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. 2018 Jul;10(Suppl 19):S2280–S2294. doi: 10.21037/jtd.2018.03.168

Table 2. The advantages and disadvantages of different viral vaccines.

Vaccine Advantages Disadvantages
Live oral vaccine Approved for use in US military populations of 17–50 years old (type 4 and 7); balance humoral and cellular responses; inducing mucosal immunity; single dose sufficient Not be recommended for use in children or general population; may spread to environment; the epidemic types differ geographically; potential highly pathogenic recombinant from vaccine strains
Inactivated vaccine Safe; highly effective at preventing adenovirus disease indicated by early reports; may be used in children or general population Early clinical researches failed due to possible seeds contaminated with simian virus SV-40; possible lack of cellular response and cross protection; essential adjuvant and multiple injection
Replication-defective live adenovirus High level of safety; elicit cellular responses and even mucosal immunity The occurrence of replication-competent adenovirus in culture or in vivo; unclear whether it expresses late capsid proteins in vivo; few researches reported
Epitope-based vaccine Multivalent vaccine could be constructed by capsid-incorporation strategy; synthetic peptides easy and cheap to produce Capsid proteins are trimeric, important neutralization epitopes may be conformation dependent and requires further investigation; short epitope peptide is weakly immunogenic
Capsid-chimeric Ad vaccine Enabling easy culture and purification as a multivalent vaccine; reducing the impact of potential recombination; induce balance immunogenic responses More investigations needed
Subunit or VLP vaccine High level of safety; high level expression in E.coli or insect cells May lack of cellular responses; essential adjuvant and multiple injection