Evidence map›Paper›PMID 37488109›Full record

ArticleNPJ vaccines2023

A TLR7/8 agonist increases efficacy of anti-fentanyl vaccines in rodent and porcine models.

Bethany Crouse, Shannon M Miller, Peter Muelken, Linda Hicks, Jennifer R Vigliaturo, Cheryl L Marker, Alonso G P Guedes, Paul R Pentel, Jay T Evans, Mark G LeSage and 1 more

Open access · goldAbstract read
In one paragraph

Article in NPJ vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. An antifentanyl monoclonal antibody reverses fentanyl-induced apnea in pigs.The Journal of pharmacology and experimental therapeutics · 2025
    Article
  4. Review
  5. A novel cationic liposome-formulated toll like receptor (TLR) 7/8 agonist enhances the efficacy of a vaccine against fentanyl toxicity.Journal of controlled release : official journal of the Controlled Release Society · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Opioid-Based Haptens: Development of Immunotherapy.International journal of molecular sciences · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Bethany CrouseDepartment of Pharmacology, University of Minnesota Medical School, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0002-1984-2465
Shannon M MillerDepartment of Biomedical and Pharmaceutical Sciences, Center for Translational Medicine, University of Montana, Missoula, MT, USA.ORCID http://orcid.org/0000-0003-3482-043X
Peter MuelkenDepartment of Medicine, Hennepin Healthcare Research Institute, Minneapolis, MN, USA.
Linda HicksDepartment of Biomedical and Pharmaceutical Sciences, Center for Translational Medicine, University of Montana, Missoula, MT, USA.
Jennifer R VigliaturoDepartment of Pharmacology, University of Minnesota Medical School, Minneapolis, MN, USA.
Cheryl L MarkerDepartment of Pharmacology, University of Minnesota Medical School, Minneapolis, MN, USA.
Alonso G P GuedesDepartment of Veterinary Clinical Sciences, University of Minnesota, St. Paul, MN, USA.
Paul R PentelDepartment of Pharmacology, University of Minnesota Medical School, Minneapolis, MN, USA.
Jay T EvansDepartment of Biomedical and Pharmaceutical Sciences, Center for Translational Medicine, University of Montana, Missoula, MT, USA.ORCID http://orcid.org/0000-0001-6602-0272
Mark G LeSageDepartment of Pharmacology, University of Minnesota Medical School, Minneapolis, MN, USA.
Marco PravetoniDepartment of Pharmacology, University of Minnesota Medical School, Minneapolis, MN, USA. mprave@uw.edu.
University of Minnesota · USUniversity of Montana · USUniversity of Minnesota Medical Center · USBioscience Research · USHennepin Healthcare Research Institute · USUniversity of Washington · US

Funding

Training in PharmacoNeuroImmune Substance Abuse ResearchT32DA007097 · NIDA · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MOLITOR, THOMAS WILLIAM · 1985 to 2021
$13.1M
Vaccines for fentanyl and its derivatives: A strategy to reduce illicit use and overdoseUG3DA048386 · NIDA · UNIVERSITY OF MINNESOTA · PI PRAVETONI, MARCO · 2019 to 2020
$3.3M
Identifying mechanisms and biomarkers predictive of individual variability in efficacy of vaccines against opioid use disorderF31DA054760 · NIDA · UNIVERSITY OF MINNESOTA · PI CROUSE, BETHANY K · 2021 to 2021
$27k
NIAID NIH HHS HHSN272201800048CNIDA NIH HHS F31 DA054760NIDA NIH HHS T32 DA007097NIDA NIH HHS UG3 DA048386
6 · The paper itself

Abstract

Opioid use disorders (OUD) and overdose are public health threats worldwide. Widespread access to highly potent illicit synthetic opioids such as fentanyl is driving the recent rise in fatal overdoses. Vaccines containing fentanyl-based haptens conjugated to immunogenic carrier proteins offer a long-lasting, safe, and cost-effective strategy to protect individuals from overdose upon accidental or deliberate exposure to fentanyl and its analogs. Prophylactic or therapeutic active immunization with an anti-fentanyl vaccine induces the production of fentanyl-specific antibodies that bind the drug in the blood and prevent its distribution to the brain, which reduces its reinforcing effects and attenuates respiratory depression and bradycardia. To increase the efficacy of a lead anti-fentanyl vaccine, this study tested whether the incorporation of synthetic toll-like receptor (TLR) 4 and TLR7/8 agonists as vaccine adjuvants would increase vaccine efficacy against fentanyl challenge, overdose, and self-administration in either rats or Hanford miniature pigs. Formulation of the vaccine with a nucleolipid TLR7/8 agonist enhanced its immunogenicity and efficacy in preventing fentanyl-induced respiratory depression, analgesia, bradycardia, and self-administration in either rats or mini-pigs. These studies support the use of TLR7/8 adjuvants in vaccine formulations to improve their clinical efficacy against OUD and potentially other substance use disorders (SUD).

Identifiers

PMID37488109
PMCPMC10366150
OpenAlexW4385199650

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.