Evidence map›Paper›PMID 41255382›Full record

ArticleHealth science reports2025

Efficacy of Immunostimulatory Adjuvants and Nano-Adjuvants in Current SARS-CoV-2 Vaccines: A Comprehensive Review.

Peyman Kheirandish Zarandi, Mohammad Reza Zinatizadeh, Mohsen Ghiasi, Mohammad Rezaei Zadeh Rukerd, Hanieh Mirkamali, Ehsan Shokri

Abstract read
In one paragraph

Article in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Peyman Kheirandish ZarandiDepartment of Biology, Science and Research Branch Islamic Azad University Tehran Iran.ORCID https://orcid.org/0000-0001-9887-1370
Mohammad Reza ZinatizadehDepartment of Biology, Science and Research Branch Islamic Azad University Tehran Iran.
Mohsen GhiasiCardiovascular Research Center Rajaie Cardiovascular Institute Tehran Iran.ORCID https://orcid.org/0000-0003-2834-5804
Mohammad Rezaei Zadeh RukerdDepartment of Stem Cells and Developmental Biology, Cell Science Research Center Royan Institute for Stem Cell Biology and Technology, ACECR Tehran Iran.ORCID https://orcid.org/0000-0001-8390-4344
Hanieh MirkamaliFaculty of Medicine Kerman University of Medical Sciences Kerman Iran.
Ehsan ShokriDepartment of Nanotechnology, Agricultural Biotechnology Research Institute of Iran (ABRII), Agricultural Research Education and Extension Organization (AREEO) Karaj Iran.ORCID https://orcid.org/0000-0001-7417-5637

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: SARS-CoV-2 continues to pose global challenges, and current vaccines face limitations (variant escape, waning immunity). This review evaluates immunostimulatory adjuvants and nano-adjuvants to enhance immune responses and optimize SARS-CoV-2 vaccine performance. Methods: Narrative review of preclinical and clinical evidence on alum, emulsions (MF59, AS01/AS03), Montanide ISA-51, delta inulin, TLR agonists (e.g., CpG, TLR3), rOv-ASP-1, and nano/mucosal platforms (liposomes, polymeric or metal nanoparticles, Protollin) for SARS-CoV-2 and related coronaviruses. Results: Alum and emulsions increased neutralizing antibodies; Th1-promoting combinations (e.g., CpG with Montanide or with protein antigens) mitigated Th2-biased immunopathology seen with some inactivated vaccines. MF59, AS01/AS03, and Matrix-type systems enhanced humoral and cellular responses, with early clinical data supporting acceptable safety and robust immunogenicity. Delta inulin (±CpG) boosted neutralization without lung injury in comparative models. TLR agonists and intranasal Protollin induced systemic IgG and mucosal IgA. Nano-adjuvants improved antigen presentation and enabled dose-sparing while supporting balanced, durable immunity. Conclusion: Immunostimulatory and nano-adjuvants substantially strengthen SARS-CoV-2 vaccine immunogenicity, support antigen-sparing, and favor balanced (often Th1-biased) protection. Prudent adjuvant selection and integration of conventional and nanotechnology-derived platforms are key to achieving safe, durable, and broadly protective COVID-19 vaccines.

Indexed as

immunizationnano‐adjuvantnanotechnologySARS‐CoV‐2vaccination

Identifiers

PMID41255382
PMCPMC12620674

What Socratic 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 Socratic graph.