From:  Janus-faced role of anti-infective drugs: a revisit through the lens of vascular ageing

 Key mechanistic insights and quantitative findings from Wu et al. [148], 2024.

Disease/TargetVaccine strategyKey outcomes (quantitative)Mechanistic insight
Alzheimer’s (Aβ vaccines ACI-24, UB-311, ABvac40)Peptide/Liposome/DNA vaccinesUB-311: 97% antibody responder rate, maintained at 93% after 3 years. ACI-24 reduced Aβ plaques in APP mice.Induces humoral immunity, decreases extracellular Aβ burden.
Alzheimer’s (tau vaccines)Phospho-tau peptide vaccines (ACI-35, AADvac1)Phase Ib/IIa trial: 6-fold higher tau-epitope antibody affinity vs. natural isoforms.Clears tau aggregates, reduces NFT accumulation.
Type 2 diabetes (IL-1β vaccines)VLP-coupled IL-1βHuman trial: robust neutralizing antibody titers after 6 injections.Suppresses IL-1β-driven inflammation and improves insulin sensitivity.
Hypertension (Ang II vaccine CYT006-AngQb)Ang II peptide + VLPsHuman trial: −9/−4 mmHg reduction in daytime ambulatory BP.Neutralizes Ang II, downregulates RAS-mediated vasoconstriction.
Atherosclerosis (ApoB, PCSK9 vaccines)Peptide vaccinesMouse models: significant plaque reduction and PCSK9 decrease.Enhances LDL receptor recycling and reduces lipid accumulation.
AAA (AT1R vaccine)ATRQβ-001Decreased MMP-2/9 activity; reduced aneurysmal dilation.Blocks AT1R signaling → reduced vascular inflammation.
OA (NGF vaccine)NGF-VLPAnti-NGF titers 103; reversal of pain in mice.Reduces NGF-mediated nociception.
Senolytic vaccines (CD153, GPNMB)Peptide vaccinesCD153 vaccine: improved glucose tolerance in obese mice; GPNMB vaccine: reduced plaques, increased lifespan in progeria mice.ADCC-mediated senescent cell clearance; reduced SASP cytokines.

MMP: matrix metalloproteinases; SASP: senescence-associated secretory phenotype.