head NN cord-252443-lclxrwcm 50 19 domain domain NN cord-252443-lclxrwcm 50 20 found find VBN cord-252443-lclxrwcm 50 21 in in IN cord-252443-lclxrwcm 50 22 the the DT cord-252443-lclxrwcm 50 23 HA1 HA1 NNP cord-252443-lclxrwcm 50 24 segment segment NN cord-252443-lclxrwcm 50 25 . . . cord-252443-lclxrwcm 51 1 Due due IN cord-252443-lclxrwcm 51 2 to to IN cord-252443-lclxrwcm 51 3 the the DT cord-252443-lclxrwcm 51 4 constantly constantly RB cord-252443-lclxrwcm 51 5 evolving evolve VBG cord-252443-lclxrwcm 51 6 and and CC cord-252443-lclxrwcm 51 7 mutating mutate VBG cord-252443-lclxrwcm 51 8 propensity propensity NN cord-252443-lclxrwcm 51 9 of of IN cord-252443-lclxrwcm 51 10 HA HA NNP cord-252443-lclxrwcm 51 11 , , , cord-252443-lclxrwcm 51 12 these these DT cord-252443-lclxrwcm 51 13 neutralizing neutralize VBG cord-252443-lclxrwcm 51 14 antibodies antibody NNS cord-252443-lclxrwcm 51 15 offer offer VBP cord-252443-lclxrwcm 51 16 little little JJ cord-252443-lclxrwcm 51 17 or or CC cord-252443-lclxrwcm 51 18 no no DT cord-252443-lclxrwcm 51 19 protection protection NN cord-252443-lclxrwcm 51 20 between between IN cord-252443-lclxrwcm 51 21 subtypes subtype NNS cord-252443-lclxrwcm 51 22 or or CC cord-252443-lclxrwcm 51 23 even even RB cord-252443-lclxrwcm 51 24 between between IN cord-252443-lclxrwcm 51 25 strains strain NNS cord-252443-lclxrwcm 51 26 , , , cord-252443-lclxrwcm 51 27 and and CC cord-252443-lclxrwcm 51 28 in in IN cord-252443-lclxrwcm 51 29 some some DT cord-252443-lclxrwcm 51 30 cases case NNS cord-252443-lclxrwcm 51 31 appear appear VBP cord-252443-lclxrwcm 51 32 to to TO cord-252443-lclxrwcm 51 33 be be VB cord-252443-lclxrwcm 51 34 detrimental detrimental JJ cord-252443-lclxrwcm 51 35 ( ( -LRB- cord-252443-lclxrwcm 51 36 18 18 CD cord-252443-lclxrwcm 51 37 ) ) -RRB- cord-252443-lclxrwcm 51 38 . . . cord-252443-lclxrwcm 52 1 This this DT cord-252443-lclxrwcm 52 2 is be VBZ cord-252443-lclxrwcm 52 3 a a DT cord-252443-lclxrwcm 52 4 considerable considerable JJ cord-252443-lclxrwcm 52 5 disadvantage disadvantage NN cord-252443-lclxrwcm 52 6 considering consider VBG cord-252443-lclxrwcm 52 7 influenza influenza NN cord-252443-lclxrwcm 52 8 A a DT cord-252443-lclxrwcm 52 9 undergoes undergo VBZ cord-252443-lclxrwcm 52 10 both both DT cord-252443-lclxrwcm 52 11 antigenic antigenic JJ cord-252443-lclxrwcm 52 12 drift drift NN cord-252443-lclxrwcm 52 13 and and CC cord-252443-lclxrwcm 52 14 antigenic antigenic JJ cord-252443-lclxrwcm 52 15 shift shift NN cord-252443-lclxrwcm 52 16 ( ( -LRB- cord-252443-lclxrwcm 52 17 36 36 CD cord-252443-lclxrwcm 52 18 ) ) -RRB- cord-252443-lclxrwcm 52 19 . . . cord-252443-lclxrwcm 53 1 Antigenic antigenic JJ cord-252443-lclxrwcm 53 2 drift drift NN cord-252443-lclxrwcm 53 3 refers refer VBZ cord-252443-lclxrwcm 53 4 to to IN cord-252443-lclxrwcm 53 5 small small JJ cord-252443-lclxrwcm 53 6 , , , cord-252443-lclxrwcm 53 7 gradual gradual JJ cord-252443-lclxrwcm 53 8 changes change NNS cord-252443-lclxrwcm 53 9 that that WDT cord-252443-lclxrwcm 53 10 occur occur VBP cord-252443-lclxrwcm 53 11 through through IN cord-252443-lclxrwcm 53 12 point point NN cord-252443-lclxrwcm 53 13 mutations mutation NNS cord-252443-lclxrwcm 53 14 in in IN cord-252443-lclxrwcm 53 15 the the DT cord-252443-lclxrwcm 53 16 HA HA NNP cord-252443-lclxrwcm 53 17 or or CC cord-252443-lclxrwcm 53 18 NA NA NNP cord-252443-lclxrwcm 53 19 coding code VBG cord-252443-lclxrwcm 53 20 genes gene NNS cord-252443-lclxrwcm 53 21 . . . cord-252443-lclxrwcm 54 1 Antigenic antigenic JJ cord-252443-lclxrwcm 54 2 shift shift NN cord-252443-lclxrwcm 54 3 refers refer VBZ cord-252443-lclxrwcm 54 4 to to IN cord-252443-lclxrwcm 54 5 an an DT cord-252443-lclxrwcm 54 6 abrupt abrupt JJ cord-252443-lclxrwcm 54 7 , , , cord-252443-lclxrwcm 54 8 major major JJ cord-252443-lclxrwcm 54 9 alteration alteration NN cord-252443-lclxrwcm 54 10 that that WDT cord-252443-lclxrwcm 54 11 generally generally RB cord-252443-lclxrwcm 54 12 produces produce VBZ cord-252443-lclxrwcm 54 13 a a DT cord-252443-lclxrwcm 54 14 subtype subtype NN cord-252443-lclxrwcm 54 15 change change NN cord-252443-lclxrwcm 54 16 and and CC cord-252443-lclxrwcm 54 17 can can MD cord-252443-lclxrwcm 54 18 occur occur VB cord-252443-lclxrwcm 54 19 through through IN cord-252443-lclxrwcm 54 20 either either CC cord-252443-lclxrwcm 54 21 direct direct JJ cord-252443-lclxrwcm 54 22 animal animal NN cord-252443-lclxrwcm 54 23 - - HYPH cord-252443-lclxrwcm 54 24 to to IN cord-252443-lclxrwcm 54 25 - - HYPH cord-252443-lclxrwcm 54 26 human human JJ cord-252443-lclxrwcm 54 27 transmission transmission NN cord-252443-lclxrwcm 54 28 or or CC cord-252443-lclxrwcm 54 29 through through IN cord-252443-lclxrwcm 54 30 a a DT cord-252443-lclxrwcm 54 31 reassortment reassortment NN cord-252443-lclxrwcm 54 32 of of IN cord-252443-lclxrwcm 54 33 human human JJ cord-252443-lclxrwcm 54 34 and and CC cord-252443-lclxrwcm 54 35 animal animal NN cord-252443-lclxrwcm 54 36 influenza influenza NN cord-252443-lclxrwcm 54 37 A a NN cord-252443-lclxrwcm 54 38 ( ( -LRB- cord-252443-lclxrwcm 54 39 36 36 CD cord-252443-lclxrwcm 54 40 ) ) -RRB- cord-252443-lclxrwcm 54 41 . . . cord-252443-lclxrwcm 55 1 Most Most JJS cord-252443-lclxrwcm 55 2 escape escape NN cord-252443-lclxrwcm 55 3 mutants mutant NNS cord-252443-lclxrwcm 55 4 contain contain VBP cord-252443-lclxrwcm 55 5 mutations mutation NNS cord-252443-lclxrwcm 55 6 in in IN cord-252443-lclxrwcm 55 7 the the DT cord-252443-lclxrwcm 55 8 globular globular JJ cord-252443-lclxrwcm 55 9 head head NN cord-252443-lclxrwcm 55 10 domain domain NN cord-252443-lclxrwcm 55 11 , , , cord-252443-lclxrwcm 55 12 and and CC cord-252443-lclxrwcm 55 13 this this DT cord-252443-lclxrwcm 55 14 region region NN cord-252443-lclxrwcm 55 15 of of IN cord-252443-lclxrwcm 55 16 the the DT cord-252443-lclxrwcm 55 17 protein protein NN cord-252443-lclxrwcm 55 18 contains contain VBZ cord-252443-lclxrwcm 55 19 widespread widespread JJ cord-252443-lclxrwcm 55 20 immunodominant immunodominant JJ cord-252443-lclxrwcm 55 21 decoy decoy NN cord-252443-lclxrwcm 55 22 domains domain NNS cord-252443-lclxrwcm 55 23 , , , cord-252443-lclxrwcm 55 24 which which WDT cord-252443-lclxrwcm 55 25 can can MD cord-252443-lclxrwcm 55 26 readily readily RB cord-252443-lclxrwcm 55 27 mutate mutate VB cord-252443-lclxrwcm 55 28 without without IN cord-252443-lclxrwcm 55 29 significantly significantly RB cord-252443-lclxrwcm 55 30 affecting affect VBG cord-252443-lclxrwcm 55 31 virus virus NN cord-252443-lclxrwcm 55 32 fitness fitness NN cord-252443-lclxrwcm 55 33 ( ( -LRB- cord-252443-lclxrwcm 55 34 37 37 CD cord-252443-lclxrwcm 55 35 ) ) -RRB- cord-252443-lclxrwcm 55 36 . . . cord-252443-lclxrwcm 56 1 Thus thus RB cord-252443-lclxrwcm 56 2 , , , cord-252443-lclxrwcm 56 3 yearly yearly JJ cord-252443-lclxrwcm 56 4 vaccinations vaccination NNS cord-252443-lclxrwcm 56 5 with with IN cord-252443-lclxrwcm 56 6 reformulated reformulate VBN cord-252443-lclxrwcm 56 7 vaccines vaccine NNS cord-252443-lclxrwcm 56 8 are be VBP cord-252443-lclxrwcm 56 9 required require VBN cord-252443-lclxrwcm 56 10 because because IN cord-252443-lclxrwcm 56 11 of of IN cord-252443-lclxrwcm 56 12 the the DT cord-252443-lclxrwcm 56 13 antigenic antigenic JJ cord-252443-lclxrwcm 56 14 differences difference NNS cord-252443-lclxrwcm 56 15 that that WDT cord-252443-lclxrwcm 56 16 occur occur VBP cord-252443-lclxrwcm 56 17 between between IN cord-252443-lclxrwcm 56 18 , , , cord-252443-lclxrwcm 56 19 and and CC cord-252443-lclxrwcm 56 20 even even RB cord-252443-lclxrwcm 56 21 within within IN cord-252443-lclxrwcm 56 22 , , , cord-252443-lclxrwcm 56 23 influenza influenza NN cord-252443-lclxrwcm 56 24 strains strain NNS cord-252443-lclxrwcm 56 25 . . . cord-252443-lclxrwcm 57 1 Natural natural JJ cord-252443-lclxrwcm 57 2 exposure exposure NN cord-252443-lclxrwcm 57 3 to to IN cord-252443-lclxrwcm 57 4 influenza influenza NN cord-252443-lclxrwcm 57 5 is be VBZ cord-252443-lclxrwcm 57 6 thought think VBN cord-252443-lclxrwcm 57 7 to to TO cord-252443-lclxrwcm 57 8 induce induce VB cord-252443-lclxrwcm 57 9 a a DT cord-252443-lclxrwcm 57 10 broad broad JJ cord-252443-lclxrwcm 57 11 immune immune JJ cord-252443-lclxrwcm 57 12 response response NN cord-252443-lclxrwcm 57 13 , , , cord-252443-lclxrwcm 57 14 inducing induce VBG cord-252443-lclxrwcm 57 15 cross cross JJ cord-252443-lclxrwcm 57 16 - - JJ cord-252443-lclxrwcm 57 17 clade clade JJ cord-252443-lclxrwcm 57 18 protection protection NN cord-252443-lclxrwcm 57 19 through through IN cord-252443-lclxrwcm 57 20 T T NNP cord-252443-lclxrwcm 57 21 - - HYPH cord-252443-lclxrwcm 57 22 and and CC cord-252443-lclxrwcm 57 23 B b NN cord-252443-lclxrwcm 57 24 - - HYPH cord-252443-lclxrwcm 57 25 cell cell NN cord-252443-lclxrwcm 57 26 responses response NNS cord-252443-lclxrwcm 57 27 ( ( -LRB- cord-252443-lclxrwcm 57 28 25 25 CD cord-252443-lclxrwcm 57 29 , , , cord-252443-lclxrwcm 57 30 38 38 CD cord-252443-lclxrwcm 57 31 , , , cord-252443-lclxrwcm 57 32 39 39 CD cord-252443-lclxrwcm 57 33 ) ) -RRB- cord-252443-lclxrwcm 57 34 . . . cord-252443-lclxrwcm 58 1 Indeed indeed RB cord-252443-lclxrwcm 58 2 , , , cord-252443-lclxrwcm 58 3 antibodies antibody NNS cord-252443-lclxrwcm 58 4 directed direct VBN cord-252443-lclxrwcm 58 5 against against IN cord-252443-lclxrwcm 58 6 the the DT cord-252443-lclxrwcm 58 7 stalk stalk NN cord-252443-lclxrwcm 58 8 region region NN cord-252443-lclxrwcm 58 9 of of IN cord-252443-lclxrwcm 58 10 HA HA NNP cord-252443-lclxrwcm 58 11 have have VBP cord-252443-lclxrwcm 58 12 previously previously RB cord-252443-lclxrwcm 58 13 been be VBN cord-252443-lclxrwcm 58 14 shown show VBN cord-252443-lclxrwcm 58 15 to to TO cord-252443-lclxrwcm 58 16 confer confer VB cord-252443-lclxrwcm 58 17 broadspectrum broadspectrum NNP cord-252443-lclxrwcm 58 18 protection protection NN cord-252443-lclxrwcm 58 19 toward toward IN cord-252443-lclxrwcm 58 20 different different JJ cord-252443-lclxrwcm 58 21 influenza influenza NN cord-252443-lclxrwcm 58 22 isolates isolate NNS cord-252443-lclxrwcm 58 23 ( ( -LRB- cord-252443-lclxrwcm 58 24 40 40 CD cord-252443-lclxrwcm 58 25 ) ) -RRB- cord-252443-lclxrwcm 58 26 . . . cord-252443-lclxrwcm 59 1 Annual annual JJ cord-252443-lclxrwcm 59 2 vaccination vaccination NN cord-252443-lclxrwcm 59 3 with with IN cord-252443-lclxrwcm 59 4 TIV TIV NNP cord-252443-lclxrwcm 59 5 is be VBZ cord-252443-lclxrwcm 59 6 thought think VBN cord-252443-lclxrwcm 59 7 to to TO cord-252443-lclxrwcm 59 8 be be VB cord-252443-lclxrwcm 59 9 a a DT cord-252443-lclxrwcm 59 10 relatively relatively RB cord-252443-lclxrwcm 59 11 poor poor JJ cord-252443-lclxrwcm 59 12 inducer inducer NN cord-252443-lclxrwcm 59 13 of of IN cord-252443-lclxrwcm 59 14 these these DT cord-252443-lclxrwcm 59 15 cross cross NN cord-252443-lclxrwcm 59 16 - - JJ cord-252443-lclxrwcm 59 17 clade clade JJ cord-252443-lclxrwcm 59 18 immune immune JJ cord-252443-lclxrwcm 59 19 responses response NNS cord-252443-lclxrwcm 59 20 ( ( -LRB- cord-252443-lclxrwcm 59 21 18 18 CD cord-252443-lclxrwcm 59 22 , , , cord-252443-lclxrwcm 59 23 23 23 CD cord-252443-lclxrwcm 59 24 ) ) -RRB- cord-252443-lclxrwcm 59 25 . . . cord-252443-lclxrwcm 60 1 Cellular cellular JJ cord-252443-lclxrwcm 60 2 immune immune JJ cord-252443-lclxrwcm 60 3 response response NN cord-252443-lclxrwcm 60 4 . . . cord-252443-lclxrwcm 61 1 Cellular cellular JJ cord-252443-lclxrwcm 61 2 immune immune JJ cord-252443-lclxrwcm 61 3 responses response NNS cord-252443-lclxrwcm 61 4 are be VBP cord-252443-lclxrwcm 61 5 thought think VBN cord-252443-lclxrwcm 61 6 to to TO cord-252443-lclxrwcm 61 7 play play VB cord-252443-lclxrwcm 61 8 an an DT cord-252443-lclxrwcm 61 9 important important JJ cord-252443-lclxrwcm 61 10 protective protective JJ cord-252443-lclxrwcm 61 11 role role NN cord-252443-lclxrwcm 61 12 during during IN cord-252443-lclxrwcm 61 13 influenza influenza NN cord-252443-lclxrwcm 61 14 infection infection NN cord-252443-lclxrwcm 61 15 , , , cord-252443-lclxrwcm 61 16 and and CC cord-252443-lclxrwcm 61 17 human human JJ cord-252443-lclxrwcm 61 18 challenge challenge NN cord-252443-lclxrwcm 61 19 studies study NNS cord-252443-lclxrwcm 61 20 have have VBP cord-252443-lclxrwcm 61 21 demonstrated demonstrate VBN cord-252443-lclxrwcm 61 22 a a DT cord-252443-lclxrwcm 61 23 negative negative JJ cord-252443-lclxrwcm 61 24 correlation correlation NN cord-252443-lclxrwcm 61 25 between between IN cord-252443-lclxrwcm 61 26 T t NN cord-252443-lclxrwcm 61 27 - - HYPH cord-252443-lclxrwcm 61 28 cell cell NN cord-252443-lclxrwcm 61 29 responses response NNS cord-252443-lclxrwcm 61 30 to to IN cord-252443-lclxrwcm 61 31 viral viral JJ cord-252443-lclxrwcm 61 32 antigens antigen NNS cord-252443-lclxrwcm 61 33 and and CC cord-252443-lclxrwcm 61 34 influenza influenza NN cord-252443-lclxrwcm 61 35 disease disease NN cord-252443-lclxrwcm 61 36 ( ( -LRB- cord-252443-lclxrwcm 61 37 38 38 CD cord-252443-lclxrwcm 61 38 ) ) -RRB- cord-252443-lclxrwcm 61 39 . . . cord-252443-lclxrwcm 62 1 T t NN cord-252443-lclxrwcm 62 2 - - HYPH cord-252443-lclxrwcm 62 3 cell cell NN cord-252443-lclxrwcm 62 4 responses response NNS cord-252443-lclxrwcm 62 5 , , , cord-252443-lclxrwcm 62 6 particularly particularly RB cord-252443-lclxrwcm 62 7 against against IN cord-252443-lclxrwcm 62 8 relatively relatively RB cord-252443-lclxrwcm 62 9 well well RB cord-252443-lclxrwcm 62 10 - - HYPH cord-252443-lclxrwcm 62 11 conserved conserve VBN cord-252443-lclxrwcm 62 12 internal internal JJ cord-252443-lclxrwcm 62 13 influenza influenza NN cord-252443-lclxrwcm 62 14 antigens antigen NNS cord-252443-lclxrwcm 62 15 , , , cord-252443-lclxrwcm 62 16 can can MD cord-252443-lclxrwcm 62 17 efficaciously efficaciously RB cord-252443-lclxrwcm 62 18 provide provide VB cord-252443-lclxrwcm 62 19 crossclade crossclade NNP cord-252443-lclxrwcm 62 20 protection protection NN cord-252443-lclxrwcm 62 21 ( ( -LRB- cord-252443-lclxrwcm 62 22 38 38 CD cord-252443-lclxrwcm 62 23 , , , cord-252443-lclxrwcm 62 24 41 41 CD cord-252443-lclxrwcm 62 25 , , , cord-252443-lclxrwcm 62 26 42 42 CD cord-252443-lclxrwcm 62 27 ) ) -RRB- cord-252443-lclxrwcm 62 28 . . . cord-252443-lclxrwcm 63 1 Although although IN cord-252443-lclxrwcm 63 2 human human JJ cord-252443-lclxrwcm 63 3 cytotoxic cytotoxic JJ cord-252443-lclxrwcm 63 4 T t NN cord-252443-lclxrwcm 63 5 - - HYPH cord-252443-lclxrwcm 63 6 lymphocyte lymphocyte NN cord-252443-lclxrwcm 63 7 ( ( -LRB- cord-252443-lclxrwcm 63 8 CTL CTL NNP cord-252443-lclxrwcm 63 9 ) ) -RRB- cord-252443-lclxrwcm 63 10 immunity immunity NN cord-252443-lclxrwcm 63 11 declines decline NNS cord-252443-lclxrwcm 63 12 during during IN cord-252443-lclxrwcm 63 13 periods period NNS cord-252443-lclxrwcm 63 14 of of IN cord-252443-lclxrwcm 63 15 low low JJ cord-252443-lclxrwcm 63 16 influenza influenza NN cord-252443-lclxrwcm 63 17 prevalence prevalence NN cord-252443-lclxrwcm 63 18 , , , cord-252443-lclxrwcm 63 19 these these DT cord-252443-lclxrwcm 63 20 cells cell NNS cord-252443-lclxrwcm 63 21 are be VBP cord-252443-lclxrwcm 63 22 still still RB cord-252443-lclxrwcm 63 23 detectable detectable JJ cord-252443-lclxrwcm 63 24 after after IN cord-252443-lclxrwcm 63 25 5 5 CD cord-252443-lclxrwcm 63 26 years year NNS cord-252443-lclxrwcm 63 27 , , , cord-252443-lclxrwcm 63 28 with with IN cord-252443-lclxrwcm 63 29 an an DT cord-252443-lclxrwcm 63 30 estimated estimate VBN cord-252443-lclxrwcm 63 31 half half JJ cord-252443-lclxrwcm 63 32 - - HYPH cord-252443-lclxrwcm 63 33 life life NN cord-252443-lclxrwcm 63 34 of of IN cord-252443-lclxrwcm 63 35 2 2 CD cord-252443-lclxrwcm 63 36 - - SYM cord-252443-lclxrwcm 63 37 3 3 CD cord-252443-lclxrwcm 63 38 years year NNS cord-252443-lclxrwcm 63 39 ( ( -LRB- cord-252443-lclxrwcm 63 40 43 43 CD cord-252443-lclxrwcm 63 41 ) ) -RRB- cord-252443-lclxrwcm 63 42 , , , cord-252443-lclxrwcm 63 43 making make VBG cord-252443-lclxrwcm 63 44 these these DT cord-252443-lclxrwcm 63 45 cells cell NNS cord-252443-lclxrwcm 63 46 an an DT cord-252443-lclxrwcm 63 47 ideal ideal JJ cord-252443-lclxrwcm 63 48 target target NN cord-252443-lclxrwcm 63 49 for for IN cord-252443-lclxrwcm 63 50 boosting boost VBG cord-252443-lclxrwcm 63 51 through through IN cord-252443-lclxrwcm 63 52 vaccination vaccination NN cord-252443-lclxrwcm 63 53 . . . cord-252443-lclxrwcm 64 1 Although although IN cord-252443-lclxrwcm 64 2 cellular cellular JJ cord-252443-lclxrwcm 64 3 immunity immunity NN cord-252443-lclxrwcm 64 4 does do VBZ cord-252443-lclxrwcm 64 5 not not RB cord-252443-lclxrwcm 64 6 prevent prevent VB cord-252443-lclxrwcm 64 7 viral viral JJ cord-252443-lclxrwcm 64 8 infection infection NN cord-252443-lclxrwcm 64 9 , , , cord-252443-lclxrwcm 64 10 it -PRON- PRP cord-252443-lclxrwcm 64 11 is be VBZ cord-252443-lclxrwcm 64 12 important important JJ cord-252443-lclxrwcm 64 13 in in IN cord-252443-lclxrwcm 64 14 clearing clear VBG cord-252443-lclxrwcm 64 15 and and CC cord-252443-lclxrwcm 64 16 curtailing curtail VBG cord-252443-lclxrwcm 64 17 infection infection NN cord-252443-lclxrwcm 64 18 . . . cord-252443-lclxrwcm 65 1 Cytotoxic Cytotoxic NNP cord-252443-lclxrwcm 65 2 CD8 CD8 NNP cord-252443-lclxrwcm 65 3 + + CC cord-252443-lclxrwcm 65 4 T t NN cord-252443-lclxrwcm 65 5 cells cell NNS cord-252443-lclxrwcm 65 6 play play VBP cord-252443-lclxrwcm 65 7 a a DT cord-252443-lclxrwcm 65 8 major major JJ cord-252443-lclxrwcm 65 9 role role NN cord-252443-lclxrwcm 65 10 and and CC cord-252443-lclxrwcm 65 11 can can MD cord-252443-lclxrwcm 65 12 eliminate eliminate VB cord-252443-lclxrwcm 65 13 virally virally RB cord-252443-lclxrwcm 65 14 infected infect VBN cord-252443-lclxrwcm 65 15 cells cell NNS cord-252443-lclxrwcm 65 16 ( ( -LRB- cord-252443-lclxrwcm 65 17 44 44 CD cord-252443-lclxrwcm 65 18 , , , cord-252443-lclxrwcm 65 19 45 45 CD cord-252443-lclxrwcm 65 20 ) ) -RRB- cord-252443-lclxrwcm 65 21 . . . cord-252443-lclxrwcm 66 1 A a DT cord-252443-lclxrwcm 66 2 direct direct JJ cord-252443-lclxrwcm 66 3 cytolytic cytolytic JJ cord-252443-lclxrwcm 66 4 role role NN cord-252443-lclxrwcm 66 5 for for IN cord-252443-lclxrwcm 66 6 CD4 CD4 NNP cord-252443-lclxrwcm 66 7 + + CC cord-252443-lclxrwcm 66 8 T t NN cord-252443-lclxrwcm 66 9 cells cell NNS cord-252443-lclxrwcm 66 10 has have VBZ cord-252443-lclxrwcm 66 11 been be VBN cord-252443-lclxrwcm 66 12 demonstrated demonstrate VBN cord-252443-lclxrwcm 66 13 ( ( -LRB- cord-252443-lclxrwcm 66 14 25 25 CD cord-252443-lclxrwcm 66 15 , , , cord-252443-lclxrwcm 66 16 46 46 CD cord-252443-lclxrwcm 66 17 ) ) -RRB- cord-252443-lclxrwcm 66 18 . . . cord-252443-lclxrwcm 67 1 More more RBR cord-252443-lclxrwcm 67 2 importantly importantly RB cord-252443-lclxrwcm 67 3 , , , cord-252443-lclxrwcm 67 4 CD4 CD4 NNP cord-252443-lclxrwcm 67 5 + + CC cord-252443-lclxrwcm 67 6 T t NN cord-252443-lclxrwcm 67 7 cells cell NNS cord-252443-lclxrwcm 67 8 can can MD cord-252443-lclxrwcm 67 9 provide provide VB cord-252443-lclxrwcm 67 10 B b NN cord-252443-lclxrwcm 67 11 - - HYPH cord-252443-lclxrwcm 67 12 cell cell NN cord-252443-lclxrwcm 67 13 help help NN cord-252443-lclxrwcm 67 14 , , , cord-252443-lclxrwcm 67 15 and and CC cord-252443-lclxrwcm 67 16 prior prior RB cord-252443-lclxrwcm 67 17 CD4 CD4 NNP cord-252443-lclxrwcm 67 18 + + CC cord-252443-lclxrwcm 67 19 T t NN cord-252443-lclxrwcm 67 20 - - HYPH cord-252443-lclxrwcm 67 21 cell cell NN cord-252443-lclxrwcm 67 22 immunity immunity NN cord-252443-lclxrwcm 67 23 can can MD cord-252443-lclxrwcm 67 24 efficaciously efficaciously RB cord-252443-lclxrwcm 67 25 augment augment VB cord-252443-lclxrwcm 67 26 HAspecific HAspecific NNP cord-252443-lclxrwcm 67 27 antibody antibody NN cord-252443-lclxrwcm 67 28 responses response NNS cord-252443-lclxrwcm 67 29 ( ( -LRB- cord-252443-lclxrwcm 67 30 47 47 CD cord-252443-lclxrwcm 67 31 , , , cord-252443-lclxrwcm 67 32 48 48 CD cord-252443-lclxrwcm 67 33 ) ) -RRB- cord-252443-lclxrwcm 67 34 . . . cord-252443-lclxrwcm 68 1 Unfortunately unfortunately RB cord-252443-lclxrwcm 68 2 , , , cord-252443-lclxrwcm 68 3 even even RB cord-252443-lclxrwcm 68 4 though though IN cord-252443-lclxrwcm 68 5 inactivated inactivate VBN cord-252443-lclxrwcm 68 6 influenza influenza NN cord-252443-lclxrwcm 68 7 vaccines vaccine NNS cord-252443-lclxrwcm 68 8 routinely routinely RB cord-252443-lclxrwcm 68 9 contain contain VBP cord-252443-lclxrwcm 68 10 internal internal JJ cord-252443-lclxrwcm 68 11 influenza influenza NN cord-252443-lclxrwcm 68 12 antigens antigen NNS cord-252443-lclxrwcm 68 13 , , , cord-252443-lclxrwcm 68 14 specifically specifically RB cord-252443-lclxrwcm 68 15 nucleoprotein nucleoprotein NNP cord-252443-lclxrwcm 68 16 and and CC cord-252443-lclxrwcm 68 17 matrix matrix NN cord-252443-lclxrwcm 68 18 protein protein NN cord-252443-lclxrwcm 68 19 1 1 CD cord-252443-lclxrwcm 68 20 ( ( -LRB- cord-252443-lclxrwcm 68 21 49 49 CD cord-252443-lclxrwcm 68 22 , , , cord-252443-lclxrwcm 68 23 50 50 CD cord-252443-lclxrwcm 68 24 ) ) -RRB- cord-252443-lclxrwcm 68 25 , , , cord-252443-lclxrwcm 68 26 these these DT cord-252443-lclxrwcm 68 27 vaccines vaccine NNS cord-252443-lclxrwcm 68 28 do do VBP cord-252443-lclxrwcm 68 29 not not RB cord-252443-lclxrwcm 68 30 boost boost VB cord-252443-lclxrwcm 68 31 cellular cellular JJ cord-252443-lclxrwcm 68 32 immunity immunity NN cord-252443-lclxrwcm 68 33 to to IN cord-252443-lclxrwcm 68 34 an an DT cord-252443-lclxrwcm 68 35 efficacious efficacious JJ cord-252443-lclxrwcm 68 36 level level NN cord-252443-lclxrwcm 68 37 ( ( -LRB- cord-252443-lclxrwcm 68 38 49 49 CD cord-252443-lclxrwcm 68 39 , , , cord-252443-lclxrwcm 68 40 51 51 CD cord-252443-lclxrwcm 68 41 ) ) -RRB- cord-252443-lclxrwcm 68 42 . . . cord-252443-lclxrwcm 69 1 Prediction prediction NN cord-252443-lclxrwcm 69 2 of of IN cord-252443-lclxrwcm 69 3 the the DT cord-252443-lclxrwcm 69 4 major major JJ cord-252443-lclxrwcm 69 5 circulating circulate VBG cord-252443-lclxrwcm 69 6 influenza influenza NN cord-252443-lclxrwcm 69 7 subtypes subtype NNS cord-252443-lclxrwcm 69 8 on on IN cord-252443-lclxrwcm 69 9 the the DT cord-252443-lclxrwcm 69 10 basis basis NN cord-252443-lclxrwcm 69 11 of of IN cord-252443-lclxrwcm 69 12 routine routine JJ cord-252443-lclxrwcm 69 13 surveillance surveillance NN cord-252443-lclxrwcm 69 14 - - HYPH cord-252443-lclxrwcm 69 15 required require VBN cord-252443-lclxrwcm 69 16 to to TO cord-252443-lclxrwcm 69 17 update update VB cord-252443-lclxrwcm 69 18 influenza influenza NN cord-252443-lclxrwcm 69 19 vaccines vaccine NNS cord-252443-lclxrwcm 69 20 each each DT cord-252443-lclxrwcm 69 21 year year NN cord-252443-lclxrwcm 69 22 - - : cord-252443-lclxrwcm 69 23 can can MD cord-252443-lclxrwcm 69 24 fail fail VB cord-252443-lclxrwcm 69 25 . . . cord-252443-lclxrwcm 70 1 Indeed indeed RB cord-252443-lclxrwcm 70 2 , , , cord-252443-lclxrwcm 70 3 mismatch mismatch NN cord-252443-lclxrwcm 70 4 between between IN cord-252443-lclxrwcm 70 5 the the DT cord-252443-lclxrwcm 70 6 vaccine vaccine NN cord-252443-lclxrwcm 70 7 components component NNS cord-252443-lclxrwcm 70 8 and and CC cord-252443-lclxrwcm 70 9 circulating circulate VBG cord-252443-lclxrwcm 70 10 virus virus NN cord-252443-lclxrwcm 70 11 occurs occur VBZ cord-252443-lclxrwcm 70 12 approximately approximately RB cord-252443-lclxrwcm 70 13 every every DT cord-252443-lclxrwcm 70 14 3 3 CD cord-252443-lclxrwcm 70 15 - - SYM cord-252443-lclxrwcm 70 16 4 4 CD cord-252443-lclxrwcm 70 17 years year NNS cord-252443-lclxrwcm 70 18 ( ( -LRB- cord-252443-lclxrwcm 70 19 52 52 CD cord-252443-lclxrwcm 70 20 , , , cord-252443-lclxrwcm 70 21 53 53 CD cord-252443-lclxrwcm 70 22 ) ) -RRB- cord-252443-lclxrwcm 70 23 . . . cord-252443-lclxrwcm 71 1 This this DT cord-252443-lclxrwcm 71 2 mismatch mismatch NN cord-252443-lclxrwcm 71 3 has have VBZ cord-252443-lclxrwcm 71 4 a a DT cord-252443-lclxrwcm 71 5 significant significant JJ cord-252443-lclxrwcm 71 6 effect effect NN cord-252443-lclxrwcm 71 7 on on IN cord-252443-lclxrwcm 71 8 vaccine vaccine NN cord-252443-lclxrwcm 71 9 efficacy efficacy NN cord-252443-lclxrwcm 71 10 ; ; : cord-252443-lclxrwcm 71 11 in in IN cord-252443-lclxrwcm 71 12 healthy healthy JJ cord-252443-lclxrwcm 71 13 adults adult NNS cord-252443-lclxrwcm 71 14 , , , cord-252443-lclxrwcm 71 15 parenteral parenteral JJ cord-252443-lclxrwcm 71 16 vaccine vaccine NN cord-252443-lclxrwcm 71 17 efficacy efficacy NN cord-252443-lclxrwcm 71 18 against against IN cord-252443-lclxrwcm 71 19 seasonal seasonal JJ cord-252443-lclxrwcm 71 20 influenza influenza NN cord-252443-lclxrwcm 71 21 is be VBZ cord-252443-lclxrwcm 71 22 approximately approximately RB cord-252443-lclxrwcm 71 23 75 75 CD cord-252443-lclxrwcm 71 24 % % NN cord-252443-lclxrwcm 71 25 when when WRB cord-252443-lclxrwcm 71 26 the the DT cord-252443-lclxrwcm 71 27 circulating circulate VBG cord-252443-lclxrwcm 71 28 influenza influenza NN cord-252443-lclxrwcm 71 29 and and CC cord-252443-lclxrwcm 71 30 vaccine vaccine NN cord-252443-lclxrwcm 71 31 strain strain NN cord-252443-lclxrwcm 71 32 match match NN cord-252443-lclxrwcm 71 33 ; ; : cord-252443-lclxrwcm 71 34 however however RB cord-252443-lclxrwcm 71 35 , , , cord-252443-lclxrwcm 71 36 efficacy efficacy NN cord-252443-lclxrwcm 71 37 decreases decrease VBZ cord-252443-lclxrwcm 71 38 to to IN cord-252443-lclxrwcm 71 39 44 44 CD cord-252443-lclxrwcm 71 40 % % NN cord-252443-lclxrwcm 71 41 when when WRB cord-252443-lclxrwcm 71 42 mismatch mismatch NN cord-252443-lclxrwcm 71 43 occurs occur VBZ cord-252443-lclxrwcm 71 44 ( ( -LRB- cord-252443-lclxrwcm 71 45 30 30 CD cord-252443-lclxrwcm 71 46 ) ) -RRB- cord-252443-lclxrwcm 71 47 . . . cord-252443-lclxrwcm 72 1 Substantial substantial JJ cord-252443-lclxrwcm 72 2 costs cost NNS cord-252443-lclxrwcm 72 3 are be VBP cord-252443-lclxrwcm 72 4 incurred incur VBN cord-252443-lclxrwcm 72 5 because because IN cord-252443-lclxrwcm 72 6 of of IN cord-252443-lclxrwcm 72 7 the the DT cord-252443-lclxrwcm 72 8 need need NN cord-252443-lclxrwcm 72 9 for for IN cord-252443-lclxrwcm 72 10 annual annual JJ cord-252443-lclxrwcm 72 11 reformulation reformulation NN cord-252443-lclxrwcm 72 12 and and CC cord-252443-lclxrwcm 72 13 given give VBN cord-252443-lclxrwcm 72 14 the the DT cord-252443-lclxrwcm 72 15 manufacturing manufacturing NN cord-252443-lclxrwcm 72 16 process process NN cord-252443-lclxrwcm 72 17 , , , cord-252443-lclxrwcm 72 18 which which WDT cord-252443-lclxrwcm 72 19 for for IN cord-252443-lclxrwcm 72 20 the the DT cord-252443-lclxrwcm 72 21 recent recent JJ cord-252443-lclxrwcm 72 22 2009 2009 CD cord-252443-lclxrwcm 72 23 H1N1 H1N1 NNP cord-252443-lclxrwcm 72 24 pandemic pandemic NN cord-252443-lclxrwcm 72 25 took take VBD cord-252443-lclxrwcm 72 26 over over RP cord-252443-lclxrwcm 72 27 6 6 CD cord-252443-lclxrwcm 72 28 months month NNS cord-252443-lclxrwcm 72 29 even even RB cord-252443-lclxrwcm 72 30 with with IN cord-252443-lclxrwcm 72 31 the the DT cord-252443-lclxrwcm 72 32 implemented implement VBN cord-252443-lclxrwcm 72 33 pandemic pandemic JJ cord-252443-lclxrwcm 72 34 readiness readiness NN cord-252443-lclxrwcm 72 35 plans plan NNS cord-252443-lclxrwcm 72 36 ( ( -LRB- cord-252443-lclxrwcm 72 37 54 54 CD cord-252443-lclxrwcm 72 38 ) ) -RRB- cord-252443-lclxrwcm 72 39 . . . cord-252443-lclxrwcm 73 1 Each each DT cord-252443-lclxrwcm 73 2 year year NN cord-252443-lclxrwcm 73 3 , , , cord-252443-lclxrwcm 73 4 there there EX cord-252443-lclxrwcm 73 5 is be VBZ cord-252443-lclxrwcm 73 6 essentially essentially RB cord-252443-lclxrwcm 73 7 a a DT cord-252443-lclxrwcm 73 8 race race NN cord-252443-lclxrwcm 73 9 between between IN cord-252443-lclxrwcm 73 10 production production NN cord-252443-lclxrwcm 73 11 , , , cord-252443-lclxrwcm 73 12 deployment deployment NN cord-252443-lclxrwcm 73 13 and and CC cord-252443-lclxrwcm 73 14 the the DT cord-252443-lclxrwcm 73 15 spread spread NN cord-252443-lclxrwcm 73 16 of of IN cord-252443-lclxrwcm 73 17 infection infection NN cord-252443-lclxrwcm 73 18 . . . cord-252443-lclxrwcm 74 1 One one CD cord-252443-lclxrwcm 74 2 of of IN cord-252443-lclxrwcm 74 3 the the DT cord-252443-lclxrwcm 74 4 main main JJ cord-252443-lclxrwcm 74 5 challenges challenge NNS cord-252443-lclxrwcm 74 6 for for IN cord-252443-lclxrwcm 74 7 inducing induce VBG cord-252443-lclxrwcm 74 8 strong strong JJ cord-252443-lclxrwcm 74 9 immune immune JJ cord-252443-lclxrwcm 74 10 responses response NNS cord-252443-lclxrwcm 74 11 following follow VBG cord-252443-lclxrwcm 74 12 vaccination vaccination NN cord-252443-lclxrwcm 74 13 with with IN cord-252443-lclxrwcm 74 14 inactivated inactivated JJ cord-252443-lclxrwcm 74 15 or or CC cord-252443-lclxrwcm 74 16 subunit subunit NN cord-252443-lclxrwcm 74 17 protein protein NN cord-252443-lclxrwcm 74 18 vaccines vaccine NNS cord-252443-lclxrwcm 74 19 is be VBZ cord-252443-lclxrwcm 74 20 the the DT cord-252443-lclxrwcm 74 21 inherent inherent JJ cord-252443-lclxrwcm 74 22 poor poor JJ cord-252443-lclxrwcm 74 23 immunogenicity immunogenicity NN cord-252443-lclxrwcm 74 24 of of IN cord-252443-lclxrwcm 74 25 proteins protein NNS cord-252443-lclxrwcm 74 26 , , , cord-252443-lclxrwcm 74 27 which which WDT cord-252443-lclxrwcm 74 28 can can MD cord-252443-lclxrwcm 74 29 be be VB cord-252443-lclxrwcm 74 30 partially partially RB cord-252443-lclxrwcm 74 31 overcome overcome VBN cord-252443-lclxrwcm 74 32 by by IN cord-252443-lclxrwcm 74 33 the the DT cord-252443-lclxrwcm 74 34 addition addition NN cord-252443-lclxrwcm 74 35 of of IN cord-252443-lclxrwcm 74 36 adjuvants adjuvant NNS cord-252443-lclxrwcm 74 37 . . . cord-252443-lclxrwcm 75 1 Adjuvants adjuvant NNS cord-252443-lclxrwcm 75 2 are be VBP cord-252443-lclxrwcm 75 3 a a DT cord-252443-lclxrwcm 75 4 common common JJ cord-252443-lclxrwcm 75 5 means mean NNS cord-252443-lclxrwcm 75 6 to to TO cord-252443-lclxrwcm 75 7 augment augment VB cord-252443-lclxrwcm 75 8 adaptive adaptive JJ cord-252443-lclxrwcm 75 9 immune immune JJ cord-252443-lclxrwcm 75 10 responses response NNS cord-252443-lclxrwcm 75 11 to to IN cord-252443-lclxrwcm 75 12 vaccines vaccine NNS cord-252443-lclxrwcm 75 13 and and CC cord-252443-lclxrwcm 75 14 can can MD cord-252443-lclxrwcm 75 15 be be VB cord-252443-lclxrwcm 75 16 broadly broadly RB cord-252443-lclxrwcm 75 17 classified classify VBN cord-252443-lclxrwcm 75 18 into into IN cord-252443-lclxrwcm 75 19 vehicles vehicle NNS cord-252443-lclxrwcm 75 20 or or CC cord-252443-lclxrwcm 75 21 immunostimulants immunostimulant NNS cord-252443-lclxrwcm 75 22 ( ( -LRB- cord-252443-lclxrwcm 75 23 55 55 CD cord-252443-lclxrwcm 75 24 ) ) -RRB- cord-252443-lclxrwcm 75 25 . . . cord-252443-lclxrwcm 76 1 The the DT cord-252443-lclxrwcm 76 2 former former JJ cord-252443-lclxrwcm 76 3 group group NN cord-252443-lclxrwcm 76 4 largely largely RB cord-252443-lclxrwcm 76 5 enhance enhance VBP cord-252443-lclxrwcm 76 6 presentation presentation NN cord-252443-lclxrwcm 76 7 to to IN cord-252443-lclxrwcm 76 8 the the DT cord-252443-lclxrwcm 76 9 immune immune JJ cord-252443-lclxrwcm 76 10 system system NN cord-252443-lclxrwcm 76 11 , , , cord-252443-lclxrwcm 76 12 whereas whereas IN cord-252443-lclxrwcm 76 13 the the DT cord-252443-lclxrwcm 76 14 latter latter JJ cord-252443-lclxrwcm 76 15 enhance enhance VBP cord-252443-lclxrwcm 76 16 the the DT cord-252443-lclxrwcm 76 17 adaptive adaptive JJ cord-252443-lclxrwcm 76 18 immune immune JJ cord-252443-lclxrwcm 76 19 response response NN cord-252443-lclxrwcm 76 20 ( ( -LRB- cord-252443-lclxrwcm 76 21 55 55 CD cord-252443-lclxrwcm 76 22 ) ) -RRB- cord-252443-lclxrwcm 76 23 ( ( -LRB- cord-252443-lclxrwcm 76 24 56 56 CD cord-252443-lclxrwcm 76 25 ) ) -RRB- cord-252443-lclxrwcm 76 26 ( ( -LRB- cord-252443-lclxrwcm 76 27 57 57 CD cord-252443-lclxrwcm 76 28 ) ) -RRB- cord-252443-lclxrwcm 76 29 . . . cord-252443-lclxrwcm 77 1 Some some DT cord-252443-lclxrwcm 77 2 adjuvants adjuvant NNS cord-252443-lclxrwcm 77 3 have have VBP cord-252443-lclxrwcm 77 4 been be VBN cord-252443-lclxrwcm 77 5 shown show VBN cord-252443-lclxrwcm 77 6 to to TO cord-252443-lclxrwcm 77 7 advantageously advantageously RB cord-252443-lclxrwcm 77 8 increase increase VB cord-252443-lclxrwcm 77 9 and and CC cord-252443-lclxrwcm 77 10 broaden broaden VB cord-252443-lclxrwcm 77 11 the the DT cord-252443-lclxrwcm 77 12 epitopes epitope NNS cord-252443-lclxrwcm 77 13 recognized recognize VBN cord-252443-lclxrwcm 77 14 by by IN cord-252443-lclxrwcm 77 15 the the DT cord-252443-lclxrwcm 77 16 immune immune JJ cord-252443-lclxrwcm 77 17 repertoire repertoire NN cord-252443-lclxrwcm 77 18 ( ( -LRB- cord-252443-lclxrwcm 77 19 58 58 CD cord-252443-lclxrwcm 77 20 , , , cord-252443-lclxrwcm 77 21 59 59 CD cord-252443-lclxrwcm 77 22 ) ) -RRB- cord-252443-lclxrwcm 77 23 . . . cord-252443-lclxrwcm 78 1 A a DT cord-252443-lclxrwcm 78 2 number number NN cord-252443-lclxrwcm 78 3 of of IN cord-252443-lclxrwcm 78 4 strategies strategy NNS cord-252443-lclxrwcm 78 5 have have VBP cord-252443-lclxrwcm 78 6 been be VBN cord-252443-lclxrwcm 78 7 deployed deploy VBN cord-252443-lclxrwcm 78 8 to to TO cord-252443-lclxrwcm 78 9 improve improve VB cord-252443-lclxrwcm 78 10 influenza influenza NN cord-252443-lclxrwcm 78 11 vaccine vaccine NN cord-252443-lclxrwcm 78 12 efficacy efficacy NN cord-252443-lclxrwcm 78 13 for for IN cord-252443-lclxrwcm 78 14 the the DT cord-252443-lclxrwcm 78 15 elderly elderly JJ cord-252443-lclxrwcm 78 16 , , , cord-252443-lclxrwcm 78 17 and and CC cord-252443-lclxrwcm 78 18 the the DT cord-252443-lclxrwcm 78 19 inclusion inclusion NN cord-252443-lclxrwcm 78 20 of of IN cord-252443-lclxrwcm 78 21 adjuvants adjuvant NNS cord-252443-lclxrwcm 78 22 as as IN cord-252443-lclxrwcm 78 23 a a DT cord-252443-lclxrwcm 78 24 means means NN cord-252443-lclxrwcm 78 25 to to TO cord-252443-lclxrwcm 78 26 augment augment VB cord-252443-lclxrwcm 78 27 humoral humoral JJ cord-252443-lclxrwcm 78 28 immunity immunity NN cord-252443-lclxrwcm 78 29 in in IN cord-252443-lclxrwcm 78 30 the the DT cord-252443-lclxrwcm 78 31 elderly elderly JJ cord-252443-lclxrwcm 78 32 has have VBZ cord-252443-lclxrwcm 78 33 demonstrated demonstrate VBN cord-252443-lclxrwcm 78 34 relatively relatively RB cord-252443-lclxrwcm 78 35 encouraging encouraging JJ cord-252443-lclxrwcm 78 36 results result NNS cord-252443-lclxrwcm 78 37 ( ( -LRB- cord-252443-lclxrwcm 78 38 60 60 CD cord-252443-lclxrwcm 78 39 , , , cord-252443-lclxrwcm 78 40 61 61 CD cord-252443-lclxrwcm 78 41 ) ) -RRB- cord-252443-lclxrwcm 78 42 . . . cord-252443-lclxrwcm 79 1 Another another DT cord-252443-lclxrwcm 79 2 challenge challenge NN cord-252443-lclxrwcm 79 3 is be VBZ cord-252443-lclxrwcm 79 4 the the DT cord-252443-lclxrwcm 79 5 long long JJ cord-252443-lclxrwcm 79 6 - - HYPH cord-252443-lclxrwcm 79 7 term term NN cord-252443-lclxrwcm 79 8 stability stability NN cord-252443-lclxrwcm 79 9 of of IN cord-252443-lclxrwcm 79 10 recombinant recombinant JJ cord-252443-lclxrwcm 79 11 proteins protein NNS cord-252443-lclxrwcm 79 12 ; ; : cord-252443-lclxrwcm 79 13 the the DT cord-252443-lclxrwcm 79 14 inclusion inclusion NN cord-252443-lclxrwcm 79 15 of of IN cord-252443-lclxrwcm 79 16 some some DT cord-252443-lclxrwcm 79 17 adjuvants adjuvant NNS cord-252443-lclxrwcm 79 18 can can MD cord-252443-lclxrwcm 79 19 facilitate facilitate VB cord-252443-lclxrwcm 79 20 increased increase VBN cord-252443-lclxrwcm 79 21 vaccine vaccine NN cord-252443-lclxrwcm 79 22 stability stability NN cord-252443-lclxrwcm 79 23 during during IN cord-252443-lclxrwcm 79 24 storage storage NN cord-252443-lclxrwcm 79 25 or or CC cord-252443-lclxrwcm 79 26 upon upon IN cord-252443-lclxrwcm 79 27 injection injection NN cord-252443-lclxrwcm 79 28 ( ( -LRB- cord-252443-lclxrwcm 79 29 62 62 CD cord-252443-lclxrwcm 79 30 ) ) -RRB- cord-252443-lclxrwcm 79 31 . . . cord-252443-lclxrwcm 80 1 However however RB cord-252443-lclxrwcm 80 2 , , , cord-252443-lclxrwcm 80 3 even even RB cord-252443-lclxrwcm 80 4 with with IN cord-252443-lclxrwcm 80 5 this this DT cord-252443-lclxrwcm 80 6 augmented augment VBN cord-252443-lclxrwcm 80 7 stability stability NN cord-252443-lclxrwcm 80 8 there there EX cord-252443-lclxrwcm 80 9 are be VBP cord-252443-lclxrwcm 80 10 often often RB cord-252443-lclxrwcm 80 11 thermostability thermostability NN cord-252443-lclxrwcm 80 12 difficulties difficulty NNS cord-252443-lclxrwcm 80 13 , , , cord-252443-lclxrwcm 80 14 especially especially RB cord-252443-lclxrwcm 80 15 when when WRB cord-252443-lclxrwcm 80 16 vaccines vaccine NNS cord-252443-lclxrwcm 80 17 occupy occupy VBP cord-252443-lclxrwcm 80 18 a a DT cord-252443-lclxrwcm 80 19 large large JJ cord-252443-lclxrwcm 80 20 amount amount NN cord-252443-lclxrwcm 80 21 of of IN cord-252443-lclxrwcm 80 22 cold cold JJ cord-252443-lclxrwcm 80 23 - - HYPH cord-252443-lclxrwcm 80 24 chain chain NN cord-252443-lclxrwcm 80 25 storage storage NN cord-252443-lclxrwcm 80 26 space space NN cord-252443-lclxrwcm 80 27 due due JJ cord-252443-lclxrwcm 80 28 to to IN cord-252443-lclxrwcm 80 29 relatively relatively RB cord-252443-lclxrwcm 80 30 complex complex JJ cord-252443-lclxrwcm 80 31 administration administration NN cord-252443-lclxrwcm 80 32 or or CC cord-252443-lclxrwcm 80 33 dosing dose VBG cord-252443-lclxrwcm 80 34 regimens regimen NNS cord-252443-lclxrwcm 80 35 . . . cord-252443-lclxrwcm 81 1 There there EX cord-252443-lclxrwcm 81 2 are be VBP cord-252443-lclxrwcm 81 3 a a DT cord-252443-lclxrwcm 81 4 number number NN cord-252443-lclxrwcm 81 5 of of IN cord-252443-lclxrwcm 81 6 platforms platform NNS cord-252443-lclxrwcm 81 7 being be VBG cord-252443-lclxrwcm 81 8 explored explore VBN cord-252443-lclxrwcm 81 9 for for IN cord-252443-lclxrwcm 81 10 more more RBR cord-252443-lclxrwcm 81 11 efficacious efficacious JJ cord-252443-lclxrwcm 81 12 influenza influenza NN cord-252443-lclxrwcm 81 13 vaccine vaccine NN cord-252443-lclxrwcm 81 14 delivery delivery NN cord-252443-lclxrwcm 81 15 and and CC cord-252443-lclxrwcm 81 16 these these DT cord-252443-lclxrwcm 81 17 can can MD cord-252443-lclxrwcm 81 18 be be VB cord-252443-lclxrwcm 81 19 broadly broadly RB cord-252443-lclxrwcm 81 20 classified classify VBN cord-252443-lclxrwcm 81 21 into into IN cord-252443-lclxrwcm 81 22 : : : cord-252443-lclxrwcm 81 23 recombinant recombinant JJ cord-252443-lclxrwcm 81 24 protein/ protein/ POS cord-252443-lclxrwcm 81 25 peptide peptide NN cord-252443-lclxrwcm 81 26 , , , cord-252443-lclxrwcm 81 27 DNA dna NN cord-252443-lclxrwcm 81 28 vaccines vaccine NNS cord-252443-lclxrwcm 81 29 , , , cord-252443-lclxrwcm 81 30 viruslike viruslike JJ cord-252443-lclxrwcm 81 31 particles particle NNS cord-252443-lclxrwcm 81 32 , , , cord-252443-lclxrwcm 81 33 virosomes virosomes NN cord-252443-lclxrwcm 81 34 and and CC cord-252443-lclxrwcm 81 35 viral viral JJ cord-252443-lclxrwcm 81 36 vectors vector NNS cord-252443-lclxrwcm 81 37 . . . cord-252443-lclxrwcm 82 1 Recombinant recombinant JJ cord-252443-lclxrwcm 82 2 technology technology NN cord-252443-lclxrwcm 82 3 has have VBZ cord-252443-lclxrwcm 82 4 been be VBN cord-252443-lclxrwcm 82 5 used use VBN cord-252443-lclxrwcm 82 6 to to TO cord-252443-lclxrwcm 82 7 generate generate VB cord-252443-lclxrwcm 82 8 influenza influenza NN cord-252443-lclxrwcm 82 9 proteins protein NNS cord-252443-lclxrwcm 82 10 in in IN cord-252443-lclxrwcm 82 11 insect insect NN cord-252443-lclxrwcm 82 12 cells cell NNS cord-252443-lclxrwcm 82 13 , , , cord-252443-lclxrwcm 82 14 bacteria bacteria NNS cord-252443-lclxrwcm 82 15 and and CC cord-252443-lclxrwcm 82 16 plants plant NNS cord-252443-lclxrwcm 82 17 ( ( -LRB- cord-252443-lclxrwcm 82 18 63 63 CD cord-252443-lclxrwcm 82 19 ) ) -RRB- cord-252443-lclxrwcm 82 20 ( ( -LRB- cord-252443-lclxrwcm 82 21 64 64 CD cord-252443-lclxrwcm 82 22 ) ) -RRB- cord-252443-lclxrwcm 82 23 ( ( -LRB- cord-252443-lclxrwcm 82 24 65 65 CD cord-252443-lclxrwcm 82 25 ) ) -RRB- cord-252443-lclxrwcm 82 26 ; ; : cord-252443-lclxrwcm 82 27 and and CC cord-252443-lclxrwcm 82 28 although although IN cord-252443-lclxrwcm 82 29 much much JJ cord-252443-lclxrwcm 82 30 antigen antigen NN cord-252443-lclxrwcm 82 31 can can MD cord-252443-lclxrwcm 82 32 be be VB cord-252443-lclxrwcm 82 33 pro pro JJ cord-252443-lclxrwcm 82 34 - - JJ cord-252443-lclxrwcm 82 35 duced duced JJ cord-252443-lclxrwcm 82 36 , , , cord-252443-lclxrwcm 82 37 these these DT cord-252443-lclxrwcm 82 38 proteins protein NNS cord-252443-lclxrwcm 82 39 are be VBP cord-252443-lclxrwcm 82 40 generally generally RB cord-252443-lclxrwcm 82 41 poorly poorly RB cord-252443-lclxrwcm 82 42 immunogenic immunogenic JJ cord-252443-lclxrwcm 82 43 and and CC cord-252443-lclxrwcm 82 44 require require VB cord-252443-lclxrwcm 82 45 complex complex JJ cord-252443-lclxrwcm 82 46 immunization immunization NN cord-252443-lclxrwcm 82 47 regimes regime NNS cord-252443-lclxrwcm 82 48 and/or and/or CC cord-252443-lclxrwcm 82 49 the the DT cord-252443-lclxrwcm 82 50 inclusion inclusion NN cord-252443-lclxrwcm 82 51 of of IN cord-252443-lclxrwcm 82 52 adjuvants adjuvant NNS cord-252443-lclxrwcm 82 53 to to TO cord-252443-lclxrwcm 82 54 induce induce VB cord-252443-lclxrwcm 82 55 efficacious efficacious JJ cord-252443-lclxrwcm 82 56 humoral humoral JJ cord-252443-lclxrwcm 82 57 immunity immunity NN cord-252443-lclxrwcm 82 58 ( ( -LRB- cord-252443-lclxrwcm 82 59 66 66 CD cord-252443-lclxrwcm 82 60 ) ) -RRB- cord-252443-lclxrwcm 82 61 . . . cord-252443-lclxrwcm 83 1 For for IN cord-252443-lclxrwcm 83 2 cellular cellular JJ cord-252443-lclxrwcm 83 3 immune immune JJ cord-252443-lclxrwcm 83 4 responses response NNS cord-252443-lclxrwcm 83 5 , , , cord-252443-lclxrwcm 83 6 antigenic antigenic JJ cord-252443-lclxrwcm 83 7 mapping mapping NN cord-252443-lclxrwcm 83 8 of of IN cord-252443-lclxrwcm 83 9 T t NN cord-252443-lclxrwcm 83 10 - - HYPH cord-252443-lclxrwcm 83 11 cell cell NN cord-252443-lclxrwcm 83 12 epitopes epitope NNS cord-252443-lclxrwcm 83 13 followed follow VBN cord-252443-lclxrwcm 83 14 with with IN cord-252443-lclxrwcm 83 15 antigen antigen NN cord-252443-lclxrwcm 83 16 string string NN cord-252443-lclxrwcm 83 17 delivery delivery NN cord-252443-lclxrwcm 83 18 ( ( -LRB- cord-252443-lclxrwcm 83 19 in in IN cord-252443-lclxrwcm 83 20 the the DT cord-252443-lclxrwcm 83 21 form form NN cord-252443-lclxrwcm 83 22 of of IN cord-252443-lclxrwcm 83 23 peptides peptide NNS cord-252443-lclxrwcm 83 24 ) ) -RRB- cord-252443-lclxrwcm 83 25 is be VBZ cord-252443-lclxrwcm 83 26 actively actively RB cord-252443-lclxrwcm 83 27 being be VBG cord-252443-lclxrwcm 83 28 investigated investigate VBN cord-252443-lclxrwcm 83 29 . . . cord-252443-lclxrwcm 84 1 Unfortunately unfortunately RB cord-252443-lclxrwcm 84 2 , , , cord-252443-lclxrwcm 84 3 peptides peptide NNS cord-252443-lclxrwcm 84 4 are be VBP cord-252443-lclxrwcm 84 5 generally generally RB cord-252443-lclxrwcm 84 6 poorly poorly RB cord-252443-lclxrwcm 84 7 immunogenic immunogenic JJ cord-252443-lclxrwcm 84 8 , , , cord-252443-lclxrwcm 84 9 and and CC cord-252443-lclxrwcm 84 10 repeated repeat VBD cord-252443-lclxrwcm 84 11 administration administration NN cord-252443-lclxrwcm 84 12 to to TO cord-252443-lclxrwcm 84 13 augment augment VB cord-252443-lclxrwcm 84 14 adaptive adaptive JJ cord-252443-lclxrwcm 84 15 immune immune JJ cord-252443-lclxrwcm 84 16 responses response NNS cord-252443-lclxrwcm 84 17 can can MD cord-252443-lclxrwcm 84 18 induce induce VB cord-252443-lclxrwcm 84 19 tolerance tolerance NN cord-252443-lclxrwcm 84 20 rather rather RB cord-252443-lclxrwcm 84 21 that that IN cord-252443-lclxrwcm 84 22 immunogencity immunogencity NN cord-252443-lclxrwcm 84 23 ( ( -LRB- cord-252443-lclxrwcm 84 24 67 67 CD cord-252443-lclxrwcm 84 25 ) ) -RRB- cord-252443-lclxrwcm 84 26 . . . cord-252443-lclxrwcm 85 1 Immunization immunization NN cord-252443-lclxrwcm 85 2 with with IN cord-252443-lclxrwcm 85 3 DNA dna NN cord-252443-lclxrwcm 85 4 , , , cord-252443-lclxrwcm 85 5 encoding encode VBG cord-252443-lclxrwcm 85 6 influenza influenza NN cord-252443-lclxrwcm 85 7 proteins protein NNS cord-252443-lclxrwcm 85 8 , , , cord-252443-lclxrwcm 85 9 has have VBZ cord-252443-lclxrwcm 85 10 been be VBN cord-252443-lclxrwcm 85 11 studied study VBN cord-252443-lclxrwcm 85 12 for for IN cord-252443-lclxrwcm 85 13 many many JJ cord-252443-lclxrwcm 85 14 years year NNS cord-252443-lclxrwcm 85 15 as as IN cord-252443-lclxrwcm 85 16 an an DT cord-252443-lclxrwcm 85 17 alternate alternate JJ cord-252443-lclxrwcm 85 18 vaccination vaccination NN cord-252443-lclxrwcm 85 19 strategy strategy NN cord-252443-lclxrwcm 85 20 but but CC cord-252443-lclxrwcm 85 21 clinical clinical JJ cord-252443-lclxrwcm 85 22 trials trial NNS cord-252443-lclxrwcm 85 23 have have VBP cord-252443-lclxrwcm 85 24 met meet VBN cord-252443-lclxrwcm 85 25 with with IN cord-252443-lclxrwcm 85 26 limited limited JJ cord-252443-lclxrwcm 85 27 success success NN cord-252443-lclxrwcm 85 28 ( ( -LRB- cord-252443-lclxrwcm 85 29 68 68 CD cord-252443-lclxrwcm 85 30 , , , cord-252443-lclxrwcm 85 31 69 69 CD cord-252443-lclxrwcm 85 32 ) ) -RRB- cord-252443-lclxrwcm 85 33 . . . cord-252443-lclxrwcm 86 1 DNA dna NN cord-252443-lclxrwcm 86 2 vaccines vaccine NNS cord-252443-lclxrwcm 86 3 do do VBP cord-252443-lclxrwcm 86 4 not not RB cord-252443-lclxrwcm 86 5 boost boost VB cord-252443-lclxrwcm 86 6 preexisting preexist VBG cord-252443-lclxrwcm 86 7 immunity immunity NN cord-252443-lclxrwcm 86 8 ( ( -LRB- cord-252443-lclxrwcm 86 9 the the DT cord-252443-lclxrwcm 86 10 scenario scenario NN cord-252443-lclxrwcm 86 11 for for IN cord-252443-lclxrwcm 86 12 the the DT cord-252443-lclxrwcm 86 13 adult adult NN cord-252443-lclxrwcm 86 14 human human JJ cord-252443-lclxrwcm 86 15 population population NN cord-252443-lclxrwcm 86 16 ) ) -RRB- cord-252443-lclxrwcm 86 17 and and CC cord-252443-lclxrwcm 86 18 are be VBP cord-252443-lclxrwcm 86 19 generally generally RB cord-252443-lclxrwcm 86 20 only only RB cord-252443-lclxrwcm 86 21 weakly weakly RB cord-252443-lclxrwcm 86 22 immunogenic immunogenic JJ cord-252443-lclxrwcm 86 23 in in IN cord-252443-lclxrwcm 86 24 humans human NNS cord-252443-lclxrwcm 86 25 ( ( -LRB- cord-252443-lclxrwcm 86 26 70 70 CD cord-252443-lclxrwcm 86 27 ) ) -RRB- cord-252443-lclxrwcm 86 28 . . . cord-252443-lclxrwcm 87 1 Self self NN cord-252443-lclxrwcm 87 2 - - HYPH cord-252443-lclxrwcm 87 3 assembled assemble VBN cord-252443-lclxrwcm 87 4 viral viral JJ cord-252443-lclxrwcm 87 5 capsid capsid NN cord-252443-lclxrwcm 87 6 proteins protein NNS cord-252443-lclxrwcm 87 7 , , , cord-252443-lclxrwcm 87 8 viruslike viruslike JJ cord-252443-lclxrwcm 87 9 particles particle NNS cord-252443-lclxrwcm 87 10 ( ( -LRB- cord-252443-lclxrwcm 87 11 VLPs VLPs NNP cord-252443-lclxrwcm 87 12 ) ) -RRB- cord-252443-lclxrwcm 87 13 , , , cord-252443-lclxrwcm 87 14 have have VBP cord-252443-lclxrwcm 87 15 been be VBN cord-252443-lclxrwcm 87 16 produced produce VBN cord-252443-lclxrwcm 87 17 from from IN cord-252443-lclxrwcm 87 18 a a DT cord-252443-lclxrwcm 87 19 number number NN cord-252443-lclxrwcm 87 20 of of IN cord-252443-lclxrwcm 87 21 viruses virus NNS cord-252443-lclxrwcm 87 22 . . . cord-252443-lclxrwcm 88 1 A a DT cord-252443-lclxrwcm 88 2 key key JJ cord-252443-lclxrwcm 88 3 restriction restriction NN cord-252443-lclxrwcm 88 4 to to IN cord-252443-lclxrwcm 88 5 certain certain JJ cord-252443-lclxrwcm 88 6 VLP VLP NNP cord-252443-lclxrwcm 88 7 platforms platform NNS cord-252443-lclxrwcm 88 8 is be VBZ cord-252443-lclxrwcm 88 9 the the DT cord-252443-lclxrwcm 88 10 small small JJ cord-252443-lclxrwcm 88 11 size size NN cord-252443-lclxrwcm 88 12 of of IN cord-252443-lclxrwcm 88 13 foreign foreign JJ cord-252443-lclxrwcm 88 14 epitopes epitope NNS cord-252443-lclxrwcm 88 15 that that WDT cord-252443-lclxrwcm 88 16 can can MD cord-252443-lclxrwcm 88 17 be be VB cord-252443-lclxrwcm 88 18 accommodated accommodate VBN cord-252443-lclxrwcm 88 19 ( ( -LRB- cord-252443-lclxrwcm 88 20 for for IN cord-252443-lclxrwcm 88 21 example example NN cord-252443-lclxrwcm 88 22 , , , cord-252443-lclxrwcm 88 23 HA HA NNP cord-252443-lclxrwcm 88 24 is be VBZ cord-252443-lclxrwcm 88 25 a a DT cord-252443-lclxrwcm 88 26 relatively relatively RB cord-252443-lclxrwcm 88 27 big big JJ cord-252443-lclxrwcm 88 28 protein protein NN cord-252443-lclxrwcm 88 29 ) ) -RRB- cord-252443-lclxrwcm 88 30 ( ( -LRB- cord-252443-lclxrwcm 88 31 71 71 CD cord-252443-lclxrwcm 88 32 ) ) -RRB- cord-252443-lclxrwcm 88 33 . . . cord-252443-lclxrwcm 89 1 For for IN cord-252443-lclxrwcm 89 2 the the DT cord-252443-lclxrwcm 89 3 generation generation NN cord-252443-lclxrwcm 89 4 of of IN cord-252443-lclxrwcm 89 5 VLPs vlp NNS cord-252443-lclxrwcm 89 6 appropriate appropriate JJ cord-252443-lclxrwcm 89 7 protein protein NN cord-252443-lclxrwcm 89 8 glycosylation glycosylation NN cord-252443-lclxrwcm 89 9 , , , cord-252443-lclxrwcm 89 10 correct correct JJ cord-252443-lclxrwcm 89 11 assembly assembly NN cord-252443-lclxrwcm 89 12 and and CC cord-252443-lclxrwcm 89 13 ease ease NN cord-252443-lclxrwcm 89 14 of of IN cord-252443-lclxrwcm 89 15 purification purification NN cord-252443-lclxrwcm 89 16 need need VBP cord-252443-lclxrwcm 89 17 to to TO cord-252443-lclxrwcm 89 18 be be VB cord-252443-lclxrwcm 89 19 considered consider VBN cord-252443-lclxrwcm 89 20 . . . cord-252443-lclxrwcm 90 1 These these DT cord-252443-lclxrwcm 90 2 concerns concern NNS cord-252443-lclxrwcm 90 3 may may MD cord-252443-lclxrwcm 90 4 dictate dictate VB cord-252443-lclxrwcm 90 5 the the DT cord-252443-lclxrwcm 90 6 use use NN cord-252443-lclxrwcm 90 7 of of IN cord-252443-lclxrwcm 90 8 mammalian mammalian JJ cord-252443-lclxrwcm 90 9 cell cell NN cord-252443-lclxrwcm 90 10 culture culture NN cord-252443-lclxrwcm 90 11 systems system NNS cord-252443-lclxrwcm 90 12 , , , cord-252443-lclxrwcm 90 13 which which WDT cord-252443-lclxrwcm 90 14 is be VBZ cord-252443-lclxrwcm 90 15 a a DT cord-252443-lclxrwcm 90 16 less less RBR cord-252443-lclxrwcm 90 17 controllable controllable JJ cord-252443-lclxrwcm 90 18 and and CC cord-252443-lclxrwcm 90 19 a a DT cord-252443-lclxrwcm 90 20 more more RBR cord-252443-lclxrwcm 90 21 costly costly JJ cord-252443-lclxrwcm 90 22 system system NN cord-252443-lclxrwcm 90 23 ( ( -LRB- cord-252443-lclxrwcm 90 24 71 71 CD cord-252443-lclxrwcm 90 25 ) ) -RRB- cord-252443-lclxrwcm 90 26 . . . cord-252443-lclxrwcm 91 1 Although although IN cord-252443-lclxrwcm 91 2 similar similar JJ cord-252443-lclxrwcm 91 3 to to IN cord-252443-lclxrwcm 91 4 VLPs vlp NNS cord-252443-lclxrwcm 91 5 in in IN cord-252443-lclxrwcm 91 6 many many JJ cord-252443-lclxrwcm 91 7 respects respect NNS cord-252443-lclxrwcm 91 8 , , , cord-252443-lclxrwcm 91 9 virosomes virosome NNS cord-252443-lclxrwcm 91 10 , , , cord-252443-lclxrwcm 91 11 by by IN cord-252443-lclxrwcm 91 12 contrast contrast NN cord-252443-lclxrwcm 91 13 , , , cord-252443-lclxrwcm 91 14 are be VBP cord-252443-lclxrwcm 91 15 essentially essentially RB cord-252443-lclxrwcm 91 16 assembled assemble VBN cord-252443-lclxrwcm 91 17 in in IN cord-252443-lclxrwcm 91 18 vitro vitro FW cord-252443-lclxrwcm 91 19 . . . cord-252443-lclxrwcm 92 1 There there EX cord-252443-lclxrwcm 92 2 are be VBP cord-252443-lclxrwcm 92 3 a a DT cord-252443-lclxrwcm 92 4 limited limited JJ cord-252443-lclxrwcm 92 5 number number NN cord-252443-lclxrwcm 92 6 of of IN cord-252443-lclxrwcm 92 7 virosomal virosomal NN cord-252443-lclxrwcm 92 8 - - HYPH cord-252443-lclxrwcm 92 9 adjuvanted adjuvante VBN cord-252443-lclxrwcm 92 10 - - HYPH cord-252443-lclxrwcm 92 11 subunit subunit NN cord-252443-lclxrwcm 92 12 influenza influenza NN cord-252443-lclxrwcm 92 13 vaccines vaccine NNS cord-252443-lclxrwcm 92 14 currently currently RB cord-252443-lclxrwcm 92 15 licensed license VBN cord-252443-lclxrwcm 92 16 ; ; : cord-252443-lclxrwcm 92 17 the the DT cord-252443-lclxrwcm 92 18 generation generation NN cord-252443-lclxrwcm 92 19 of of IN cord-252443-lclxrwcm 92 20 these these DT cord-252443-lclxrwcm 92 21 vaccines vaccine NNS cord-252443-lclxrwcm 92 22 requires require VBZ cord-252443-lclxrwcm 92 23 good good JJ cord-252443-lclxrwcm 92 24 manufacturing manufacturing NN cord-252443-lclxrwcm 92 25 practice practice NN cord-252443-lclxrwcm 92 26 ( ( -LRB- cord-252443-lclxrwcm 92 27 GMP)-grade GMP)-grade VBN cord-252443-lclxrwcm 92 28 influenza influenza NN cord-252443-lclxrwcm 92 29 virus virus NN cord-252443-lclxrwcm 92 30 and and CC cord-252443-lclxrwcm 92 31 , , , cord-252443-lclxrwcm 92 32 as as IN cord-252443-lclxrwcm 92 33 such such JJ cord-252443-lclxrwcm 92 34 , , , cord-252443-lclxrwcm 92 35 these these DT cord-252443-lclxrwcm 92 36 vaccines vaccine NNS cord-252443-lclxrwcm 92 37 face face VBP cord-252443-lclxrwcm 92 38 similar similar JJ cord-252443-lclxrwcm 92 39 obstacles obstacle NNS cord-252443-lclxrwcm 92 40 as as IN cord-252443-lclxrwcm 92 41 the the DT cord-252443-lclxrwcm 92 42 production production NN cord-252443-lclxrwcm 92 43 of of IN cord-252443-lclxrwcm 92 44 TIV TIV NNP cord-252443-lclxrwcm 92 45 ( ( -LRB- cord-252443-lclxrwcm 92 46 72 72 CD cord-252443-lclxrwcm 92 47 , , , cord-252443-lclxrwcm 92 48 73 73 CD cord-252443-lclxrwcm 92 49 ) ) -RRB- cord-252443-lclxrwcm 92 50 . . . cord-252443-lclxrwcm 93 1 Vectored vectore VBN cord-252443-lclxrwcm 93 2 vaccines vaccine NNS cord-252443-lclxrwcm 93 3 , , , cord-252443-lclxrwcm 93 4 such such JJ cord-252443-lclxrwcm 93 5 as as IN cord-252443-lclxrwcm 93 6 recombinant recombinant JJ cord-252443-lclxrwcm 93 7 live live RB cord-252443-lclxrwcm 93 8 - - HYPH cord-252443-lclxrwcm 93 9 attenuated attenuate VBN cord-252443-lclxrwcm 93 10 or or CC cord-252443-lclxrwcm 93 11 replicationdeficient replicationdeficient NN cord-252443-lclxrwcm 93 12 viruses virus NNS cord-252443-lclxrwcm 93 13 , , , cord-252443-lclxrwcm 93 14 are be VBP cord-252443-lclxrwcm 93 15 currently currently RB cord-252443-lclxrwcm 93 16 being be VBG cord-252443-lclxrwcm 93 17 developed develop VBN cord-252443-lclxrwcm 93 18 for for IN cord-252443-lclxrwcm 93 19 vaccine vaccine NN cord-252443-lclxrwcm 93 20 delivery delivery NN cord-252443-lclxrwcm 93 21 and and CC cord-252443-lclxrwcm 93 22 offer offer VB cord-252443-lclxrwcm 93 23 a a DT cord-252443-lclxrwcm 93 24 number number NN cord-252443-lclxrwcm 93 25 of of IN cord-252443-lclxrwcm 93 26 advantages advantage NNS cord-252443-lclxrwcm 93 27 over over IN cord-252443-lclxrwcm 93 28 other other JJ cord-252443-lclxrwcm 93 29 emerging emerge VBG cord-252443-lclxrwcm 93 30 technologies technology NNS cord-252443-lclxrwcm 93 31 . . . cord-252443-lclxrwcm 94 1 Viral viral JJ cord-252443-lclxrwcm 94 2 vectored vectore VBN cord-252443-lclxrwcm 94 3 vaccines vaccine NNS cord-252443-lclxrwcm 94 4 are be VBP cord-252443-lclxrwcm 94 5 particularly particularly RB cord-252443-lclxrwcm 94 6 good good JJ cord-252443-lclxrwcm 94 7 at at IN cord-252443-lclxrwcm 94 8 expressing express VBG cord-252443-lclxrwcm 94 9 full full JJ cord-252443-lclxrwcm 94 10 - - HYPH cord-252443-lclxrwcm 94 11 length length NN cord-252443-lclxrwcm 94 12 protein protein NN cord-252443-lclxrwcm 94 13 and and CC cord-252443-lclxrwcm 94 14 generating generate VBG cord-252443-lclxrwcm 94 15 conformationally conformationally RB cord-252443-lclxrwcm 94 16 restricted restrict VBN cord-252443-lclxrwcm 94 17 epitopes epitope NNS cord-252443-lclxrwcm 94 18 , , , cord-252443-lclxrwcm 94 19 thus thus RB cord-252443-lclxrwcm 94 20 driving drive VBG cord-252443-lclxrwcm 94 21 potent potent JJ cord-252443-lclxrwcm 94 22 humoral humoral JJ cord-252443-lclxrwcm 94 23 responses response NNS cord-252443-lclxrwcm 94 24 following follow VBG cord-252443-lclxrwcm 94 25 immunization immunization NN cord-252443-lclxrwcm 94 26 ( ( -LRB- cord-252443-lclxrwcm 94 27 74 74 CD cord-252443-lclxrwcm 94 28 ) ) -RRB- cord-252443-lclxrwcm 94 29 . . . cord-252443-lclxrwcm 95 1 In in IN cord-252443-lclxrwcm 95 2 addition addition NN cord-252443-lclxrwcm 95 3 , , , cord-252443-lclxrwcm 95 4 vectored vectore VBN cord-252443-lclxrwcm 95 5 vaccines vaccine NNS cord-252443-lclxrwcm 95 6 can can MD cord-252443-lclxrwcm 95 7 induce induce VB cord-252443-lclxrwcm 95 8 high high JJ cord-252443-lclxrwcm 95 9 levels level NNS cord-252443-lclxrwcm 95 10 of of IN cord-252443-lclxrwcm 95 11 protective protective JJ cord-252443-lclxrwcm 95 12 cellular cellular JJ cord-252443-lclxrwcm 95 13 immunity immunity NN cord-252443-lclxrwcm 95 14 ( ( -LRB- cord-252443-lclxrwcm 95 15 75 75 CD cord-252443-lclxrwcm 95 16 ) ) -RRB- cord-252443-lclxrwcm 95 17 ( ( -LRB- cord-252443-lclxrwcm 95 18 76 76 CD cord-252443-lclxrwcm 95 19 ) ) -RRB- cord-252443-lclxrwcm 95 20 ( ( -LRB- cord-252443-lclxrwcm 95 21 77 77 CD cord-252443-lclxrwcm 95 22 ) ) -RRB- cord-252443-lclxrwcm 95 23 . . . cord-252443-lclxrwcm 96 1 Thus thus RB cord-252443-lclxrwcm 96 2 , , , cord-252443-lclxrwcm 96 3 viral viral JJ cord-252443-lclxrwcm 96 4 vectors vector NNS cord-252443-lclxrwcm 96 5 efficaciously efficaciously RB cord-252443-lclxrwcm 96 6 induce induce VBP cord-252443-lclxrwcm 96 7 both both DT cord-252443-lclxrwcm 96 8 arms arm NNS cord-252443-lclxrwcm 96 9 of of IN cord-252443-lclxrwcm 96 10 the the DT cord-252443-lclxrwcm 96 11 adaptive adaptive JJ cord-252443-lclxrwcm 96 12 immune immune JJ cord-252443-lclxrwcm 96 13 system system NN cord-252443-lclxrwcm 96 14 . . . cord-252443-lclxrwcm 97 1 Following follow VBG cord-252443-lclxrwcm 97 2 vaccination vaccination NN cord-252443-lclxrwcm 97 3 with with IN cord-252443-lclxrwcm 97 4 viral viral JJ cord-252443-lclxrwcm 97 5 vector vector NN cord-252443-lclxrwcm 97 6 vaccines vaccine NNS cord-252443-lclxrwcm 97 7 , , , cord-252443-lclxrwcm 97 8 virus virus NN cord-252443-lclxrwcm 97 9 can can MD cord-252443-lclxrwcm 97 10 infect infect VB cord-252443-lclxrwcm 97 11 local local JJ cord-252443-lclxrwcm 97 12 cells cell NNS cord-252443-lclxrwcm 97 13 and and CC cord-252443-lclxrwcm 97 14 produce produce VB cord-252443-lclxrwcm 97 15 high high JJ cord-252443-lclxrwcm 97 16 levels level NNS cord-252443-lclxrwcm 97 17 of of IN cord-252443-lclxrwcm 97 18 protein protein NN cord-252443-lclxrwcm 97 19 ( ( -LRB- cord-252443-lclxrwcm 97 20 up up IN cord-252443-lclxrwcm 97 21 to to TO cord-252443-lclxrwcm 97 22 100 100 CD cord-252443-lclxrwcm 97 23 μg μg NN cord-252443-lclxrwcm 97 24 following follow VBG cord-252443-lclxrwcm 97 25 vaccination vaccination NN cord-252443-lclxrwcm 97 26 with with IN cord-252443-lclxrwcm 97 27 a a DT cord-252443-lclxrwcm 97 28 modest modest JJ cord-252443-lclxrwcm 97 29 amount amount NN cord-252443-lclxrwcm 97 30 of of IN cord-252443-lclxrwcm 97 31 viral viral JJ cord-252443-lclxrwcm 97 32 vector vector NN cord-252443-lclxrwcm 97 33 , , , cord-252443-lclxrwcm 97 34 10 10 CD cord-252443-lclxrwcm 97 35 10 10 CD cord-252443-lclxrwcm 97 36 viral viral JJ cord-252443-lclxrwcm 97 37 particles particle NNS cord-252443-lclxrwcm 97 38 ( ( -LRB- cord-252443-lclxrwcm 97 39 VP VP NNP cord-252443-lclxrwcm 97 40 ) ) -RRB- cord-252443-lclxrwcm 97 41 of of IN cord-252443-lclxrwcm 97 42 adenovirus adenovirus NN cord-252443-lclxrwcm 97 43 or or CC cord-252443-lclxrwcm 97 44 10 10 CD cord-252443-lclxrwcm 97 45 7 7 CD cord-252443-lclxrwcm 97 46 plaque plaque NN cord-252443-lclxrwcm 97 47 - - HYPH cord-252443-lclxrwcm 97 48 forming form VBG cord-252443-lclxrwcm 97 49 units unit NNS cord-252443-lclxrwcm 97 50 ( ( -LRB- cord-252443-lclxrwcm 97 51 PFU pfu NN cord-252443-lclxrwcm 97 52 ) ) -RRB- cord-252443-lclxrwcm 97 53 of of IN cord-252443-lclxrwcm 97 54 modified modify VBN cord-252443-lclxrwcm 97 55 vaccinia vaccinia NN cord-252443-lclxrwcm 97 56 virus virus NN cord-252443-lclxrwcm 97 57 Ankara Ankara NNP cord-252443-lclxrwcm 97 58 ) ) -RRB- cord-252443-lclxrwcm 97 59 ( ( -LRB- cord-252443-lclxrwcm 97 60 78 78 CD cord-252443-lclxrwcm 97 61 ) ) -RRB- cord-252443-lclxrwcm 97 62 . . . cord-252443-lclxrwcm 98 1 Antigen Antigen NNP cord-252443-lclxrwcm 98 2 has have VBZ cord-252443-lclxrwcm 98 3 been be VBN cord-252443-lclxrwcm 98 4 detected detect VBN cord-252443-lclxrwcm 98 5 at at IN cord-252443-lclxrwcm 98 6 the the DT cord-252443-lclxrwcm 98 7 immunization immunization NN cord-252443-lclxrwcm 98 8 site site NN cord-252443-lclxrwcm 98 9 up up IN cord-252443-lclxrwcm 98 10 to to TO cord-252443-lclxrwcm 98 11 6 6 CD cord-252443-lclxrwcm 98 12 months month NNS cord-252443-lclxrwcm 98 13 after after IN cord-252443-lclxrwcm 98 14 viral viral JJ cord-252443-lclxrwcm 98 15 vectored vectore VBN cord-252443-lclxrwcm 98 16 vaccination vaccination NN cord-252443-lclxrwcm 98 17 ( ( -LRB- cord-252443-lclxrwcm 98 18 79 79 CD cord-252443-lclxrwcm 98 19 , , , cord-252443-lclxrwcm 98 20 80 80 CD cord-252443-lclxrwcm 98 21 ) ) -RRB- cord-252443-lclxrwcm 98 22 , , , cord-252443-lclxrwcm 98 23 which which WDT cord-252443-lclxrwcm 98 24 is be VBZ cord-252443-lclxrwcm 98 25 in in IN cord-252443-lclxrwcm 98 26 contrast contrast NN cord-252443-lclxrwcm 98 27 to to IN cord-252443-lclxrwcm 98 28 the the DT cord-252443-lclxrwcm 98 29 transient transient JJ cord-252443-lclxrwcm 98 30 antigen antigen NN cord-252443-lclxrwcm 98 31 depots depot NNS cord-252443-lclxrwcm 98 32 following follow VBG cord-252443-lclxrwcm 98 33 protein protein NN cord-252443-lclxrwcm 98 34 vaccination vaccination NN cord-252443-lclxrwcm 98 35 , , , cord-252443-lclxrwcm 98 36 even even RB cord-252443-lclxrwcm 98 37 when when WRB cord-252443-lclxrwcm 98 38 coadministered coadministere VBN cord-252443-lclxrwcm 98 39 with with IN cord-252443-lclxrwcm 98 40 adjuvants adjuvant NNS cord-252443-lclxrwcm 98 41 ( ( -LRB- cord-252443-lclxrwcm 98 42 81 81 CD cord-252443-lclxrwcm 98 43 ) ) -RRB- cord-252443-lclxrwcm 98 44 . . . cord-252443-lclxrwcm 99 1 The the DT cord-252443-lclxrwcm 99 2 increased increase VBN cord-252443-lclxrwcm 99 3 presence presence NN cord-252443-lclxrwcm 99 4 of of IN cord-252443-lclxrwcm 99 5 antigen antigen NNP cord-252443-lclxrwcm 99 6 may may MD cord-252443-lclxrwcm 99 7 enhance enhance VB cord-252443-lclxrwcm 99 8 the the DT cord-252443-lclxrwcm 99 9 survival survival NN cord-252443-lclxrwcm 99 10 of of IN cord-252443-lclxrwcm 99 11 certain certain JJ cord-252443-lclxrwcm 99 12 memory memory NN cord-252443-lclxrwcm 99 13 T t NN cord-252443-lclxrwcm 99 14 cells cell NNS cord-252443-lclxrwcm 99 15 and and CC cord-252443-lclxrwcm 99 16 augment augment VB cord-252443-lclxrwcm 99 17 high high JJ cord-252443-lclxrwcm 99 18 - - HYPH cord-252443-lclxrwcm 99 19 affinity affinity NN cord-252443-lclxrwcm 99 20 antibody antibody NN cord-252443-lclxrwcm 99 21 selection selection NN cord-252443-lclxrwcm 99 22 ( ( -LRB- cord-252443-lclxrwcm 99 23 82 82 CD cord-252443-lclxrwcm 99 24 , , , cord-252443-lclxrwcm 99 25 83 83 CD cord-252443-lclxrwcm 99 26 ) ) -RRB- cord-252443-lclxrwcm 99 27 . . . cord-252443-lclxrwcm 100 1 Viral viral JJ cord-252443-lclxrwcm 100 2 infection infection NN cord-252443-lclxrwcm 100 3 results result VBZ cord-252443-lclxrwcm 100 4 in in IN cord-252443-lclxrwcm 100 5 both both DT cord-252443-lclxrwcm 100 6 apoptosis apoptosis NN cord-252443-lclxrwcm 100 7 and and CC cord-252443-lclxrwcm 100 8 necrosis necrosis NN cord-252443-lclxrwcm 100 9 of of IN cord-252443-lclxrwcm 100 10 localized localized JJ cord-252443-lclxrwcm 100 11 tissue tissue NN cord-252443-lclxrwcm 100 12 , , , cord-252443-lclxrwcm 100 13 facilitating facilitate VBG cord-252443-lclxrwcm 100 14 the the DT cord-252443-lclxrwcm 100 15 release release NN cord-252443-lclxrwcm 100 16 of of IN cord-252443-lclxrwcm 100 17 antigen antigen NN cord-252443-lclxrwcm 100 18 , , , cord-252443-lclxrwcm 100 19 which which WDT cord-252443-lclxrwcm 100 20 is be VBZ cord-252443-lclxrwcm 100 21 subsequently subsequently RB cord-252443-lclxrwcm 100 22 available available JJ cord-252443-lclxrwcm 100 23 to to TO cord-252443-lclxrwcm 100 24 drive drive VB cord-252443-lclxrwcm 100 25 cellular cellular JJ cord-252443-lclxrwcm 100 26 and and CC cord-252443-lclxrwcm 100 27 humoral humoral JJ cord-252443-lclxrwcm 100 28 immunity immunity NN cord-252443-lclxrwcm 100 29 ( ( -LRB- cord-252443-lclxrwcm 100 30 84 84 CD cord-252443-lclxrwcm 100 31 , , , cord-252443-lclxrwcm 100 32 85 85 CD cord-252443-lclxrwcm 100 33 ) ) -RRB- cord-252443-lclxrwcm 100 34 . . . cord-252443-lclxrwcm 101 1 The the DT cord-252443-lclxrwcm 101 2 associated associated JJ cord-252443-lclxrwcm 101 3 cell cell NN cord-252443-lclxrwcm 101 4 death death NN cord-252443-lclxrwcm 101 5 following follow VBG cord-252443-lclxrwcm 101 6 viral viral JJ cord-252443-lclxrwcm 101 7 infection infection NN cord-252443-lclxrwcm 101 8 will will MD cord-252443-lclxrwcm 101 9 also also RB cord-252443-lclxrwcm 101 10 advantageously advantageously RB cord-252443-lclxrwcm 101 11 augment augment VB cord-252443-lclxrwcm 101 12 adaptive adaptive JJ cord-252443-lclxrwcm 101 13 immune immune JJ cord-252443-lclxrwcm 101 14 responses response NNS cord-252443-lclxrwcm 101 15 , , , cord-252443-lclxrwcm 101 16 circumventing circumvent VBG cord-252443-lclxrwcm 101 17 the the DT cord-252443-lclxrwcm 101 18 need need NN cord-252443-lclxrwcm 101 19 for for IN cord-252443-lclxrwcm 101 20 the the DT cord-252443-lclxrwcm 101 21 inclusion inclusion NN cord-252443-lclxrwcm 101 22 of of IN cord-252443-lclxrwcm 101 23 adjuvants adjuvant NNS cord-252443-lclxrwcm 101 24 . . . cord-252443-lclxrwcm 102 1 Live live JJ cord-252443-lclxrwcm 102 2 recombinant recombinant JJ cord-252443-lclxrwcm 102 3 viral viral JJ cord-252443-lclxrwcm 102 4 vectors vector NNS cord-252443-lclxrwcm 102 5 must must MD cord-252443-lclxrwcm 102 6 remain remain VB cord-252443-lclxrwcm 102 7 infectious infectious JJ cord-252443-lclxrwcm 102 8 to to TO cord-252443-lclxrwcm 102 9 be be VB cord-252443-lclxrwcm 102 10 effective effective JJ cord-252443-lclxrwcm 102 11 , , , cord-252443-lclxrwcm 102 12 and and CC cord-252443-lclxrwcm 102 13 conventional conventional JJ cord-252443-lclxrwcm 102 14 , , , cord-252443-lclxrwcm 102 15 continuous continuous JJ cord-252443-lclxrwcm 102 16 refrigeration refrigeration NN cord-252443-lclxrwcm 102 17 is be VBZ cord-252443-lclxrwcm 102 18 required require VBN cord-252443-lclxrwcm 102 19 to to TO cord-252443-lclxrwcm 102 20 maintain maintain VB cord-252443-lclxrwcm 102 21 stability stability NN cord-252443-lclxrwcm 102 22 and and CC cord-252443-lclxrwcm 102 23 viability viability NN cord-252443-lclxrwcm 102 24 . . . cord-252443-lclxrwcm 103 1 However however RB cord-252443-lclxrwcm 103 2 , , , cord-252443-lclxrwcm 103 3 recent recent JJ cord-252443-lclxrwcm 103 4 methodologies methodology NNS cord-252443-lclxrwcm 103 5 have have VBP cord-252443-lclxrwcm 103 6 allowed allow VBN cord-252443-lclxrwcm 103 7 complete complete JJ cord-252443-lclxrwcm 103 8 recovery recovery NN cord-252443-lclxrwcm 103 9 of of IN cord-252443-lclxrwcm 103 10 viral viral JJ cord-252443-lclxrwcm 103 11 titer titer NN cord-252443-lclxrwcm 103 12 and and CC cord-252443-lclxrwcm 103 13 immunogenicity immunogenicity NN cord-252443-lclxrwcm 103 14 after after IN cord-252443-lclxrwcm 103 15 storage storage NN cord-252443-lclxrwcm 103 16 at at IN cord-252443-lclxrwcm 103 17 up up IN cord-252443-lclxrwcm 103 18 to to TO cord-252443-lclxrwcm 103 19 45 45 CD cord-252443-lclxrwcm 103 20 ° ° NN cord-252443-lclxrwcm 103 21 C c NN cord-252443-lclxrwcm 103 22 for for IN cord-252443-lclxrwcm 103 23 6 6 CD cord-252443-lclxrwcm 103 24 months month NNS cord-252443-lclxrwcm 103 25 ( ( -LRB- cord-252443-lclxrwcm 103 26 86 86 CD cord-252443-lclxrwcm 103 27 ) ) -RRB- cord-252443-lclxrwcm 103 28 . . . cord-252443-lclxrwcm 104 1 In in IN cord-252443-lclxrwcm 104 2 addition addition NN cord-252443-lclxrwcm 104 3 , , , cord-252443-lclxrwcm 104 4 viral viral JJ cord-252443-lclxrwcm 104 5 vectored vectore VBN cord-252443-lclxrwcm 104 6 vaccines vaccine NNS cord-252443-lclxrwcm 104 7 are be VBP cord-252443-lclxrwcm 104 8 relatively relatively RB cord-252443-lclxrwcm 104 9 easy easy JJ cord-252443-lclxrwcm 104 10 to to TO cord-252443-lclxrwcm 104 11 manipulate manipulate VB cord-252443-lclxrwcm 104 12 and and CC cord-252443-lclxrwcm 104 13 produce produce VB cord-252443-lclxrwcm 104 14 , , , cord-252443-lclxrwcm 104 15 and and CC cord-252443-lclxrwcm 104 16 have have VBP cord-252443-lclxrwcm 104 17 well well RB cord-252443-lclxrwcm 104 18 - - HYPH cord-252443-lclxrwcm 104 19 established establish VBN cord-252443-lclxrwcm 104 20 safety safety NN cord-252443-lclxrwcm 104 21 profiles profile NNS cord-252443-lclxrwcm 104 22 . . . cord-252443-lclxrwcm 105 1 There there EX cord-252443-lclxrwcm 105 2 are be VBP cord-252443-lclxrwcm 105 3 an an DT cord-252443-lclxrwcm 105 4 increasing increase VBG cord-252443-lclxrwcm 105 5 number number NN cord-252443-lclxrwcm 105 6 of of IN cord-252443-lclxrwcm 105 7 viral viral NN cord-252443-lclxrwcm 105 8 - - HYPH cord-252443-lclxrwcm 105 9 based base VBN cord-252443-lclxrwcm 105 10 vectors vector NNS cord-252443-lclxrwcm 105 11 currently currently RB cord-252443-lclxrwcm 105 12 employed employ VBN cord-252443-lclxrwcm 105 13 as as IN cord-252443-lclxrwcm 105 14 antigen antigen NN cord-252443-lclxrwcm 105 15 delivery delivery NN cord-252443-lclxrwcm 105 16 systems system NNS cord-252443-lclxrwcm 105 17 , , , cord-252443-lclxrwcm 105 18 including include VBG cord-252443-lclxrwcm 105 19 DNA dna NN cord-252443-lclxrwcm 105 20 virus virus NN cord-252443-lclxrwcm 105 21 vectors vector NNS cord-252443-lclxrwcm 105 22 ( ( -LRB- cord-252443-lclxrwcm 105 23 for for IN cord-252443-lclxrwcm 105 24 example example NN cord-252443-lclxrwcm 105 25 , , , cord-252443-lclxrwcm 105 26 poxviruses poxvirus NNS cord-252443-lclxrwcm 105 27 , , , cord-252443-lclxrwcm 105 28 herpesvirus herpesvirus NN cord-252443-lclxrwcm 105 29 , , , cord-252443-lclxrwcm 105 30 adenovirus adenovirus NN cord-252443-lclxrwcm 105 31 and and CC cord-252443-lclxrwcm 105 32 baculovirus baculovirus NNP cord-252443-lclxrwcm 105 33 ) ) -RRB- cord-252443-lclxrwcm 105 34 and and CC cord-252443-lclxrwcm 105 35 RNA RNA NNP cord-252443-lclxrwcm 105 36 virus virus NN cord-252443-lclxrwcm 105 37 vectors vector NNS cord-252443-lclxrwcm 105 38 ( ( -LRB- cord-252443-lclxrwcm 105 39 for for IN cord-252443-lclxrwcm 105 40 example example NN cord-252443-lclxrwcm 105 41 , , , cord-252443-lclxrwcm 105 42 paramyxovirus paramyxovirus NNP cord-252443-lclxrwcm 105 43 , , , cord-252443-lclxrwcm 105 44 rhabdovirus rhabdovirus NNP cord-252443-lclxrwcm 105 45 , , , cord-252443-lclxrwcm 105 46 bunyavirus bunyavirus NNP cord-252443-lclxrwcm 105 47 , , , cord-252443-lclxrwcm 105 48 alphavirus alphavirus NNP cord-252443-lclxrwcm 105 49 , , , cord-252443-lclxrwcm 105 50 coronavirus coronavirus NN cord-252443-lclxrwcm 105 51 , , , cord-252443-lclxrwcm 105 52 retrovirus retrovirus NN cord-252443-lclxrwcm 105 53 and and CC cord-252443-lclxrwcm 105 54 flavivirus flavivirus NNP cord-252443-lclxrwcm 105 55 ) ) -RRB- cord-252443-lclxrwcm 105 56 ( ( -LRB- cord-252443-lclxrwcm 105 57 87 87 CD cord-252443-lclxrwcm 105 58 ) ) -RRB- cord-252443-lclxrwcm 105 59 . . . cord-252443-lclxrwcm 106 1 However however RB cord-252443-lclxrwcm 106 2 , , , cord-252443-lclxrwcm 106 3 the the DT cord-252443-lclxrwcm 106 4 majority majority NN cord-252443-lclxrwcm 106 5 of of IN cord-252443-lclxrwcm 106 6 human human JJ cord-252443-lclxrwcm 106 7 clinical clinical JJ cord-252443-lclxrwcm 106 8 trials trial NNS cord-252443-lclxrwcm 106 9 assessing assess VBG cord-252443-lclxrwcm 106 10 viral viral JJ cord-252443-lclxrwcm 106 11 vectored vectore VBN cord-252443-lclxrwcm 106 12 influenza influenza NN cord-252443-lclxrwcm 106 13 vaccines vaccine NNS cord-252443-lclxrwcm 106 14 use use VBP cord-252443-lclxrwcm 106 15 poxviral poxviral JJ cord-252443-lclxrwcm 106 16 and and CC cord-252443-lclxrwcm 106 17 adenoviral adenoviral JJ cord-252443-lclxrwcm 106 18 technologies technology NNS cord-252443-lclxrwcm 106 19 , , , cord-252443-lclxrwcm 106 20 and and CC cord-252443-lclxrwcm 106 21 these these DT cord-252443-lclxrwcm 106 22 vectors vector NNS cord-252443-lclxrwcm 106 23 are be VBP cord-252443-lclxrwcm 106 24 considered consider VBN cord-252443-lclxrwcm 106 25 lead lead JJ cord-252443-lclxrwcm 106 26 candidates candidate NNS cord-252443-lclxrwcm 106 27 for for IN cord-252443-lclxrwcm 106 28 the the DT cord-252443-lclxrwcm 106 29 immunogenic immunogenic JJ cord-252443-lclxrwcm 106 30 delivery delivery NN cord-252443-lclxrwcm 106 31 of of IN cord-252443-lclxrwcm 106 32 antigens antigen NNS cord-252443-lclxrwcm 106 33 ( ( -LRB- cord-252443-lclxrwcm 106 34 77 77 CD cord-252443-lclxrwcm 106 35 ) ) -RRB- cord-252443-lclxrwcm 106 36 . . . cord-252443-lclxrwcm 107 1 Adenoviruses adenovirus NNS cord-252443-lclxrwcm 107 2 ( ( -LRB- cord-252443-lclxrwcm 107 3 Ads ad NNS cord-252443-lclxrwcm 107 4 ) ) -RRB- cord-252443-lclxrwcm 107 5 are be VBP cord-252443-lclxrwcm 107 6 nonenveloped nonenvelope VBN cord-252443-lclxrwcm 107 7 DNA dna NN cord-252443-lclxrwcm 107 8 viruses virus NNS cord-252443-lclxrwcm 107 9 originally originally RB cord-252443-lclxrwcm 107 10 identified identify VBN cord-252443-lclxrwcm 107 11 as as IN cord-252443-lclxrwcm 107 12 infectious infectious JJ cord-252443-lclxrwcm 107 13 agents agent NNS cord-252443-lclxrwcm 107 14 responsible responsible JJ cord-252443-lclxrwcm 107 15 for for IN cord-252443-lclxrwcm 107 16 certain certain JJ cord-252443-lclxrwcm 107 17 acute acute JJ cord-252443-lclxrwcm 107 18 respiratory respiratory JJ cord-252443-lclxrwcm 107 19 infections infection NNS cord-252443-lclxrwcm 107 20 . . . cord-252443-lclxrwcm 108 1 Ad ad NN cord-252443-lclxrwcm 108 2 infection infection NN cord-252443-lclxrwcm 108 3 usually usually RB cord-252443-lclxrwcm 108 4 manifests manifest VBZ cord-252443-lclxrwcm 108 5 as as IN cord-252443-lclxrwcm 108 6 mild mild JJ cord-252443-lclxrwcm 108 7 disease disease NN cord-252443-lclxrwcm 108 8 , , , cord-252443-lclxrwcm 108 9 which which WDT cord-252443-lclxrwcm 108 10 is be VBZ cord-252443-lclxrwcm 108 11 promptly promptly RB cord-252443-lclxrwcm 108 12 resolved resolve VBN cord-252443-lclxrwcm 108 13 ; ; : cord-252443-lclxrwcm 108 14 however however RB cord-252443-lclxrwcm 108 15 , , , cord-252443-lclxrwcm 108 16 infection infection NN cord-252443-lclxrwcm 108 17 of of IN cord-252443-lclxrwcm 108 18 immunocompromised immunocompromised JJ cord-252443-lclxrwcm 108 19 individuals individual NNS cord-252443-lclxrwcm 108 20 can can MD cord-252443-lclxrwcm 108 21 result result VB cord-252443-lclxrwcm 108 22 in in IN cord-252443-lclxrwcm 108 23 more more JJR cord-252443-lclxrwcm 108 24 severe severe JJ cord-252443-lclxrwcm 108 25 disease disease NN cord-252443-lclxrwcm 108 26 ( ( -LRB- cord-252443-lclxrwcm 108 27 88 88 CD cord-252443-lclxrwcm 108 28 , , , cord-252443-lclxrwcm 108 29 89 89 CD cord-252443-lclxrwcm 108 30 ) ) -RRB- cord-252443-lclxrwcm 108 31 . . . cord-252443-lclxrwcm 109 1 Several several JJ cord-252443-lclxrwcm 109 2 properties property NNS cord-252443-lclxrwcm 109 3 of of IN cord-252443-lclxrwcm 109 4 Ad ad NN cord-252443-lclxrwcm 109 5 viruses virus NNS cord-252443-lclxrwcm 109 6 are be VBP cord-252443-lclxrwcm 109 7 attractive attractive JJ cord-252443-lclxrwcm 109 8 for for IN cord-252443-lclxrwcm 109 9 vaccine vaccine NN cord-252443-lclxrwcm 109 10 use use NN cord-252443-lclxrwcm 109 11 , , , cord-252443-lclxrwcm 109 12 including include VBG cord-252443-lclxrwcm 109 13 relative relative JJ cord-252443-lclxrwcm 109 14 ease ease NN cord-252443-lclxrwcm 109 15 of of IN cord-252443-lclxrwcm 109 16 manipulation manipulation NN cord-252443-lclxrwcm 109 17 , , , cord-252443-lclxrwcm 109 18 infection infection NN cord-252443-lclxrwcm 109 19 of of IN cord-252443-lclxrwcm 109 20 both both DT cord-252443-lclxrwcm 109 21 dividing divide VBG cord-252443-lclxrwcm 109 22 and and CC cord-252443-lclxrwcm 109 23 nondividing nondividing NN cord-252443-lclxrwcm 109 24 cells cell NNS cord-252443-lclxrwcm 109 25 , , , cord-252443-lclxrwcm 109 26 high high JJ cord-252443-lclxrwcm 109 27 levels level NNS cord-252443-lclxrwcm 109 28 of of IN cord-252443-lclxrwcm 109 29 transgene transgene NN cord-252443-lclxrwcm 109 30 expression expression NN cord-252443-lclxrwcm 109 31 , , , cord-252443-lclxrwcm 109 32 ability ability NN cord-252443-lclxrwcm 109 33 to to TO cord-252443-lclxrwcm 109 34 grow grow VB cord-252443-lclxrwcm 109 35 to to IN cord-252443-lclxrwcm 109 36 high high JJ cord-252443-lclxrwcm 109 37 titers titer NNS cord-252443-lclxrwcm 109 38 in in IN cord-252443-lclxrwcm 109 39 vitro vitro NN cord-252443-lclxrwcm 109 40 and and CC cord-252443-lclxrwcm 109 41 lack lack NN cord-252443-lclxrwcm 109 42 of of IN cord-252443-lclxrwcm 109 43 integration integration NN cord-252443-lclxrwcm 109 44 in in IN cord-252443-lclxrwcm 109 45 the the DT cord-252443-lclxrwcm 109 46 host host NN cord-252443-lclxrwcm 109 47 genome genome NN cord-252443-lclxrwcm 109 48 and and CC cord-252443-lclxrwcm 109 49 stability stability NN cord-252443-lclxrwcm 109 50 ( ( -LRB- cord-252443-lclxrwcm 109 51 physical physical JJ cord-252443-lclxrwcm 109 52 and and CC cord-252443-lclxrwcm 109 53 genetic genetic JJ cord-252443-lclxrwcm 109 54 ) ) -RRB- cord-252443-lclxrwcm 109 55 ( ( -LRB- cord-252443-lclxrwcm 109 56 87 87 CD cord-252443-lclxrwcm 109 57 , , , cord-252443-lclxrwcm 109 58 89 89 CD cord-252443-lclxrwcm 109 59 , , , cord-252443-lclxrwcm 109 60 90 90 CD cord-252443-lclxrwcm 109 61 ) ) -RRB- cord-252443-lclxrwcm 109 62 . . . cord-252443-lclxrwcm 110 1 Ads ad NNS cord-252443-lclxrwcm 110 2 are be VBP cord-252443-lclxrwcm 110 3 rendered render VBN cord-252443-lclxrwcm 110 4 replication replication NN cord-252443-lclxrwcm 110 5 defective defective JJ cord-252443-lclxrwcm 110 6 by by IN cord-252443-lclxrwcm 110 7 deletion deletion NN cord-252443-lclxrwcm 110 8 of of IN cord-252443-lclxrwcm 110 9 the the DT cord-252443-lclxrwcm 110 10 E1 e1 NN cord-252443-lclxrwcm 110 11 region region NN cord-252443-lclxrwcm 110 12 genes gene NNS cord-252443-lclxrwcm 110 13 , , , cord-252443-lclxrwcm 110 14 and and CC cord-252443-lclxrwcm 110 15 although although IN cord-252443-lclxrwcm 110 16 replication replication NN cord-252443-lclxrwcm 110 17 competent competent JJ cord-252443-lclxrwcm 110 18 Ad ad NN cord-252443-lclxrwcm 110 19 vectors vector NNS cord-252443-lclxrwcm 110 20 have have VBP cord-252443-lclxrwcm 110 21 been be VBN cord-252443-lclxrwcm 110 22 demonstrated demonstrate VBN cord-252443-lclxrwcm 110 23 to to TO cord-252443-lclxrwcm 110 24 be be VB cord-252443-lclxrwcm 110 25 quantitatively quantitatively RB cord-252443-lclxrwcm 110 26 ( ( -LRB- cord-252443-lclxrwcm 110 27 reduction reduction NN cord-252443-lclxrwcm 110 28 of of IN cord-252443-lclxrwcm 110 29 required required JJ cord-252443-lclxrwcm 110 30 dose dose NN cord-252443-lclxrwcm 110 31 ) ) -RRB- cord-252443-lclxrwcm 110 32 and and CC cord-252443-lclxrwcm 110 33 qualitatively qualitatively RB cord-252443-lclxrwcm 110 34 ( ( -LRB- cord-252443-lclxrwcm 110 35 induction induction NN cord-252443-lclxrwcm 110 36 of of IN cord-252443-lclxrwcm 110 37 sitespecific sitespecific JJ cord-252443-lclxrwcm 110 38 immunity immunity NN cord-252443-lclxrwcm 110 39 ) ) -RRB- cord-252443-lclxrwcm 110 40 more more RBR cord-252443-lclxrwcm 110 41 effective effective JJ cord-252443-lclxrwcm 110 42 , , , cord-252443-lclxrwcm 110 43 the the DT cord-252443-lclxrwcm 110 44 release release NN cord-252443-lclxrwcm 110 45 of of IN cord-252443-lclxrwcm 110 46 genetically genetically RB cord-252443-lclxrwcm 110 47 modified modify VBN cord-252443-lclxrwcm 110 48 Ad ad NN cord-252443-lclxrwcm 110 49 vectors vector NNS cord-252443-lclxrwcm 110 50 into into IN cord-252443-lclxrwcm 110 51 the the DT cord-252443-lclxrwcm 110 52 general general JJ cord-252443-lclxrwcm 110 53 public public NN cord-252443-lclxrwcm 110 54 , , , cord-252443-lclxrwcm 110 55 fuelling fuel VBG cord-252443-lclxrwcm 110 56 concerns concern NNS cord-252443-lclxrwcm 110 57 of of IN cord-252443-lclxrwcm 110 58 possible possible JJ cord-252443-lclxrwcm 110 59 carriage carriage NN cord-252443-lclxrwcm 110 60 , , , cord-252443-lclxrwcm 110 61 has have VBZ cord-252443-lclxrwcm 110 62 limited limit VBN cord-252443-lclxrwcm 110 63 their -PRON- PRP$ cord-252443-lclxrwcm 110 64 systematic systematic JJ cord-252443-lclxrwcm 110 65 use use NN cord-252443-lclxrwcm 110 66 ( ( -LRB- cord-252443-lclxrwcm 110 67 89 89 CD cord-252443-lclxrwcm 110 68 , , , cord-252443-lclxrwcm 110 69 90 90 CD cord-252443-lclxrwcm 110 70 ) ) -RRB- cord-252443-lclxrwcm 110 71 . . . cord-252443-lclxrwcm 111 1 Nonreplicating nonreplicate VBG cord-252443-lclxrwcm 111 2 human human JJ cord-252443-lclxrwcm 111 3 Ad ad NN cord-252443-lclxrwcm 111 4 ( ( -LRB- cord-252443-lclxrwcm 111 5 for for IN cord-252443-lclxrwcm 111 6 example example NN cord-252443-lclxrwcm 111 7 , , , cord-252443-lclxrwcm 111 8 Adhu5 Adhu5 NNP cord-252443-lclxrwcm 111 9 ) ) -RRB- cord-252443-lclxrwcm 111 10 vectors vector NNS cord-252443-lclxrwcm 111 11 have have VBP cord-252443-lclxrwcm 111 12 been be VBN cord-252443-lclxrwcm 111 13 extensively extensively RB cord-252443-lclxrwcm 111 14 used use VBN cord-252443-lclxrwcm 111 15 in in IN cord-252443-lclxrwcm 111 16 gene gene NN cord-252443-lclxrwcm 111 17 therapy therapy NN cord-252443-lclxrwcm 111 18 applications application NNS cord-252443-lclxrwcm 111 19 , , , cord-252443-lclxrwcm 111 20 but but CC cord-252443-lclxrwcm 111 21 unfortunately unfortunately RB cord-252443-lclxrwcm 111 22 , , , cord-252443-lclxrwcm 111 23 most most JJS cord-252443-lclxrwcm 111 24 adults adult NNS cord-252443-lclxrwcm 111 25 have have VBP cord-252443-lclxrwcm 111 26 high high JJ cord-252443-lclxrwcm 111 27 titers titer NNS cord-252443-lclxrwcm 111 28 of of IN cord-252443-lclxrwcm 111 29 neutralizing neutralize VBG cord-252443-lclxrwcm 111 30 antibodies antibody NNS cord-252443-lclxrwcm 111 31 against against IN cord-252443-lclxrwcm 111 32 a a DT cord-252443-lclxrwcm 111 33 number number NN cord-252443-lclxrwcm 111 34 of of IN cord-252443-lclxrwcm 111 35 Ad ad NN cord-252443-lclxrwcm 111 36 serotypes serotype NNS cord-252443-lclxrwcm 111 37 , , , cord-252443-lclxrwcm 111 38 including include VBG cord-252443-lclxrwcm 111 39 Adhu5 Adhu5 NNP cord-252443-lclxrwcm 111 40 , , , cord-252443-lclxrwcm 111 41 which which WDT cord-252443-lclxrwcm 111 42 has have VBZ cord-252443-lclxrwcm 111 43 a a DT cord-252443-lclxrwcm 111 44 negative negative JJ cord-252443-lclxrwcm 111 45 impact impact NN cord-252443-lclxrwcm 111 46 on on IN cord-252443-lclxrwcm 111 47 their -PRON- PRP$ cord-252443-lclxrwcm 111 48 effectiveness effectiveness NN cord-252443-lclxrwcm 111 49 as as IN cord-252443-lclxrwcm 111 50 vaccine vaccine NN cord-252443-lclxrwcm 111 51 platforms platform NNS cord-252443-lclxrwcm 111 52 ( ( -LRB- cord-252443-lclxrwcm 111 53 91 91 CD cord-252443-lclxrwcm 111 54 ) ) -RRB- cord-252443-lclxrwcm 111 55 . . . cord-252443-lclxrwcm 112 1 To to TO cord-252443-lclxrwcm 112 2 circumvent circumvent VB cord-252443-lclxrwcm 112 3 this this DT cord-252443-lclxrwcm 112 4 limitation limitation NN cord-252443-lclxrwcm 112 5 , , , cord-252443-lclxrwcm 112 6 alternative alternative JJ cord-252443-lclxrwcm 112 7 serotypes serotype NNS cord-252443-lclxrwcm 112 8 of of IN cord-252443-lclxrwcm 112 9 adenovirus adenovirus NN cord-252443-lclxrwcm 112 10 not not RB cord-252443-lclxrwcm 112 11 found find VBN cord-252443-lclxrwcm 112 12 in in IN cord-252443-lclxrwcm 112 13 human human JJ cord-252443-lclxrwcm 112 14 populations population NNS cord-252443-lclxrwcm 112 15 are be VBP cord-252443-lclxrwcm 112 16 being be VBG cord-252443-lclxrwcm 112 17 developed develop VBN cord-252443-lclxrwcm 112 18 ( ( -LRB- cord-252443-lclxrwcm 112 19 92 92 CD cord-252443-lclxrwcm 112 20 , , , cord-252443-lclxrwcm 112 21 93 93 CD cord-252443-lclxrwcm 112 22 ) ) -RRB- cord-252443-lclxrwcm 112 23 . . . cord-252443-lclxrwcm 113 1 These these DT cord-252443-lclxrwcm 113 2 include include VBP cord-252443-lclxrwcm 113 3 Ads ad NNS cord-252443-lclxrwcm 113 4 of of IN cord-252443-lclxrwcm 113 5 rare rare JJ cord-252443-lclxrwcm 113 6 serotypes serotype NNS cord-252443-lclxrwcm 113 7 ( ( -LRB- cord-252443-lclxrwcm 113 8 that that RB cord-252443-lclxrwcm 113 9 is is RB cord-252443-lclxrwcm 113 10 , , , cord-252443-lclxrwcm 113 11 Ad11 Ad11 NNP cord-252443-lclxrwcm 113 12 , , , cord-252443-lclxrwcm 113 13 Ad26 Ad26 NNP cord-252443-lclxrwcm 113 14 , , , cord-252443-lclxrwcm 113 15 Ad35 Ad35 NNP cord-252443-lclxrwcm 113 16 , , , cord-252443-lclxrwcm 113 17 Ad28 Ad28 NNP cord-252443-lclxrwcm 113 18 and and CC cord-252443-lclxrwcm 113 19 Ad49 Ad49 NNP cord-252443-lclxrwcm 113 20 ) ) -RRB- cord-252443-lclxrwcm 113 21 and and CC cord-252443-lclxrwcm 113 22 nonhuman nonhuman NN cord-252443-lclxrwcm 113 23 Ads ad NNS cord-252443-lclxrwcm 113 24 , , , cord-252443-lclxrwcm 113 25 principally principally RB cord-252443-lclxrwcm 113 26 of of IN cord-252443-lclxrwcm 113 27 chimpanzee chimpanzee NN cord-252443-lclxrwcm 113 28 origin origin NNP cord-252443-lclxrwcm 113 29 AdC AdC NNP cord-252443-lclxrwcm 113 30 ( ( -LRB- cord-252443-lclxrwcm 113 31 77 77 CD cord-252443-lclxrwcm 113 32 , , , cord-252443-lclxrwcm 113 33 87 87 CD cord-252443-lclxrwcm 113 34 , , , cord-252443-lclxrwcm 113 35 94 94 CD cord-252443-lclxrwcm 113 36 ) ) -RRB- cord-252443-lclxrwcm 113 37 . . . cord-252443-lclxrwcm 114 1 In in IN cord-252443-lclxrwcm 114 2 addition addition NN cord-252443-lclxrwcm 114 3 , , , cord-252443-lclxrwcm 114 4 engineered engineer VBN cord-252443-lclxrwcm 114 5 chimeric chimeric JJ cord-252443-lclxrwcm 114 6 vectors vector NNS cord-252443-lclxrwcm 114 7 in in IN cord-252443-lclxrwcm 114 8 which which WDT cord-252443-lclxrwcm 114 9 the the DT cord-252443-lclxrwcm 114 10 Adhu5 Adhu5 NNP cord-252443-lclxrwcm 114 11 capsid capsid NN cord-252443-lclxrwcm 114 12 has have VBZ cord-252443-lclxrwcm 114 13 been be VBN cord-252443-lclxrwcm 114 14 modified modify VBN cord-252443-lclxrwcm 114 15 ( ( -LRB- cord-252443-lclxrwcm 114 16 thereby thereby RB cord-252443-lclxrwcm 114 17 reducing reduce VBG cord-252443-lclxrwcm 114 18 the the DT cord-252443-lclxrwcm 114 19 number number NN cord-252443-lclxrwcm 114 20 of of IN cord-252443-lclxrwcm 114 21 antigenic antigenic JJ cord-252443-lclxrwcm 114 22 epitopes epitope NNS cord-252443-lclxrwcm 114 23 previously previously RB cord-252443-lclxrwcm 114 24 seen see VBN cord-252443-lclxrwcm 114 25 by by IN cord-252443-lclxrwcm 114 26 man man NN cord-252443-lclxrwcm 114 27 ) ) -RRB- cord-252443-lclxrwcm 114 28 are be VBP cord-252443-lclxrwcm 114 29 also also RB cord-252443-lclxrwcm 114 30 being be VBG cord-252443-lclxrwcm 114 31 deployed deploy VBN cord-252443-lclxrwcm 114 32 ( ( -LRB- cord-252443-lclxrwcm 114 33 77 77 CD cord-252443-lclxrwcm 114 34 , , , cord-252443-lclxrwcm 114 35 87 87 CD cord-252443-lclxrwcm 114 36 , , , cord-252443-lclxrwcm 114 37 94 94 CD cord-252443-lclxrwcm 114 38 ) ) -RRB- cord-252443-lclxrwcm 114 39 . . . cord-252443-lclxrwcm 115 1 A a DT cord-252443-lclxrwcm 115 2 number number NN cord-252443-lclxrwcm 115 3 of of IN cord-252443-lclxrwcm 115 4 vaccine vaccine NN cord-252443-lclxrwcm 115 5 studies study NNS cord-252443-lclxrwcm 115 6 have have VBP cord-252443-lclxrwcm 115 7 demonstrated demonstrate VBN cord-252443-lclxrwcm 115 8 the the DT cord-252443-lclxrwcm 115 9 feasibility feasibility NN cord-252443-lclxrwcm 115 10 of of IN cord-252443-lclxrwcm 115 11 using use VBG cord-252443-lclxrwcm 115 12 recombinant recombinant JJ cord-252443-lclxrwcm 115 13 Ad ad NN cord-252443-lclxrwcm 115 14 vectors vector NNS cord-252443-lclxrwcm 115 15 expressing express VBG cord-252443-lclxrwcm 115 16 influenza influenza NN cord-252443-lclxrwcm 115 17 viral viral JJ cord-252443-lclxrwcm 115 18 proteins protein NNS cord-252443-lclxrwcm 115 19 to to TO cord-252443-lclxrwcm 115 20 protect protect VB cord-252443-lclxrwcm 115 21 model model NN cord-252443-lclxrwcm 115 22 organisms organism NNS cord-252443-lclxrwcm 115 23 from from IN cord-252443-lclxrwcm 115 24 influenza influenza NN cord-252443-lclxrwcm 115 25 challenge challenge NN cord-252443-lclxrwcm 115 26 . . . cord-252443-lclxrwcm 116 1 A a DT cord-252443-lclxrwcm 116 2 recombinant recombinant JJ cord-252443-lclxrwcm 116 3 Ad ad NN cord-252443-lclxrwcm 116 4 vector vector NN cord-252443-lclxrwcm 116 5 expressing express VBG cord-252443-lclxrwcm 116 6 H5N1 H5N1 NNP cord-252443-lclxrwcm 116 7 HA HA NNP cord-252443-lclxrwcm 116 8 induced induce VBD cord-252443-lclxrwcm 116 9 both both CC cord-252443-lclxrwcm 116 10 cellular cellular JJ cord-252443-lclxrwcm 116 11 and and CC cord-252443-lclxrwcm 116 12 humoral humoral JJ cord-252443-lclxrwcm 116 13 immunity immunity NN cord-252443-lclxrwcm 116 14 and and CC cord-252443-lclxrwcm 116 15 was be VBD cord-252443-lclxrwcm 116 16 protective protective JJ cord-252443-lclxrwcm 116 17 , , , cord-252443-lclxrwcm 116 18 following follow VBG cord-252443-lclxrwcm 116 19 lethal lethal JJ cord-252443-lclxrwcm 116 20 challenge challenge NN cord-252443-lclxrwcm 116 21 , , , cord-252443-lclxrwcm 116 22 in in IN cord-252443-lclxrwcm 116 23 mice mouse NNS cord-252443-lclxrwcm 116 24 and and CC cord-252443-lclxrwcm 116 25 chickens chicken NNS cord-252443-lclxrwcm 116 26 ( ( -LRB- cord-252443-lclxrwcm 116 27 95 95 CD cord-252443-lclxrwcm 116 28 ) ) -RRB- cord-252443-lclxrwcm 116 29 . . . cord-252443-lclxrwcm 117 1 Heterosubtypic heterosubtypic JJ cord-252443-lclxrwcm 117 2 immunity immunity NN cord-252443-lclxrwcm 117 3 toward toward IN cord-252443-lclxrwcm 117 4 certain certain JJ cord-252443-lclxrwcm 117 5 influenza influenza NN cord-252443-lclxrwcm 117 6 viruses virus NNS cord-252443-lclxrwcm 117 7 has have VBZ cord-252443-lclxrwcm 117 8 been be VBN cord-252443-lclxrwcm 117 9 induced induce VBN cord-252443-lclxrwcm 117 10 through through IN cord-252443-lclxrwcm 117 11 in in IN cord-252443-lclxrwcm 117 12 ovo ovo NNP cord-252443-lclxrwcm 117 13 vaccination vaccination NN cord-252443-lclxrwcm 117 14 with with IN cord-252443-lclxrwcm 117 15 a a DT cord-252443-lclxrwcm 117 16 nonreplicating nonreplicate VBG cord-252443-lclxrwcm 117 17 Ad ad NN cord-252443-lclxrwcm 117 18 vector vector NN cord-252443-lclxrwcm 117 19 expressing express VBG cord-252443-lclxrwcm 117 20 HA HA NNP cord-252443-lclxrwcm 117 21 from from IN cord-252443-lclxrwcm 117 22 H5N9 H5N9 NNP cord-252443-lclxrwcm 117 23 ( ( -LRB- cord-252443-lclxrwcm 117 24 96 96 CD cord-252443-lclxrwcm 117 25 ) ) -RRB- cord-252443-lclxrwcm 117 26 , , , cord-252443-lclxrwcm 117 27 and and CC cord-252443-lclxrwcm 117 28 indeed indeed RB cord-252443-lclxrwcm 117 29 long long RB cord-252443-lclxrwcm 117 30 - - HYPH cord-252443-lclxrwcm 117 31 lasting last VBG cord-252443-lclxrwcm 117 32 immunity immunity NN cord-252443-lclxrwcm 117 33 , , , cord-252443-lclxrwcm 117 34 12 12 CD cord-252443-lclxrwcm 117 35 months month NNS cord-252443-lclxrwcm 117 36 postimmunization postimmunization NN cord-252443-lclxrwcm 117 37 , , , cord-252443-lclxrwcm 117 38 has have VBZ cord-252443-lclxrwcm 117 39 been be VBN cord-252443-lclxrwcm 117 40 demonstrated demonstrate VBN cord-252443-lclxrwcm 117 41 following follow VBG cord-252443-lclxrwcm 117 42 Ad ad NN cord-252443-lclxrwcm 117 43 vaccination vaccination NN cord-252443-lclxrwcm 117 44 ( ( -LRB- cord-252443-lclxrwcm 117 45 97 97 CD cord-252443-lclxrwcm 117 46 ) ) -RRB- cord-252443-lclxrwcm 117 47 . . . cord-252443-lclxrwcm 118 1 The the DT cord-252443-lclxrwcm 118 2 application application NN cord-252443-lclxrwcm 118 3 of of IN cord-252443-lclxrwcm 118 4 Ad ad NN cord-252443-lclxrwcm 118 5 viral viral JJ cord-252443-lclxrwcm 118 6 vectored vectore VBN cord-252443-lclxrwcm 118 7 vaccines vaccine NNS cord-252443-lclxrwcm 118 8 has have VBZ cord-252443-lclxrwcm 118 9 progressed progress VBN cord-252443-lclxrwcm 118 10 to to IN cord-252443-lclxrwcm 118 11 human human JJ cord-252443-lclxrwcm 118 12 studies study NNS cord-252443-lclxrwcm 118 13 , , , cord-252443-lclxrwcm 118 14 and and CC cord-252443-lclxrwcm 118 15 a a DT cord-252443-lclxrwcm 118 16 phase phase NN cord-252443-lclxrwcm 118 17 I -PRON- PRP cord-252443-lclxrwcm 118 18 clinical clinical JJ cord-252443-lclxrwcm 118 19 trial trial NN cord-252443-lclxrwcm 118 20 using use VBG cord-252443-lclxrwcm 118 21 a a DT cord-252443-lclxrwcm 118 22 nonreplicating nonreplicate VBG cord-252443-lclxrwcm 118 23 adenovirus adenovirus NN cord-252443-lclxrwcm 118 24 vectored vectore VBN cord-252443-lclxrwcm 118 25 nasally nasally RB cord-252443-lclxrwcm 118 26 administered administer VBN cord-252443-lclxrwcm 118 27 influenza influenza NN cord-252443-lclxrwcm 118 28 vaccine vaccine NN cord-252443-lclxrwcm 118 29 has have VBZ cord-252443-lclxrwcm 118 30 demonstrated demonstrate VBN cord-252443-lclxrwcm 118 31 that that IN cord-252443-lclxrwcm 118 32 the the DT cord-252443-lclxrwcm 118 33 vaccine vaccine NN cord-252443-lclxrwcm 118 34 is be VBZ cord-252443-lclxrwcm 118 35 well well RB cord-252443-lclxrwcm 118 36 tolerated tolerated JJ cord-252443-lclxrwcm 118 37 and and CC cord-252443-lclxrwcm 118 38 efficaciously efficaciously RB cord-252443-lclxrwcm 118 39 induces induce VBZ cord-252443-lclxrwcm 118 40 humoral humoral JJ cord-252443-lclxrwcm 118 41 immunity immunity NN cord-252443-lclxrwcm 118 42 . . . cord-252443-lclxrwcm 119 1 A a DT cord-252443-lclxrwcm 119 2 follow follow VB cord-252443-lclxrwcm 119 3 - - HYPH cord-252443-lclxrwcm 119 4 on on RP cord-252443-lclxrwcm 119 5 trial trial NN cord-252443-lclxrwcm 119 6 evaluating evaluate VBG cord-252443-lclxrwcm 119 7 the the DT cord-252443-lclxrwcm 119 8 dose dose JJ cord-252443-lclxrwcm 119 9 range range NN cord-252443-lclxrwcm 119 10 , , , cord-252443-lclxrwcm 119 11 safety safety NN cord-252443-lclxrwcm 119 12 and and CC cord-252443-lclxrwcm 119 13 im im NN cord-252443-lclxrwcm 119 14 - - HYPH cord-252443-lclxrwcm 119 15 munogenicity munogenicity NN cord-252443-lclxrwcm 119 16 of of IN cord-252443-lclxrwcm 119 17 an an DT cord-252443-lclxrwcm 119 18 intranasally intranasally RB cord-252443-lclxrwcm 119 19 administered administer VBN cord-252443-lclxrwcm 119 20 AdhVN1203/04.H5 AdhVN1203/04.H5 NNP cord-252443-lclxrwcm 119 21 ( ( -LRB- cord-252443-lclxrwcm 119 22 adenovirus adenovirus NN cord-252443-lclxrwcm 119 23 vectored vectore VBD cord-252443-lclxrwcm 119 24 H5 H5 NNP cord-252443-lclxrwcm 119 25 HA HA NNP cord-252443-lclxrwcm 119 26 ) ) -RRB- cord-252443-lclxrwcm 119 27 in in IN cord-252443-lclxrwcm 119 28 healthy healthy JJ cord-252443-lclxrwcm 119 29 adults adult NNS cord-252443-lclxrwcm 119 30 19 19 CD cord-252443-lclxrwcm 119 31 - - SYM cord-252443-lclxrwcm 119 32 49 49 CD cord-252443-lclxrwcm 119 33 years year NNS cord-252443-lclxrwcm 119 34 of of IN cord-252443-lclxrwcm 119 35 age age NN cord-252443-lclxrwcm 119 36 is be VBZ cord-252443-lclxrwcm 119 37 expected expect VBN cord-252443-lclxrwcm 119 38 to to TO cord-252443-lclxrwcm 119 39 be be VB cord-252443-lclxrwcm 119 40 completed complete VBN cord-252443-lclxrwcm 119 41 imminently imminently RB cord-252443-lclxrwcm 120 1 ( ( -LRB- cord-252443-lclxrwcm 120 2 ClinicalTrials.gov ClinicalTrials.gov NNP cord-252443-lclxrwcm 120 3 Identifier Identifier NNP cord-252443-lclxrwcm 120 4 : : : cord-252443-lclxrwcm 120 5 NCT00755703 NCT00755703 NNP cord-252443-lclxrwcm 120 6 ) ) -RRB- cord-252443-lclxrwcm 120 7 . . . cord-252443-lclxrwcm 121 1 Replication replication NN cord-252443-lclxrwcm 121 2 competent competent JJ cord-252443-lclxrwcm 121 3 Ad ad NN cord-252443-lclxrwcm 121 4 vectors vector NNS cord-252443-lclxrwcm 121 5 , , , cord-252443-lclxrwcm 121 6 in in IN cord-252443-lclxrwcm 121 7 general general JJ cord-252443-lclxrwcm 121 8 , , , cord-252443-lclxrwcm 121 9 induce induce VB cord-252443-lclxrwcm 121 10 stronger strong JJR cord-252443-lclxrwcm 121 11 immune immune JJ cord-252443-lclxrwcm 121 12 responses response NNS cord-252443-lclxrwcm 121 13 and and CC cord-252443-lclxrwcm 121 14 a a DT cord-252443-lclxrwcm 121 15 live live NN cord-252443-lclxrwcm 121 16 , , , cord-252443-lclxrwcm 121 17 replication replication NN cord-252443-lclxrwcm 121 18 competent competent JJ cord-252443-lclxrwcm 121 19 recombinant recombinant JJ cord-252443-lclxrwcm 121 20 Ad ad NN cord-252443-lclxrwcm 121 21 vectored vectore VBN cord-252443-lclxrwcm 121 22 vaccine vaccine NN cord-252443-lclxrwcm 121 23 , , , cord-252443-lclxrwcm 121 24 expressing express VBG cord-252443-lclxrwcm 121 25 the the DT cord-252443-lclxrwcm 121 26 HA HA NNP cord-252443-lclxrwcm 121 27 from from IN cord-252443-lclxrwcm 121 28 H5N1 H5N1 NNP cord-252443-lclxrwcm 121 29 ( ( -LRB- cord-252443-lclxrwcm 121 30 Ad4-H5-Vtn Ad4-H5-Vtn NNP cord-252443-lclxrwcm 121 31 ) ) -RRB- cord-252443-lclxrwcm 121 32 , , , cord-252443-lclxrwcm 121 33 will will MD cord-252443-lclxrwcm 121 34 be be VB cord-252443-lclxrwcm 121 35 administered administer VBN cord-252443-lclxrwcm 121 36 either either CC cord-252443-lclxrwcm 121 37 intranasally intranasally RB cord-252443-lclxrwcm 121 38 or or CC cord-252443-lclxrwcm 121 39 tonsillarly tonsillarly RB cord-252443-lclxrwcm 121 40 in in IN cord-252443-lclxrwcm 121 41 a a DT cord-252443-lclxrwcm 121 42 phase phase NN cord-252443-lclxrwcm 121 43 1 1 CD cord-252443-lclxrwcm 121 44 randomized randomized JJ cord-252443-lclxrwcm 121 45 , , , cord-252443-lclxrwcm 121 46 dose dose NN cord-252443-lclxrwcm 121 47 - - HYPH cord-252443-lclxrwcm 121 48 escalation escalation NN cord-252443-lclxrwcm 121 49 study study NN cord-252443-lclxrwcm 121 50 expected expect VBN cord-252443-lclxrwcm 121 51 to to TO cord-252443-lclxrwcm 121 52 be be VB cord-252443-lclxrwcm 121 53 completed complete VBN cord-252443-lclxrwcm 121 54 in in IN cord-252443-lclxrwcm 121 55 2014 2014 CD cord-252443-lclxrwcm 121 56 ( ( -LRB- cord-252443-lclxrwcm 121 57 Clinical-Trials.gov Clinical-Trials.gov NNP cord-252443-lclxrwcm 121 58 Identifier identifier NN cord-252443-lclxrwcm 121 59 : : : cord-252443-lclxrwcm 121 60 NCT01443936 NCT01443936 NNS cord-252443-lclxrwcm 121 61 ) ) -RRB- cord-252443-lclxrwcm 121 62 . . . cord-252443-lclxrwcm 122 1 Poxviruses poxvirus NNS cord-252443-lclxrwcm 122 2 are be VBP cord-252443-lclxrwcm 122 3 among among IN cord-252443-lclxrwcm 122 4 the the DT cord-252443-lclxrwcm 122 5 most most RBS cord-252443-lclxrwcm 122 6 heavily heavily RB cord-252443-lclxrwcm 122 7 exploited exploit VBN cord-252443-lclxrwcm 122 8 viral viral JJ cord-252443-lclxrwcm 122 9 vectors vector NNS cord-252443-lclxrwcm 122 10 , , , cord-252443-lclxrwcm 122 11 largely largely RB cord-252443-lclxrwcm 122 12 because because IN cord-252443-lclxrwcm 122 13 of of IN cord-252443-lclxrwcm 122 14 the the DT cord-252443-lclxrwcm 122 15 overwhelming overwhelming JJ cord-252443-lclxrwcm 122 16 success success NN cord-252443-lclxrwcm 122 17 of of IN cord-252443-lclxrwcm 122 18 vaccinia vaccinia NN cord-252443-lclxrwcm 122 19 virus virus NN cord-252443-lclxrwcm 122 20 in in IN cord-252443-lclxrwcm 122 21 eradicating eradicate VBG cord-252443-lclxrwcm 122 22 smallpox smallpox NN cord-252443-lclxrwcm 122 23 ( ( -LRB- cord-252443-lclxrwcm 122 24 87 87 CD cord-252443-lclxrwcm 122 25 , , , cord-252443-lclxrwcm 122 26 98 98 CD cord-252443-lclxrwcm 122 27 ) ) -RRB- cord-252443-lclxrwcm 122 28 . . . cord-252443-lclxrwcm 123 1 As as IN cord-252443-lclxrwcm 123 2 large large JJ cord-252443-lclxrwcm 123 3 DNA dna NN cord-252443-lclxrwcm 123 4 viruses virus NNS cord-252443-lclxrwcm 123 5 , , , cord-252443-lclxrwcm 123 6 poxviruses poxvirus NNS cord-252443-lclxrwcm 123 7 can can MD cord-252443-lclxrwcm 123 8 easily easily RB cord-252443-lclxrwcm 123 9 accommodate accommodate VB cord-252443-lclxrwcm 123 10 substantial substantial JJ cord-252443-lclxrwcm 123 11 amounts amount NNS cord-252443-lclxrwcm 123 12 ( ( -LRB- cord-252443-lclxrwcm 123 13 over over IN cord-252443-lclxrwcm 123 14 25 25 CD cord-252443-lclxrwcm 123 15 kb kb NNP cord-252443-lclxrwcm 123 16 ) ) -RRB- cord-252443-lclxrwcm 123 17 of of IN cord-252443-lclxrwcm 123 18 extra extra JJ cord-252443-lclxrwcm 123 19 DNA dna NN cord-252443-lclxrwcm 123 20 ( ( -LRB- cord-252443-lclxrwcm 123 21 99 99 CD cord-252443-lclxrwcm 123 22 ) ) -RRB- cord-252443-lclxrwcm 123 23 , , , cord-252443-lclxrwcm 123 24 thus thus RB cord-252443-lclxrwcm 123 25 facilitating facilitate VBG cord-252443-lclxrwcm 123 26 a a DT cord-252443-lclxrwcm 123 27 multivalent multivalent JJ cord-252443-lclxrwcm 123 28 vaccine vaccine NN cord-252443-lclxrwcm 123 29 approach approach NN cord-252443-lclxrwcm 123 30 through through IN cord-252443-lclxrwcm 123 31 the the DT cord-252443-lclxrwcm 123 32 simultaneous simultaneous JJ cord-252443-lclxrwcm 123 33 expression expression NN cord-252443-lclxrwcm 123 34 of of IN cord-252443-lclxrwcm 123 35 multiple multiple JJ cord-252443-lclxrwcm 123 36 transgenes transgene NNS cord-252443-lclxrwcm 123 37 ( ( -LRB- cord-252443-lclxrwcm 123 38 100 100 CD cord-252443-lclxrwcm 123 39 , , , cord-252443-lclxrwcm 123 40 101 101 CD cord-252443-lclxrwcm 123 41 ) ) -RRB- cord-252443-lclxrwcm 123 42 . . . cord-252443-lclxrwcm 124 1 Poxviruses poxvirus NNS cord-252443-lclxrwcm 124 2 replicate replicate VBP cord-252443-lclxrwcm 124 3 within within IN cord-252443-lclxrwcm 124 4 the the DT cord-252443-lclxrwcm 124 5 cytoplasm cytoplasm NN cord-252443-lclxrwcm 124 6 of of IN cord-252443-lclxrwcm 124 7 infected infected JJ cord-252443-lclxrwcm 124 8 cells cell NNS cord-252443-lclxrwcm 124 9 and and CC cord-252443-lclxrwcm 124 10 do do VBP cord-252443-lclxrwcm 124 11 not not RB cord-252443-lclxrwcm 124 12 integrate integrate VB cord-252443-lclxrwcm 124 13 into into IN cord-252443-lclxrwcm 124 14 the the DT cord-252443-lclxrwcm 124 15 host host NN cord-252443-lclxrwcm 124 16 genome genome NN cord-252443-lclxrwcm 124 17 , , , cord-252443-lclxrwcm 124 18 eliminating eliminate VBG cord-252443-lclxrwcm 124 19 the the DT cord-252443-lclxrwcm 124 20 potential potential NN cord-252443-lclxrwcm 124 21 for for IN cord-252443-lclxrwcm 124 22 insertional insertional JJ cord-252443-lclxrwcm 124 23 mutagenesis mutagenesis NN cord-252443-lclxrwcm 124 24 . . . cord-252443-lclxrwcm 125 1 They -PRON- PRP cord-252443-lclxrwcm 125 2 have have VBP cord-252443-lclxrwcm 125 3 been be VBN cord-252443-lclxrwcm 125 4 developed develop VBN cord-252443-lclxrwcm 125 5 as as IN cord-252443-lclxrwcm 125 6 vaccines vaccine NNS cord-252443-lclxrwcm 125 7 through through IN cord-252443-lclxrwcm 125 8 two two CD cord-252443-lclxrwcm 125 9 different different JJ cord-252443-lclxrwcm 125 10 approaches approach NNS cord-252443-lclxrwcm 125 11 ; ; : cord-252443-lclxrwcm 126 1 the the DT cord-252443-lclxrwcm 126 2 first first JJ cord-252443-lclxrwcm 126 3 relies rely VBZ cord-252443-lclxrwcm 126 4 on on IN cord-252443-lclxrwcm 126 5 productive productive JJ cord-252443-lclxrwcm 126 6 replication replication NN cord-252443-lclxrwcm 126 7 of of IN cord-252443-lclxrwcm 126 8 an an DT cord-252443-lclxrwcm 126 9 attenuated attenuated JJ cord-252443-lclxrwcm 126 10 strain strain NN cord-252443-lclxrwcm 126 11 in in IN cord-252443-lclxrwcm 126 12 a a DT cord-252443-lclxrwcm 126 13 permissive permissive JJ cord-252443-lclxrwcm 126 14 host host NN cord-252443-lclxrwcm 126 15 . . . cord-252443-lclxrwcm 127 1 The the DT cord-252443-lclxrwcm 127 2 second second JJ cord-252443-lclxrwcm 127 3 uses use VBZ cord-252443-lclxrwcm 127 4 replication replication NN cord-252443-lclxrwcm 127 5 - - HYPH cord-252443-lclxrwcm 127 6 defective defective JJ cord-252443-lclxrwcm 127 7 poxviruses poxvirus NNS cord-252443-lclxrwcm 127 8 , , , cord-252443-lclxrwcm 127 9 which which WDT cord-252443-lclxrwcm 127 10 may may MD cord-252443-lclxrwcm 127 11 enter enter VB cord-252443-lclxrwcm 127 12 cells cell NNS cord-252443-lclxrwcm 127 13 of of IN cord-252443-lclxrwcm 127 14 nonpermissive nonpermissive JJ cord-252443-lclxrwcm 127 15 hosts host NNS cord-252443-lclxrwcm 127 16 and and CC cord-252443-lclxrwcm 127 17 express express VBP cord-252443-lclxrwcm 127 18 encoded encoded JJ cord-252443-lclxrwcm 127 19 proteins protein NNS cord-252443-lclxrwcm 127 20 , , , cord-252443-lclxrwcm 127 21 but but CC cord-252443-lclxrwcm 127 22 do do VBP cord-252443-lclxrwcm 127 23 not not RB cord-252443-lclxrwcm 127 24 produce produce VB cord-252443-lclxrwcm 127 25 infectious infectious JJ cord-252443-lclxrwcm 127 26 virus virus NN cord-252443-lclxrwcm 127 27 ( ( -LRB- cord-252443-lclxrwcm 127 28 98 98 CD cord-252443-lclxrwcm 127 29 , , , cord-252443-lclxrwcm 127 30 102 102 CD cord-252443-lclxrwcm 127 31 ) ) -RRB- cord-252443-lclxrwcm 127 32 . . . cord-252443-lclxrwcm 128 1 Modified modified JJ cord-252443-lclxrwcm 128 2 vaccinia vaccinia NN cord-252443-lclxrwcm 128 3 virus virus NN cord-252443-lclxrwcm 128 4 Ankara Ankara NNP cord-252443-lclxrwcm 128 5 ( ( -LRB- cord-252443-lclxrwcm 128 6 MVA MVA NNP cord-252443-lclxrwcm 128 7 ) ) -RRB- cord-252443-lclxrwcm 128 8 , , , cord-252443-lclxrwcm 128 9 an an DT cord-252443-lclxrwcm 128 10 attenuated attenuated JJ cord-252443-lclxrwcm 128 11 strain strain NN cord-252443-lclxrwcm 128 12 of of IN cord-252443-lclxrwcm 128 13 vaccinia vaccinia NN cord-252443-lclxrwcm 128 14 virus virus NN cord-252443-lclxrwcm 128 15 , , , cord-252443-lclxrwcm 128 16 was be VBD cord-252443-lclxrwcm 128 17 originally originally RB cord-252443-lclxrwcm 128 18 developed develop VBN cord-252443-lclxrwcm 128 19 during during IN cord-252443-lclxrwcm 128 20 the the DT cord-252443-lclxrwcm 128 21 smallpox smallpox NN cord-252443-lclxrwcm 128 22 eradication eradication NN cord-252443-lclxrwcm 128 23 campaign campaign NN cord-252443-lclxrwcm 128 24 , , , cord-252443-lclxrwcm 128 25 because because IN cord-252443-lclxrwcm 128 26 wild wild JJ cord-252443-lclxrwcm 128 27 - - HYPH cord-252443-lclxrwcm 128 28 type type NN cord-252443-lclxrwcm 128 29 strains strain NNS cord-252443-lclxrwcm 128 30 can can MD cord-252443-lclxrwcm 128 31 produce produce VB cord-252443-lclxrwcm 128 32 undesirable undesirable JJ cord-252443-lclxrwcm 128 33 effects effect NNS cord-252443-lclxrwcm 128 34 in in IN cord-252443-lclxrwcm 128 35 humans human NNS cord-252443-lclxrwcm 128 36 ( ( -LRB- cord-252443-lclxrwcm 128 37 103 103 CD cord-252443-lclxrwcm 128 38 , , , cord-252443-lclxrwcm 128 39 104 104 CD cord-252443-lclxrwcm 128 40 ) ) -RRB- cord-252443-lclxrwcm 128 41 . . . cord-252443-lclxrwcm 129 1 Attenuated attenuated JJ cord-252443-lclxrwcm 129 2 vaccinia vaccinia NN cord-252443-lclxrwcm 129 3 strains strain NNS cord-252443-lclxrwcm 129 4 such such JJ cord-252443-lclxrwcm 129 5 as as IN cord-252443-lclxrwcm 129 6 MVA MVA NNP cord-252443-lclxrwcm 129 7 undergo undergo VBP cord-252443-lclxrwcm 129 8 very very RB cord-252443-lclxrwcm 129 9 limited limited JJ cord-252443-lclxrwcm 129 10 , , , cord-252443-lclxrwcm 129 11 or or CC cord-252443-lclxrwcm 129 12 nonproductive nonproductive JJ cord-252443-lclxrwcm 129 13 , , , cord-252443-lclxrwcm 129 14 replication replication NN cord-252443-lclxrwcm 129 15 in in IN cord-252443-lclxrwcm 129 16 mammalian mammalian JJ cord-252443-lclxrwcm 129 17 cells cell NNS cord-252443-lclxrwcm 129 18 ( ( -LRB- cord-252443-lclxrwcm 129 19 102 102 CD cord-252443-lclxrwcm 129 20 ) ) -RRB- cord-252443-lclxrwcm 129 21 , , , cord-252443-lclxrwcm 129 22 although although IN cord-252443-lclxrwcm 129 23 most most JJS cord-252443-lclxrwcm 129 24 of of IN cord-252443-lclxrwcm 129 25 the the DT cord-252443-lclxrwcm 129 26 virus virus NN cord-252443-lclxrwcm 129 27 proteins protein NNS cord-252443-lclxrwcm 129 28 are be VBP cord-252443-lclxrwcm 129 29 produced produce VBN cord-252443-lclxrwcm 129 30 , , , cord-252443-lclxrwcm 129 31 including include VBG cord-252443-lclxrwcm 129 32 inserted insert VBN cord-252443-lclxrwcm 129 33 transgenes transgene NNS cord-252443-lclxrwcm 129 34 ( ( -LRB- cord-252443-lclxrwcm 129 35 98 98 CD cord-252443-lclxrwcm 129 36 ) ) -RRB- cord-252443-lclxrwcm 129 37 . . . cord-252443-lclxrwcm 130 1 MVA MVA NNP cord-252443-lclxrwcm 130 2 has have VBZ cord-252443-lclxrwcm 130 3 an an DT cord-252443-lclxrwcm 130 4 excellent excellent JJ cord-252443-lclxrwcm 130 5 safety safety NN cord-252443-lclxrwcm 130 6 profile profile NN cord-252443-lclxrwcm 130 7 in in IN cord-252443-lclxrwcm 130 8 humans human NNS cord-252443-lclxrwcm 130 9 , , , cord-252443-lclxrwcm 130 10 having have VBG cord-252443-lclxrwcm 130 11 been be VBN cord-252443-lclxrwcm 130 12 used use VBN cord-252443-lclxrwcm 130 13 in in IN cord-252443-lclxrwcm 130 14 many many JJ cord-252443-lclxrwcm 130 15 field field NN cord-252443-lclxrwcm 130 16 studies study NNS cord-252443-lclxrwcm 130 17 ( ( -LRB- cord-252443-lclxrwcm 130 18 105 105 CD cord-252443-lclxrwcm 130 19 , , , cord-252443-lclxrwcm 130 20 106 106 CD cord-252443-lclxrwcm 130 21 ) ) -RRB- cord-252443-lclxrwcm 131 1 -safety -safety NNP cord-252443-lclxrwcm 131 2 has have VBZ cord-252443-lclxrwcm 131 3 also also RB cord-252443-lclxrwcm 131 4 been be VBN cord-252443-lclxrwcm 131 5 demonstrated demonstrate VBN cord-252443-lclxrwcm 131 6 in in IN cord-252443-lclxrwcm 131 7 studies study NNS cord-252443-lclxrwcm 131 8 with with IN cord-252443-lclxrwcm 131 9 immunocompromised immunocompromised JJ cord-252443-lclxrwcm 131 10 macaques macaque NNS cord-252443-lclxrwcm 131 11 and and CC cord-252443-lclxrwcm 131 12 humans human NNS cord-252443-lclxrwcm 131 13 ( ( -LRB- cord-252443-lclxrwcm 131 14 107 107 CD cord-252443-lclxrwcm 131 15 , , , cord-252443-lclxrwcm 131 16 108 108 CD cord-252443-lclxrwcm 131 17 ) ) -RRB- cord-252443-lclxrwcm 131 18 . . . cord-252443-lclxrwcm 132 1 One one CD cord-252443-lclxrwcm 132 2 of of IN cord-252443-lclxrwcm 132 3 the the DT cord-252443-lclxrwcm 132 4 ongoing ongoing JJ cord-252443-lclxrwcm 132 5 concerns concern NNS cord-252443-lclxrwcm 132 6 with with IN cord-252443-lclxrwcm 132 7 viral viral JJ cord-252443-lclxrwcm 132 8 vector vector NN cord-252443-lclxrwcm 132 9 vaccines vaccine NNS cord-252443-lclxrwcm 132 10 is be VBZ cord-252443-lclxrwcm 132 11 their -PRON- PRP$ cord-252443-lclxrwcm 132 12 applicability applicability NN cord-252443-lclxrwcm 132 13 for for IN cord-252443-lclxrwcm 132 14 repeat repeat NN cord-252443-lclxrwcm 132 15 vaccinations vaccination NNS cord-252443-lclxrwcm 132 16 . . . cord-252443-lclxrwcm 133 1 Preclinical preclinical JJ cord-252443-lclxrwcm 133 2 evaluation evaluation NN cord-252443-lclxrwcm 133 3 of of IN cord-252443-lclxrwcm 133 4 MVA MVA NNP cord-252443-lclxrwcm 133 5 vectors vector NNS cord-252443-lclxrwcm 133 6 has have VBZ cord-252443-lclxrwcm 133 7 demonstrated demonstrate VBN cord-252443-lclxrwcm 133 8 their -PRON- PRP$ cord-252443-lclxrwcm 133 9 ability ability NN cord-252443-lclxrwcm 133 10 to to TO cord-252443-lclxrwcm 133 11 repeatedly repeatedly RB cord-252443-lclxrwcm 133 12 boost boost VB cord-252443-lclxrwcm 133 13 immune immune JJ cord-252443-lclxrwcm 133 14 responses response NNS cord-252443-lclxrwcm 133 15 directed direct VBN cord-252443-lclxrwcm 133 16 to to IN cord-252443-lclxrwcm 133 17 recombinant recombinant JJ cord-252443-lclxrwcm 133 18 antigens antigen NNS cord-252443-lclxrwcm 133 19 ( ( -LRB- cord-252443-lclxrwcm 133 20 109 109 CD cord-252443-lclxrwcm 133 21 , , , cord-252443-lclxrwcm 133 22 110 110 CD cord-252443-lclxrwcm 133 23 ) ) -RRB- cord-252443-lclxrwcm 133 24 . . . cord-252443-lclxrwcm 134 1 Indeed indeed RB cord-252443-lclxrwcm 134 2 , , , cord-252443-lclxrwcm 134 3 two two CD cord-252443-lclxrwcm 134 4 phase phase NN cord-252443-lclxrwcm 134 5 I -PRON- PRP cord-252443-lclxrwcm 134 6 clinical clinical JJ cord-252443-lclxrwcm 134 7 trials trial NNS cord-252443-lclxrwcm 134 8 using use VBG cord-252443-lclxrwcm 134 9 repeat repeat NN cord-252443-lclxrwcm 134 10 vaccination vaccination NN cord-252443-lclxrwcm 134 11 with with IN cord-252443-lclxrwcm 134 12 MVA MVA NNP cord-252443-lclxrwcm 134 13 vectored vectore VBD cord-252443-lclxrwcm 134 14 vaccines vaccine NNS cord-252443-lclxrwcm 134 15 , , , cord-252443-lclxrwcm 134 16 at at IN cord-252443-lclxrwcm 134 17 6 6 CD cord-252443-lclxrwcm 134 18 - - SYM cord-252443-lclxrwcm 134 19 8 8 CD cord-252443-lclxrwcm 134 20 months month NNS cord-252443-lclxrwcm 134 21 , , , cord-252443-lclxrwcm 134 22 demonstrate demonstrate VBP cord-252443-lclxrwcm 134 23 an an DT cord-252443-lclxrwcm 134 24 ability ability NN cord-252443-lclxrwcm 134 25 to to TO cord-252443-lclxrwcm 134 26 boost boost VB cord-252443-lclxrwcm 134 27 T t NN cord-252443-lclxrwcm 134 28 - - HYPH cord-252443-lclxrwcm 134 29 cell cell NN cord-252443-lclxrwcm 134 30 responses response NNS cord-252443-lclxrwcm 134 31 ( ( -LRB- cord-252443-lclxrwcm 134 32 111 111 CD cord-252443-lclxrwcm 134 33 , , , cord-252443-lclxrwcm 134 34 112 112 CD cord-252443-lclxrwcm 134 35 ) ) -RRB- cord-252443-lclxrwcm 134 36 . . . cord-252443-lclxrwcm 135 1 These these DT cord-252443-lclxrwcm 135 2 data datum NNS cord-252443-lclxrwcm 135 3 suggest suggest VBP cord-252443-lclxrwcm 135 4 that that IN cord-252443-lclxrwcm 135 5 vector vector NN cord-252443-lclxrwcm 135 6 - - HYPH cord-252443-lclxrwcm 135 7 specific specific JJ cord-252443-lclxrwcm 135 8 immunity immunity NN cord-252443-lclxrwcm 135 9 does do VBZ cord-252443-lclxrwcm 135 10 not not RB cord-252443-lclxrwcm 135 11 greatly greatly RB cord-252443-lclxrwcm 135 12 impede impede VB cord-252443-lclxrwcm 135 13 immune immune JJ cord-252443-lclxrwcm 135 14 responses response NNS cord-252443-lclxrwcm 135 15 toward toward IN cord-252443-lclxrwcm 135 16 target target NN cord-252443-lclxrwcm 135 17 antigens antigen NNS cord-252443-lclxrwcm 135 18 . . . cord-252443-lclxrwcm 136 1 A a DT cord-252443-lclxrwcm 136 2 major major JJ cord-252443-lclxrwcm 136 3 advantage advantage NN cord-252443-lclxrwcm 136 4 of of IN cord-252443-lclxrwcm 136 5 MVA MVA NNP cord-252443-lclxrwcm 136 6 over over IN cord-252443-lclxrwcm 136 7 other other JJ cord-252443-lclxrwcm 136 8 vaccine vaccine NN cord-252443-lclxrwcm 136 9 preparations preparation NNS cord-252443-lclxrwcm 136 10 is be VBZ cord-252443-lclxrwcm 136 11 that that IN cord-252443-lclxrwcm 136 12 adjuvants adjuvant NNS cord-252443-lclxrwcm 136 13 are be VBP cord-252443-lclxrwcm 136 14 not not RB cord-252443-lclxrwcm 136 15 required require VBN cord-252443-lclxrwcm 136 16 for for IN cord-252443-lclxrwcm 136 17 high high JJ cord-252443-lclxrwcm 136 18 immunogenicity immunogenicity NN cord-252443-lclxrwcm 136 19 , , , cord-252443-lclxrwcm 136 20 because because IN cord-252443-lclxrwcm 136 21 MVA MVA NNP cord-252443-lclxrwcm 136 22 has have VBZ cord-252443-lclxrwcm 136 23 immunostimulatory immunostimulatory NNP cord-252443-lclxrwcm 136 24 properties property NNS cord-252443-lclxrwcm 136 25 ( ( -LRB- cord-252443-lclxrwcm 136 26 84 84 CD cord-252443-lclxrwcm 136 27 , , , cord-252443-lclxrwcm 136 28 85 85 CD cord-252443-lclxrwcm 136 29 ) ) -RRB- cord-252443-lclxrwcm 136 30 and and CC cord-252443-lclxrwcm 136 31 can can MD cord-252443-lclxrwcm 136 32 elicit elicit VB cord-252443-lclxrwcm 136 33 potent potent JJ cord-252443-lclxrwcm 136 34 humoral humoral JJ cord-252443-lclxrwcm 136 35 and and CC cord-252443-lclxrwcm 136 36 antigen antigen NN cord-252443-lclxrwcm 136 37 - - HYPH cord-252443-lclxrwcm 136 38 specific specific JJ cord-252443-lclxrwcm 136 39 T t NN cord-252443-lclxrwcm 136 40 - - HYPH cord-252443-lclxrwcm 136 41 cell cell NN cord-252443-lclxrwcm 136 42 responses response NNS cord-252443-lclxrwcm 136 43 ( ( -LRB- cord-252443-lclxrwcm 136 44 110 110 CD cord-252443-lclxrwcm 136 45 , , , cord-252443-lclxrwcm 136 46 113 113 CD cord-252443-lclxrwcm 136 47 ) ) -RRB- cord-252443-lclxrwcm 136 48 . . . cord-252443-lclxrwcm 137 1 For for IN cord-252443-lclxrwcm 137 2 the the DT cord-252443-lclxrwcm 137 3 efficient efficient JJ cord-252443-lclxrwcm 137 4 activation activation NN cord-252443-lclxrwcm 137 5 of of IN cord-252443-lclxrwcm 137 6 CD8 CD8 NNP cord-252443-lclxrwcm 137 7 + + CC cord-252443-lclxrwcm 137 8 T t NN cord-252443-lclxrwcm 137 9 - - HYPH cord-252443-lclxrwcm 137 10 cell cell NN cord-252443-lclxrwcm 137 11 responses response NNS cord-252443-lclxrwcm 137 12 with with IN cord-252443-lclxrwcm 137 13 MVA MVA NNP cord-252443-lclxrwcm 137 14 vectors vector NNS cord-252443-lclxrwcm 137 15 , , , cord-252443-lclxrwcm 137 16 delivery delivery NN cord-252443-lclxrwcm 137 17 of of IN cord-252443-lclxrwcm 137 18 full full JJ cord-252443-lclxrwcm 137 19 length length NN cord-252443-lclxrwcm 137 20 antigen antigen NN cord-252443-lclxrwcm 137 21 is be VBZ cord-252443-lclxrwcm 137 22 generally generally RB cord-252443-lclxrwcm 137 23 found find VBN cord-252443-lclxrwcm 137 24 to to TO cord-252443-lclxrwcm 137 25 be be VB cord-252443-lclxrwcm 137 26 superior superior JJ cord-252443-lclxrwcm 137 27 , , , cord-252443-lclxrwcm 137 28 suggesting suggest VBG cord-252443-lclxrwcm 137 29 that that IN cord-252443-lclxrwcm 137 30 cross cross NN cord-252443-lclxrwcm 137 31 - - JJ cord-252443-lclxrwcm 137 32 priming priming NN cord-252443-lclxrwcm 137 33 may may MD cord-252443-lclxrwcm 137 34 be be VB cord-252443-lclxrwcm 137 35 particularly particularly RB cord-252443-lclxrwcm 137 36 important important JJ cord-252443-lclxrwcm 137 37 in in IN cord-252443-lclxrwcm 137 38 MVA MVA NNP cord-252443-lclxrwcm 137 39 - - HYPH cord-252443-lclxrwcm 137 40 mediated mediate VBN cord-252443-lclxrwcm 137 41 CD8 CD8 NNP cord-252443-lclxrwcm 137 42 + + CC cord-252443-lclxrwcm 137 43 T t NN cord-252443-lclxrwcm 137 44 - - HYPH cord-252443-lclxrwcm 137 45 cell cell NN cord-252443-lclxrwcm 137 46 responses response NNS cord-252443-lclxrwcm 137 47 ( ( -LRB- cord-252443-lclxrwcm 137 48 110 110 CD cord-252443-lclxrwcm 137 49 , , , cord-252443-lclxrwcm 137 50 114 114 CD cord-252443-lclxrwcm 137 51 ) ) -RRB- cord-252443-lclxrwcm 137 52 . . . cord-252443-lclxrwcm 138 1 There there EX cord-252443-lclxrwcm 138 2 is be VBZ cord-252443-lclxrwcm 138 3 now now RB cord-252443-lclxrwcm 138 4 a a DT cord-252443-lclxrwcm 138 5 body body NN cord-252443-lclxrwcm 138 6 of of IN cord-252443-lclxrwcm 138 7 evidence evidence NN cord-252443-lclxrwcm 138 8 demonstrating demonstrate VBG cord-252443-lclxrwcm 138 9 that that IN cord-252443-lclxrwcm 138 10 recombinant recombinant JJ cord-252443-lclxrwcm 138 11 pox pox JJ cord-252443-lclxrwcm 138 12 - - HYPH cord-252443-lclxrwcm 138 13 viral viral JJ cord-252443-lclxrwcm 138 14 vectors vector NNS cord-252443-lclxrwcm 138 15 expressing express VBG cord-252443-lclxrwcm 138 16 influenza influenza NN cord-252443-lclxrwcm 138 17 antigens antigen NNS cord-252443-lclxrwcm 138 18 are be VBP cord-252443-lclxrwcm 138 19 efficacious efficacious JJ cord-252443-lclxrwcm 138 20 vaccines vaccine NNS cord-252443-lclxrwcm 138 21 . . . cord-252443-lclxrwcm 139 1 Indeed indeed RB cord-252443-lclxrwcm 139 2 , , , cord-252443-lclxrwcm 139 3 there there EX cord-252443-lclxrwcm 139 4 is be VBZ cord-252443-lclxrwcm 139 5 a a DT cord-252443-lclxrwcm 139 6 licensed licensed JJ cord-252443-lclxrwcm 139 7 pox pox NN cord-252443-lclxrwcm 139 8 - - HYPH cord-252443-lclxrwcm 139 9 viral viral JJ cord-252443-lclxrwcm 139 10 influenza influenza NN cord-252443-lclxrwcm 139 11 vaccine vaccine NN cord-252443-lclxrwcm 139 12 , , , cord-252443-lclxrwcm 139 13 TROVAC TROVAC NNP cord-252443-lclxrwcm 139 14 AIV AIV NNP cord-252443-lclxrwcm 139 15 H5 H5 NNP cord-252443-lclxrwcm 139 16 , , , cord-252443-lclxrwcm 139 17 for for IN cord-252443-lclxrwcm 139 18 the the DT cord-252443-lclxrwcm 139 19 prevention prevention NN cord-252443-lclxrwcm 139 20 of of IN cord-252443-lclxrwcm 139 21 influenza influenza NN cord-252443-lclxrwcm 139 22 in in IN cord-252443-lclxrwcm 139 23 chickens chicken NNS cord-252443-lclxrwcm 139 24 . . . cord-252443-lclxrwcm 140 1 This this DT cord-252443-lclxrwcm 140 2 vaccine vaccine NN cord-252443-lclxrwcm 140 3 uses use VBZ cord-252443-lclxrwcm 140 4 the the DT cord-252443-lclxrwcm 140 5 fowlpox fowlpox NNP cord-252443-lclxrwcm 140 6 virus virus NN cord-252443-lclxrwcm 140 7 encoding encode VBG cord-252443-lclxrwcm 140 8 the the DT cord-252443-lclxrwcm 140 9 HA HA NNP cord-252443-lclxrwcm 140 10 gene gene NN cord-252443-lclxrwcm 140 11 from from IN cord-252443-lclxrwcm 140 12 A A NNP cord-252443-lclxrwcm 140 13 / / SYM cord-252443-lclxrwcm 140 14 Turkey Turkey NNP cord-252443-lclxrwcm 140 15 / / SYM cord-252443-lclxrwcm 140 16 Ireland/83 Ireland/83 NNP cord-252443-lclxrwcm 140 17 and and CC cord-252443-lclxrwcm 140 18 has have VBZ cord-252443-lclxrwcm 140 19 demonstrated demonstrate VBN cord-252443-lclxrwcm 140 20 protective protective JJ cord-252443-lclxrwcm 140 21 efficacy efficacy NN cord-252443-lclxrwcm 140 22 against against IN cord-252443-lclxrwcm 140 23 a a DT cord-252443-lclxrwcm 140 24 wide wide JJ cord-252443-lclxrwcm 140 25 range range NN cord-252443-lclxrwcm 140 26 of of IN cord-252443-lclxrwcm 140 27 highly highly RB cord-252443-lclxrwcm 140 28 pathogenic pathogenic JJ cord-252443-lclxrwcm 140 29 , , , cord-252443-lclxrwcm 140 30 subtype subtype NN cord-252443-lclxrwcm 140 31 - - HYPH cord-252443-lclxrwcm 140 32 H5 h5 NN cord-252443-lclxrwcm 140 33 viruses virus NNS cord-252443-lclxrwcm 140 34 ( ( -LRB- cord-252443-lclxrwcm 140 35 115 115 CD cord-252443-lclxrwcm 140 36 ) ) -RRB- cord-252443-lclxrwcm 140 37 . . . cord-252443-lclxrwcm 141 1 Preclinical preclinical JJ cord-252443-lclxrwcm 141 2 work work NN cord-252443-lclxrwcm 141 3 has have VBZ cord-252443-lclxrwcm 141 4 demonstrated demonstrate VBN cord-252443-lclxrwcm 141 5 the the DT cord-252443-lclxrwcm 141 6 feasibility feasibility NN cord-252443-lclxrwcm 141 7 of of IN cord-252443-lclxrwcm 141 8 using use VBG cord-252443-lclxrwcm 141 9 MVA MVA NNP cord-252443-lclxrwcm 141 10 vectored vectore VBN cord-252443-lclxrwcm 141 11 influenza influenza NN cord-252443-lclxrwcm 141 12 antigens antigen NNS cord-252443-lclxrwcm 141 13 as as IN cord-252443-lclxrwcm 141 14 vaccines vaccine NNS cord-252443-lclxrwcm 141 15 in in IN cord-252443-lclxrwcm 141 16 mammals mammal NNS cord-252443-lclxrwcm 141 17 ; ; : cord-252443-lclxrwcm 141 18 mice mouse NNS cord-252443-lclxrwcm 141 19 vaccinated vaccinate VBN cord-252443-lclxrwcm 141 20 with with IN cord-252443-lclxrwcm 141 21 MVA MVA NNP cord-252443-lclxrwcm 141 22 recombinants recombinant NNS cord-252443-lclxrwcm 141 23 expressing express VBG cord-252443-lclxrwcm 141 24 the the DT cord-252443-lclxrwcm 141 25 HA HA NNP cord-252443-lclxrwcm 141 26 of of IN cord-252443-lclxrwcm 141 27 H5N1 H5N1 NNP cord-252443-lclxrwcm 142 1 ( ( -LRB- cord-252443-lclxrwcm 142 2 A A NNP cord-252443-lclxrwcm 142 3 / / , cord-252443-lclxrwcm 142 4 Vietnam/1194/04 vietnam/1194/04 IN cord-252443-lclxrwcm 142 5 ; ; : cord-252443-lclxrwcm 142 6 MVA MVA NNP cord-252443-lclxrwcm 142 7 - - HYPH cord-252443-lclxrwcm 142 8 HA HA NNP cord-252443-lclxrwcm 142 9 - - HYPH cord-252443-lclxrwcm 142 10 VN/04 VN/04 NNP cord-252443-lclxrwcm 142 11 ) ) -RRB- cord-252443-lclxrwcm 142 12 were be VBD cord-252443-lclxrwcm 142 13 fully fully RB cord-252443-lclxrwcm 142 14 protected protect VBN cord-252443-lclxrwcm 142 15 against against IN cord-252443-lclxrwcm 142 16 infection infection NN cord-252443-lclxrwcm 142 17 with with IN cord-252443-lclxrwcm 142 18 the the DT cord-252443-lclxrwcm 142 19 homologous homologous JJ cord-252443-lclxrwcm 142 20 strain strain NN cord-252443-lclxrwcm 142 21 and and CC cord-252443-lclxrwcm 142 22 also also RB cord-252443-lclxrwcm 142 23 against against IN cord-252443-lclxrwcm 142 24 infection infection NN cord-252443-lclxrwcm 142 25 with with IN cord-252443-lclxrwcm 142 26 H5 H5 NNP cord-252443-lclxrwcm 142 27 viruses virus NNS cord-252443-lclxrwcm 142 28 from from IN cord-252443-lclxrwcm 142 29 different different JJ cord-252443-lclxrwcm 142 30 clades clade NNS cord-252443-lclxrwcm 142 31 ( ( -LRB- cord-252443-lclxrwcm 142 32 116 116 CD cord-252443-lclxrwcm 142 33 ) ) -RRB- cord-252443-lclxrwcm 143 1 ( ( -LRB- cord-252443-lclxrwcm 143 2 117 117 CD cord-252443-lclxrwcm 143 3 ) ) -RRB- cord-252443-lclxrwcm 144 1 ( ( -LRB- cord-252443-lclxrwcm 144 2 118 118 CD cord-252443-lclxrwcm 144 3 ) ) -RRB- cord-252443-lclxrwcm 145 1 ( ( -LRB- cord-252443-lclxrwcm 145 2 119 119 CD cord-252443-lclxrwcm 145 3 ) ) -RRB- cord-252443-lclxrwcm 145 4 . . . cord-252443-lclxrwcm 146 1 A a DT cord-252443-lclxrwcm 146 2 pentavalent pentavalent JJ cord-252443-lclxrwcm 146 3 vaccina vaccina NN cord-252443-lclxrwcm 146 4 vaccine vaccine NN cord-252443-lclxrwcm 146 5 with with IN cord-252443-lclxrwcm 146 6 HA HA NNP cord-252443-lclxrwcm 146 7 , , , cord-252443-lclxrwcm 146 8 NA NA NNP cord-252443-lclxrwcm 146 9 , , , cord-252443-lclxrwcm 146 10 nucleoprotein nucleoprotein NNP cord-252443-lclxrwcm 146 11 and and CC cord-252443-lclxrwcm 146 12 the the DT cord-252443-lclxrwcm 146 13 matrix matrix NN cord-252443-lclxrwcm 146 14 proteins protein NNS cord-252443-lclxrwcm 146 15 M1 M1 NNP cord-252443-lclxrwcm 146 16 and and CC cord-252443-lclxrwcm 146 17 M2 M2 NNP cord-252443-lclxrwcm 146 18 was be VBD cord-252443-lclxrwcm 146 19 able able JJ cord-252443-lclxrwcm 146 20 to to TO cord-252443-lclxrwcm 146 21 confer confer VB cord-252443-lclxrwcm 146 22 sterile sterile JJ cord-252443-lclxrwcm 146 23 cross cross JJ cord-252443-lclxrwcm 146 24 - - JJ cord-252443-lclxrwcm 146 25 clade clade JJ cord-252443-lclxrwcm 146 26 protection protection NN cord-252443-lclxrwcm 146 27 during during IN cord-252443-lclxrwcm 146 28 stringent stringent JJ cord-252443-lclxrwcm 146 29 challenge challenge NN cord-252443-lclxrwcm 146 30 studies study NNS cord-252443-lclxrwcm 146 31 ( ( -LRB- cord-252443-lclxrwcm 146 32 120 120 CD cord-252443-lclxrwcm 146 33 ) ) -RRB- cord-252443-lclxrwcm 146 34 . . . cord-252443-lclxrwcm 147 1 Studies study NNS cord-252443-lclxrwcm 147 2 in in IN cord-252443-lclxrwcm 147 3 higher high JJR cord-252443-lclxrwcm 147 4 primates primate NNS cord-252443-lclxrwcm 147 5 have have VBP cord-252443-lclxrwcm 147 6 assessed assess VBN cord-252443-lclxrwcm 147 7 the the DT cord-252443-lclxrwcm 147 8 feasibility feasibility NN cord-252443-lclxrwcm 147 9 of of IN cord-252443-lclxrwcm 147 10 using use VBG cord-252443-lclxrwcm 147 11 MVAexpressing mvaexpresse VBG cord-252443-lclxrwcm 147 12 hemagglutinin hemagglutinin NN cord-252443-lclxrwcm 147 13 as as IN cord-252443-lclxrwcm 147 14 an an DT cord-252443-lclxrwcm 147 15 influenza influenza NN cord-252443-lclxrwcm 147 16 vaccine vaccine NN cord-252443-lclxrwcm 147 17 . . . cord-252443-lclxrwcm 148 1 Immunization immunization NN cord-252443-lclxrwcm 148 2 with with IN cord-252443-lclxrwcm 148 3 A a NN cord-252443-lclxrwcm 149 1 /Vietnam/ /Vietnam/ NNP cord-252443-lclxrwcm 149 2 1194/04 1194/04 CD cord-252443-lclxrwcm 150 1 ( ( -LRB- cord-252443-lclxrwcm 150 2 MVA MVA NNP cord-252443-lclxrwcm 150 3 - - HYPH cord-252443-lclxrwcm 150 4 HA HA NNP cord-252443-lclxrwcm 150 5 - - HYPH cord-252443-lclxrwcm 150 6 VN/04 VN/04 NNP cord-252443-lclxrwcm 150 7 ) ) -RRB- cord-252443-lclxrwcm 150 8 induced induce VBN cord-252443-lclxrwcm 150 9 cross cross JJ cord-252443-lclxrwcm 150 10 - - JJ cord-252443-lclxrwcm 150 11 reactive reactive JJ cord-252443-lclxrwcm 150 12 antibodies antibody NNS cord-252443-lclxrwcm 150 13 and and CC cord-252443-lclxrwcm 150 14 prevented prevent VBD cord-252443-lclxrwcm 150 15 virus virus NN cord-252443-lclxrwcm 150 16 replication replication NN cord-252443-lclxrwcm 150 17 in in IN cord-252443-lclxrwcm 150 18 the the DT cord-252443-lclxrwcm 150 19 respiratory respiratory JJ cord-252443-lclxrwcm 150 20 tract tract NN cord-252443-lclxrwcm 150 21 of of IN cord-252443-lclxrwcm 150 22 cynomolgus cynomolgus JJ cord-252443-lclxrwcm 150 23 macaques macaque NNS cord-252443-lclxrwcm 150 24 ( ( -LRB- cord-252443-lclxrwcm 150 25 117 117 CD cord-252443-lclxrwcm 150 26 ) ) -RRB- cord-252443-lclxrwcm 150 27 . . . cord-252443-lclxrwcm 151 1 Indeed indeed RB cord-252443-lclxrwcm 151 2 , , , cord-252443-lclxrwcm 151 3 a a DT cord-252443-lclxrwcm 151 4 recent recent JJ cord-252443-lclxrwcm 151 5 phase phase NN cord-252443-lclxrwcm 151 6 I -PRON- PRP cord-252443-lclxrwcm 151 7 clinical clinical JJ cord-252443-lclxrwcm 151 8 trial trial NN cord-252443-lclxrwcm 151 9 assessing assess VBG cord-252443-lclxrwcm 151 10 an an DT cord-252443-lclxrwcm 151 11 MVA MVA NNP cord-252443-lclxrwcm 151 12 vector vector NN cord-252443-lclxrwcm 151 13 encoding encode VBG cord-252443-lclxrwcm 151 14 nucleoprotein nucleoprotein NNP cord-252443-lclxrwcm 151 15 and and CC cord-252443-lclxrwcm 151 16 matrix matrix NN cord-252443-lclxrwcm 151 17 protein protein NN cord-252443-lclxrwcm 151 18 1 1 CD cord-252443-lclxrwcm 151 19 ( ( -LRB- cord-252443-lclxrwcm 151 20 MVA MVA NNP cord-252443-lclxrwcm 151 21 - - HYPH cord-252443-lclxrwcm 151 22 NP NP NNP cord-252443-lclxrwcm 151 23 + + SYM cord-252443-lclxrwcm 151 24 M1 M1 NNP cord-252443-lclxrwcm 151 25 ) ) -RRB- cord-252443-lclxrwcm 151 26 has have VBZ cord-252443-lclxrwcm 151 27 demonstrated demonstrate VBN cord-252443-lclxrwcm 151 28 that that IN cord-252443-lclxrwcm 151 29 this this DT cord-252443-lclxrwcm 151 30 vaccine vaccine NN cord-252443-lclxrwcm 151 31 was be VBD cord-252443-lclxrwcm 151 32 both both DT cord-252443-lclxrwcm 151 33 safe safe JJ cord-252443-lclxrwcm 151 34 and and CC cord-252443-lclxrwcm 151 35 , , , cord-252443-lclxrwcm 151 36 more more RBR cord-252443-lclxrwcm 151 37 importantly importantly RB cord-252443-lclxrwcm 151 38 , , , cord-252443-lclxrwcm 151 39 immunogenic immunogenic JJ cord-252443-lclxrwcm 151 40 - - HYPH cord-252443-lclxrwcm 151 41 inducing induce VBG cord-252443-lclxrwcm 151 42 high high JJ cord-252443-lclxrwcm 151 43 levels level NNS cord-252443-lclxrwcm 151 44 of of IN cord-252443-lclxrwcm 151 45 interferon interferon NN cord-252443-lclxrwcm 151 46 ( ( -LRB- cord-252443-lclxrwcm 151 47 IFN)-γ ifn)-γ NN cord-252443-lclxrwcm 151 48 production production NN cord-252443-lclxrwcm 151 49 from from IN cord-252443-lclxrwcm 151 50 T t NN cord-252443-lclxrwcm 151 51 - - HYPH cord-252443-lclxrwcm 151 52 cells cell NNS cord-252443-lclxrwcm 151 53 ( ( -LRB- cord-252443-lclxrwcm 151 54 75 75 CD cord-252443-lclxrwcm 151 55 , , , cord-252443-lclxrwcm 151 56 121 121 CD cord-252443-lclxrwcm 151 57 ) ) -RRB- cord-252443-lclxrwcm 151 58 . . . cord-252443-lclxrwcm 152 1 A a DT cord-252443-lclxrwcm 152 2 promising promising JJ cord-252443-lclxrwcm 152 3 avenue avenue NN cord-252443-lclxrwcm 152 4 of of IN cord-252443-lclxrwcm 152 5 influenza influenza NNP cord-252443-lclxrwcm 152 6 vaccine vaccine NN cord-252443-lclxrwcm 152 7 development development NN cord-252443-lclxrwcm 152 8 is be VBZ cord-252443-lclxrwcm 152 9 likely likely JJ cord-252443-lclxrwcm 152 10 to to TO cord-252443-lclxrwcm 152 11 come come VB cord-252443-lclxrwcm 152 12 from from IN cord-252443-lclxrwcm 152 13 the the DT cord-252443-lclxrwcm 152 14 viral viral JJ cord-252443-lclxrwcm 152 15 vectored vectore VBN cord-252443-lclxrwcm 152 16 vaccines vaccine NNS cord-252443-lclxrwcm 152 17 currently currently RB cord-252443-lclxrwcm 152 18 progressing progress VBG cord-252443-lclxrwcm 152 19 through through IN cord-252443-lclxrwcm 152 20 phase phase NN cord-252443-lclxrwcm 152 21 I -PRON- PRP cord-252443-lclxrwcm 152 22 and and CC cord-252443-lclxrwcm 152 23 II II NNP cord-252443-lclxrwcm 152 24 clinical clinical JJ cord-252443-lclxrwcm 152 25 trials trial NNS cord-252443-lclxrwcm 152 26 . . . cord-252443-lclxrwcm 153 1 Designed design VBN cord-252443-lclxrwcm 153 2 to to TO cord-252443-lclxrwcm 153 3 produce produce VB cord-252443-lclxrwcm 153 4 antiinfluenza antiinfluenza NNP cord-252443-lclxrwcm 153 5 responses response NNS cord-252443-lclxrwcm 153 6 , , , cord-252443-lclxrwcm 153 7 these these DT cord-252443-lclxrwcm 153 8 vectored vectore VBN cord-252443-lclxrwcm 153 9 vaccines vaccine NNS cord-252443-lclxrwcm 153 10 have have VBP cord-252443-lclxrwcm 153 11 demonstrated demonstrate VBN cord-252443-lclxrwcm 153 12 promising promising JJ cord-252443-lclxrwcm 153 13 immunogenicity immunogenicity NN cord-252443-lclxrwcm 153 14 with with IN cord-252443-lclxrwcm 153 15 good good JJ cord-252443-lclxrwcm 153 16 safety safety NN cord-252443-lclxrwcm 153 17 profiles profile NNS cord-252443-lclxrwcm 153 18 and and CC cord-252443-lclxrwcm 153 19 it -PRON- PRP cord-252443-lclxrwcm 153 20 is be VBZ cord-252443-lclxrwcm 153 21 likely likely JJ cord-252443-lclxrwcm 153 22 that that IN cord-252443-lclxrwcm 153 23 these these DT cord-252443-lclxrwcm 153 24 vaccines vaccine NNS cord-252443-lclxrwcm 153 25 will will MD cord-252443-lclxrwcm 153 26 be be VB cord-252443-lclxrwcm 153 27 further further RB cord-252443-lclxrwcm 153 28 used use VBN cord-252443-lclxrwcm 153 29 in in IN cord-252443-lclxrwcm 153 30 prime prime JJ cord-252443-lclxrwcm 153 31 - - HYPH cord-252443-lclxrwcm 153 32 boost boost NN cord-252443-lclxrwcm 153 33 regimes regime NNS cord-252443-lclxrwcm 153 34 aimed aim VBN cord-252443-lclxrwcm 153 35 at at IN cord-252443-lclxrwcm 153 36 augmenting augment VBG cord-252443-lclxrwcm 153 37 protective protective JJ cord-252443-lclxrwcm 153 38 immunity immunity NN cord-252443-lclxrwcm 153 39 . . . cord-252443-lclxrwcm 154 1 These these DT cord-252443-lclxrwcm 154 2 regimes regime NNS cord-252443-lclxrwcm 154 3 involve involve VBP cord-252443-lclxrwcm 154 4 priming prime VBG cord-252443-lclxrwcm 154 5 the the DT cord-252443-lclxrwcm 154 6 adaptive adaptive JJ cord-252443-lclxrwcm 154 7 immune immune JJ cord-252443-lclxrwcm 154 8 response response NN cord-252443-lclxrwcm 154 9 toward toward IN cord-252443-lclxrwcm 154 10 an an DT cord-252443-lclxrwcm 154 11 antigenic antigenic JJ cord-252443-lclxrwcm 154 12 target target NN cord-252443-lclxrwcm 154 13 through through IN cord-252443-lclxrwcm 154 14 vaccination vaccination NN cord-252443-lclxrwcm 154 15 with with IN cord-252443-lclxrwcm 154 16 a a DT cord-252443-lclxrwcm 154 17 vector vector NN cord-252443-lclxrwcm 154 18 encoding encode VBG cord-252443-lclxrwcm 154 19 the the DT cord-252443-lclxrwcm 154 20 antigen antigen NN cord-252443-lclxrwcm 154 21 of of IN cord-252443-lclxrwcm 154 22 choice choice NN cord-252443-lclxrwcm 154 23 , , , cord-252443-lclxrwcm 154 24 followed follow VBN cord-252443-lclxrwcm 154 25 by by IN cord-252443-lclxrwcm 154 26 a a DT cord-252443-lclxrwcm 154 27 boost boost NN cord-252443-lclxrwcm 154 28 , , , cord-252443-lclxrwcm 154 29 in in IN cord-252443-lclxrwcm 154 30 which which WDT cord-252443-lclxrwcm 154 31 the the DT cord-252443-lclxrwcm 154 32 same same JJ cord-252443-lclxrwcm 154 33 antigenic antigenic JJ cord-252443-lclxrwcm 154 34 target target NN cord-252443-lclxrwcm 154 35 is be VBZ cord-252443-lclxrwcm 154 36 administered administer VBN cord-252443-lclxrwcm 154 37 but but CC cord-252443-lclxrwcm 154 38 in in IN cord-252443-lclxrwcm 154 39 a a DT cord-252443-lclxrwcm 154 40 different different JJ cord-252443-lclxrwcm 154 41 vector vector NN cord-252443-lclxrwcm 154 42 . . . cord-252443-lclxrwcm 155 1 Through through IN cord-252443-lclxrwcm 155 2 this this DT cord-252443-lclxrwcm 155 3 , , , cord-252443-lclxrwcm 155 4 the the DT cord-252443-lclxrwcm 155 5 immune immune JJ cord-252443-lclxrwcm 155 6 response response NN cord-252443-lclxrwcm 155 7 is be VBZ cord-252443-lclxrwcm 155 8 honed hone VBN cord-252443-lclxrwcm 155 9 toward toward IN cord-252443-lclxrwcm 155 10 the the DT cord-252443-lclxrwcm 155 11 antigen antigen NN cord-252443-lclxrwcm 155 12 of of IN cord-252443-lclxrwcm 155 13 choice choice NN cord-252443-lclxrwcm 155 14 , , , cord-252443-lclxrwcm 155 15 while while IN cord-252443-lclxrwcm 155 16 avoiding avoid VBG cord-252443-lclxrwcm 155 17 boosting boost VBG cord-252443-lclxrwcm 155 18 antivector antivector NN cord-252443-lclxrwcm 155 19 immunity immunity NN cord-252443-lclxrwcm 155 20 . . . cord-252443-lclxrwcm 156 1 Prime prime JJ cord-252443-lclxrwcm 156 2 - - HYPH cord-252443-lclxrwcm 156 3 boost boost NN cord-252443-lclxrwcm 156 4 approaches approach NNS cord-252443-lclxrwcm 156 5 , , , cord-252443-lclxrwcm 156 6 incorporating incorporate VBG cord-252443-lclxrwcm 156 7 priming prime VBG cord-252443-lclxrwcm 156 8 with with IN cord-252443-lclxrwcm 156 9 either either DT cord-252443-lclxrwcm 156 10 plasmid plasmid NN cord-252443-lclxrwcm 156 11 DNA dna NN cord-252443-lclxrwcm 156 12 vaccines vaccine NNS cord-252443-lclxrwcm 156 13 or or CC cord-252443-lclxrwcm 156 14 viral viral JJ cord-252443-lclxrwcm 156 15 vector vector NN cord-252443-lclxrwcm 156 16 ( ( -LRB- cord-252443-lclxrwcm 156 17 typically typically RB cord-252443-lclxrwcm 156 18 Ad ad NN cord-252443-lclxrwcm 156 19 ) ) -RRB- cord-252443-lclxrwcm 156 20 followed follow VBN cord-252443-lclxrwcm 156 21 by by IN cord-252443-lclxrwcm 156 22 a a DT cord-252443-lclxrwcm 156 23 boost boost NN cord-252443-lclxrwcm 156 24 with with IN cord-252443-lclxrwcm 156 25 either either CC cord-252443-lclxrwcm 156 26 an an DT cord-252443-lclxrwcm 156 27 Ad ad NN cord-252443-lclxrwcm 156 28 - - HYPH cord-252443-lclxrwcm 156 29 recombinant recombinant JJ cord-252443-lclxrwcm 156 30 or or CC cord-252443-lclxrwcm 156 31 MVA MVA NNP cord-252443-lclxrwcm 156 32 expressing express VBG cord-252443-lclxrwcm 156 33 the the DT cord-252443-lclxrwcm 156 34 same same JJ cord-252443-lclxrwcm 156 35 gene gene NN cord-252443-lclxrwcm 156 36 product product NN cord-252443-lclxrwcm 156 37 , , , cord-252443-lclxrwcm 156 38 have have VBP cord-252443-lclxrwcm 156 39 been be VBN cord-252443-lclxrwcm 156 40 shown show VBN cord-252443-lclxrwcm 156 41 to to TO cord-252443-lclxrwcm 156 42 enhance enhance VB cord-252443-lclxrwcm 156 43 protective protective JJ cord-252443-lclxrwcm 156 44 efficacy efficacy NN cord-252443-lclxrwcm 156 45 ( ( -LRB- cord-252443-lclxrwcm 156 46 122 122 CD cord-252443-lclxrwcm 156 47 , , , cord-252443-lclxrwcm 156 48 123 123 CD cord-252443-lclxrwcm 156 49 ) ) -RRB- cord-252443-lclxrwcm 156 50 . . . cord-252443-lclxrwcm 157 1 Indeed indeed RB cord-252443-lclxrwcm 157 2 , , , cord-252443-lclxrwcm 157 3 the the DT cord-252443-lclxrwcm 157 4 use use NN cord-252443-lclxrwcm 157 5 of of IN cord-252443-lclxrwcm 157 6 heterologous heterologous JJ cord-252443-lclxrwcm 157 7 regimens regimen NNS cord-252443-lclxrwcm 157 8 with with IN cord-252443-lclxrwcm 157 9 Ad ad NN cord-252443-lclxrwcm 157 10 vectored vectore VBN cord-252443-lclxrwcm 157 11 vaccines vaccine NNS cord-252443-lclxrwcm 157 12 boosted boost VBN cord-252443-lclxrwcm 157 13 with with IN cord-252443-lclxrwcm 157 14 MVA MVA NNP cord-252443-lclxrwcm 157 15 has have VBZ cord-252443-lclxrwcm 157 16 been be VBN cord-252443-lclxrwcm 157 17 shown show VBN cord-252443-lclxrwcm 157 18 to to TO cord-252443-lclxrwcm 157 19 augment augment VB cord-252443-lclxrwcm 157 20 antigen antigen NN cord-252443-lclxrwcm 157 21 - - HYPH cord-252443-lclxrwcm 157 22 specific specific JJ cord-252443-lclxrwcm 157 23 T t NN cord-252443-lclxrwcm 157 24 - - HYPH cord-252443-lclxrwcm 157 25 cell cell NN cord-252443-lclxrwcm 157 26 responses response NNS cord-252443-lclxrwcm 157 27 and and CC cord-252443-lclxrwcm 157 28 also also RB cord-252443-lclxrwcm 157 29 to to TO cord-252443-lclxrwcm 157 30 efficaciously efficaciously RB cord-252443-lclxrwcm 157 31 induce induce VB cord-252443-lclxrwcm 157 32 humoral humoral JJ cord-252443-lclxrwcm 157 33 immunity immunity NN cord-252443-lclxrwcm 157 34 ( ( -LRB- cord-252443-lclxrwcm 157 35 66 66 CD cord-252443-lclxrwcm 157 36 , , , cord-252443-lclxrwcm 157 37 ( ( -LRB- cord-252443-lclxrwcm 157 38 124 124 CD cord-252443-lclxrwcm 157 39 ) ) -RRB- cord-252443-lclxrwcm 157 40 ( ( -LRB- cord-252443-lclxrwcm 157 41 125 125 CD cord-252443-lclxrwcm 157 42 ) ) -RRB- cord-252443-lclxrwcm 157 43 ( ( -LRB- cord-252443-lclxrwcm 157 44 126 126 CD cord-252443-lclxrwcm 157 45 ) ) -RRB- cord-252443-lclxrwcm 157 46 . . . cord-252443-lclxrwcm 158 1 As as IN cord-252443-lclxrwcm 158 2 the the DT cord-252443-lclxrwcm 158 3 supporting support VBG cord-252443-lclxrwcm 158 4 evidence evidence NN cord-252443-lclxrwcm 158 5 evolves evolve VBZ cord-252443-lclxrwcm 158 6 , , , cord-252443-lclxrwcm 158 7 a a DT cord-252443-lclxrwcm 158 8 likely likely JJ cord-252443-lclxrwcm 158 9 outcome outcome NN cord-252443-lclxrwcm 158 10 is be VBZ cord-252443-lclxrwcm 158 11 the the DT cord-252443-lclxrwcm 158 12 use use NN cord-252443-lclxrwcm 158 13 of of IN cord-252443-lclxrwcm 158 14 viral viral JJ cord-252443-lclxrwcm 158 15 vectored vectore VBN cord-252443-lclxrwcm 158 16 vaccines vaccine NNS cord-252443-lclxrwcm 158 17 in in IN cord-252443-lclxrwcm 158 18 prime prime JJ cord-252443-lclxrwcm 158 19 - - HYPH cord-252443-lclxrwcm 158 20 boost boost NN cord-252443-lclxrwcm 158 21 regimes regime NNS cord-252443-lclxrwcm 158 22 to to TO cord-252443-lclxrwcm 158 23 generate generate VB cord-252443-lclxrwcm 158 24 a a DT cord-252443-lclxrwcm 158 25 strong strong JJ cord-252443-lclxrwcm 158 26 and and CC cord-252443-lclxrwcm 158 27 potentially potentially RB cord-252443-lclxrwcm 158 28 heterosubtypic heterosubtypic JJ cord-252443-lclxrwcm 158 29 immune immune JJ cord-252443-lclxrwcm 158 30 response response NN cord-252443-lclxrwcm 158 31 . . . cord-252443-lclxrwcm 159 1 Indeed indeed RB cord-252443-lclxrwcm 159 2 , , , cord-252443-lclxrwcm 159 3 heterosubtypic heterosubtypic JJ cord-252443-lclxrwcm 159 4 immunity immunity NN cord-252443-lclxrwcm 159 5 toward toward IN cord-252443-lclxrwcm 159 6 certain certain JJ cord-252443-lclxrwcm 159 7 influenza influenza NN cord-252443-lclxrwcm 159 8 viruses virus NNS cord-252443-lclxrwcm 159 9 has have VBZ cord-252443-lclxrwcm 159 10 been be VBN cord-252443-lclxrwcm 159 11 induced induce VBN cord-252443-lclxrwcm 159 12 through through IN cord-252443-lclxrwcm 159 13 in in IN cord-252443-lclxrwcm 159 14 ovo ovo NNP cord-252443-lclxrwcm 159 15 vaccination vaccination NN cord-252443-lclxrwcm 159 16 with with IN cord-252443-lclxrwcm 159 17 a a DT cord-252443-lclxrwcm 159 18 nonreplicating nonreplicate VBG cord-252443-lclxrwcm 159 19 Ad ad NN cord-252443-lclxrwcm 159 20 vector vector NN cord-252443-lclxrwcm 159 21 expressing express VBG cord-252443-lclxrwcm 159 22 HA HA NNP cord-252443-lclxrwcm 159 23 from from IN cord-252443-lclxrwcm 159 24 H5N9 H5N9 NNP cord-252443-lclxrwcm 159 25 ( ( -LRB- cord-252443-lclxrwcm 159 26 96 96 CD cord-252443-lclxrwcm 159 27 ) ) -RRB- cord-252443-lclxrwcm 159 28 . . . cord-252443-lclxrwcm 160 1 Furthermore furthermore RB cord-252443-lclxrwcm 160 2 , , , cord-252443-lclxrwcm 160 3 vaccination vaccination NN cord-252443-lclxrwcm 160 4 with with IN cord-252443-lclxrwcm 160 5 MVA MVA NNP cord-252443-lclxrwcm 160 6 recombinants recombinant NNS cord-252443-lclxrwcm 160 7 expressing express VBG cord-252443-lclxrwcm 160 8 the the DT cord-252443-lclxrwcm 160 9 HA HA NNP cord-252443-lclxrwcm 160 10 of of IN cord-252443-lclxrwcm 160 11 H5N1 H5N1 NNP cord-252443-lclxrwcm 161 1 ( ( -LRB- cord-252443-lclxrwcm 161 2 A A NNP cord-252443-lclxrwcm 161 3 / / , cord-252443-lclxrwcm 161 4 Vietnam/1194/04 vietnam/1194/04 IN cord-252443-lclxrwcm 161 5 ; ; : cord-252443-lclxrwcm 161 6 MVA MVA NNP cord-252443-lclxrwcm 161 7 - - HYPH cord-252443-lclxrwcm 161 8 HA HA NNP cord-252443-lclxrwcm 161 9 - - HYPH cord-252443-lclxrwcm 161 10 VN/04 VN/04 NNP cord-252443-lclxrwcm 161 11 ) ) -RRB- cord-252443-lclxrwcm 161 12 confers confer VBZ cord-252443-lclxrwcm 161 13 protection protection NN cord-252443-lclxrwcm 161 14 against against IN cord-252443-lclxrwcm 161 15 infection infection NN cord-252443-lclxrwcm 161 16 with with IN cord-252443-lclxrwcm 161 17 the the DT cord-252443-lclxrwcm 161 18 homologous homologous JJ cord-252443-lclxrwcm 161 19 strain strain NN cord-252443-lclxrwcm 161 20 and and CC cord-252443-lclxrwcm 161 21 also also RB cord-252443-lclxrwcm 161 22 against against IN cord-252443-lclxrwcm 161 23 H5 H5 NNP cord-252443-lclxrwcm 161 24 viruses virus NNS cord-252443-lclxrwcm 161 25 from from IN cord-252443-lclxrwcm 161 26 different different JJ cord-252443-lclxrwcm 161 27 clades clade NNS cord-252443-lclxrwcm 161 28 ( ( -LRB- cord-252443-lclxrwcm 161 29 116 116 CD cord-252443-lclxrwcm 161 30 ) ) -RRB- cord-252443-lclxrwcm 161 31 ( ( -LRB- cord-252443-lclxrwcm 161 32 117 117 CD cord-252443-lclxrwcm 161 33 ) ) -RRB- cord-252443-lclxrwcm 161 34 ( ( -LRB- cord-252443-lclxrwcm 161 35 118 118 CD cord-252443-lclxrwcm 161 36 ) ) -RRB- cord-252443-lclxrwcm 161 37 ( ( -LRB- cord-252443-lclxrwcm 161 38 119 119 CD cord-252443-lclxrwcm 161 39 ) ) -RRB- cord-252443-lclxrwcm 161 40 . . . cord-252443-lclxrwcm 162 1 The the DT cord-252443-lclxrwcm 162 2 induction induction NN cord-252443-lclxrwcm 162 3 of of IN cord-252443-lclxrwcm 162 4 efficacious efficacious JJ cord-252443-lclxrwcm 162 5 and and CC cord-252443-lclxrwcm 162 6 long long RB cord-252443-lclxrwcm 162 7 - - HYPH cord-252443-lclxrwcm 162 8 lasting last VBG cord-252443-lclxrwcm 162 9 crossclade crossclade NN cord-252443-lclxrwcm 162 10 immune immune JJ cord-252443-lclxrwcm 162 11 responses response NNS cord-252443-lclxrwcm 162 12 will will MD cord-252443-lclxrwcm 162 13 bypass bypass VB cord-252443-lclxrwcm 162 14 the the DT cord-252443-lclxrwcm 162 15 need need NN cord-252443-lclxrwcm 162 16 for for IN cord-252443-lclxrwcm 162 17 annual annual JJ cord-252443-lclxrwcm 162 18 vaccine vaccine NN cord-252443-lclxrwcm 162 19 reformulation reformulation NN cord-252443-lclxrwcm 162 20 and and CC cord-252443-lclxrwcm 162 21 immunization immunization NN cord-252443-lclxrwcm 162 22 and and CC cord-252443-lclxrwcm 162 23 , , , cord-252443-lclxrwcm 162 24 most most RBS cord-252443-lclxrwcm 162 25 importantly importantly RB cord-252443-lclxrwcm 162 26 , , , cord-252443-lclxrwcm 162 27 will will MD cord-252443-lclxrwcm 162 28 provide provide VB cord-252443-lclxrwcm 162 29 protection protection NN cord-252443-lclxrwcm 162 30 during during IN cord-252443-lclxrwcm 162 31 future future JJ cord-252443-lclxrwcm 162 32 influenza influenza NN cord-252443-lclxrwcm 162 33 pandemics pandemic NNS cord-252443-lclxrwcm 162 34 . . . cord-252443-lclxrwcm 163 1 Despite despite IN cord-252443-lclxrwcm 163 2 the the DT cord-252443-lclxrwcm 163 3 long long RB cord-252443-lclxrwcm 163 4 - - HYPH cord-252443-lclxrwcm 163 5 standing stand VBG cord-252443-lclxrwcm 163 6 service service NN cord-252443-lclxrwcm 163 7 of of IN cord-252443-lclxrwcm 163 8 currently currently RB cord-252443-lclxrwcm 163 9 licensed license VBN cord-252443-lclxrwcm 163 10 influenza influenza NN cord-252443-lclxrwcm 163 11 vaccines vaccine NNS cord-252443-lclxrwcm 163 12 , , , cord-252443-lclxrwcm 163 13 they -PRON- PRP cord-252443-lclxrwcm 163 14 carry carry VBP cord-252443-lclxrwcm 163 15 a a DT cord-252443-lclxrwcm 163 16 number number NN cord-252443-lclxrwcm 163 17 of of IN cord-252443-lclxrwcm 163 18 real real JJ cord-252443-lclxrwcm 163 19 limitations limitation NNS cord-252443-lclxrwcm 163 20 that that WDT cord-252443-lclxrwcm 163 21 need need VBP cord-252443-lclxrwcm 163 22 to to TO cord-252443-lclxrwcm 163 23 be be VB cord-252443-lclxrwcm 163 24 addressed address VBN cord-252443-lclxrwcm 163 25 before before IN cord-252443-lclxrwcm 163 26 population population NN cord-252443-lclxrwcm 163 27 - - HYPH cord-252443-lclxrwcm 163 28 based base VBN cord-252443-lclxrwcm 163 29 influenza influenza NN cord-252443-lclxrwcm 163 30 vaccination vaccination NN cord-252443-lclxrwcm 163 31 strategies strategy NNS cord-252443-lclxrwcm 163 32 are be VBP cord-252443-lclxrwcm 163 33 optimized optimize VBN cord-252443-lclxrwcm 163 34 . . . cord-252443-lclxrwcm 164 1 Undoubtedly undoubtedly RB cord-252443-lclxrwcm 164 2 , , , cord-252443-lclxrwcm 164 3 a a DT cord-252443-lclxrwcm 164 4 vaccine vaccine NN cord-252443-lclxrwcm 164 5 that that WDT cord-252443-lclxrwcm 164 6 induced induce VBD cord-252443-lclxrwcm 164 7 durable durable JJ cord-252443-lclxrwcm 164 8 , , , cord-252443-lclxrwcm 164 9 sustainable sustainable JJ cord-252443-lclxrwcm 164 10 and and CC cord-252443-lclxrwcm 164 11 cross cross JJ cord-252443-lclxrwcm 164 12 - - JJ cord-252443-lclxrwcm 164 13 clade clade JJ cord-252443-lclxrwcm 164 14 protection protection NN cord-252443-lclxrwcm 164 15 against against IN cord-252443-lclxrwcm 164 16 influenza influenza NN cord-252443-lclxrwcm 164 17 would would MD cord-252443-lclxrwcm 164 18 be be VB cord-252443-lclxrwcm 164 19 of of IN cord-252443-lclxrwcm 164 20 great great JJ cord-252443-lclxrwcm 164 21 medicinal medicinal JJ cord-252443-lclxrwcm 164 22 and and CC cord-252443-lclxrwcm 164 23 economic economic JJ cord-252443-lclxrwcm 164 24 benefit benefit NN cord-252443-lclxrwcm 164 25 worldwide worldwide RB cord-252443-lclxrwcm 164 26 . . . cord-252443-lclxrwcm 165 1 At at IN cord-252443-lclxrwcm 165 2 the the DT cord-252443-lclxrwcm 165 3 very very JJ cord-252443-lclxrwcm 165 4 minimum minimum NN cord-252443-lclxrwcm 165 5 , , , cord-252443-lclxrwcm 165 6 a a DT cord-252443-lclxrwcm 165 7 revision revision NN cord-252443-lclxrwcm 165 8 of of IN cord-252443-lclxrwcm 165 9 the the DT cord-252443-lclxrwcm 165 10 current current JJ cord-252443-lclxrwcm 165 11 vaccine vaccine NN cord-252443-lclxrwcm 165 12 regimes regime NNS cord-252443-lclxrwcm 165 13 for for IN cord-252443-lclxrwcm 165 14 at at IN cord-252443-lclxrwcm 165 15 - - HYPH cord-252443-lclxrwcm 165 16 risk risk NN cord-252443-lclxrwcm 165 17 populations population NNS cord-252443-lclxrwcm 165 18 needs need VBZ cord-252443-lclxrwcm 165 19 to to TO cord-252443-lclxrwcm 165 20 be be VB cord-252443-lclxrwcm 165 21 considered consider VBN cord-252443-lclxrwcm 165 22 to to TO cord-252443-lclxrwcm 165 23 optimize optimize VB cord-252443-lclxrwcm 165 24 health health NN cord-252443-lclxrwcm 165 25 outcomes outcome NNS cord-252443-lclxrwcm 165 26 . . . cord-252443-lclxrwcm 166 1 An an DT cord-252443-lclxrwcm 166 2 improved improved JJ cord-252443-lclxrwcm 166 3 regime regime NN cord-252443-lclxrwcm 166 4 is be VBZ cord-252443-lclxrwcm 166 5 likely likely JJ cord-252443-lclxrwcm 166 6 to to TO cord-252443-lclxrwcm 166 7 include include VB cord-252443-lclxrwcm 166 8 different different JJ cord-252443-lclxrwcm 166 9 vaccines vaccine NNS cord-252443-lclxrwcm 166 10 for for IN cord-252443-lclxrwcm 166 11 the the DT cord-252443-lclxrwcm 166 12 different different JJ cord-252443-lclxrwcm 166 13 ages age NNS cord-252443-lclxrwcm 166 14 of of IN cord-252443-lclxrwcm 166 15 man man NN cord-252443-lclxrwcm 166 16 : : : cord-252443-lclxrwcm 166 17 for for IN cord-252443-lclxrwcm 166 18 children child NNS cord-252443-lclxrwcm 166 19 , , , cord-252443-lclxrwcm 166 20 a a DT cord-252443-lclxrwcm 166 21 fourpronged fourpronged JJ cord-252443-lclxrwcm 166 22 approach approach NN cord-252443-lclxrwcm 166 23 including include VBG cord-252443-lclxrwcm 166 24 the the DT cord-252443-lclxrwcm 166 25 two two CD cord-252443-lclxrwcm 166 26 currently currently RB cord-252443-lclxrwcm 166 27 circulating circulate VBG cord-252443-lclxrwcm 166 28 influenza influenza NN cord-252443-lclxrwcm 166 29 A a DT cord-252443-lclxrwcm 166 30 subtypes subtype NNS cord-252443-lclxrwcm 166 31 and and CC cord-252443-lclxrwcm 166 32 both both DT cord-252443-lclxrwcm 166 33 influenza influenza NN cord-252443-lclxrwcm 166 34 B b NN cord-252443-lclxrwcm 166 35 strains strain NNS cord-252443-lclxrwcm 166 36 has have VBZ cord-252443-lclxrwcm 166 37 been be VBN cord-252443-lclxrwcm 166 38 suggested suggest VBN cord-252443-lclxrwcm 166 39 ( ( -LRB- cord-252443-lclxrwcm 166 40 11 11 CD cord-252443-lclxrwcm 166 41 ) ) -RRB- cord-252443-lclxrwcm 166 42 . . . cord-252443-lclxrwcm 167 1 Whereas whereas IN cord-252443-lclxrwcm 167 2 for for IN cord-252443-lclxrwcm 167 3 the the DT cord-252443-lclxrwcm 167 4 elderly elderly JJ cord-252443-lclxrwcm 167 5 , , , cord-252443-lclxrwcm 167 6 inclusion inclusion NN cord-252443-lclxrwcm 167 7 of of IN cord-252443-lclxrwcm 167 8 the the DT cord-252443-lclxrwcm 167 9 two two CD cord-252443-lclxrwcm 167 10 currently currently RB cord-252443-lclxrwcm 167 11 circulating circulate VBG cord-252443-lclxrwcm 167 12 influenza influenza NN cord-252443-lclxrwcm 167 13 A a DT cord-252443-lclxrwcm 167 14 subtypes subtype NNS cord-252443-lclxrwcm 167 15 and and CC cord-252443-lclxrwcm 167 16 both both DT cord-252443-lclxrwcm 167 17 influenza influenza NN cord-252443-lclxrwcm 167 18 B b IN cord-252443-lclxrwcm 167 19 strains strain NNS cord-252443-lclxrwcm 167 20 at at IN cord-252443-lclxrwcm 167 21 a a DT cord-252443-lclxrwcm 167 22 higher high JJR cord-252443-lclxrwcm 167 23 dose dose NN cord-252443-lclxrwcm 167 24 or or CC cord-252443-lclxrwcm 167 25 the the DT cord-252443-lclxrwcm 167 26 inclusion inclusion NN cord-252443-lclxrwcm 167 27 of of IN cord-252443-lclxrwcm 167 28 adjuvants adjuvant NNS cord-252443-lclxrwcm 167 29 to to TO cord-252443-lclxrwcm 167 30 augment augment VB cord-252443-lclxrwcm 167 31 the the DT cord-252443-lclxrwcm 167 32 lower low JJR cord-252443-lclxrwcm 167 33 responses response NNS cord-252443-lclxrwcm 167 34 should should MD cord-252443-lclxrwcm 167 35 be be VB cord-252443-lclxrwcm 167 36 considered consider VBN cord-252443-lclxrwcm 167 37 . . . cord-252443-lclxrwcm 168 1 Undoubtedly undoubtedly RB cord-252443-lclxrwcm 168 2 , , , cord-252443-lclxrwcm 168 3 the the DT cord-252443-lclxrwcm 168 4 continued continued JJ cord-252443-lclxrwcm 168 5 and and CC cord-252443-lclxrwcm 168 6 concerted concerted JJ cord-252443-lclxrwcm 168 7 effort effort NN cord-252443-lclxrwcm 168 8 invested invest VBN cord-252443-lclxrwcm 168 9 in in IN cord-252443-lclxrwcm 168 10 developing develop VBG cord-252443-lclxrwcm 168 11 efficacious efficacious JJ cord-252443-lclxrwcm 168 12 viral viral JJ cord-252443-lclxrwcm 168 13 vectored vectore VBN cord-252443-lclxrwcm 168 14 influenza influenza NN cord-252443-lclxrwcm 168 15 vaccines vaccine NNS cord-252443-lclxrwcm 168 16 will will MD cord-252443-lclxrwcm 168 17 deliver deliver VB cord-252443-lclxrwcm 168 18 promising promising JJ cord-252443-lclxrwcm 168 19 and and CC cord-252443-lclxrwcm 168 20 real real JJ cord-252443-lclxrwcm 168 21 alternatives alternative NNS cord-252443-lclxrwcm 168 22 to to IN cord-252443-lclxrwcm 168 23 those those DT cord-252443-lclxrwcm 168 24 currently currently RB cord-252443-lclxrwcm 168 25 deployed deploy VBN cord-252443-lclxrwcm 168 26 and and CC cord-252443-lclxrwcm 168 27 greatly greatly RB cord-252443-lclxrwcm 168 28 impact impact NN cord-252443-lclxrwcm 168 29 upon upon IN cord-252443-lclxrwcm 168 30 public public JJ cord-252443-lclxrwcm 168 31 health health NN cord-252443-lclxrwcm 168 32 in in IN cord-252443-lclxrwcm 168 33 the the DT cord-252443-lclxrwcm 168 34 21st 21st JJ cord-252443-lclxrwcm 168 35 century century NN cord-252443-lclxrwcm 168 36 . . . cord-252443-lclxrwcm 169 1 T T NNP cord-252443-lclxrwcm 169 2 Lambe Lambe NNP cord-252443-lclxrwcm 169 3 is be VBZ cord-252443-lclxrwcm 169 4 an an DT cord-252443-lclxrwcm 169 5 Oxford Oxford NNP cord-252443-lclxrwcm 169 6 Martin Martin NNP cord-252443-lclxrwcm 169 7 Fellow Fellow NNP cord-252443-lclxrwcm 169 8 and and CC cord-252443-lclxrwcm 169 9 receives receive VBZ cord-252443-lclxrwcm 169 10 financial financial JJ cord-252443-lclxrwcm 169 11 support support NN cord-252443-lclxrwcm 169 12 from from IN cord-252443-lclxrwcm 169 13 the the DT cord-252443-lclxrwcm 169 14 Medical Medical NNP cord-252443-lclxrwcm 169 15 Research Research NNP cord-252443-lclxrwcm 169 16 Council Council NNP cord-252443-lclxrwcm 169 17 , , , cord-252443-lclxrwcm 169 18 UK UK NNP cord-252443-lclxrwcm 169 19 , , , cord-252443-lclxrwcm 169 20 and and CC cord-252443-lclxrwcm 169 21 the the DT cord-252443-lclxrwcm 169 22 Oxford Oxford NNP cord-252443-lclxrwcm 169 23 Biomedical Biomedical NNP cord-252443-lclxrwcm 169 24 Research Research NNP cord-252443-lclxrwcm 169 25 Centre Centre NNP cord-252443-lclxrwcm 169 26 . . . cord-252443-lclxrwcm 170 1 The the DT cord-252443-lclxrwcm 170 2 author author NN cord-252443-lclxrwcm 170 3 is be VBZ cord-252443-lclxrwcm 170 4 grateful grateful JJ cord-252443-lclxrwcm 170 5 to to IN cord-252443-lclxrwcm 170 6 S S NNP cord-252443-lclxrwcm 170 7 Gilbert Gilbert NNP cord-252443-lclxrwcm 170 8 and and CC cord-252443-lclxrwcm 170 9 R R NNP cord-252443-lclxrwcm 170 10 O'Donnell O'Donnell NNP cord-252443-lclxrwcm 170 11 for for IN cord-252443-lclxrwcm 170 12 their -PRON- PRP$ cord-252443-lclxrwcm 170 13 helpful helpful JJ cord-252443-lclxrwcm 170 14 comments comment NNS cord-252443-lclxrwcm 170 15 on on IN cord-252443-lclxrwcm 170 16 the the DT cord-252443-lclxrwcm 170 17 manuscript manuscript NN cord-252443-lclxrwcm 170 18 . . . cord-252443-lclxrwcm 171 1 The the DT cord-252443-lclxrwcm 171 2 authors author NNS cord-252443-lclxrwcm 171 3 declare declare VBP cord-252443-lclxrwcm 171 4 that that IN cord-252443-lclxrwcm 171 5 they -PRON- PRP cord-252443-lclxrwcm 171 6 have have VBP cord-252443-lclxrwcm 171 7 no no DT cord-252443-lclxrwcm 171 8 competing compete VBG cord-252443-lclxrwcm 171 9 interests interest NNS cord-252443-lclxrwcm 171 10 as as IN cord-252443-lclxrwcm 171 11 defined define VBN cord-252443-lclxrwcm 171 12 by by IN cord-252443-lclxrwcm 171 13 Molecular Molecular NNP cord-252443-lclxrwcm 171 14 Medicine Medicine NNP cord-252443-lclxrwcm 171 15 , , , cord-252443-lclxrwcm 171 16 or or CC cord-252443-lclxrwcm 171 17 other other JJ cord-252443-lclxrwcm 171 18 interests interest NNS cord-252443-lclxrwcm 171 19 that that WDT cord-252443-lclxrwcm 171 20 might may MD cord-252443-lclxrwcm 171 21 be be VB cord-252443-lclxrwcm 171 22 perceived perceive VBN cord-252443-lclxrwcm 171 23 to to TO cord-252443-lclxrwcm 171 24 influence influence VB cord-252443-lclxrwcm 171 25 the the DT cord-252443-lclxrwcm 171 26 results result NNS cord-252443-lclxrwcm 171 27 and and CC cord-252443-lclxrwcm 171 28 discussion discussion NN cord-252443-lclxrwcm 171 29 reported report VBN cord-252443-lclxrwcm 171 30 in in IN cord-252443-lclxrwcm 171 31 this this DT cord-252443-lclxrwcm 171 32 paper paper NN cord-252443-lclxrwcm 171 33 . . . cord-252443-lclxrwcm 172 1 The the DT cord-252443-lclxrwcm 172 2 annual annual JJ cord-252443-lclxrwcm 172 3 impact impact NN cord-252443-lclxrwcm 172 4 of of IN cord-252443-lclxrwcm 172 5 seasonal seasonal JJ cord-252443-lclxrwcm 172 6 influenza influenza NN cord-252443-lclxrwcm 172 7 in in IN cord-252443-lclxrwcm 172 8 the the DT cord-252443-lclxrwcm 172 9 US US NNP cord-252443-lclxrwcm 172 10 : : : cord-252443-lclxrwcm 172 11 measuring measure VBG cord-252443-lclxrwcm 172 12 disease disease NN cord-252443-lclxrwcm 172 13 burden burden NN cord-252443-lclxrwcm 172 14 and and CC cord-252443-lclxrwcm 172 15 costs cost VBZ cord-252443-lclxrwcm 172 16 Influenza influenza NN cord-252443-lclxrwcm 172 17 vaccines vaccine NNS cord-252443-lclxrwcm 172 18 for for IN cord-252443-lclxrwcm 172 19 the the DT cord-252443-lclxrwcm 172 20 future future NN cord-252443-lclxrwcm 172 21 Updating update VBG cord-252443-lclxrwcm 172 22 the the DT cord-252443-lclxrwcm 172 23 accounts account NNS cord-252443-lclxrwcm 172 24 : : : cord-252443-lclxrwcm 172 25 global global JJ cord-252443-lclxrwcm 172 26 mortality mortality NN cord-252443-lclxrwcm 172 27 of of IN cord-252443-lclxrwcm 172 28 the the DT cord-252443-lclxrwcm 172 29 1918 1918 CD cord-252443-lclxrwcm 172 30 - - SYM cord-252443-lclxrwcm 172 31 1920 1920 CD cord-252443-lclxrwcm 172 32 " " `` cord-252443-lclxrwcm 172 33 Spanish spanish JJ cord-252443-lclxrwcm 172 34 " " '' cord-252443-lclxrwcm 172 35 influenza influenza NN cord-252443-lclxrwcm 172 36 pandemic pandemic NN cord-252443-lclxrwcm 172 37 Avian avian JJ cord-252443-lclxrwcm 172 38 influenza influenza NN cord-252443-lclxrwcm 172 39 . . . cord-252443-lclxrwcm 173 1 Warning warning NN cord-252443-lclxrwcm 173 2 of of IN cord-252443-lclxrwcm 173 3 H5N1 H5N1 NNP cord-252443-lclxrwcm 173 4 resurgence resurgence NN cord-252443-lclxrwcm 173 5 surprises surprise VBZ cord-252443-lclxrwcm 173 6 community community NN cord-252443-lclxrwcm 173 7 Sequence sequence NN cord-252443-lclxrwcm 173 8 similarities similarity NNS cord-252443-lclxrwcm 173 9 and and CC cord-252443-lclxrwcm 173 10 evolutionary evolutionary JJ cord-252443-lclxrwcm 173 11 relationships relationship NNS cord-252443-lclxrwcm 173 12 of of IN cord-252443-lclxrwcm 173 13 influenza influenza NN cord-252443-lclxrwcm 173 14 virus virus NN cord-252443-lclxrwcm 174 1 A a DT cord-252443-lclxrwcm 174 2 hemagglutinins hemagglutinins NNP cord-252443-lclxrwcm 174 3 Influenza Influenza NNP cord-252443-lclxrwcm 174 4 hemagglutinin hemagglutinin NN cord-252443-lclxrwcm 174 5 and and CC cord-252443-lclxrwcm 174 6 neuraminidase neuraminidase NN cord-252443-lclxrwcm 174 7 membrane membrane NN cord-252443-lclxrwcm 174 8 glycoproteins glycoprotein NNS cord-252443-lclxrwcm 175 1 A a DT cord-252443-lclxrwcm 175 2 distinct distinct JJ cord-252443-lclxrwcm 175 3 lineage lineage NN cord-252443-lclxrwcm 175 4 of of IN cord-252443-lclxrwcm 175 5 influenza influenza NN cord-252443-lclxrwcm 175 6 A a DT cord-252443-lclxrwcm 175 7 virus virus NN cord-252443-lclxrwcm 175 8 from from IN cord-252443-lclxrwcm 175 9 bats bat NNS cord-252443-lclxrwcm 175 10 Influenza Influenza NNP cord-252443-lclxrwcm 175 11 pandemics pandemic NNS cord-252443-lclxrwcm 175 12 Influenza Influenza NNP cord-252443-lclxrwcm 175 13 B B NNP cord-252443-lclxrwcm 175 14 virus virus NN cord-252443-lclxrwcm 175 15 evolution evolution NN cord-252443-lclxrwcm 175 16 : : : cord-252443-lclxrwcm 175 17 co co NN cord-252443-lclxrwcm 175 18 - - JJ cord-252443-lclxrwcm 175 19 circulating circulate VBG cord-252443-lclxrwcm 175 20 lineages lineage NNS cord-252443-lclxrwcm 175 21 and and CC cord-252443-lclxrwcm 175 22 comparison comparison NN cord-252443-lclxrwcm 175 23 of of IN cord-252443-lclxrwcm 175 24 evolutionary evolutionary JJ cord-252443-lclxrwcm 175 25 pattern pattern NN cord-252443-lclxrwcm 175 26 with with IN cord-252443-lclxrwcm 175 27 those those DT cord-252443-lclxrwcm 175 28 of of IN cord-252443-lclxrwcm 175 29 influenza influenza NN cord-252443-lclxrwcm 175 30 A a NN cord-252443-lclxrwcm 175 31 and and CC cord-252443-lclxrwcm 175 32 C c NN cord-252443-lclxrwcm 175 33 viruses virus NNS cord-252443-lclxrwcm 175 34 Clinical clinical JJ cord-252443-lclxrwcm 175 35 and and CC cord-252443-lclxrwcm 175 36 genetic genetic JJ cord-252443-lclxrwcm 175 37 characterization characterization NN cord-252443-lclxrwcm 175 38 of of IN cord-252443-lclxrwcm 175 39 severe severe JJ cord-252443-lclxrwcm 175 40 influenza influenza NN cord-252443-lclxrwcm 175 41 B b NN cord-252443-lclxrwcm 175 42 - - HYPH cord-252443-lclxrwcm 175 43 associated associate VBN cord-252443-lclxrwcm 175 44 diseases disease NNS cord-252443-lclxrwcm 175 45 during during IN cord-252443-lclxrwcm 175 46 an an DT cord-252443-lclxrwcm 175 47 outbreak outbreak NN cord-252443-lclxrwcm 175 48 in in IN cord-252443-lclxrwcm 175 49 Taiwan Taiwan NNP cord-252443-lclxrwcm 176 1 The the DT cord-252443-lclxrwcm 176 2 need need NN cord-252443-lclxrwcm 176 3 for for IN cord-252443-lclxrwcm 176 4 quadrivalent quadrivalent NN cord-252443-lclxrwcm 176 5 vaccine vaccine NN cord-252443-lclxrwcm 176 6 against against IN cord-252443-lclxrwcm 176 7 seasonal seasonal JJ cord-252443-lclxrwcm 176 8 influenza influenza NN cord-252443-lclxrwcm 176 9 Clinical clinical JJ cord-252443-lclxrwcm 176 10 features feature NNS cord-252443-lclxrwcm 176 11 of of IN cord-252443-lclxrwcm 176 12 influenza influenza NN cord-252443-lclxrwcm 176 13 C c NN cord-252443-lclxrwcm 176 14 virus virus NN cord-252443-lclxrwcm 176 15 infection infection NN cord-252443-lclxrwcm 176 16 in in IN cord-252443-lclxrwcm 176 17 children child NNS cord-252443-lclxrwcm 176 18 Mortality mortality NN cord-252443-lclxrwcm 176 19 associated associate VBN cord-252443-lclxrwcm 176 20 with with IN cord-252443-lclxrwcm 176 21 influenza influenza NN cord-252443-lclxrwcm 176 22 and and CC cord-252443-lclxrwcm 176 23 respiratory respiratory JJ cord-252443-lclxrwcm 176 24 syncytial syncytial JJ cord-252443-lclxrwcm 176 25 virus virus NN cord-252443-lclxrwcm 176 26 in in IN cord-252443-lclxrwcm 176 27 the the DT cord-252443-lclxrwcm 176 28 United United NNP cord-252443-lclxrwcm 176 29 States States NNP cord-252443-lclxrwcm 176 30 Global Global NNP cord-252443-lclxrwcm 176 31 burden burden NN cord-252443-lclxrwcm 176 32 of of IN cord-252443-lclxrwcm 176 33 respiratory respiratory JJ cord-252443-lclxrwcm 176 34 infections infection NNS cord-252443-lclxrwcm 176 35 due due JJ cord-252443-lclxrwcm 176 36 to to IN cord-252443-lclxrwcm 176 37 seasonal seasonal JJ cord-252443-lclxrwcm 176 38 influenza influenza NN cord-252443-lclxrwcm 176 39 in in IN cord-252443-lclxrwcm 176 40 young young JJ cord-252443-lclxrwcm 176 41 children child NNS cord-252443-lclxrwcm 176 42 : : : cord-252443-lclxrwcm 176 43 a a DT cord-252443-lclxrwcm 176 44 systematic systematic JJ cord-252443-lclxrwcm 176 45 review review NN cord-252443-lclxrwcm 176 46 and and CC cord-252443-lclxrwcm 176 47 meta meta NNP cord-252443-lclxrwcm 176 48 - - HYPH cord-252443-lclxrwcm 176 49 analysis analysis NN cord-252443-lclxrwcm 176 50 Should Should MD cord-252443-lclxrwcm 176 51 healthy healthy JJ cord-252443-lclxrwcm 176 52 children child NNS cord-252443-lclxrwcm 176 53 be be VB cord-252443-lclxrwcm 176 54 vaccinated vaccinate VBN cord-252443-lclxrwcm 176 55 against against IN cord-252443-lclxrwcm 176 56 influenza influenza NN cord-252443-lclxrwcm 176 57 ? ? . cord-252443-lclxrwcm 177 1 A a DT cord-252443-lclxrwcm 177 2 consensus consensus NN cord-252443-lclxrwcm 177 3 report report NN cord-252443-lclxrwcm 177 4 of of IN cord-252443-lclxrwcm 177 5 the the DT cord-252443-lclxrwcm 177 6 Summits Summits NNPS cord-252443-lclxrwcm 177 7 of of IN cord-252443-lclxrwcm 177 8 Independent Independent NNP cord-252443-lclxrwcm 177 9 European european JJ cord-252443-lclxrwcm 177 10 Vaccination Vaccination NNP cord-252443-lclxrwcm 177 11 Experts expert NNS cord-252443-lclxrwcm 178 1 The the DT cord-252443-lclxrwcm 178 2 Japanese japanese JJ cord-252443-lclxrwcm 178 3 experience experience NN cord-252443-lclxrwcm 178 4 with with IN cord-252443-lclxrwcm 178 5 vaccinating vaccinate VBG cord-252443-lclxrwcm 178 6 schoolchildren schoolchildren NNS cord-252443-lclxrwcm 178 7 against against IN cord-252443-lclxrwcm 178 8 influenza influenza NN cord-252443-lclxrwcm 178 9 Should Should MD cord-252443-lclxrwcm 178 10 healthy healthy JJ cord-252443-lclxrwcm 178 11 children child NNS cord-252443-lclxrwcm 178 12 be be VB cord-252443-lclxrwcm 178 13 vaccinated vaccinate VBN cord-252443-lclxrwcm 178 14 against against IN cord-252443-lclxrwcm 178 15 influenza influenza NN cord-252443-lclxrwcm 178 16 ? ? . cord-252443-lclxrwcm 179 1 Comments comment NNS cord-252443-lclxrwcm 179 2 about about IN cord-252443-lclxrwcm 179 3 this this DT cord-252443-lclxrwcm 179 4 query query NN cord-252443-lclxrwcm 179 5 Association Association NNP cord-252443-lclxrwcm 179 6 between between IN cord-252443-lclxrwcm 179 7 the the DT cord-252443-lclxrwcm 179 8 2008 2008 CD cord-252443-lclxrwcm 179 9 - - SYM cord-252443-lclxrwcm 179 10 09 09 CD cord-252443-lclxrwcm 179 11 seasonal seasonal JJ cord-252443-lclxrwcm 179 12 influenza influenza NN cord-252443-lclxrwcm 179 13 vaccine vaccine NN cord-252443-lclxrwcm 179 14 and and CC cord-252443-lclxrwcm 179 15 pandemic pandemic NN cord-252443-lclxrwcm 179 16 H1N1 H1N1 NNP cord-252443-lclxrwcm 179 17 illness illness NN cord-252443-lclxrwcm 179 18 during during IN cord-252443-lclxrwcm 179 19 Spring Spring NNP cord-252443-lclxrwcm 179 20 - - HYPH cord-252443-lclxrwcm 179 21 Summer Summer NNP cord-252443-lclxrwcm 179 22 2009 2009 CD cord-252443-lclxrwcm 179 23 : : : cord-252443-lclxrwcm 180 1 four four CD cord-252443-lclxrwcm 180 2 observational observational JJ cord-252443-lclxrwcm 180 3 studies study NNS cord-252443-lclxrwcm 180 4 from from IN cord-252443-lclxrwcm 180 5 Canada Canada NNP cord-252443-lclxrwcm 180 6 Reduced reduce VBN cord-252443-lclxrwcm 180 7 antibody antibody NN cord-252443-lclxrwcm 180 8 responses response NNS cord-252443-lclxrwcm 180 9 to to IN cord-252443-lclxrwcm 180 10 the the DT cord-252443-lclxrwcm 180 11 pandemic pandemic NN cord-252443-lclxrwcm 180 12 ( ( -LRB- cord-252443-lclxrwcm 180 13 H1N1 H1N1 NNP cord-252443-lclxrwcm 180 14 ) ) -RRB- cord-252443-lclxrwcm 180 15 2009 2009 CD cord-252443-lclxrwcm 180 16 vaccine vaccine NN cord-252443-lclxrwcm 180 17 after after IN cord-252443-lclxrwcm 180 18 recent recent JJ cord-252443-lclxrwcm 180 19 seasonal seasonal JJ cord-252443-lclxrwcm 180 20 influenza influenza NN cord-252443-lclxrwcm 180 21 vaccination vaccination NN cord-252443-lclxrwcm 180 22 Immunogenicity Immunogenicity NNP cord-252443-lclxrwcm 180 23 , , , cord-252443-lclxrwcm 180 24 boostability boostability NN cord-252443-lclxrwcm 180 25 , , , cord-252443-lclxrwcm 180 26 and and CC cord-252443-lclxrwcm 180 27 sustainability sustainability NN cord-252443-lclxrwcm 180 28 of of IN cord-252443-lclxrwcm 180 29 the the DT cord-252443-lclxrwcm 180 30 immune immune JJ cord-252443-lclxrwcm 180 31 response response NN cord-252443-lclxrwcm 180 32 after after IN cord-252443-lclxrwcm 180 33 vaccination vaccination NN cord-252443-lclxrwcm 180 34 against against IN cord-252443-lclxrwcm 180 35 Influenza Influenza NNP cord-252443-lclxrwcm 180 36 A a DT cord-252443-lclxrwcm 180 37 virus virus NN cord-252443-lclxrwcm 180 38 ( ( -LRB- cord-252443-lclxrwcm 180 39 H1N1 H1N1 NNP cord-252443-lclxrwcm 180 40 ) ) -RRB- cord-252443-lclxrwcm 180 41 2009 2009 CD cord-252443-lclxrwcm 180 42 in in IN cord-252443-lclxrwcm 180 43 a a DT cord-252443-lclxrwcm 180 44 healthy healthy JJ cord-252443-lclxrwcm 180 45 population population NN cord-252443-lclxrwcm 180 46 Protective protective JJ cord-252443-lclxrwcm 180 47 efficacy efficacy NN cord-252443-lclxrwcm 180 48 of of IN cord-252443-lclxrwcm 180 49 seasonal seasonal JJ cord-252443-lclxrwcm 180 50 influenza influenza NN cord-252443-lclxrwcm 180 51 vaccination vaccination NN cord-252443-lclxrwcm 180 52 against against IN cord-252443-lclxrwcm 180 53 seasonal seasonal JJ cord-252443-lclxrwcm 180 54 and and CC cord-252443-lclxrwcm 180 55 pandemic pandemic NN cord-252443-lclxrwcm 180 56 influenza influenza NN cord-252443-lclxrwcm 180 57 virus virus NN cord-252443-lclxrwcm 180 58 infection infection NN cord-252443-lclxrwcm 180 59 during during IN cord-252443-lclxrwcm 180 60 2009 2009 CD cord-252443-lclxrwcm 180 61 in in IN cord-252443-lclxrwcm 180 62 Hong Hong NNP cord-252443-lclxrwcm 180 63 Kong Kong NNP cord-252443-lclxrwcm 180 64 Annual annual JJ cord-252443-lclxrwcm 180 65 vaccination vaccination NN cord-252443-lclxrwcm 180 66 against against IN cord-252443-lclxrwcm 180 67 influenza influenza NNP cord-252443-lclxrwcm 180 68 virus virus NN cord-252443-lclxrwcm 180 69 hampers hamper VBZ cord-252443-lclxrwcm 180 70 development development NN cord-252443-lclxrwcm 180 71 of of IN cord-252443-lclxrwcm 180 72 virus virus NN cord-252443-lclxrwcm 180 73 - - HYPH cord-252443-lclxrwcm 180 74 specific specific JJ cord-252443-lclxrwcm 180 75 CD8 CD8 NNP cord-252443-lclxrwcm 180 76 T T NNP cord-252443-lclxrwcm 180 77 cell cell NN cord-252443-lclxrwcm 180 78 immunity immunity NN cord-252443-lclxrwcm 180 79 in in IN cord-252443-lclxrwcm 180 80 children child NNS cord-252443-lclxrwcm 181 1 How how WRB cord-252443-lclxrwcm 181 2 did do VBD cord-252443-lclxrwcm 181 3 the the DT cord-252443-lclxrwcm 181 4 2008 2008 CD cord-252443-lclxrwcm 181 5 - - SYM cord-252443-lclxrwcm 181 6 2009 2009 CD cord-252443-lclxrwcm 181 7 seasonal seasonal JJ cord-252443-lclxrwcm 181 8 influenza influenza NN cord-252443-lclxrwcm 181 9 vaccine vaccine NN cord-252443-lclxrwcm 181 10 affect affect VBP cord-252443-lclxrwcm 181 11 the the DT cord-252443-lclxrwcm 181 12 pandemic pandemic NN cord-252443-lclxrwcm 181 13 ? ? . cord-252443-lclxrwcm 182 1 Cross cross JJ cord-252443-lclxrwcm 182 2 - - JJ cord-252443-lclxrwcm 182 3 protective protective JJ cord-252443-lclxrwcm 182 4 immunity immunity NN cord-252443-lclxrwcm 182 5 to to TO cord-252443-lclxrwcm 182 6 influenza influenza NN cord-252443-lclxrwcm 182 7 A a DT cord-252443-lclxrwcm 182 8 viruses virus NNS cord-252443-lclxrwcm 183 1 Preexisting preexist VBG cord-252443-lclxrwcm 183 2 influenzaspecific influenzaspecific NNP cord-252443-lclxrwcm 183 3 CD4(+ cd4(+ CD cord-252443-lclxrwcm 183 4 ) ) -RRB- cord-252443-lclxrwcm 184 1 T t NN cord-252443-lclxrwcm 184 2 cells cell NNS cord-252443-lclxrwcm 184 3 correlate correlate VBP cord-252443-lclxrwcm 184 4 with with IN cord-252443-lclxrwcm 184 5 disease disease NN cord-252443-lclxrwcm 184 6 protection protection NN cord-252443-lclxrwcm 184 7 against against IN cord-252443-lclxrwcm 184 8 influenza influenza NN cord-252443-lclxrwcm 184 9 challenge challenge NN cord-252443-lclxrwcm 184 10 in in IN cord-252443-lclxrwcm 184 11 humans human NNS cord-252443-lclxrwcm 185 1 Targeting target VBG cord-252443-lclxrwcm 185 2 B b NN cord-252443-lclxrwcm 185 3 cell cell NN cord-252443-lclxrwcm 185 4 responses response NNS cord-252443-lclxrwcm 185 5 in in IN cord-252443-lclxrwcm 185 6 universal universal JJ cord-252443-lclxrwcm 185 7 influenza influenza NN cord-252443-lclxrwcm 185 8 vaccine vaccine NN cord-252443-lclxrwcm 185 9 design design NN cord-252443-lclxrwcm 185 10 Pandemic Pandemic NNP cord-252443-lclxrwcm 185 11 influenza influenza NN cord-252443-lclxrwcm 185 12 vaccines vaccine NNS cord-252443-lclxrwcm 185 13 Influenza Influenza NNP cord-252443-lclxrwcm 185 14 vaccine vaccine NN cord-252443-lclxrwcm 185 15 effectiveness effectiveness NN cord-252443-lclxrwcm 185 16 in in IN cord-252443-lclxrwcm 185 17 preventing prevent VBG cord-252443-lclxrwcm 185 18 hospitalizations hospitalization NNS cord-252443-lclxrwcm 185 19 and and CC cord-252443-lclxrwcm 185 20 deaths death NNS cord-252443-lclxrwcm 185 21 in in IN cord-252443-lclxrwcm 185 22 persons person NNS cord-252443-lclxrwcm 185 23 65 65 CD cord-252443-lclxrwcm 185 24 years year NNS cord-252443-lclxrwcm 185 25 or or CC cord-252443-lclxrwcm 185 26 older old JJR cord-252443-lclxrwcm 185 27 in in IN cord-252443-lclxrwcm 185 28 Minnesota Minnesota NNP cord-252443-lclxrwcm 185 29 Age Age NNP cord-252443-lclxrwcm 185 30 - - HYPH cord-252443-lclxrwcm 185 31 related relate VBN cord-252443-lclxrwcm 185 32 changes change NNS cord-252443-lclxrwcm 185 33 in in IN cord-252443-lclxrwcm 185 34 immunity immunity NN cord-252443-lclxrwcm 185 35 : : : cord-252443-lclxrwcm 185 36 implications implication NNS cord-252443-lclxrwcm 185 37 for for IN cord-252443-lclxrwcm 185 38 vaccination vaccination NN cord-252443-lclxrwcm 185 39 in in IN cord-252443-lclxrwcm 185 40 the the DT cord-252443-lclxrwcm 185 41 elderly elderly JJ cord-252443-lclxrwcm 185 42 Vaccines vaccine NNS cord-252443-lclxrwcm 185 43 for for IN cord-252443-lclxrwcm 185 44 preventing prevent VBG cord-252443-lclxrwcm 185 45 influenza influenza NN cord-252443-lclxrwcm 185 46 in in IN cord-252443-lclxrwcm 185 47 healthy healthy JJ cord-252443-lclxrwcm 185 48 adults adult NNS cord-252443-lclxrwcm 186 1 Vaccines vaccine NNS cord-252443-lclxrwcm 186 2 for for IN cord-252443-lclxrwcm 186 3 preventing prevent VBG cord-252443-lclxrwcm 186 4 influenza influenza NN cord-252443-lclxrwcm 186 5 in in IN cord-252443-lclxrwcm 186 6 healthy healthy JJ cord-252443-lclxrwcm 186 7 adults adult NNS cord-252443-lclxrwcm 187 1 Vaccines vaccine NNS cord-252443-lclxrwcm 187 2 for for IN cord-252443-lclxrwcm 187 3 preventing prevent VBG cord-252443-lclxrwcm 187 4 influenza influenza NN cord-252443-lclxrwcm 187 5 in in IN cord-252443-lclxrwcm 187 6 healthy healthy JJ cord-252443-lclxrwcm 187 7 children child NNS cord-252443-lclxrwcm 187 8 Influenza Influenza NNP cord-252443-lclxrwcm 187 9 vaccination vaccination NN cord-252443-lclxrwcm 187 10 and and CC cord-252443-lclxrwcm 187 11 risk risk NN cord-252443-lclxrwcm 187 12 of of IN cord-252443-lclxrwcm 187 13 community community NN cord-252443-lclxrwcm 187 14 - - HYPH cord-252443-lclxrwcm 187 15 acquired acquire VBN cord-252443-lclxrwcm 187 16 pneumonia pneumonia NN cord-252443-lclxrwcm 187 17 in in IN cord-252443-lclxrwcm 187 18 immunocompetent immunocompetent JJ cord-252443-lclxrwcm 187 19 elderly elderly JJ cord-252443-lclxrwcm 187 20 people people NNS cord-252443-lclxrwcm 187 21 : : : cord-252443-lclxrwcm 188 1 a a DT cord-252443-lclxrwcm 188 2 populationbased populationbased JJ cord-252443-lclxrwcm 188 3 , , , cord-252443-lclxrwcm 188 4 nested nested JJ cord-252443-lclxrwcm 188 5 case case NN cord-252443-lclxrwcm 188 6 - - HYPH cord-252443-lclxrwcm 188 7 control control NN cord-252443-lclxrwcm 188 8 study study NN cord-252443-lclxrwcm 188 9 Vaccines vaccine NNS cord-252443-lclxrwcm 188 10 for for IN cord-252443-lclxrwcm 188 11 preventing prevent VBG cord-252443-lclxrwcm 188 12 influenza influenza NN cord-252443-lclxrwcm 188 13 in in IN cord-252443-lclxrwcm 188 14 the the DT cord-252443-lclxrwcm 188 15 elderly elderly JJ cord-252443-lclxrwcm 188 16 Current current JJ cord-252443-lclxrwcm 188 17 status status NN cord-252443-lclxrwcm 188 18 of of IN cord-252443-lclxrwcm 188 19 live live JJ cord-252443-lclxrwcm 188 20 attenuated attenuated JJ cord-252443-lclxrwcm 188 21 influenza influenza NN cord-252443-lclxrwcm 188 22 vaccine vaccine NN cord-252443-lclxrwcm 188 23 in in IN cord-252443-lclxrwcm 188 24 the the DT cord-252443-lclxrwcm 188 25 United United NNP cord-252443-lclxrwcm 188 26 States States NNP cord-252443-lclxrwcm 188 27 for for IN cord-252443-lclxrwcm 188 28 seasonal seasonal JJ cord-252443-lclxrwcm 188 29 and and CC cord-252443-lclxrwcm 188 30 pandemic pandemic NN cord-252443-lclxrwcm 188 31 influenza influenza NN cord-252443-lclxrwcm 188 32 Influenza Influenza NNP cord-252443-lclxrwcm 188 33 and and CC cord-252443-lclxrwcm 188 34 the the DT cord-252443-lclxrwcm 188 35 challenge challenge NN cord-252443-lclxrwcm 188 36 for for IN cord-252443-lclxrwcm 188 37 immunology immunology NN cord-252443-lclxrwcm 188 38 Structural structural JJ cord-252443-lclxrwcm 188 39 basis basis NN cord-252443-lclxrwcm 188 40 of of IN cord-252443-lclxrwcm 188 41 immune immune JJ cord-252443-lclxrwcm 188 42 recognition recognition NN cord-252443-lclxrwcm 188 43 of of IN cord-252443-lclxrwcm 188 44 influenza influenza NN cord-252443-lclxrwcm 188 45 virus virus NN cord-252443-lclxrwcm 188 46 hemagglutinin hemagglutinin NN cord-252443-lclxrwcm 188 47 Cytotoxic Cytotoxic NNP cord-252443-lclxrwcm 188 48 T t NN cord-252443-lclxrwcm 188 49 - - HYPH cord-252443-lclxrwcm 188 50 cell cell NN cord-252443-lclxrwcm 188 51 immunity immunity NN cord-252443-lclxrwcm 188 52 to to IN cord-252443-lclxrwcm 188 53 influenza influenza NN cord-252443-lclxrwcm 188 54 Immunity immunity NN cord-252443-lclxrwcm 188 55 to to IN cord-252443-lclxrwcm 188 56 pre-1950 pre-1950 NNS cord-252443-lclxrwcm 188 57 H1N1 H1N1 NNP cord-252443-lclxrwcm 188 58 influenza influenza NN cord-252443-lclxrwcm 188 59 viruses virus NNS cord-252443-lclxrwcm 188 60 confers confer VBZ cord-252443-lclxrwcm 188 61 cross cross NN cord-252443-lclxrwcm 188 62 - - NN cord-252443-lclxrwcm 188 63 protection protection NN cord-252443-lclxrwcm 188 64 against against IN cord-252443-lclxrwcm 188 65 the the DT cord-252443-lclxrwcm 188 66 pandemic pandemic NN cord-252443-lclxrwcm 188 67 swine swine NN cord-252443-lclxrwcm 188 68 - - HYPH cord-252443-lclxrwcm 188 69 origin origin NN cord-252443-lclxrwcm 188 70 2009 2009 CD cord-252443-lclxrwcm 188 71 A A NNP cord-252443-lclxrwcm 188 72 ( ( -LRB- cord-252443-lclxrwcm 188 73 H1N1 H1N1 NNP cord-252443-lclxrwcm 188 74 ) ) -RRB- cord-252443-lclxrwcm 188 75 influenza influenza NN cord-252443-lclxrwcm 188 76 virus virus NN cord-252443-lclxrwcm 188 77 A a DT cord-252443-lclxrwcm 188 78 neutralizing neutralize VBG cord-252443-lclxrwcm 188 79 antibody antibody NN cord-252443-lclxrwcm 188 80 selected select VBN cord-252443-lclxrwcm 188 81 from from IN cord-252443-lclxrwcm 188 82 plasma plasma NN cord-252443-lclxrwcm 188 83 cells cell NNS cord-252443-lclxrwcm 188 84 that that WDT cord-252443-lclxrwcm 188 85 binds bind VBZ cord-252443-lclxrwcm 188 86 to to IN cord-252443-lclxrwcm 188 87 group group NN cord-252443-lclxrwcm 188 88 1 1 CD cord-252443-lclxrwcm 188 89 and and CC cord-252443-lclxrwcm 188 90 group group NN cord-252443-lclxrwcm 188 91 2 2 CD cord-252443-lclxrwcm 188 92 influenza influenza NN cord-252443-lclxrwcm 188 93 A a DT cord-252443-lclxrwcm 188 94 hemagglutinins hemagglutinins NNP cord-252443-lclxrwcm 188 95 Protection Protection NNP cord-252443-lclxrwcm 188 96 against against IN cord-252443-lclxrwcm 188 97 multiple multiple JJ cord-252443-lclxrwcm 188 98 influenza influenza NN cord-252443-lclxrwcm 188 99 A a DT cord-252443-lclxrwcm 188 100 subtypes subtypes NN cord-252443-lclxrwcm 188 101 by by IN cord-252443-lclxrwcm 188 102 vaccination vaccination NN cord-252443-lclxrwcm 188 103 with with IN cord-252443-lclxrwcm 188 104 highly highly RB cord-252443-lclxrwcm 188 105 conserved conserve VBN cord-252443-lclxrwcm 188 106 nucleoprotein nucleoprotein JJ cord-252443-lclxrwcm 188 107 Electroporation Electroporation NNP cord-252443-lclxrwcm 188 108 of of IN cord-252443-lclxrwcm 188 109 synthetic synthetic JJ cord-252443-lclxrwcm 188 110 DNA dna NN cord-252443-lclxrwcm 188 111 antigens antigen NNS cord-252443-lclxrwcm 188 112 offers offer VBZ cord-252443-lclxrwcm 188 113 protection protection NN cord-252443-lclxrwcm 188 114 in in IN cord-252443-lclxrwcm 188 115 nonhuman nonhuman NN cord-252443-lclxrwcm 188 116 primates primate NNS cord-252443-lclxrwcm 188 117 challenged challenge VBN cord-252443-lclxrwcm 188 118 with with IN cord-252443-lclxrwcm 188 119 highly highly RB cord-252443-lclxrwcm 188 120 pathogenic pathogenic JJ cord-252443-lclxrwcm 188 121 avian avian JJ cord-252443-lclxrwcm 188 122 influenza influenza NN cord-252443-lclxrwcm 188 123 virus virus NN cord-252443-lclxrwcm 188 124 Declining decline VBG cord-252443-lclxrwcm 188 125 T t NN cord-252443-lclxrwcm 188 126 - - HYPH cord-252443-lclxrwcm 188 127 cell cell NN cord-252443-lclxrwcm 188 128 immunity immunity NN cord-252443-lclxrwcm 188 129 to to IN cord-252443-lclxrwcm 188 130 influenza influenza NN cord-252443-lclxrwcm 188 131 CD8 CD8 NNP cord-252443-lclxrwcm 188 132 + + CC cord-252443-lclxrwcm 188 133 T T NNP cord-252443-lclxrwcm 188 134 cells cell NNS cord-252443-lclxrwcm 188 135 clear clear JJ cord-252443-lclxrwcm 188 136 influenza influenza NN cord-252443-lclxrwcm 188 137 virus virus NN cord-252443-lclxrwcm 188 138 by by IN cord-252443-lclxrwcm 188 139 perforin perforin NNP cord-252443-lclxrwcm 188 140 or or CC cord-252443-lclxrwcm 188 141 Fasdependent Fasdependent NNP cord-252443-lclxrwcm 188 142 processes process NNS cord-252443-lclxrwcm 189 1 Cytotoxic Cytotoxic NNP cord-252443-lclxrwcm 189 2 T t NN cord-252443-lclxrwcm 189 3 cells cell NNS cord-252443-lclxrwcm 189 4 are be VBP cord-252443-lclxrwcm 189 5 the the DT cord-252443-lclxrwcm 189 6 predominant predominant JJ cord-252443-lclxrwcm 189 7 players player NNS cord-252443-lclxrwcm 189 8 providing provide VBG cord-252443-lclxrwcm 189 9 cross cross JJ cord-252443-lclxrwcm 189 10 - - JJ cord-252443-lclxrwcm 189 11 protective protective JJ cord-252443-lclxrwcm 189 12 immunity immunity NN cord-252443-lclxrwcm 189 13 induced induce VBN cord-252443-lclxrwcm 189 14 by by IN cord-252443-lclxrwcm 189 15 { { -LRB- cord-252443-lclxrwcm 189 16 gamma}-irradiated gamma}-irradiate VBN cord-252443-lclxrwcm 189 17 influenza influenza NN cord-252443-lclxrwcm 189 18 A a DT cord-252443-lclxrwcm 189 19 viruses virus NNS cord-252443-lclxrwcm 189 20 CD4 CD4 NNP cord-252443-lclxrwcm 189 21 T T NNP cord-252443-lclxrwcm 189 22 cell cell NN cord-252443-lclxrwcm 189 23 - - HYPH cord-252443-lclxrwcm 189 24 mediated mediate VBN cord-252443-lclxrwcm 189 25 protection protection NN cord-252443-lclxrwcm 189 26 from from IN cord-252443-lclxrwcm 189 27 lethal lethal JJ cord-252443-lclxrwcm 189 28 influenza influenza NN cord-252443-lclxrwcm 189 29 : : : cord-252443-lclxrwcm 189 30 perforin perforin NNP cord-252443-lclxrwcm 189 31 and and CC cord-252443-lclxrwcm 189 32 antibody antibody NN cord-252443-lclxrwcm 189 33 - - HYPH cord-252443-lclxrwcm 189 34 mediated mediate VBN cord-252443-lclxrwcm 189 35 mechanisms mechanism NNS cord-252443-lclxrwcm 189 36 give give VBP cord-252443-lclxrwcm 189 37 a a DT cord-252443-lclxrwcm 189 38 one one CD cord-252443-lclxrwcm 189 39 - - HYPH cord-252443-lclxrwcm 189 40 two two CD cord-252443-lclxrwcm 189 41 punch punch NN cord-252443-lclxrwcm 189 42 T t NN cord-252443-lclxrwcm 189 43 cells cell NNS cord-252443-lclxrwcm 189 44 primed prime VBN cord-252443-lclxrwcm 189 45 by by IN cord-252443-lclxrwcm 189 46 influenza influenza NN cord-252443-lclxrwcm 189 47 virion virion NN cord-252443-lclxrwcm 189 48 internal internal JJ cord-252443-lclxrwcm 189 49 components component NNS cord-252443-lclxrwcm 189 50 can can MD cord-252443-lclxrwcm 189 51 cooperate cooperate VB cord-252443-lclxrwcm 189 52 in in IN cord-252443-lclxrwcm 189 53 the the DT cord-252443-lclxrwcm 189 54 antibody antibody NN cord-252443-lclxrwcm 189 55 response response NN cord-252443-lclxrwcm 189 56 to to TO cord-252443-lclxrwcm 189 57 haemagglutinin haemagglutinin VB cord-252443-lclxrwcm 189 58 Functional functional JJ cord-252443-lclxrwcm 189 59 analysis analysis NN cord-252443-lclxrwcm 189 60 of of IN cord-252443-lclxrwcm 189 61 influenza influenza NN cord-252443-lclxrwcm 189 62 - - HYPH cord-252443-lclxrwcm 189 63 specific specific JJ cord-252443-lclxrwcm 189 64 helper helper NN cord-252443-lclxrwcm 189 65 T t NN cord-252443-lclxrwcm 189 66 cell cell NN cord-252443-lclxrwcm 189 67 clones clone NNS cord-252443-lclxrwcm 189 68 in in IN cord-252443-lclxrwcm 189 69 vivo vivo NN cord-252443-lclxrwcm 189 70 . . . cord-252443-lclxrwcm 190 1 T t NN cord-252443-lclxrwcm 190 2 cells cell NNS cord-252443-lclxrwcm 190 3 specific specific JJ cord-252443-lclxrwcm 190 4 for for IN cord-252443-lclxrwcm 190 5 internal internal JJ cord-252443-lclxrwcm 190 6 viral viral JJ cord-252443-lclxrwcm 190 7 proteins protein NNS cord-252443-lclxrwcm 190 8 provide provide VBP cord-252443-lclxrwcm 190 9 cognate cognate JJ cord-252443-lclxrwcm 190 10 help help NN cord-252443-lclxrwcm 190 11 for for IN cord-252443-lclxrwcm 190 12 B b NN cord-252443-lclxrwcm 190 13 cell cell NN cord-252443-lclxrwcm 190 14 responses response NNS cord-252443-lclxrwcm 190 15 to to IN cord-252443-lclxrwcm 190 16 hemagglutinin hemagglutinin VB cord-252443-lclxrwcm 190 17 Influenza Influenza NNP cord-252443-lclxrwcm 190 18 A a DT cord-252443-lclxrwcm 190 19 virus virus NN cord-252443-lclxrwcm 190 20 matrix matrix NN cord-252443-lclxrwcm 190 21 protein protein NN cord-252443-lclxrwcm 190 22 1-specific 1-specific CD cord-252443-lclxrwcm 190 23 human human JJ cord-252443-lclxrwcm 190 24 CD8 CD8 NNP cord-252443-lclxrwcm 190 25 + + CC cord-252443-lclxrwcm 190 26 T T NNP cord-252443-lclxrwcm 190 27 - - HYPH cord-252443-lclxrwcm 190 28 cell cell NN cord-252443-lclxrwcm 190 29 response response NN cord-252443-lclxrwcm 190 30 induced induce VBN cord-252443-lclxrwcm 190 31 in in IN cord-252443-lclxrwcm 190 32 trivalent trivalent JJ cord-252443-lclxrwcm 190 33 inactivated inactivate VBN cord-252443-lclxrwcm 190 34 vaccine vaccine NN cord-252443-lclxrwcm 190 35 recipients recipient NNS cord-252443-lclxrwcm 190 36 Morphological morphological JJ cord-252443-lclxrwcm 190 37 and and CC cord-252443-lclxrwcm 190 38 biochemical biochemical JJ cord-252443-lclxrwcm 190 39 characterization characterization NN cord-252443-lclxrwcm 190 40 of of IN cord-252443-lclxrwcm 190 41 influenza influenza NN cord-252443-lclxrwcm 190 42 vaccines vaccine NNS cord-252443-lclxrwcm 190 43 commercially commercially RB cord-252443-lclxrwcm 190 44 available available JJ cord-252443-lclxrwcm 190 45 in in IN cord-252443-lclxrwcm 190 46 the the DT cord-252443-lclxrwcm 190 47 United United NNP cord-252443-lclxrwcm 190 48 Kingdom Kingdom NNP cord-252443-lclxrwcm 190 49 Cellular Cellular NNP cord-252443-lclxrwcm 190 50 immune immune JJ cord-252443-lclxrwcm 190 51 responses response NNS cord-252443-lclxrwcm 190 52 in in IN cord-252443-lclxrwcm 190 53 children child NNS cord-252443-lclxrwcm 190 54 and and CC cord-252443-lclxrwcm 190 55 adults adult NNS cord-252443-lclxrwcm 190 56 receiving receive VBG cord-252443-lclxrwcm 190 57 inactivated inactivate VBN cord-252443-lclxrwcm 190 58 or or CC cord-252443-lclxrwcm 190 59 live live JJ cord-252443-lclxrwcm 191 1 attenuated attenuated JJ cord-252443-lclxrwcm 191 2 influenza influenza NN cord-252443-lclxrwcm 191 3 vaccines vaccine NNS cord-252443-lclxrwcm 191 4 Influenza Influenza NNP cord-252443-lclxrwcm 191 5 vaccine vaccine NN cord-252443-lclxrwcm 191 6 : : : cord-252443-lclxrwcm 191 7 the the DT cord-252443-lclxrwcm 191 8 challenge challenge NN cord-252443-lclxrwcm 191 9 of of IN cord-252443-lclxrwcm 191 10 antigenic antigenic JJ cord-252443-lclxrwcm 191 11 drift drift NN cord-252443-lclxrwcm 191 12 Influenza Influenza NNP cord-252443-lclxrwcm 191 13 control control NN cord-252443-lclxrwcm 191 14 in in IN cord-252443-lclxrwcm 191 15 the the DT cord-252443-lclxrwcm 191 16 21st 21st JJ cord-252443-lclxrwcm 191 17 century century NN cord-252443-lclxrwcm 191 18 : : : cord-252443-lclxrwcm 191 19 optimizing optimize VBG cord-252443-lclxrwcm 191 20 protection protection NN cord-252443-lclxrwcm 191 21 of of IN cord-252443-lclxrwcm 191 22 older old JJR cord-252443-lclxrwcm 191 23 adults adult NNS cord-252443-lclxrwcm 191 24 Towards towards IN cord-252443-lclxrwcm 191 25 universal universal JJ cord-252443-lclxrwcm 191 26 influenza influenza NN cord-252443-lclxrwcm 191 27 vaccines vaccine NNS cord-252443-lclxrwcm 191 28 ? ? . cord-252443-lclxrwcm 192 1 Philos Philos NNP cord-252443-lclxrwcm 192 2 Mode Mode NNP cord-252443-lclxrwcm 192 3 of of IN cord-252443-lclxrwcm 192 4 action action NN cord-252443-lclxrwcm 192 5 of of IN cord-252443-lclxrwcm 192 6 adjuvants adjuvant NNS cord-252443-lclxrwcm 192 7 : : : cord-252443-lclxrwcm 192 8 implications implication NNS cord-252443-lclxrwcm 192 9 for for IN cord-252443-lclxrwcm 192 10 vaccine vaccine NN cord-252443-lclxrwcm 192 11 safety safety NN cord-252443-lclxrwcm 192 12 and and CC cord-252443-lclxrwcm 192 13 design design NN cord-252443-lclxrwcm 192 14 Towards towards IN cord-252443-lclxrwcm 192 15 an an DT cord-252443-lclxrwcm 192 16 understanding understanding NN cord-252443-lclxrwcm 192 17 of of IN cord-252443-lclxrwcm 192 18 the the DT cord-252443-lclxrwcm 192 19 adjuvant adjuvant JJ cord-252443-lclxrwcm 192 20 action action NN cord-252443-lclxrwcm 192 21 of of IN cord-252443-lclxrwcm 192 22 aluminium aluminium NN cord-252443-lclxrwcm 192 23 Topical topical JJ cord-252443-lclxrwcm 192 24 immunization immunization NN cord-252443-lclxrwcm 192 25 strategies strategy NNS cord-252443-lclxrwcm 192 26 Vaccines Vaccines NNPS cord-252443-lclxrwcm 192 27 with with IN cord-252443-lclxrwcm 192 28 MF59 MF59 NNP cord-252443-lclxrwcm 192 29 adjuvant adjuvant NN cord-252443-lclxrwcm 192 30 expand expand VBP cord-252443-lclxrwcm 192 31 the the DT cord-252443-lclxrwcm 192 32 antibody antibody NN cord-252443-lclxrwcm 192 33 repertoire repertoire NN cord-252443-lclxrwcm 192 34 to to TO cord-252443-lclxrwcm 192 35 target target VB cord-252443-lclxrwcm 192 36 protective protective JJ cord-252443-lclxrwcm 192 37 sites site NNS cord-252443-lclxrwcm 192 38 of of IN cord-252443-lclxrwcm 192 39 pandemic pandemic NN cord-252443-lclxrwcm 192 40 avian avian JJ cord-252443-lclxrwcm 192 41 H5N1 H5N1 NNP cord-252443-lclxrwcm 192 42 influenza influenza NN cord-252443-lclxrwcm 192 43 virus virus NN cord-252443-lclxrwcm 192 44 MF59 MF59 NNP cord-252443-lclxrwcm 192 45 adjuvant adjuvant NN cord-252443-lclxrwcm 192 46 enhances enhance VBZ cord-252443-lclxrwcm 192 47 diversity diversity NN cord-252443-lclxrwcm 192 48 and and CC cord-252443-lclxrwcm 192 49 affinity affinity NN cord-252443-lclxrwcm 192 50 of of IN cord-252443-lclxrwcm 192 51 antibody antibody NN cord-252443-lclxrwcm 192 52 - - HYPH cord-252443-lclxrwcm 192 53 mediated mediate VBN cord-252443-lclxrwcm 192 54 immune immune JJ cord-252443-lclxrwcm 192 55 response response NN cord-252443-lclxrwcm 192 56 to to IN cord-252443-lclxrwcm 192 57 pandemic pandemic NN cord-252443-lclxrwcm 192 58 influenza influenza NN cord-252443-lclxrwcm 192 59 vaccines vaccine NNS cord-252443-lclxrwcm 192 60 Immunogenicity Immunogenicity NNP cord-252443-lclxrwcm 192 61 of of IN cord-252443-lclxrwcm 192 62 three three CD cord-252443-lclxrwcm 192 63 different different JJ cord-252443-lclxrwcm 192 64 influenza influenza NN cord-252443-lclxrwcm 192 65 vaccines vaccine NNS cord-252443-lclxrwcm 192 66 against against IN cord-252443-lclxrwcm 192 67 homologous homologous JJ cord-252443-lclxrwcm 192 68 and and CC cord-252443-lclxrwcm 192 69 heterologous heterologous JJ cord-252443-lclxrwcm 192 70 strains strain NNS cord-252443-lclxrwcm 192 71 in in IN cord-252443-lclxrwcm 192 72 nursing nurse VBG cord-252443-lclxrwcm 192 73 home home NN cord-252443-lclxrwcm 192 74 elderly elderly JJ cord-252443-lclxrwcm 192 75 residents resident NNS cord-252443-lclxrwcm 192 76 Safety Safety NNP cord-252443-lclxrwcm 192 77 of of IN cord-252443-lclxrwcm 192 78 MF59 MF59 NNP cord-252443-lclxrwcm 192 79 adjuvant adjuvant NN cord-252443-lclxrwcm 192 80 Trends trend NNS cord-252443-lclxrwcm 192 81 in in IN cord-252443-lclxrwcm 192 82 vaccine vaccine NN cord-252443-lclxrwcm 192 83 adjuvants adjuvant NNS cord-252443-lclxrwcm 192 84 Safety safety NN cord-252443-lclxrwcm 192 85 and and CC cord-252443-lclxrwcm 192 86 immunogenicity immunogenicity NN cord-252443-lclxrwcm 192 87 of of IN cord-252443-lclxrwcm 192 88 a a DT cord-252443-lclxrwcm 192 89 recombinant recombinant JJ cord-252443-lclxrwcm 192 90 M2e m2e NN cord-252443-lclxrwcm 192 91 - - HYPH cord-252443-lclxrwcm 192 92 flagellin flagellin JJ cord-252443-lclxrwcm 192 93 influenza influenza NN cord-252443-lclxrwcm 192 94 vaccine vaccine NN cord-252443-lclxrwcm 192 95 ( ( -LRB- cord-252443-lclxrwcm 192 96 STF2.4xM2e stf2.4xm2e NN cord-252443-lclxrwcm 192 97 ) ) -RRB- cord-252443-lclxrwcm 192 98 in in IN cord-252443-lclxrwcm 192 99 healthy healthy JJ cord-252443-lclxrwcm 192 100 adults adult NNS cord-252443-lclxrwcm 192 101 Clinical clinical JJ cord-252443-lclxrwcm 192 102 development development NN cord-252443-lclxrwcm 192 103 of of IN cord-252443-lclxrwcm 192 104 plant plant NN cord-252443-lclxrwcm 192 105 - - HYPH cord-252443-lclxrwcm 192 106 produced produce VBN cord-252443-lclxrwcm 192 107 recombinant recombinant JJ cord-252443-lclxrwcm 192 108 pharmaceuticals pharmaceutical NNS cord-252443-lclxrwcm 192 109 : : : cord-252443-lclxrwcm 192 110 vaccines vaccine NNS cord-252443-lclxrwcm 192 111 , , , cord-252443-lclxrwcm 192 112 antibodies antibody NNS cord-252443-lclxrwcm 192 113 and and CC cord-252443-lclxrwcm 192 114 beyond beyond IN cord-252443-lclxrwcm 192 115 Alternative alternative JJ cord-252443-lclxrwcm 192 116 influenza influenza NN cord-252443-lclxrwcm 192 117 vaccines vaccine NNS cord-252443-lclxrwcm 192 118 made make VBN cord-252443-lclxrwcm 192 119 by by IN cord-252443-lclxrwcm 192 120 insect insect NN cord-252443-lclxrwcm 192 121 cells cell NNS cord-252443-lclxrwcm 193 1 The the DT cord-252443-lclxrwcm 193 2 requirement requirement NN cord-252443-lclxrwcm 193 3 for for IN cord-252443-lclxrwcm 193 4 potent potent JJ cord-252443-lclxrwcm 193 5 adjuvants adjuvant NNS cord-252443-lclxrwcm 193 6 to to TO cord-252443-lclxrwcm 193 7 enhance enhance VB cord-252443-lclxrwcm 193 8 the the DT cord-252443-lclxrwcm 193 9 immunogenicity immunogenicity NN cord-252443-lclxrwcm 193 10 and and CC cord-252443-lclxrwcm 193 11 protective protective JJ cord-252443-lclxrwcm 193 12 efficacy efficacy NN cord-252443-lclxrwcm 193 13 of of IN cord-252443-lclxrwcm 193 14 protein protein NN cord-252443-lclxrwcm 193 15 vaccines vaccine NNS cord-252443-lclxrwcm 193 16 can can MD cord-252443-lclxrwcm 193 17 be be VB cord-252443-lclxrwcm 193 18 overcome overcome VBN cord-252443-lclxrwcm 193 19 by by IN cord-252443-lclxrwcm 193 20 prior prior JJ cord-252443-lclxrwcm 193 21 immunization immunization NN cord-252443-lclxrwcm 193 22 with with IN cord-252443-lclxrwcm 193 23 a a DT cord-252443-lclxrwcm 193 24 recombinant recombinant JJ cord-252443-lclxrwcm 193 25 adenovirus adenovirus NN cord-252443-lclxrwcm 193 26 T t NN cord-252443-lclxrwcm 193 27 cell cell NN cord-252443-lclxrwcm 193 28 priming priming NN cord-252443-lclxrwcm 193 29 versus versus IN cord-252443-lclxrwcm 193 30 T t NN cord-252443-lclxrwcm 193 31 cell cell NN cord-252443-lclxrwcm 193 32 tolerance tolerance NN cord-252443-lclxrwcm 193 33 induced induce VBN cord-252443-lclxrwcm 193 34 by by IN cord-252443-lclxrwcm 193 35 synthetic synthetic JJ cord-252443-lclxrwcm 193 36 peptides peptide NNS cord-252443-lclxrwcm 193 37 Phase Phase NNP cord-252443-lclxrwcm 193 38 1 1 CD cord-252443-lclxrwcm 193 39 clinical clinical JJ cord-252443-lclxrwcm 193 40 trials trial NNS cord-252443-lclxrwcm 193 41 of of IN cord-252443-lclxrwcm 193 42 the the DT cord-252443-lclxrwcm 193 43 safety safety NN cord-252443-lclxrwcm 193 44 and and CC cord-252443-lclxrwcm 193 45 immunogenicity immunogenicity NN cord-252443-lclxrwcm 193 46 of of IN cord-252443-lclxrwcm 193 47 adjuvanted adjuvanted JJ cord-252443-lclxrwcm 193 48 plasmid plasmid NN cord-252443-lclxrwcm 193 49 DNA dna NN cord-252443-lclxrwcm 193 50 vaccines vaccine NNS cord-252443-lclxrwcm 193 51 encoding encode VBG cord-252443-lclxrwcm 193 52 influenza influenza NN cord-252443-lclxrwcm 193 53 A a DT cord-252443-lclxrwcm 193 54 virus virus NN cord-252443-lclxrwcm 193 55 H5 h5 NN cord-252443-lclxrwcm 193 56 hemagglutinin hemagglutinin NN cord-252443-lclxrwcm 193 57 DNA dna NN cord-252443-lclxrwcm 193 58 vaccination vaccination NN cord-252443-lclxrwcm 193 59 protects protect VBZ cord-252443-lclxrwcm 193 60 against against IN cord-252443-lclxrwcm 193 61 an an DT cord-252443-lclxrwcm 193 62 influenza influenza NN cord-252443-lclxrwcm 193 63 challenge challenge NN cord-252443-lclxrwcm 193 64 in in IN cord-252443-lclxrwcm 193 65 a a DT cord-252443-lclxrwcm 193 66 double double JJ cord-252443-lclxrwcm 193 67 - - HYPH cord-252443-lclxrwcm 193 68 blind blind JJ cord-252443-lclxrwcm 193 69 randomised randomised JJ cord-252443-lclxrwcm 193 70 placebo placebo NN cord-252443-lclxrwcm 193 71 - - HYPH cord-252443-lclxrwcm 193 72 controlled control VBN cord-252443-lclxrwcm 193 73 phase phase NN cord-252443-lclxrwcm 193 74 1b 1b CD cord-252443-lclxrwcm 193 75 clinical clinical JJ cord-252443-lclxrwcm 193 76 trial trial NN cord-252443-lclxrwcm 193 77 Enhanced Enhanced NNP cord-252443-lclxrwcm 193 78 T t NN cord-252443-lclxrwcm 193 79 - - HYPH cord-252443-lclxrwcm 193 80 cell cell NN cord-252443-lclxrwcm 193 81 immunogenicity immunogenicity NN cord-252443-lclxrwcm 193 82 of of IN cord-252443-lclxrwcm 193 83 plasmid plasmid NN cord-252443-lclxrwcm 193 84 DNA dna NN cord-252443-lclxrwcm 193 85 vaccines vaccine NNS cord-252443-lclxrwcm 193 86 boosted boost VBN cord-252443-lclxrwcm 193 87 by by IN cord-252443-lclxrwcm 193 88 recombinant recombinant JJ cord-252443-lclxrwcm 193 89 modified modify VBN cord-252443-lclxrwcm 193 90 vaccinia vaccinia NN cord-252443-lclxrwcm 193 91 virus virus NN cord-252443-lclxrwcm 193 92 Ankara Ankara NNP cord-252443-lclxrwcm 193 93 in in IN cord-252443-lclxrwcm 193 94 humans human NNS cord-252443-lclxrwcm 193 95 Virus Virus NNP cord-252443-lclxrwcm 193 96 - - HYPH cord-252443-lclxrwcm 193 97 like like JJ cord-252443-lclxrwcm 193 98 particles particle NNS cord-252443-lclxrwcm 193 99 : : : cord-252443-lclxrwcm 193 100 passport passport NN cord-252443-lclxrwcm 193 101 to to IN cord-252443-lclxrwcm 193 102 immune immune JJ cord-252443-lclxrwcm 193 103 recognition recognition NN cord-252443-lclxrwcm 194 1 An an DT cord-252443-lclxrwcm 194 2 overview overview NN cord-252443-lclxrwcm 194 3 on on IN cord-252443-lclxrwcm 194 4 the the DT cord-252443-lclxrwcm 194 5 field field NN cord-252443-lclxrwcm 194 6 of of IN cord-252443-lclxrwcm 194 7 micro micro JJ cord-252443-lclxrwcm 194 8 - - HYPH cord-252443-lclxrwcm 194 9 and and CC cord-252443-lclxrwcm 194 10 nanotechnologies nanotechnology NNS cord-252443-lclxrwcm 194 11 for for IN cord-252443-lclxrwcm 194 12 synthetic synthetic JJ cord-252443-lclxrwcm 194 13 Peptide Peptide NNP cord-252443-lclxrwcm 194 14 - - HYPH cord-252443-lclxrwcm 194 15 based base VBN cord-252443-lclxrwcm 194 16 vaccines vaccine NNS cord-252443-lclxrwcm 194 17 Influenza Influenza NNP cord-252443-lclxrwcm 194 18 virosomes virosome VBZ cord-252443-lclxrwcm 194 19 as as IN cord-252443-lclxrwcm 194 20 a a DT cord-252443-lclxrwcm 194 21 vaccine vaccine NN cord-252443-lclxrwcm 194 22 adjuvant adjuvant NN cord-252443-lclxrwcm 194 23 and and CC cord-252443-lclxrwcm 194 24 carrier carrier NN cord-252443-lclxrwcm 194 25 system system NN cord-252443-lclxrwcm 194 26 Effective effective JJ cord-252443-lclxrwcm 194 27 induction induction NN cord-252443-lclxrwcm 194 28 of of IN cord-252443-lclxrwcm 194 29 high high JJ cord-252443-lclxrwcm 194 30 - - HYPH cord-252443-lclxrwcm 194 31 titer titer NN cord-252443-lclxrwcm 194 32 antibodies antibody NNS cord-252443-lclxrwcm 194 33 by by IN cord-252443-lclxrwcm 194 34 viral viral JJ cord-252443-lclxrwcm 194 35 vector vector NN cord-252443-lclxrwcm 194 36 vaccines vaccine NNS cord-252443-lclxrwcm 194 37 Potent potent JJ cord-252443-lclxrwcm 194 38 CD8 CD8 NNS cord-252443-lclxrwcm 194 39 + + CC cord-252443-lclxrwcm 194 40 T t NN cord-252443-lclxrwcm 194 41 - - HYPH cord-252443-lclxrwcm 194 42 cell cell NN cord-252443-lclxrwcm 194 43 immunogenicity immunogenicity NN cord-252443-lclxrwcm 194 44 in in IN cord-252443-lclxrwcm 194 45 humans human NNS cord-252443-lclxrwcm 194 46 of of IN cord-252443-lclxrwcm 194 47 a a DT cord-252443-lclxrwcm 194 48 novel novel JJ cord-252443-lclxrwcm 194 49 heterosubtypic heterosubtypic NNP cord-252443-lclxrwcm 194 50 influenza influenza NN cord-252443-lclxrwcm 194 51 A a DT cord-252443-lclxrwcm 194 52 vaccine vaccine NN cord-252443-lclxrwcm 194 53 , , , cord-252443-lclxrwcm 194 54 MVA MVA NNP cord-252443-lclxrwcm 194 55 - - HYPH cord-252443-lclxrwcm 194 56 NP+M1 NP+M1 NNP cord-252443-lclxrwcm 194 57 T t NN cord-252443-lclxrwcm 194 58 - - HYPH cord-252443-lclxrwcm 194 59 cell cell NN cord-252443-lclxrwcm 194 60 - - HYPH cord-252443-lclxrwcm 194 61 inducing induce VBG cord-252443-lclxrwcm 195 1 vaccineswhat vaccineswhat NNP cord-252443-lclxrwcm 195 2 's be VBZ cord-252443-lclxrwcm 195 3 the the DT cord-252443-lclxrwcm 195 4 future future JJ cord-252443-lclxrwcm 195 5 Viral viral JJ cord-252443-lclxrwcm 195 6 vectors vector NNS cord-252443-lclxrwcm 195 7 as as IN cord-252443-lclxrwcm 195 8 vaccine vaccine NN cord-252443-lclxrwcm 195 9 platforms platform NNS cord-252443-lclxrwcm 195 10 : : : cord-252443-lclxrwcm 196 1 deployment deployment NN cord-252443-lclxrwcm 196 2 in in IN cord-252443-lclxrwcm 196 3 sight sight NN cord-252443-lclxrwcm 196 4 Kinetics kinetic NNS cord-252443-lclxrwcm 196 5 of of IN cord-252443-lclxrwcm 196 6 recombinant recombinant JJ cord-252443-lclxrwcm 196 7 adenovirus adenovirus NN cord-252443-lclxrwcm 196 8 type type NN cord-252443-lclxrwcm 196 9 5 5 CD cord-252443-lclxrwcm 196 10 , , , cord-252443-lclxrwcm 196 11 vaccinia vaccinia NN cord-252443-lclxrwcm 196 12 virus virus NN cord-252443-lclxrwcm 196 13 , , , cord-252443-lclxrwcm 196 14 modified modify VBN cord-252443-lclxrwcm 196 15 vaccinia vaccinia NN cord-252443-lclxrwcm 196 16 ankara ankara NNP cord-252443-lclxrwcm 196 17 virus virus NN cord-252443-lclxrwcm 196 18 , , , cord-252443-lclxrwcm 196 19 and and CC cord-252443-lclxrwcm 196 20 DNA dna NN cord-252443-lclxrwcm 196 21 antigen antigen NN cord-252443-lclxrwcm 196 22 expression expression NN cord-252443-lclxrwcm 196 23 in in IN cord-252443-lclxrwcm 196 24 vivo vivo NN cord-252443-lclxrwcm 196 25 and and CC cord-252443-lclxrwcm 196 26 the the DT cord-252443-lclxrwcm 196 27 induction induction NN cord-252443-lclxrwcm 196 28 of of IN cord-252443-lclxrwcm 196 29 memory memory NNP cord-252443-lclxrwcm 196 30 T t NN cord-252443-lclxrwcm 196 31 - - HYPH cord-252443-lclxrwcm 196 32 lymphocyte lymphocyte NN cord-252443-lclxrwcm 196 33 responses response NNS cord-252443-lclxrwcm 196 34 Immunization Immunization NNP cord-252443-lclxrwcm 196 35 of of IN cord-252443-lclxrwcm 196 36 mice mouse NNS cord-252443-lclxrwcm 196 37 with with IN cord-252443-lclxrwcm 196 38 a a DT cord-252443-lclxrwcm 196 39 recombinant recombinant JJ cord-252443-lclxrwcm 196 40 adenovirus adenovirus NN cord-252443-lclxrwcm 196 41 vaccine vaccine NN cord-252443-lclxrwcm 196 42 inhibits inhibit VBZ cord-252443-lclxrwcm 196 43 the the DT cord-252443-lclxrwcm 196 44 early early JJ cord-252443-lclxrwcm 196 45 growth growth NN cord-252443-lclxrwcm 196 46 of of IN cord-252443-lclxrwcm 196 47 Mycobacterium Mycobacterium NNP cord-252443-lclxrwcm 196 48 tuberculosis tuberculosis NN cord-252443-lclxrwcm 196 49 after after IN cord-252443-lclxrwcm 196 50 infection infection NN cord-252443-lclxrwcm 196 51 Adenoviral Adenoviral NNP cord-252443-lclxrwcm 196 52 vectors vector NNS cord-252443-lclxrwcm 196 53 persist persist VBP cord-252443-lclxrwcm 196 54 in in IN cord-252443-lclxrwcm 196 55 vivo vivo NN cord-252443-lclxrwcm 196 56 and and CC cord-252443-lclxrwcm 196 57 maintain maintain VB cord-252443-lclxrwcm 196 58 activated activate VBN cord-252443-lclxrwcm 196 59 CD8 CD8 NNP cord-252443-lclxrwcm 196 60 + + CC cord-252443-lclxrwcm 196 61 T T NNP cord-252443-lclxrwcm 196 62 cells cell NNS cord-252443-lclxrwcm 196 63 : : : cord-252443-lclxrwcm 196 64 implications implication NNS cord-252443-lclxrwcm 196 65 for for IN cord-252443-lclxrwcm 196 66 their -PRON- PRP$ cord-252443-lclxrwcm 196 67 use use NN cord-252443-lclxrwcm 196 68 as as IN cord-252443-lclxrwcm 196 69 vaccines vaccine NNS cord-252443-lclxrwcm 196 70 Antigen Antigen NNP cord-252443-lclxrwcm 196 71 depot depot NN cord-252443-lclxrwcm 196 72 is be VBZ cord-252443-lclxrwcm 196 73 not not RB cord-252443-lclxrwcm 196 74 required require VBN cord-252443-lclxrwcm 196 75 for for IN cord-252443-lclxrwcm 196 76 alum alum NN cord-252443-lclxrwcm 196 77 adjuvanticity adjuvanticity NNP cord-252443-lclxrwcm 196 78 Low low JJ cord-252443-lclxrwcm 196 79 antigen antigen NN cord-252443-lclxrwcm 196 80 dose dose NN cord-252443-lclxrwcm 196 81 favours favour VBZ cord-252443-lclxrwcm 196 82 selection selection NN cord-252443-lclxrwcm 196 83 of of IN cord-252443-lclxrwcm 196 84 somatic somatic JJ cord-252443-lclxrwcm 196 85 mutants mutant NNS cord-252443-lclxrwcm 196 86 with with IN cord-252443-lclxrwcm 196 87 hallmarks hallmark NNS cord-252443-lclxrwcm 196 88 of of IN cord-252443-lclxrwcm 196 89 antibody antibody NN cord-252443-lclxrwcm 196 90 affinity affinity NN cord-252443-lclxrwcm 196 91 maturation maturation NN cord-252443-lclxrwcm 197 1 The the DT cord-252443-lclxrwcm 197 2 descent descent NN cord-252443-lclxrwcm 197 3 of of IN cord-252443-lclxrwcm 197 4 memory memory NN cord-252443-lclxrwcm 197 5 T T NNP cord-252443-lclxrwcm 197 6 cells cell NNS cord-252443-lclxrwcm 197 7 Differential differential JJ cord-252443-lclxrwcm 197 8 effects effect NNS cord-252443-lclxrwcm 197 9 of of IN cord-252443-lclxrwcm 197 10 viral viral JJ cord-252443-lclxrwcm 197 11 vectors vector NNS cord-252443-lclxrwcm 197 12 on on IN cord-252443-lclxrwcm 197 13 migratory migratory JJ cord-252443-lclxrwcm 197 14 afferent afferent JJ cord-252443-lclxrwcm 197 15 lymph lymph NN cord-252443-lclxrwcm 197 16 dendritic dendritic JJ cord-252443-lclxrwcm 197 17 cells cell NNS cord-252443-lclxrwcm 197 18 in in IN cord-252443-lclxrwcm 197 19 vitro vitro FW cord-252443-lclxrwcm 197 20 predict predict VBP cord-252443-lclxrwcm 197 21 enhanced enhance VBN cord-252443-lclxrwcm 197 22 immunogenicity immunogenicity NN cord-252443-lclxrwcm 197 23 in in IN cord-252443-lclxrwcm 197 24 vivo vivo NNP cord-252443-lclxrwcm 197 25 Infection infection NN cord-252443-lclxrwcm 197 26 of of IN cord-252443-lclxrwcm 197 27 human human JJ cord-252443-lclxrwcm 197 28 dendritic dendritic JJ cord-252443-lclxrwcm 197 29 cells cell NNS cord-252443-lclxrwcm 197 30 with with IN cord-252443-lclxrwcm 197 31 recombinant recombinant JJ cord-252443-lclxrwcm 197 32 vaccinia vaccinia NN cord-252443-lclxrwcm 197 33 virus virus NN cord-252443-lclxrwcm 197 34 MVA MVA NNP cord-252443-lclxrwcm 197 35 reveals reveal VBZ cord-252443-lclxrwcm 197 36 general general JJ cord-252443-lclxrwcm 197 37 persistence persistence NN cord-252443-lclxrwcm 197 38 of of IN cord-252443-lclxrwcm 197 39 viral viral JJ cord-252443-lclxrwcm 197 40 early early JJ cord-252443-lclxrwcm 197 41 transcription transcription NN cord-252443-lclxrwcm 197 42 but but CC cord-252443-lclxrwcm 197 43 distinct distinct JJ cord-252443-lclxrwcm 197 44 maturation maturation NN cord-252443-lclxrwcm 197 45 - - HYPH cord-252443-lclxrwcm 197 46 dependent dependent JJ cord-252443-lclxrwcm 197 47 cytopathogenicity cytopathogenicity NN cord-252443-lclxrwcm 197 48 Long long JJ cord-252443-lclxrwcm 197 49 - - HYPH cord-252443-lclxrwcm 197 50 term term NN cord-252443-lclxrwcm 197 51 thermostabilization thermostabilization NN cord-252443-lclxrwcm 197 52 of of IN cord-252443-lclxrwcm 197 53 live live JJ cord-252443-lclxrwcm 197 54 poxviral poxviral NNP cord-252443-lclxrwcm 197 55 and and CC cord-252443-lclxrwcm 197 56 adenoviral adenoviral JJ cord-252443-lclxrwcm 197 57 vaccine vaccine NN cord-252443-lclxrwcm 197 58 vectors vector NNS cord-252443-lclxrwcm 197 59 at at IN cord-252443-lclxrwcm 197 60 supraphysiological supraphysiological JJ cord-252443-lclxrwcm 197 61 temperatures temperature NNS cord-252443-lclxrwcm 197 62 in in IN cord-252443-lclxrwcm 197 63 carbohydrate carbohydrate NN cord-252443-lclxrwcm 197 64 glass glass NN cord-252443-lclxrwcm 197 65 Replicating replicate VBG cord-252443-lclxrwcm 197 66 and and CC cord-252443-lclxrwcm 197 67 nonreplicating nonreplicate VBG cord-252443-lclxrwcm 197 68 viral viral JJ cord-252443-lclxrwcm 197 69 vectors vector NNS cord-252443-lclxrwcm 197 70 for for IN cord-252443-lclxrwcm 197 71 vaccine vaccine NN cord-252443-lclxrwcm 197 72 development development NN cord-252443-lclxrwcm 197 73 Adenovirus Adenovirus NNP cord-252443-lclxrwcm 197 74 infections infection NNS cord-252443-lclxrwcm 197 75 in in IN cord-252443-lclxrwcm 197 76 the the DT cord-252443-lclxrwcm 197 77 immunocompromised immunocompromised JJ cord-252443-lclxrwcm 197 78 host host NN cord-252443-lclxrwcm 197 79 Recombinant recombinant JJ cord-252443-lclxrwcm 197 80 vectors vector NNS cord-252443-lclxrwcm 197 81 as as IN cord-252443-lclxrwcm 197 82 influenza influenza NN cord-252443-lclxrwcm 197 83 vaccines vaccine NNS cord-252443-lclxrwcm 197 84 Recombinant recombinant JJ cord-252443-lclxrwcm 197 85 viruses virus NNS cord-252443-lclxrwcm 197 86 as as IN cord-252443-lclxrwcm 197 87 vaccines vaccine NNS cord-252443-lclxrwcm 197 88 against against IN cord-252443-lclxrwcm 197 89 viral viral JJ cord-252443-lclxrwcm 197 90 diseases disease NNS cord-252443-lclxrwcm 197 91 . . . cord-252443-lclxrwcm 198 1 Braz Braz NNP cord-252443-lclxrwcm 198 2 New New NNP cord-252443-lclxrwcm 198 3 insights insight NNS cord-252443-lclxrwcm 198 4 on on IN cord-252443-lclxrwcm 198 5 adenovirus adenovirus NN cord-252443-lclxrwcm 198 6 as as IN cord-252443-lclxrwcm 198 7 vaccine vaccine NN cord-252443-lclxrwcm 198 8 vectors vector NNS cord-252443-lclxrwcm 198 9 Chimpanzee chimpanzee NN cord-252443-lclxrwcm 198 10 adenovirus adenovirus NN cord-252443-lclxrwcm 198 11 antibodies antibody NNS cord-252443-lclxrwcm 198 12 in in IN cord-252443-lclxrwcm 198 13 humans human NNS cord-252443-lclxrwcm 198 14 , , , cord-252443-lclxrwcm 198 15 sub sub JJ cord-252443-lclxrwcm 198 16 - - JJ cord-252443-lclxrwcm 198 17 Saharan saharan JJ cord-252443-lclxrwcm 198 18 Africa Africa NNP cord-252443-lclxrwcm 198 19 Prevalence prevalence NN cord-252443-lclxrwcm 198 20 of of IN cord-252443-lclxrwcm 198 21 serum serum NN cord-252443-lclxrwcm 198 22 neutralizing neutralize VBG cord-252443-lclxrwcm 198 23 antibodies antibody NNS cord-252443-lclxrwcm 198 24 against against IN cord-252443-lclxrwcm 198 25 chimpanzee chimpanzee NN cord-252443-lclxrwcm 198 26 adenovirus adenovirus NN cord-252443-lclxrwcm 198 27 63 63 CD cord-252443-lclxrwcm 198 28 and and CC cord-252443-lclxrwcm 198 29 human human JJ cord-252443-lclxrwcm 198 30 adenovirus adenovirus NN cord-252443-lclxrwcm 198 31 5 5 CD cord-252443-lclxrwcm 198 32 in in IN cord-252443-lclxrwcm 198 33 Kenyan kenyan JJ cord-252443-lclxrwcm 198 34 Children Children NNP cord-252443-lclxrwcm 198 35 , , , cord-252443-lclxrwcm 198 36 in in IN cord-252443-lclxrwcm 198 37 the the DT cord-252443-lclxrwcm 198 38 context context NN cord-252443-lclxrwcm 198 39 of of IN cord-252443-lclxrwcm 198 40 vaccine vaccine NN cord-252443-lclxrwcm 198 41 vector vector NN cord-252443-lclxrwcm 198 42 efficacy efficacy NN cord-252443-lclxrwcm 198 43 Vaccine vaccine NN cord-252443-lclxrwcm 198 44 vectors vector NNS cord-252443-lclxrwcm 198 45 derived derive VBN cord-252443-lclxrwcm 198 46 from from IN cord-252443-lclxrwcm 198 47 a a DT cord-252443-lclxrwcm 198 48 large large JJ cord-252443-lclxrwcm 198 49 collection collection NN cord-252443-lclxrwcm 198 50 of of IN cord-252443-lclxrwcm 198 51 simian simian JJ cord-252443-lclxrwcm 198 52 adenoviruses adenovirus NNS cord-252443-lclxrwcm 198 53 induce induce VBP cord-252443-lclxrwcm 198 54 potent potent JJ cord-252443-lclxrwcm 198 55 cellular cellular JJ cord-252443-lclxrwcm 198 56 immunity immunity NN cord-252443-lclxrwcm 198 57 across across IN cord-252443-lclxrwcm 198 58 multiple multiple JJ cord-252443-lclxrwcm 198 59 species specie NNS cord-252443-lclxrwcm 198 60 Protection protection NN cord-252443-lclxrwcm 198 61 of of IN cord-252443-lclxrwcm 198 62 mice mouse NNS cord-252443-lclxrwcm 198 63 and and CC cord-252443-lclxrwcm 198 64 poultry poultry NN cord-252443-lclxrwcm 198 65 from from IN cord-252443-lclxrwcm 198 66 lethal lethal JJ cord-252443-lclxrwcm 198 67 H5N1 H5N1 NNP cord-252443-lclxrwcm 198 68 avian avian JJ cord-252443-lclxrwcm 198 69 influenza influenza NN cord-252443-lclxrwcm 198 70 virus virus NN cord-252443-lclxrwcm 198 71 through through IN cord-252443-lclxrwcm 198 72 adenovirus adenovirus NN cord-252443-lclxrwcm 198 73 - - HYPH cord-252443-lclxrwcm 198 74 based base VBN cord-252443-lclxrwcm 198 75 immunization immunization NN cord-252443-lclxrwcm 198 76 Protective protective JJ cord-252443-lclxrwcm 198 77 avian avian JJ cord-252443-lclxrwcm 198 78 influenza influenza NN cord-252443-lclxrwcm 198 79 in in IN cord-252443-lclxrwcm 198 80 ovo ovo NNP cord-252443-lclxrwcm 198 81 vaccination vaccination NN cord-252443-lclxrwcm 198 82 with with IN cord-252443-lclxrwcm 198 83 non non JJ cord-252443-lclxrwcm 198 84 - - JJ cord-252443-lclxrwcm 198 85 replicating replicating JJ cord-252443-lclxrwcm 198 86 human human JJ cord-252443-lclxrwcm 198 87 adenovirus adenovirus NN cord-252443-lclxrwcm 198 88 vector vector NN cord-252443-lclxrwcm 198 89 New new JJ cord-252443-lclxrwcm 198 90 pre pre JJ cord-252443-lclxrwcm 198 91 - - JJ cord-252443-lclxrwcm 198 92 pandemic pandemic JJ cord-252443-lclxrwcm 198 93 influenza influenza NN cord-252443-lclxrwcm 198 94 vaccines vaccine NNS cord-252443-lclxrwcm 198 95 : : : cord-252443-lclxrwcm 198 96 an an DT cord-252443-lclxrwcm 198 97 egg egg NN cord-252443-lclxrwcm 198 98 - - HYPH cord-252443-lclxrwcm 198 99 and and CC cord-252443-lclxrwcm 198 100 adjuvantindependent adjuvantindependent JJ cord-252443-lclxrwcm 198 101 human human JJ cord-252443-lclxrwcm 198 102 adenoviral adenoviral NNP cord-252443-lclxrwcm 198 103 vector vector NN cord-252443-lclxrwcm 198 104 strategy strategy NN cord-252443-lclxrwcm 198 105 induces induce VBZ cord-252443-lclxrwcm 198 106 long long RB cord-252443-lclxrwcm 198 107 - - HYPH cord-252443-lclxrwcm 198 108 lasting last VBG cord-252443-lclxrwcm 198 109 protective protective JJ cord-252443-lclxrwcm 198 110 immune immune JJ cord-252443-lclxrwcm 198 111 responses response NNS cord-252443-lclxrwcm 198 112 in in IN cord-252443-lclxrwcm 198 113 mice mouse NNS cord-252443-lclxrwcm 198 114 Antigen Antigen NNP cord-252443-lclxrwcm 198 115 delivery delivery NN cord-252443-lclxrwcm 198 116 systems system NNS cord-252443-lclxrwcm 198 117 for for IN cord-252443-lclxrwcm 198 118 veterinary veterinary JJ cord-252443-lclxrwcm 198 119 vaccine vaccine NN cord-252443-lclxrwcm 198 120 development development NN cord-252443-lclxrwcm 198 121 : : : cord-252443-lclxrwcm 198 122 viral viral JJ cord-252443-lclxrwcm 198 123 - - HYPH cord-252443-lclxrwcm 198 124 vector vector NN cord-252443-lclxrwcm 198 125 based base VBN cord-252443-lclxrwcm 198 126 delivery delivery NN cord-252443-lclxrwcm 198 127 systems system NNS cord-252443-lclxrwcm 198 128 Introduction introduction NN cord-252443-lclxrwcm 198 129 of of IN cord-252443-lclxrwcm 198 130 foreign foreign JJ cord-252443-lclxrwcm 198 131 DNA dna NN cord-252443-lclxrwcm 198 132 into into IN cord-252443-lclxrwcm 198 133 the the DT cord-252443-lclxrwcm 198 134 vaccinia vaccinia NN cord-252443-lclxrwcm 198 135 virus virus NN cord-252443-lclxrwcm 198 136 genome genome VBN cord-252443-lclxrwcm 198 137 by by IN cord-252443-lclxrwcm 198 138 in in FW cord-252443-lclxrwcm 198 139 vitro vitro FW cord-252443-lclxrwcm 198 140 ligation ligation NN cord-252443-lclxrwcm 198 141 : : : cord-252443-lclxrwcm 198 142 recombination recombination NN cord-252443-lclxrwcm 198 143 - - HYPH cord-252443-lclxrwcm 198 144 independent independent JJ cord-252443-lclxrwcm 198 145 selectable selectable JJ cord-252443-lclxrwcm 198 146 cloning cloning NN cord-252443-lclxrwcm 198 147 vectors vector NNS cord-252443-lclxrwcm 198 148 Construction construction NN cord-252443-lclxrwcm 198 149 of of IN cord-252443-lclxrwcm 198 150 recombinant recombinant JJ cord-252443-lclxrwcm 198 151 fowlpox fowlpox NN cord-252443-lclxrwcm 198 152 viruses virus NNS cord-252443-lclxrwcm 198 153 carrying carry VBG cord-252443-lclxrwcm 198 154 multiple multiple JJ cord-252443-lclxrwcm 198 155 vaccine vaccine NN cord-252443-lclxrwcm 198 156 antigens antigen NNS cord-252443-lclxrwcm 198 157 and and CC cord-252443-lclxrwcm 198 158 immunomodulatory immunomodulatory JJ cord-252443-lclxrwcm 198 159 molecules molecule NNS cord-252443-lclxrwcm 198 160 Recombinant recombinant JJ cord-252443-lclxrwcm 198 161 vaccinia vaccinia NN cord-252443-lclxrwcm 198 162 virus virus NN cord-252443-lclxrwcm 198 163 : : : cord-252443-lclxrwcm 198 164 immunization immunization NN cord-252443-lclxrwcm 198 165 against against IN cord-252443-lclxrwcm 198 166 multiple multiple JJ cord-252443-lclxrwcm 198 167 pathogens pathogen NNS cord-252443-lclxrwcm 199 1 Nonreplicating nonreplicate VBG cord-252443-lclxrwcm 199 2 vaccinia vaccinia NN cord-252443-lclxrwcm 199 3 vector vector NN cord-252443-lclxrwcm 199 4 efficiently efficiently RB cord-252443-lclxrwcm 199 5 expresses express VBZ cord-252443-lclxrwcm 199 6 recombinant recombinant JJ cord-252443-lclxrwcm 199 7 genes gene NNS cord-252443-lclxrwcm 199 8 Diagnosis Diagnosis NNP cord-252443-lclxrwcm 199 9 and and CC cord-252443-lclxrwcm 199 10 management management NN cord-252443-lclxrwcm 199 11 of of IN cord-252443-lclxrwcm 199 12 smallpox smallpox NN cord-252443-lclxrwcm 200 1 Enhanced enhanced JJ cord-252443-lclxrwcm 200 2 T t NN cord-252443-lclxrwcm 200 3 cell cell NN cord-252443-lclxrwcm 200 4 - - HYPH cord-252443-lclxrwcm 200 5 mediated mediate VBN cord-252443-lclxrwcm 200 6 protection protection NN cord-252443-lclxrwcm 200 7 against against IN cord-252443-lclxrwcm 200 8 malaria malaria NN cord-252443-lclxrwcm 200 9 in in IN cord-252443-lclxrwcm 200 10 human human JJ cord-252443-lclxrwcm 200 11 challenges challenge NNS cord-252443-lclxrwcm 200 12 by by IN cord-252443-lclxrwcm 200 13 using use VBG cord-252443-lclxrwcm 200 14 the the DT cord-252443-lclxrwcm 200 15 recombinant recombinant JJ cord-252443-lclxrwcm 200 16 poxviruses poxviruses NNP cord-252443-lclxrwcm 200 17 FP9 FP9 NNP cord-252443-lclxrwcm 200 18 and and CC cord-252443-lclxrwcm 200 19 modified modify VBN cord-252443-lclxrwcm 200 20 vaccinia vaccinia NN cord-252443-lclxrwcm 200 21 virus virus NN cord-252443-lclxrwcm 201 1 Ankara Ankara NNP cord-252443-lclxrwcm 201 2 A A NNP cord-252443-lclxrwcm 201 3 phase phase NN cord-252443-lclxrwcm 201 4 2b 2b CD cord-252443-lclxrwcm 201 5 randomised randomised JJ cord-252443-lclxrwcm 201 6 trial trial NN cord-252443-lclxrwcm 201 7 of of IN cord-252443-lclxrwcm 201 8 the the DT cord-252443-lclxrwcm 201 9 candidate candidate NN cord-252443-lclxrwcm 201 10 malaria malaria NN cord-252443-lclxrwcm 201 11 vaccines vaccine NNS cord-252443-lclxrwcm 201 12 FP9 fp9 VBP cord-252443-lclxrwcm 201 13 ME ME NNP cord-252443-lclxrwcm 201 14 - - HYPH cord-252443-lclxrwcm 201 15 TRAP trap NN cord-252443-lclxrwcm 201 16 and and CC cord-252443-lclxrwcm 201 17 MVA MVA NNP cord-252443-lclxrwcm 201 18 ME ME NNP cord-252443-lclxrwcm 201 19 - - HYPH cord-252443-lclxrwcm 201 20 TRAP trap NN cord-252443-lclxrwcm 201 21 among among IN cord-252443-lclxrwcm 201 22 children child NNS cord-252443-lclxrwcm 201 23 in in IN cord-252443-lclxrwcm 201 24 Kenya Kenya NNP cord-252443-lclxrwcm 201 25 A A NNP cord-252443-lclxrwcm 201 26 Phase phase NN cord-252443-lclxrwcm 202 1 I -PRON- PRP cord-252443-lclxrwcm 202 2 study study VBP cord-252443-lclxrwcm 202 3 evaluating evaluate VBG cord-252443-lclxrwcm 202 4 the the DT cord-252443-lclxrwcm 202 5 safety safety NN cord-252443-lclxrwcm 202 6 and and CC cord-252443-lclxrwcm 202 7 immunogenicity immunogenicity NN cord-252443-lclxrwcm 202 8 of of IN cord-252443-lclxrwcm 202 9 MVA85A MVA85A NNP cord-252443-lclxrwcm 202 10 , , , cord-252443-lclxrwcm 202 11 a a DT cord-252443-lclxrwcm 202 12 candidate candidate NN cord-252443-lclxrwcm 202 13 TB TB NNP cord-252443-lclxrwcm 202 14 vaccine vaccine NN cord-252443-lclxrwcm 202 15 , , , cord-252443-lclxrwcm 202 16 in in IN cord-252443-lclxrwcm 202 17 HIV HIV NNP cord-252443-lclxrwcm 202 18 - - HYPH cord-252443-lclxrwcm 202 19 infected infect VBN cord-252443-lclxrwcm 202 20 adults adult NNS cord-252443-lclxrwcm 202 21 Biodistribution Biodistribution NNP cord-252443-lclxrwcm 202 22 and and CC cord-252443-lclxrwcm 202 23 persistence persistence NN cord-252443-lclxrwcm 202 24 of of IN cord-252443-lclxrwcm 202 25 an an DT cord-252443-lclxrwcm 202 26 MVA MVA NNP cord-252443-lclxrwcm 202 27 - - HYPH cord-252443-lclxrwcm 202 28 vectored vectore VBN cord-252443-lclxrwcm 202 29 candidate candidate NN cord-252443-lclxrwcm 202 30 HIV HIV NNP cord-252443-lclxrwcm 202 31 vaccine vaccine NN cord-252443-lclxrwcm 202 32 in in IN cord-252443-lclxrwcm 202 33 SIV SIV NNP cord-252443-lclxrwcm 202 34 - - HYPH cord-252443-lclxrwcm 202 35 infected infect VBN cord-252443-lclxrwcm 202 36 rhesus rhesus NN cord-252443-lclxrwcm 202 37 macaques macaque NNS cord-252443-lclxrwcm 202 38 and and CC cord-252443-lclxrwcm 202 39 SCID SCID NNP cord-252443-lclxrwcm 202 40 mice mouse NNS cord-252443-lclxrwcm 203 1 Attenuated attenuated JJ cord-252443-lclxrwcm 203 2 modified modify VBN cord-252443-lclxrwcm 203 3 vaccinia vaccinia NN cord-252443-lclxrwcm 203 4 virus virus NN cord-252443-lclxrwcm 203 5 Ankara Ankara NNP cord-252443-lclxrwcm 203 6 can can MD cord-252443-lclxrwcm 203 7 be be VB cord-252443-lclxrwcm 203 8 used use VBN cord-252443-lclxrwcm 203 9 as as IN cord-252443-lclxrwcm 203 10 an an DT cord-252443-lclxrwcm 203 11 immunizing immunize VBG cord-252443-lclxrwcm 203 12 agent agent NN cord-252443-lclxrwcm 203 13 under under IN cord-252443-lclxrwcm 203 14 conditions condition NNS cord-252443-lclxrwcm 203 15 of of IN cord-252443-lclxrwcm 203 16 preexisting preexist VBG cord-252443-lclxrwcm 203 17 immunity immunity NN cord-252443-lclxrwcm 203 18 to to IN cord-252443-lclxrwcm 203 19 the the DT cord-252443-lclxrwcm 203 20 vector vector NN cord-252443-lclxrwcm 203 21 Candidate Candidate NNP cord-252443-lclxrwcm 203 22 influenza influenza NN cord-252443-lclxrwcm 203 23 vaccines vaccine NNS cord-252443-lclxrwcm 203 24 based base VBN cord-252443-lclxrwcm 203 25 on on IN cord-252443-lclxrwcm 203 26 recombinant recombinant JJ cord-252443-lclxrwcm 203 27 modified modify VBN cord-252443-lclxrwcm 203 28 vaccinia vaccinia NN cord-252443-lclxrwcm 203 29 virus virus NN cord-252443-lclxrwcm 203 30 Ankara Ankara NNP cord-252443-lclxrwcm 203 31 Clinical Clinical NNP cord-252443-lclxrwcm 203 32 assessment assessment NN cord-252443-lclxrwcm 203 33 of of IN cord-252443-lclxrwcm 203 34 a a DT cord-252443-lclxrwcm 203 35 recombinant recombinant JJ cord-252443-lclxrwcm 203 36 simian simian JJ cord-252443-lclxrwcm 203 37 adenovirus adenovirus NN cord-252443-lclxrwcm 203 38 ChAd63 chad63 NN cord-252443-lclxrwcm 203 39 : : : cord-252443-lclxrwcm 204 1 a a DT cord-252443-lclxrwcm 204 2 potent potent JJ cord-252443-lclxrwcm 204 3 new new JJ cord-252443-lclxrwcm 204 4 vaccine vaccine NN cord-252443-lclxrwcm 204 5 vector vector NN cord-252443-lclxrwcm 204 6 Phase phase NN cord-252443-lclxrwcm 204 7 1 1 CD cord-252443-lclxrwcm 204 8 evaluation evaluation NN cord-252443-lclxrwcm 204 9 of of IN cord-252443-lclxrwcm 204 10 3 3 CD cord-252443-lclxrwcm 204 11 highly highly RB cord-252443-lclxrwcm 204 12 immunogenic immunogenic JJ cord-252443-lclxrwcm 204 13 prime prime JJ cord-252443-lclxrwcm 204 14 - - HYPH cord-252443-lclxrwcm 204 15 boost boost NN cord-252443-lclxrwcm 204 16 regimens regimen NNS cord-252443-lclxrwcm 204 17 , , , cord-252443-lclxrwcm 204 18 including include VBG cord-252443-lclxrwcm 204 19 a a DT cord-252443-lclxrwcm 204 20 12-month 12-month JJ cord-252443-lclxrwcm 204 21 reboosting rebooste VBG cord-252443-lclxrwcm 204 22 vaccination vaccination NN cord-252443-lclxrwcm 204 23 , , , cord-252443-lclxrwcm 204 24 for for IN cord-252443-lclxrwcm 204 25 malaria malaria NN cord-252443-lclxrwcm 204 26 vaccination vaccination NN cord-252443-lclxrwcm 204 27 in in IN cord-252443-lclxrwcm 204 28 Gambian gambian JJ cord-252443-lclxrwcm 204 29 men man NNS cord-252443-lclxrwcm 204 30 Differential Differential NNP cord-252443-lclxrwcm 204 31 CD4 CD4 NNP cord-252443-lclxrwcm 204 32 + + CC cord-252443-lclxrwcm 204 33 versus versus IN cord-252443-lclxrwcm 204 34 CD8 CD8 NNP cord-252443-lclxrwcm 204 35 + + CC cord-252443-lclxrwcm 204 36 T t NN cord-252443-lclxrwcm 204 37 - - HYPH cord-252443-lclxrwcm 204 38 cell cell NN cord-252443-lclxrwcm 204 39 responses response NNS cord-252443-lclxrwcm 204 40 elicited elicit VBN cord-252443-lclxrwcm 204 41 by by IN cord-252443-lclxrwcm 204 42 different different JJ cord-252443-lclxrwcm 204 43 poxvirus poxvirus NNP cord-252443-lclxrwcm 204 44 - - HYPH cord-252443-lclxrwcm 204 45 based base VBN cord-252443-lclxrwcm 204 46 human human JJ cord-252443-lclxrwcm 204 47 immunodeficiency immunodeficiency NN cord-252443-lclxrwcm 204 48 virus virus NN cord-252443-lclxrwcm 204 49 type type NN cord-252443-lclxrwcm 204 50 1 1 CD cord-252443-lclxrwcm 204 51 vaccine vaccine NN cord-252443-lclxrwcm 204 52 candidates candidate NNS cord-252443-lclxrwcm 204 53 provide provide VBP cord-252443-lclxrwcm 204 54 comparable comparable JJ cord-252443-lclxrwcm 204 55 efficacies efficacy NNS cord-252443-lclxrwcm 204 56 in in IN cord-252443-lclxrwcm 204 57 primates primate NNS cord-252443-lclxrwcm 204 58 Cross Cross NNP cord-252443-lclxrwcm 204 59 - - NN cord-252443-lclxrwcm 204 60 priming priming NN cord-252443-lclxrwcm 204 61 of of IN cord-252443-lclxrwcm 204 62 cytotoxic cytotoxic JJ cord-252443-lclxrwcm 204 63 T t NN cord-252443-lclxrwcm 204 64 cells cell NNS cord-252443-lclxrwcm 204 65 dictates dictate VBZ cord-252443-lclxrwcm 204 66 antigen antigen NN cord-252443-lclxrwcm 204 67 requisites requisite NNS cord-252443-lclxrwcm 204 68 for for IN cord-252443-lclxrwcm 204 69 modified modify VBN cord-252443-lclxrwcm 204 70 vaccinia vaccinia NN cord-252443-lclxrwcm 204 71 virus virus NN cord-252443-lclxrwcm 204 72 Ankara Ankara NNP cord-252443-lclxrwcm 204 73 vector vector NN cord-252443-lclxrwcm 204 74 vaccines vaccine NNS cord-252443-lclxrwcm 204 75 Development development NN cord-252443-lclxrwcm 204 76 and and CC cord-252443-lclxrwcm 204 77 use use NN cord-252443-lclxrwcm 204 78 of of IN cord-252443-lclxrwcm 204 79 fowlpox fowlpox NNP cord-252443-lclxrwcm 204 80 vectored vectore VBN cord-252443-lclxrwcm 204 81 vaccines vaccine NNS cord-252443-lclxrwcm 204 82 for for IN cord-252443-lclxrwcm 204 83 avian avian JJ cord-252443-lclxrwcm 204 84 influenza influenza NN cord-252443-lclxrwcm 204 85 Recombinant recombinant JJ cord-252443-lclxrwcm 204 86 modified modify VBN cord-252443-lclxrwcm 204 87 vaccinia vaccinia NN cord-252443-lclxrwcm 204 88 virus virus NN cord-252443-lclxrwcm 204 89 Ankara Ankara NNP cord-252443-lclxrwcm 204 90 expressing express VBG cord-252443-lclxrwcm 204 91 the the DT cord-252443-lclxrwcm 204 92 hemagglutinin hemagglutinin NN cord-252443-lclxrwcm 204 93 gene gene NN cord-252443-lclxrwcm 204 94 confers confer VBZ cord-252443-lclxrwcm 204 95 protection protection NN cord-252443-lclxrwcm 204 96 against against IN cord-252443-lclxrwcm 204 97 homologous homologous JJ cord-252443-lclxrwcm 204 98 and and CC cord-252443-lclxrwcm 204 99 heterologous heterologous JJ cord-252443-lclxrwcm 204 100 H5N1 H5N1 NNP cord-252443-lclxrwcm 204 101 influenza influenza NN cord-252443-lclxrwcm 204 102 virus virus NN cord-252443-lclxrwcm 204 103 infections infection NNS cord-252443-lclxrwcm 204 104 in in IN cord-252443-lclxrwcm 204 105 macaques macaque NNS cord-252443-lclxrwcm 204 106 Preclinical preclinical JJ cord-252443-lclxrwcm 204 107 evaluation evaluation NN cord-252443-lclxrwcm 204 108 of of IN cord-252443-lclxrwcm 204 109 a a DT cord-252443-lclxrwcm 204 110 modified modify VBN cord-252443-lclxrwcm 204 111 vaccinia vaccinia NN cord-252443-lclxrwcm 204 112 virus virus NN cord-252443-lclxrwcm 204 113 Ankara Ankara NNP cord-252443-lclxrwcm 204 114 ( ( -LRB- cord-252443-lclxrwcm 204 115 MVA)-based mva)-base VBN cord-252443-lclxrwcm 204 116 vaccine vaccine NN cord-252443-lclxrwcm 204 117 against against IN cord-252443-lclxrwcm 204 118 influenza influenza NN cord-252443-lclxrwcm 204 119 A A NNP cord-252443-lclxrwcm 204 120 / / SYM cord-252443-lclxrwcm 204 121 H5N1 H5N1 NNP cord-252443-lclxrwcm 204 122 viruses virus NNS cord-252443-lclxrwcm 205 1 MVA MVA NNP cord-252443-lclxrwcm 205 2 - - HYPH cord-252443-lclxrwcm 205 3 based base VBN cord-252443-lclxrwcm 205 4 H5N1 H5N1 NNP cord-252443-lclxrwcm 205 5 vaccine vaccine NN cord-252443-lclxrwcm 205 6 affords afford VBZ cord-252443-lclxrwcm 205 7 cross cross NN cord-252443-lclxrwcm 205 8 - - JJ cord-252443-lclxrwcm 205 9 clade clade JJ cord-252443-lclxrwcm 205 10 protection protection NN cord-252443-lclxrwcm 205 11 in in IN cord-252443-lclxrwcm 205 12 mice mouse NNS cord-252443-lclxrwcm 205 13 against against IN cord-252443-lclxrwcm 205 14 influenza influenza NNP cord-252443-lclxrwcm 205 15 A A NNP cord-252443-lclxrwcm 205 16 / / SYM cord-252443-lclxrwcm 205 17 H5N1 H5N1 NNP cord-252443-lclxrwcm 205 18 viruses virus NNS cord-252443-lclxrwcm 205 19 at at IN cord-252443-lclxrwcm 205 20 low low JJ cord-252443-lclxrwcm 205 21 doses dose NNS cord-252443-lclxrwcm 205 22 and and CC cord-252443-lclxrwcm 205 23 after after IN cord-252443-lclxrwcm 205 24 single single JJ cord-252443-lclxrwcm 205 25 immunization immunization NN cord-252443-lclxrwcm 205 26 Vectors vector NNS cord-252443-lclxrwcm 205 27 based base VBN cord-252443-lclxrwcm 205 28 on on IN cord-252443-lclxrwcm 205 29 modified modify VBN cord-252443-lclxrwcm 205 30 vaccinia vaccinia NN cord-252443-lclxrwcm 205 31 Ankara Ankara NNP cord-252443-lclxrwcm 205 32 expressing express VBG cord-252443-lclxrwcm 205 33 influenza influenza NN cord-252443-lclxrwcm 205 34 H5N1 H5N1 NNP cord-252443-lclxrwcm 205 35 hemagglutinin hemagglutinin NNS cord-252443-lclxrwcm 205 36 induce induce VBP cord-252443-lclxrwcm 205 37 substantial substantial JJ cord-252443-lclxrwcm 205 38 crossclade crossclade NN cord-252443-lclxrwcm 205 39 protective protective JJ cord-252443-lclxrwcm 205 40 immunity immunity NN cord-252443-lclxrwcm 205 41 Vaccinia Vaccinia NNP cord-252443-lclxrwcm 205 42 virus virus NN cord-252443-lclxrwcm 205 43 - - HYPH cord-252443-lclxrwcm 205 44 based base VBN cord-252443-lclxrwcm 205 45 multivalent multivalent JJ cord-252443-lclxrwcm 205 46 H5N1 H5N1 NNP cord-252443-lclxrwcm 205 47 avian avian JJ cord-252443-lclxrwcm 205 48 influenza influenza NN cord-252443-lclxrwcm 205 49 vaccines vaccine NNS cord-252443-lclxrwcm 205 50 adjuvanted adjuvante VBN cord-252443-lclxrwcm 205 51 with with IN cord-252443-lclxrwcm 205 52 IL-15 IL-15 NNP cord-252443-lclxrwcm 205 53 confer confer VB cord-252443-lclxrwcm 205 54 sterile sterile JJ cord-252443-lclxrwcm 205 55 cross cross JJ cord-252443-lclxrwcm 205 56 - - JJ cord-252443-lclxrwcm 205 57 clade clade JJ cord-252443-lclxrwcm 205 58 protection protection NN cord-252443-lclxrwcm 205 59 in in IN cord-252443-lclxrwcm 205 60 mice mouse NNS cord-252443-lclxrwcm 206 1 A a DT cord-252443-lclxrwcm 206 2 preliminary preliminary JJ cord-252443-lclxrwcm 206 3 assessment assessment NN cord-252443-lclxrwcm 206 4 of of IN cord-252443-lclxrwcm 206 5 the the DT cord-252443-lclxrwcm 206 6 efficacy efficacy NN cord-252443-lclxrwcm 206 7 of of IN cord-252443-lclxrwcm 206 8 a a DT cord-252443-lclxrwcm 206 9 T T NNP cord-252443-lclxrwcm 206 10 cell cell NN cord-252443-lclxrwcm 206 11 - - HYPH cord-252443-lclxrwcm 206 12 based base VBN cord-252443-lclxrwcm 206 13 influenza influenza NN cord-252443-lclxrwcm 206 14 vaccine vaccine NN cord-252443-lclxrwcm 206 15 , , , cord-252443-lclxrwcm 206 16 MVA MVA NNP cord-252443-lclxrwcm 206 17 - - HYPH cord-252443-lclxrwcm 206 18 NP+M1 NP+M1 NNP cord-252443-lclxrwcm 206 19 , , , cord-252443-lclxrwcm 206 20 in in IN cord-252443-lclxrwcm 206 21 humans human NNS cord-252443-lclxrwcm 206 22 Attenuation Attenuation NNP cord-252443-lclxrwcm 206 23 of of IN cord-252443-lclxrwcm 206 24 simian simian JJ cord-252443-lclxrwcm 206 25 immunodeficiency immunodeficiency NN cord-252443-lclxrwcm 206 26 virus virus NN cord-252443-lclxrwcm 206 27 SIVmac239 SIVmac239 NNP cord-252443-lclxrwcm 206 28 infection infection NN cord-252443-lclxrwcm 206 29 by by IN cord-252443-lclxrwcm 206 30 prophylactic prophylactic JJ cord-252443-lclxrwcm 206 31 immunization immunization NN cord-252443-lclxrwcm 206 32 with with IN cord-252443-lclxrwcm 206 33 DNA DNA NNP cord-252443-lclxrwcm 206 34 and and CC cord-252443-lclxrwcm 206 35 recombinant recombinant JJ cord-252443-lclxrwcm 206 36 adenoviral adenoviral JJ cord-252443-lclxrwcm 206 37 vaccine vaccine NN cord-252443-lclxrwcm 206 38 vectors vector NNS cord-252443-lclxrwcm 206 39 expressing express VBG cord-252443-lclxrwcm 207 1 Gag Gag NNP cord-252443-lclxrwcm 207 2 Vaccination vaccination NN cord-252443-lclxrwcm 207 3 preserves preserve VBZ cord-252443-lclxrwcm 207 4 CD4 CD4 NNP cord-252443-lclxrwcm 207 5 memory memory NN cord-252443-lclxrwcm 207 6 T T NNP cord-252443-lclxrwcm 207 7 cells cell NNS cord-252443-lclxrwcm 207 8 during during IN cord-252443-lclxrwcm 207 9 acute acute JJ cord-252443-lclxrwcm 207 10 simian simian JJ cord-252443-lclxrwcm 207 11 immunodeficiency immunodeficiency NN cord-252443-lclxrwcm 207 12 virus virus NN cord-252443-lclxrwcm 207 13 challenge challenge NN cord-252443-lclxrwcm 207 14 Immune immune JJ cord-252443-lclxrwcm 207 15 responses response NNS cord-252443-lclxrwcm 207 16 against against IN cord-252443-lclxrwcm 207 17 a a DT cord-252443-lclxrwcm 207 18 liver liver NN cord-252443-lclxrwcm 207 19 - - HYPH cord-252443-lclxrwcm 207 20 stage stage NN cord-252443-lclxrwcm 207 21 malaria malaria NN cord-252443-lclxrwcm 207 22 antigen antigen NN cord-252443-lclxrwcm 207 23 induced induce VBN cord-252443-lclxrwcm 207 24 by by IN cord-252443-lclxrwcm 207 25 simian simian JJ cord-252443-lclxrwcm 207 26 adenoviral adenoviral JJ cord-252443-lclxrwcm 207 27 vector vector NN cord-252443-lclxrwcm 207 28 AdCh63 AdCh63 NNPS cord-252443-lclxrwcm 207 29 and and CC cord-252443-lclxrwcm 207 30 MVA MVA NNP cord-252443-lclxrwcm 207 31 prime prime JJ cord-252443-lclxrwcm 207 32 - - HYPH cord-252443-lclxrwcm 207 33 boost boost NN cord-252443-lclxrwcm 207 34 immunization immunization NN cord-252443-lclxrwcm 207 35 in in IN cord-252443-lclxrwcm 207 36 non non JJ cord-252443-lclxrwcm 207 37 - - JJ cord-252443-lclxrwcm 207 38 human human JJ cord-252443-lclxrwcm 207 39 primates primate NNS cord-252443-lclxrwcm 207 40 Prime prime JJ cord-252443-lclxrwcm 207 41 - - HYPH cord-252443-lclxrwcm 207 42 boost boost NN cord-252443-lclxrwcm 207 43 immunization immunization NN cord-252443-lclxrwcm 207 44 with with IN cord-252443-lclxrwcm 207 45 adenoviral adenoviral NNP cord-252443-lclxrwcm 207 46 and and CC cord-252443-lclxrwcm 207 47 modified modify VBN cord-252443-lclxrwcm 207 48 vaccinia vaccinia NN cord-252443-lclxrwcm 207 49 virus virus NN cord-252443-lclxrwcm 207 50 Ankara Ankara NNP cord-252443-lclxrwcm 207 51 vectors vector NNS cord-252443-lclxrwcm 207 52 enhances enhance VBZ cord-252443-lclxrwcm 207 53 the the DT cord-252443-lclxrwcm 207 54 durability durability NN cord-252443-lclxrwcm 207 55 and and CC cord-252443-lclxrwcm 207 56 polyfunctionality polyfunctionality NN cord-252443-lclxrwcm 207 57 of of IN cord-252443-lclxrwcm 207 58 protective protective JJ cord-252443-lclxrwcm 207 59 malaria malaria NN cord-252443-lclxrwcm 207 60 CD8(+ cd8(+ CD cord-252443-lclxrwcm 207 61 ) ) -RRB- cord-252443-lclxrwcm 208 1 T t NN cord-252443-lclxrwcm 208 2 - - HYPH cord-252443-lclxrwcm 208 3 cell cell NN cord-252443-lclxrwcm 208 4 responses response NNS cord-252443-lclxrwcm 208 5 Tailoring tailor VBG cord-252443-lclxrwcm 208 6 subunit subunit NN cord-252443-lclxrwcm 208 7 vaccine vaccine NN cord-252443-lclxrwcm 208 8 immunogenicity immunogenicity NN cord-252443-lclxrwcm 208 9 : : : cord-252443-lclxrwcm 208 10 maximizing maximize VBG cord-252443-lclxrwcm 208 11 antibody antibody NN cord-252443-lclxrwcm 208 12 and and CC cord-252443-lclxrwcm 208 13 T T NNP cord-252443-lclxrwcm 208 14 cell cell NN cord-252443-lclxrwcm 208 15 responses response NNS cord-252443-lclxrwcm 208 16 by by IN cord-252443-lclxrwcm 208 17 using use VBG cord-252443-lclxrwcm 208 18 combinations combination NNS cord-252443-lclxrwcm 208 19 of of IN cord-252443-lclxrwcm 208 20 adenovirus adenovirus NN cord-252443-lclxrwcm 208 21 , , , cord-252443-lclxrwcm 208 22 poxvirus poxvirus NNP cord-252443-lclxrwcm 208 23 and and CC cord-252443-lclxrwcm 208 24 protein protein NN cord-252443-lclxrwcm 208 25 - - HYPH cord-252443-lclxrwcm 208 26 adjuvant adjuvant JJ cord-252443-lclxrwcm 208 27 vaccines vaccine NNS cord-252443-lclxrwcm 208 28 against against IN cord-252443-lclxrwcm 208 29 Plasmodium Plasmodium NNP cord-252443-lclxrwcm 208 30 falciparum falciparum NN cord-252443-lclxrwcm 208 31 MSP1 MSP1 NNP