Carnrot Cecilia, Carow Berit, Palm Anna-Karin E, Akpinar Eray, Helgesson Per-Henrik, Osterman Ingrid Lekberg, Bringeland Emelie, Foreman Bryant, Patel Nita, Bankefors Johan, Fries Louis, Stertman Linda
Adjuvant Immunology, Product Development, Novavax AB, Uppsala, Sweden.
Adjuvant Characterization, Product Development, Novavax AB, Uppsala, Sweden.
Front Drug Deliv. 2023 Nov 6;3:1279710. doi: 10.3389/fddev.2023.1279710. eCollection 2023.
Novel adjuvants are extensively utilized in the development of safe and effective vaccines against emerging pathogens. Matrix-M™ adjuvant is a saponin-based adjuvant used in several active clinical development programs and in widespread use in the COVID-19 vaccine NVX-CoV2373. Here, we conducted a biodistribution study to better understand the mechanism of action and safety profile for Matrix-M™ adjuvant. Radiolabeled saponins or cholesterol were incorporated into Matrix-A™ particles, which represent 85% of Matrix-M™. Labeled Matrix-M™ adjuvant was given to mice by intramuscular injection with or without SARS-CoV-2 Spike protein. Radioactivity of the adjuvant components was quantified in local and systemic tissues at seven timepoints over a period of 1-168 h. The highest saponin levels were found at the 1-h timepoint at the injection site, in the draining (iliac) lymph nodes, and in urine. Saponins were rapidly cleared from these tissues, reaching very low levels by 48-72 h. Systemically, saponins were found at low levels in the plasma, kidneys, liver, and bone marrow, and were barely detectable in other investigated tissues. Cholesterol was also found at high levels at the injection site and in the draining lymph nodes. These levels declined rapidly at first, then plateaued at 24-48 h. Radiolabeled cholesterol was found at very low levels in other tissues at the earliest timepoints, until increasing and stabilizing after the 24-h timepoint, indicating entry into the endogenous cholesterol recycling pool. This study demonstrates a rapid distribution of Matrix-M™ adjuvant from the injection site to the draining lymph nodes, thus excluding a depot effect as central to the mechanism of action for this adjuvant. The diverging clearance patterns for saponins and cholesterol are suggestive of at least partial disassembly of the Matrix-particles, which has implications for the downstream effects of Matrix-M™ adjuvant on adaptive immune responses. Systemic exposure to toxicologically relevant tissues is very low.
新型佐剂在开发针对新出现病原体的安全有效疫苗方面得到了广泛应用。Matrix-M™佐剂是一种基于皂苷的佐剂,用于多个正在进行的临床开发项目,并在COVID-19疫苗NVX-CoV2373中广泛使用。在此,我们进行了一项生物分布研究,以更好地了解Matrix-M™佐剂的作用机制和安全性。将放射性标记的皂苷或胆固醇掺入占Matrix-M™ 85%的Matrix-A™颗粒中。将标记的Matrix-M™佐剂通过肌肉注射给予小鼠,同时注射或不注射SARS-CoV-2刺突蛋白。在1-168小时的时间段内,在七个时间点对局部和全身组织中的佐剂成分放射性进行定量。在注射部位、引流(髂)淋巴结和尿液中的1小时时间点发现皂苷水平最高。皂苷迅速从这些组织中清除,到48-72小时时达到非常低的水平。在全身,血浆、肾脏、肝脏和骨髓中皂苷水平较低,在其他研究组织中几乎检测不到。在注射部位和引流淋巴结中也发现胆固醇水平较高。这些水平最初迅速下降,然后在24-48小时达到平稳。在最早的时间点,其他组织中放射性标记的胆固醇水平非常低,直到24小时时间点后升高并稳定,表明进入内源性胆固醇循环池。这项研究表明Matrix-M™佐剂从注射部位迅速分布到引流淋巴结中,因此排除了储存效应是该佐剂作用机制的核心。皂苷和胆固醇不同的清除模式表明Matrix颗粒至少部分解体,这对Matrix-M™佐剂对适应性免疫反应的下游影响具有重要意义。全身暴露于毒理学相关组织的水平非常低。
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