The Same Combined Adjuvant NE+Rg1 Shows Different Immune Effects on Different Pathogen Antigens
Abstract Background New recombinant protein vaccines with high purity, clear ingredients and good safety are gradually replacing attenuated and inactivated vaccines in clinical practice. However, one of the main issues with use of these new vaccines is the need for adjuvants to enhance their immune effect. Aluminium salts (hydroxide and phosphate) were the first approved adjuvants used in human vaccines, but these salts have some limitations, such as their induction of primarily humoural immunity with weaker induction of cell-mediated immunity and the failure to clear intracellular viral infections. Therefore, there is a growing need for novel adjuvants. Combined adjuvants or adjuvant systems are increasingly being used to meet the need for adjuvant development for vaccines. Different pathogen antigens also need specific adjuvants to enhance the immune response and protection. Methods The present study evaluated the synergistic immunological effect of a combined nano emulsion (NE) with Ginsenoside Rg1, i.e. NE+Rg1, for the hepatitis B surface antigen (HBsAg) or H1N1 haemagglutinin (HA) of an inactivated influenza vaccine (split virion) in mice and the vaccine stability and safety. Non-parametric tests (Mann-Whitney test) and one-way analysis of variance (ANOVA) were used for statistical analyses. Tests were considered significant when P < 0.05.ResultsThe combined adjuvant NE+Rg1 showed high stability, a mean diameter of 168.1 nm, and a zeta potential of -22.8 mV. When combined with HBsAg, it produced a similar or higher anti-HB and IgG1/IgG2a titre and elevated IL-2 and IFN-γ expression in spot forming cells (SFCs) compared with NE alone and higher IFN-γ and IL-2 expression in CD8+ T cells than aluminium hydroxide. However, when combined with HA, HA+NE+Rg1 resulted in a comparable haemagglutination inhibition (HAI) titre as HA+NE compared to that in mice immunized with HA alone or HA+Rg1 and an even lower protection rate than HA+NE after PR/8/34 virus strain challenge in mice. Conclusions This research demonstrated that the same combined adjuvant NE+Rg1 had different immune effects on different antigens and suggests that the research and development of adjuvants must consider specific pathogens and should be studied on a case-by-case basis.