Evidence map›Paper›PMID 41530119›Full record

ArticleNature communications2026

Intranasal replicon vaccine establishes mucosal immunity and protects against H5N1 and H7N9 influenza.

Matthew R Ykema, Michael A Davis, Darshan N Kasal, Madeleine F Jennewein, Ethan Lo, Jasneet Singh, Samuel Beaver, Noah Cross, Eduard Melief, Sierra Reed and 11 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. mRNA Vaccines for Influenza: Hope for a Universal Vaccine?BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  3. Article
  4. Article
  5. Article
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

21 authors.

Matthew R YkemaAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Michael A DavisAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Darshan N KasalAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Madeleine F JenneweinAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Ethan LoAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.ORCID http://orcid.org/0009-0007-0001-8787
Jasneet SinghAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Samuel BeaverAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Noah CrossAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Eduard MeliefAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.ORCID http://orcid.org/0000-0002-2464-8966
Sierra ReedAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Christopher PressAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Devin S BrandtAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Wynton D McClaryAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.ORCID http://orcid.org/0000-0003-3210-4747
Raodoh MohamathAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Pauline FuscoAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Julie BakkenAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Corey CasperAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Airn Tolnay HartwigDepartment of Biomedical Sciences, Colorado State University, Fort Collins, CO, USA.
Alana GerhardtAccess to Advanced Health Institute (AAHI), Seattle, WA, USA.
Richard A BowenDepartment of Biomedical Sciences, Colorado State University, Fort Collins, CO, USA.
Emily A VoigtAccess to Advanced Health Institute (AAHI), Seattle, WA, USA. voigte@ohsu.edu.ORCID http://orcid.org/0000-0001-5177-4063

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Seasonal and pandemic influenza viruses are continuous threats to human health, requiring rapid development of vaccines to multiple evolving viral strains. RNA vaccine technologies have the adaptability and manufacturability to facilitate pandemic preparedness but have limited flexibility in their route of administration, reducing the ability to establish local protective immune responses such as respiratory mucosal immunity. Here, we describe monovalent and bivalent replicon vaccines against A/Vietnam/1203/2004 H5N1 and A/Anhui/PA-1/2013 H7N9. These replicon vaccines express either H5 or H7 hemagglutinin and are formulated with a nanostructured lipid carrier (NLC) that permits both intramuscular (IM) and intranasal (IN) dosing. In mice, IM vaccination established systemic humoral and cellular responses but no detectable mucosal response, while IN administration induced robust systemic and mucosal immunity. The replicon-NLC vaccines protected against morbidity and mortality in ferret challenge models, establishing this intranasally-administered replicon-NLC vaccine platform as a potential pandemic response tool.

Indexed as

Immunity, MucosalInfluenza A Virus, H5N1 SubtypeInfluenza A Virus, H7N9 SubtypeInfluenza, HumanInfluenza VaccinesOrthomyxoviridae InfectionsRepliconAdministration, IntranasalAnimalsAntibodies, ViralFemaleFerretsHemagglutinin Glycoproteins, Influenza VirusHumansInjections, IntramuscularMiceAntibodies, ViralHemagglutinin Glycoproteins, Influenza VirusInfluenza Vaccines

Identifiers

PMID41530119
PMCPMC12800107

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.