journal article·2026-07-13Open access

Sustained Delivery of a Shingles Subunit Vaccine Overcomes Age‐Related Declines in Humoral and Cellular Immunity Relative to Shingrix

Ye Eun Song, Jerry Yan, Ben S. Ou, Olivia M. Saouaf, Noah Eckman, E. A. Appel

Abstract

ABSTRACT The global aging population faces heightened vulnerability to infectious diseases due to immunosenescence, which diminishes the potency, durability, and breadth of vaccine‐induced immunity. While the leading shingles vaccine, Shingrix, provides protection against herpes zoster virus for adults aged 50 and older, it is often associated with severe local and systemic reactogenicity, which limits vaccine compliance. Here, we report an injectable polymer‐nanoparticle (PNP) hydrogel platform for the sustained delivery of a shingles subunit vaccine to enhance immune responses while mitigating reactogenicity in aged mice. Hydrogel‐based vaccination elicited significantly more potent and durable humoral immune responses than Shingrix, while inflammatory cytokine levels remained below the limit of detection. Moreover, aged mice vaccinated with the hydrogel‐based vaccine exhibited robust antigen‐specific cellular immune responses. These findings demonstrate that controlling the temporal presentation of vaccine components can overcome age‐associated declines in immune responsiveness without inducing excessive inflammatory signaling. By decoupling immunogenicity from reactogenicity, our hydrogel‐based delivery strategy offers a promising approach to improve both the efficacy and tolerability of subunit vaccines for the elderly and may be broadly applicable to other vaccines targeting aging populations.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Herpesvirus Infections and Treatments · Immunotherapy and Immune Responses · interferon and immune responses

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Materials Science & Engineering Stanford University Stanford California USA

Department of Bioengineering Stanford University Stanford California USA

Department of Chemical Engineering Stanford University Stanford California USA

ChEM‐H Institute Stanford University Stanford California USA

Woods Institute For the Environment Stanford University Stanford California USA

Department of Pediatrics – Endocrinology Stanford University School of Medicine Stanford California USA

Funding

Bill and Melinda Gates Foundation

References (76)

Show source-provided references
1. World Health Organization Global Report on Ageism. Geneva: World Health Organization 2021.https://www.who.int/publications/i/item/9789240016866.
2. 10.1038/s41514‐024‐00148‐210.1038/s41514‐024‐00148‐2 ↗
3. 10.1126/science.125440510.1126/science.1254405 ↗
4. 10.1093/oxfimm/iqab00710.1093/oxfimm/iqab007 ↗
5. 10.1016/j.imlet.2014.06.00610.1016/j.imlet.2014.06.006 ↗
6. 10.1038/ni.258810.1038/ni.2588 ↗
7. 10.3390/vaccines1211128910.3390/vaccines12111289 ↗
8. 10.1038/s41541-024-00874-410.1038/s41541-024-00874-4 ↗
9. 10.1016/j.vaccine.2012.01.08810.1016/j.vaccine.2012.01.088 ↗
10. 10.1056/NEJMoa160380010.1056/NEJMoa1603800 ↗
11. 10.1056/NEJMoa150118410.1056/NEJMoa1501184 ↗
12. 10.1016/j.vaccine.2019.02.01510.1016/j.vaccine.2019.02.015 ↗
13. 10.1080/14760584.2016.121363210.1080/14760584.2016.1213632 ↗
14. 10.1080/14760584.2024.238272510.1080/14760584.2024.2382725 ↗
15. 10.3389/phrs.2024.160667910.3389/phrs.2024.1606679 ↗
16. 10.1016/j.vaccine.2025.12746510.1016/j.vaccine.2025.127465 ↗
17. 10.1093/ofid/ofae631.79510.1093/ofid/ofae631.795 ↗
18. 10.1038/s41541-022-00467-z10.1038/s41541-022-00467-z ↗
19. 10.1038/s41578‐021‐00372‐210.1038/s41578‐021‐00372‐2 ↗
20. 10.1016/j.addr.2022.11440110.1016/j.addr.2022.114401 ↗
21. 10.1038/nri286810.1038/nri2868 ↗
22. 10.1016/j.cell.2019.04.01210.1016/j.cell.2019.04.012 ↗
23. Sustained Vaccine Exposure Elicits More Rapid, Consistent, and Broad Humoral Immune Responses to Multivalent Influenza Vaccines
24. 10.1002/adhm.20230149510.1002/adhm.202301495 ↗
25. 10.1021/acsnano.3c0970010.1021/acsnano.3c09700 ↗
26. 10.1002/jbm.a.3720310.1002/jbm.a.37203 ↗
27. 10.1002/adma.20210436210.1002/adma.202104362 ↗
28. 10.1086/52869610.1086/528696 ↗
29. 10.1086/60561110.1086/605611 ↗
30. 10.1086/65360510.1086/653605 ↗
31. VZV T Cell‐mediated Immunity
32. 10.1021/acscentsci.0c0073210.1021/acscentsci.0c00732 ↗
33. 10.1038/ncomms729510.1038/ncomms7295 ↗
34. 10.3791/6223410.3791/62234 ↗
35. 10.1038/s41467‐021‐21024‐710.1038/s41467‐021‐21024‐7 ↗
36. 10.1002/adfm.20220340210.1002/adfm.202203402 ↗
37. 10.1016/j.xcrm.2023.10129210.1016/j.xcrm.2023.101292 ↗
38. 10.1021/acs.chemrev.0c0117710.1021/acs.chemrev.0c01177 ↗
39. 10.1002/mabi.20200029510.1002/mabi.202000295 ↗
40. 10.1002/advs.20210367710.1002/advs.202103677 ↗
41. (CDC) C.f.D.C.a.P. RecombinantZ. VaccineV. I. S.2022 https://www.cdc.gov/vaccines/hcp/current‐vis/shingles.html.
42. 10.1016/j.lfs.2019.11724210.1016/j.lfs.2019.117242 ↗
43. 10.3389/fphys.2021.70827810.3389/fphys.2021.708278 ↗
44. 10.1007/s00221‐022‐06449‐w10.1007/s00221‐022‐06449‐w ↗
45. 10.1038/s41591‐020‐0753‐310.1038/s41591‐020‐0753‐3 ↗
46. 10.1080/14760584.2018.149556510.1080/14760584.2018.1495565 ↗
47. 10.1126/sciadv.adn718710.1126/sciadv.adn7187 ↗
48. 10.1002/anbr.20240007710.1002/anbr.202400077 ↗
49. 10.1186/s12866‐018‐1186‐810.1186/s12866‐018‐1186‐8 ↗
50. 10.1056/NEJMp05809110.1056/NEJMp058091 ↗
51. 10.1016/j.coi.2010.05.00310.1016/j.coi.2010.05.003 ↗
52. 10.1186/1742‐4933‐4‐910.1186/1742‐4933‐4‐9 ↗
53. 10.1086/37904810.1086/379048 ↗
54. 10.1111/j.1365‐2249.2008.03633.x10.1111/j.1365‐2249.2008.03633.x ↗
55. 10.1038/nri171410.1038/nri1714 ↗
56. 10.1016/j.cell.2010.10.03210.1016/j.cell.2010.10.032 ↗
57. 10.1038/s41467‐023‐42923‐x10.1038/s41467‐023‐42923‐x ↗
58. 10.1016/j.celrep.2016.10.08510.1016/j.celrep.2016.10.085 ↗
59. 10.4049/jimmunol.155.7.337710.4049/jimmunol.155.7.3377 ↗
60. 10.1084/jem.183.3.95910.1084/jem.183.3.959 ↗
61. 10.1084/jem.2004139510.1084/jem.20041395 ↗
62. 10.1038/icb.2013.7710.1038/icb.2013.77 ↗
63. Antibody‐forming Cell Induction during an Early Phase of Germinal Centre Development and Its Delay with Ageing
64. 10.1111/j.1600‐065X.1997.tb01028.x10.1111/j.1600‐065X.1997.tb01028.x ↗
65. 10.1371/journal.pone.012228210.1371/journal.pone.0122282 ↗
66. 10.1016/j.vaccine.2005.08.10510.1016/j.vaccine.2005.08.105 ↗
67. 10.1016/j.cell.2020.09.03810.1016/j.cell.2020.09.038 ↗
68. 10.1371/journal.pone.023559010.1371/journal.pone.0235590 ↗
69. 10.1111/j.1469‐0691.2012.03944.x10.1111/j.1469‐0691.2012.03944.x ↗
70. 10.1084/jem.2024060410.1084/jem.20240604 ↗
71. 10.1086/42127710.1086/421277 ↗
72. 10.14336/AD.2020.060310.14336/AD.2020.0603 ↗
73. 10.1006/mpat.1993.106410.1006/mpat.1993.1064 ↗
74. 10.1002/ame2.1257510.1002/ame2.12575 ↗
75. 10.3390/v1106050210.3390/v11060502 ↗
76. 10.1038/s41541-019-0132-610.1038/s41541-019-0132-6 ↗