Evidence map›Paper›PMID 38065772›Full record

ArticleVaccine2024

Adjuvant AS01 activates human monocytes for costimulation and systemic inflammation.

Carson L Smith, Brian Richardson, Michael Rubsamen, Mark J Cameron, Cheryl M Cameron, David H Canaday

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Vaccine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07527247 (Using AS01 Adjuvant to Improve Immune Response in Older Adults Through Trained Immunity), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 15% 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.

NCT07527247 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Using AS01 Adjuvant to Improve Immune Response in Older Adults Through Trained Immunity

TypeinterventionalSponsorSingapore General HospitalRan2025 to 2029Enrolled40ConditionsImmune System Responses and Trained Immunity After AS01 Administration, Healthy AdultArmsAS01 adjuvant (0.5 mL intramuscular), YF17D (Stamaril, Sanofi-Pasteur), Placebo (NaCl 09%, 0.5mL)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Recombinant zoster vaccine and risk of kidney failure, cardiovascular, and mortality in patients with chronic kidney disease.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
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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

6 authors at 3 institutions in 1 country.

Carson L SmithDepartment of Pathology, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Brian RichardsonDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA.
Michael RubsamenDepartment of Nutrition, Case Western Reserve University School of Medicine, Cleveland, OH USA.
Mark J CameronDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA.
Cheryl M CameronDepartment of Nutrition, Case Western Reserve University School of Medicine, Cleveland, OH USA.
David H CanadayCase Western Reserve University School of Medicine, Cleveland, OH, USA; Geriatric Research, Education, and Clinical Center, Louis Stokes VA Northeast Ohio Healthcare System, Cleveland, OH, USA. Electronic address: dxc44@case.edu.
University School · USCase Western Reserve University · USGeriatric Research Education and Clinical Center · US

Funding

TUMOR METABOLISM PROGRAMP30CA043703 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI Amar Desai · 1987 to 2026
$142.3M
WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Immaculate Lillian Nankya · 1994 to 2026
$50.0M
Plaque and blood derived macrophages: a multi-omic assessment of CVD pathogenesis in PLWHR01HL158592 · NHLBI · OHIO STATE UNIVERSITY · PI Mark James Cameron, Nicholas T. Funderburg · 2021 to 2026
$3.6M
CSRD VA I01 CX002060NCI NIH HHS P30 CA043703NHLBI NIH HHS R01 HL158592NIAID NIH HHS P30 AI036219
6 · The paper itself

Abstract

backgroundThe adjuvanted recombinant zoster vaccine (RZV) is highly effective even in adults over 80 years old. The high efficacy of RZV is attributed to its highly reactogenic adjuvant, AS01, but limited studies have been done on AS01's activation of human immune cells.

methodsWe stimulated peripheral blood mononuclear cells (PBMC) with AS01 and used flow cytometry and RNA Sequencing (RNAseq) to analyze the impacts on human primary cells.

resultsWe found that incubation of PBMC with AS01 activated monocytes to a greater extent than any other cell population, including dendritic cells. Both classical and non-classical monocytes demonstrated this activation. RNASeq showed that TNF-ɑ and IL1R pathways were highly upregulated in response to AS01 exposure, even in older adults.

conclusionsIn a PBMC co-culture, AS01 strongly activates human monocytes to upregulate costimulation markers and induce cytokines that mediate systemic inflammation. Understanding AS01's impacts on human cells opens possibilities to further address the reduced vaccine response associated with aging.

Indexed as

Herpes ZosterHerpes Zoster VaccineAdjuvants, ImmunologicAgedAged, 80 and overHumansInflammationLeukocytes, MononuclearMonocytesVaccines, SyntheticAdjuvants, ImmunologicHerpes Zoster VaccineVaccines, SyntheticAdjuvantAS01CostimulationImmunosenescenceMonocytes

Identifiers

PMID38065772
PMCPMC12344592
OpenAlexW4389427767

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.