How do you make a universal flu vaccine? A microbiologist explains the challenges, and the promise of mRNA

To everything there is a season, and for the flu, it's wintertime. Flu casespeak between December and February, and the flu vaccine is your best defense. Getting the vaccine means youwill be less sickeven if you get a breakthrough infection.

However, yourimmune systemis in a constant race against the flu virus. Like the virus that causes COVID-19, influenza rapidly changes and mutates into new variants, so manufacturers have to update the flu shot totry to keep pace. After identifying a new flu variant, it takes manufacturers about six months to update thevaccine—and in the meantime the virus can mutate again. This phenomenon is calledantigenic drift, and can reduce the effectiveness of theflu vaccinefor that season.

An ongoing threat is that a major change in the flu virus, orantigenic shift, could cause the next flu pandemic. This happens when aflu virusfrom animals, such as birds or swine, gains the ability to transmit between humans. Most people will have no immunity against this new animal-origin virus, so it could quickly spread into a pandemic. If that happens, the annual flu shot will not be effective and can't be updated fast enough to stop a global spread.

I am a researcherdeveloping new vaccines to prevent future pandemics. Nearly 20 years ago, my lab and several others developed a vision of building auniversal influenza vaccinethat could give us the leading edge in the race against influenza and prevent the next flu pandemic by effectively combating any eventual flu strain. One potential way to do this is with messenger RNA, or mRNA.

What is a universal influenza vaccine?

A universal influenza vaccine is one that does not need to be updated each year because it is designed to protect against all or most influenza variants. Scientists are exploring several ways to develop universal influenza vaccines. Most fall intoone of two buckets.

The first includes vaccines that focus on conserved, or unchanging, parts of the virus. This strategy directs the immune system against parts of the virus, or antigens, that are shared among all variants and can't mutate without weakening or killing the virus.

The second includes mosaic vaccines. These are like a cocktail of protein pieces taken from different variants. The blend is made up of versions of the protein hemagglutinin—essential to the influenza virus's ability to infect cells—that is found in all flu variants circulating in animals and people. The goal is to induce immunity against nearly all variants so there will be fewer gaps in the immune system's defenses for the virus to slip through.

Using mRNA for a universal flu vaccine

The recent success of mRNA vaccines for COVID-19 shows promise for their use in achieving the vision of an effective universal influenza vaccine.

有20个已知亚型流感。之前the development of mRNA vaccines, it wasn't feasible to make a single flu vaccine against all 20 subtypes due to the complexities and costs in manufacturing. Unlike traditional vaccines, constructing and producing mRNA vaccines is rapid and simple because manufacturers don't have to produce and purify the protein directly. Instead, mRNA vaccines provide the genetic sequence of the protein and then use the body's own cells to generate that proteinin its natural structure. This makes it relatively easy to incorporate any antigen or many antigens.

Recently, a team of researchersdesigned a mosaic mRNA vaccinewith sequences from multiple versions of the hemagglutinin protein, each representing one of the 20 influenza subtypes. This vaccine induced broad immunity against eachvariantin mice and ferrets.

Several research groups are also exploring the conserved antigen approach with mRNA vaccines. Animal studies have shown that it's possible to design mRNA vaccines that can both focus immune responses against highly conserved, vulnerable parts of the virus andinducebroad immunity对各种不同的流感subtypes. These includeavian flu virusesthat share many genetic sequences with human influenza.

Another promising approach usescomputational modelingto leverage both conserved and mosaic approaches. This strategy displays multiple hemagglutinins from different influenza subtypeson a nanoparticle. Nanoparticles are structures that give researchers more precise control over how the immune system sees the viral antigens, subsequently allowing them to induce stronger immune responses against multiple variants. Here, both conserved and variable regions of the virus are exposed to the immune system and can lead tobroad immunity.

Obstacles to a universal flu mRNA vaccine

There are still several challenges before a universal influenza mRNA vaccine can be made available.

For one, it is not clear which conserved antigens provide the broadest protection, and some don't naturally induce strong immune responses. So, mRNA vaccines may need improvements like additional components that help activate immune cells. One such addition could includeusing mRNA to express nanoparticlesthat stimulate stronger immune responses against the conserved antigens presented by the vaccine.

The mosaic approach is also limited by themaximum dose possiblefor mRNA vaccines, becausehigher dosescould cause increased adverse reactions to the vaccine. When that dose gets divided into 20 or more antigens, the dose of one or more of those antigens may drop below the threshold needed for protection.

Scientists are working on these challenges, including by developingnew mRNA technologiesthat work with a much lower dose. If mRNA vaccines work for universal protection frominfluenza, the same strategies could also apply to other frequently mutating viruses, such as thevirusthat causes COVID-19 and maybe even HIV.

In the meantime, mRNA vaccines may soonusher in a new eraof more effective annual flu vaccines by providing a better match to each flu season's new variants.Two seasonal influenza mRNA vaccinesare currently in human clinical trials. If successful, they may offer more effective protection from the annual flu than our current flu vaccines. With mRNA vaccines, I believe that we are at the beginning of starting a new race against flu that we may finally win.

This article is republished fromThe Conversationunder a Creative Commons license. Read theoriginal article.