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Virsomes
Virosomes are liposomes made of phospholipid and viral spike glycoproteins or other viral proteins, which can be prepared from the envelope proteins of various viruses, such as influenza virus, respiratory syncytial virus (RSV) [57-59]. As a platform technology, influenza virosomes have been used as carriers and adjuvants for subunit vaccines [60]. They are recombinant virosomes made in vitro by simulating the natural structure of the virus, with a diameter is about 150 nm, free of viral nucleic acid [61], and are mainly composed of natural phospholipid, phosphatidylcholine, hemagglutinin (HA) and neuraminidase (NA) [62]. As promising novel vaccine adjuvants in the development of vaccines, influenza virosomes have been used in influenza vaccines (Inflexal® V) and hepatitis A virus vaccines (Epaxal®).
Virosome adjuvants can be used as a delivery system to deliver large molecules such as antigens, nucleic acids, and drugs [63]. By encapsulating antigens in virosomes, they can reduce the degradation of antigens outside the cells and deliver them to the lymph nodes through binding to cell receptors and membrane fusion to introduce antigens into the cytoplasm. Virosome adjuvants can also assist APCs to acquire antigens and present them in the form of major histocompability complex (MHC) I and MHC II [61], thereby activating CD4+ T cell and CD8+ T cell, enhancing the specific humoral and cellular immune responses [64,65]. This is very important for the development of vaccines for intracellular infectious pathogens such as SARSCoV- 2. Virosome adjuvant vaccines have good safety, tolerability and immunogenicity, but some adverse events are still inevitable [66,67]. Currently, virosomes have already been used as carriers and adjuvants for the vaccine development and cancer prevention and immunotherapy. For example, cervical cancer is one of the cancers successfully treated by virosome-fomulated cervical cancer vaccines [68].