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• W2917128889 endingPage "26" @default.
• W2917128889 startingPage "26" @default.
• W2917128889 abstract "Despite extraordinary advances in fields of immunology and infectious diseases, vaccine development remains a challenge. The development of a respiratory syncytial virus vaccine, for example, has spanned more than 50 years of research with studies of more than 100 vaccine candidates. Dozens of attractive vaccine products have entered clinical trials, but none have completed the path to licensing. Human immunodeficiency virus vaccine development has proven equally difficult, as there is no licensed product after more than 30 years of pre-clinical and clinical research. Here, we examine vaccine development with attention to the host. We discuss how nuclear hormones, including vitamins and sex hormones, can influence responses to vaccines. We show how nuclear hormones interact with regulatory elements of immunoglobulin gene loci and how the deletion of estrogen response elements from gene enhancers will alter patterns of antibody isotype expression. Based on these findings, and findings that nuclear hormone levels are often insufficient or deficient among individuals in both developed and developing countries, we suggest that failed vaccine studies may in some cases reflect weaknesses of the host rather than the product. We encourage analyses of nuclear hormone levels and immunocompetence among study participants in clinical trials to ensure the success of future vaccine programs." @default.
• W2917128889 created "2019-03-02" @default.
• W2917128889 creator A5014151204 @default.
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• W2917128889 creator A5044380425 @default.
• W2917128889 creator A5051793462 @default.
• W2917128889 creator A5055049294 @default.
• W2917128889 creator A5067366809 @default.
• W2917128889 date "2019-02-27" @default.
• W2917128889 modified "2023-09-25" @default.
• W2917128889 title "Will Attention by Vaccine Developers to the Host’s Nuclear Hormone Levels and Immunocompetence Improve Vaccine Success?" @default.
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