<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3-mathml3.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="review-article" dtd-version="1.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2026.1766957</article-id>
<article-version article-version-type="Version of Record" vocab="NISO-RP-8-2008"/>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Review</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Advances and prospects of mucosal vaccination in the prevention and control of avian influenza</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes" equal-contrib="yes">
<name><surname>Hui</surname><given-names>Xianfeng</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>*</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x2020;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2172294/overview"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="supervision" vocab-term-identifier="https://credit.niso.org/contributor-roles/supervision/">Supervision</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &amp; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &amp; editing</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="conceptualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Tian</surname><given-names>Xiaowei</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x2020;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1658212/overview"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &amp; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &amp; editing</role>
</contrib>
<contrib contrib-type="author">
<name><surname>Ding</surname><given-names>Shihuan</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &amp; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &amp; editing</role>
</contrib>
<contrib contrib-type="author">
<name><surname>Gao</surname><given-names>Ge</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &amp; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &amp; editing</role>
</contrib>
<contrib contrib-type="author">
<name><surname>Gao</surname><given-names>Shuoxiang</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &amp; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &amp; editing</role>
</contrib>
<contrib contrib-type="author">
<name><surname>Sun</surname><given-names>Aiping</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &amp; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &amp; editing</role>
</contrib>
<contrib contrib-type="author">
<name><surname>Zhao</surname><given-names>Tiesuo</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2236935/overview"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &amp; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &amp; editing</role>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Wang</surname><given-names>Hui</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>*</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/563544/overview"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="supervision" vocab-term-identifier="https://credit.niso.org/contributor-roles/supervision/">Supervision</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Funding acquisition" vocab-term-identifier="https://credit.niso.org/contributor-roles/funding-acquisition/">Funding acquisition</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &amp; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &amp; editing</role>
</contrib>
</contrib-group>
<aff id="aff1"><label>1</label><institution>Department of Immunology, School of Basic Medical Sciences, Henan Medical University</institution>, <city>Xinxiang</city>,&#xa0;<country country="cn">China</country></aff>
<aff id="aff2"><label>2</label><institution>Henan Collaborative Innovation Center of Molecular Diagnosis and Laboratory Medicine, School of Medical Technology, Henan Medical University</institution>, <city>Xinxiang</city>,&#xa0;<country country="cn">China</country></aff>
<aff id="aff3"><label>3</label><institution>Department of Pathogenic Biology, School of Basic Medical Sciences, Henan Medical University</institution>, <city>Xinxiang</city>,&#xa0;<country country="cn">China</country></aff>
<aff id="aff4"><label>4</label><institution>Xinxiang Engineering Technology Research Center of Immune Checkpoint Drug for Liver-Intestinal Tumors, Henan Medical University</institution>, <city>Xinxiang</city>,&#xa0;<country country="cn">China</country></aff>
<author-notes>
<corresp id="c001"><label>*</label>Correspondence: Hui Wang, <email xlink:href="mailto:immuneweb@126.com">immuneweb@126.com</email>; Xianfeng Hui, <email xlink:href="mailto:Xianfenghui@163.com">Xianfenghui@163.com</email></corresp>
<fn fn-type="equal" id="fn003">
<label>&#x2020;</label>
<p>These authors have contributed equally to this work</p></fn>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2026-02-05">
<day>05</day>
<month>02</month>
<year>2026</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2026</year>
</pub-date>
<volume>17</volume>
<elocation-id>1766957</elocation-id>
<history>
<date date-type="received">
<day>13</day>
<month>12</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>20</day>
<month>01</month>
<year>2026</year>
</date>
<date date-type="rev-recd">
<day>12</day>
<month>01</month>
<year>2026</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2026 Hui, Tian, Ding, Gao, Gao, Sun, Zhao and Wang.</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>Hui, Tian, Ding, Gao, Gao, Sun, Zhao and Wang</copyright-holder>
<license>
<ali:license_ref start_date="2026-02-05">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract>
<p>Avian influenza virus (AIV) poses a persistent threat to global poultry production and public health. Long-term immunization programs have established a foundational immune barrier, significantly mitigating the risk of highly pathogenic avian influenza outbreaks. However, the high mutability of AIV, complex biosafety requirements, and the accelerating scale of poultry production underscore the need for enhanced mucosal protection. Mucosal immunity represents a critical defense against respiratory virus invasion in poultry, rapidly mobilizing local antibodies, cellular immune responses, and innate defense mechanisms. Recent advances in mucosal vaccine platforms&#x2014;including viral vectors, nucleic acid vaccines, nanoparticle-based delivery systems, and water- or spray-administered formulations&#x2014;have demonstrated potential in poultry models to enhance local immune responses, reduce viral shedding, and improve herd-level immune uniformity. This review provides a systematic overview of the unique structural and immunological features of avian mucosal tissues, summarizes the latest developments in mucosal vaccine technologies, and discusses their potential applications and challenges within integrated avian influenza control strategies.</p>
</abstract>
<kwd-group>
<kwd>avian influenza virus</kwd>
<kwd>mucosal immunity</kwd>
<kwd>mucosal vaccines</kwd>
<kwd>respiratory tract immunology</kwd>
<kwd>viral shedding control</kwd>
</kwd-group>
<funding-group>
<funding-statement>The author(s) declared that financial support was received for this work and/or its publication. This research was supported by the National Natural Science Foundation of China (32300120), the Key Project of International Scientific and Technological Cooperation of Henan Province (241111520400), the Key Scientific Research Project of Higher Education of Henan Province (25A310013), the 111 Project (D20036, China).</funding-statement>
</funding-group>
<counts>
<fig-count count="5"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="105"/>
<page-count count="17"/>
<word-count count="7558"/>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Viral Immunology</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Avian influenza virus (AIV), a highly mutable respiratory pathogen, exhibits a broad and complex global ecological distribution, particularly through a dynamic cross-host transmission cycle between domestic poultry and wild waterfowl (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). Over the past decades, highly pathogenic H5 and H7 subtypes, as well as the low-pathogenic H9N2 subtype, have continuously driven viral evolution and dissemination, posing long-term threats to the poultry industry, biosafety systems, and public health (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B4">4</xref>). Countries such as China have achieved substantial success in controlling certain highly pathogenic AIVs through sustained and systematic immunization programs, greatly reducing the likelihood of large-scale outbreaks and contributing to the stable development of the poultry sector (<xref ref-type="bibr" rid="B5">5</xref>&#x2013;<xref ref-type="bibr" rid="B7">7</xref>). Nevertheless, from a global perspective, cross-species transmission, frequent gene reassortment, and ongoing antigenic drift remain major challenges (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>). The transmission chain between wild birds and domestic poultry is highly complex and dynamic, rendering AIV control efforts uncertain and demanding.</p>
<p>During AIV infection, the respiratory and intestinal mucosa serve as the primary portals of viral entry. Although avian and mammalian mucosal immune systems share fundamental structural principles, they differ markedly in anatomical organization, immune-associated tissues, and cellular composition (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>). In chickens, the nasal mucosa, tracheal-associated lymphoid tissue (TALT), and cecal tonsils together constitute an intricate mucosal immune network (<xref ref-type="bibr" rid="B11">11</xref>). AIV efficiently attaches to &#x3b1;2,3-linked sialic acid receptors on respiratory epithelial cells, enabling rapid replication and spread to deeper tissues; thus, effective immune recognition and containment at the mucosal level during the early stages of infection are essential to interrupt viral dissemination (<xref ref-type="bibr" rid="B12">12</xref>).</p>
<p>With advancing understanding of mucosal immunity, mucosal vaccination strategies targeting respiratory viruses have gained considerable attention (<xref ref-type="bibr" rid="B13">13</xref>). Recent progress in genetic engineering, nanodelivery platforms, biomaterials, and mucosal adjuvant development has enabled multiple mucosal routes&#x2014;such as intranasal spraying, ocular administration, and drinking-water vaccination&#x2014;to be applied in poultry (<xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B15">15</xref>). A variety of innovative platforms, including viral-vector vaccines (e.g., NDV- or IBV-based vectors), nucleic acid vaccines, nanoparticle vaccines, conformationally stabilized HA (hemagglutinin) trimer antigens, and mucosal homing-enhancing adjuvant systems, have demonstrated promising results in avian models and, in some cases, industry-level application (<xref ref-type="bibr" rid="B16">16</xref>). These approaches not only induce systemic antibody responses but also establish durable mucosal immune memory in the upper respiratory tract, providing dual protection by limiting early viral replication and subsequent transmission (<xref ref-type="bibr" rid="B17">17</xref>).</p>
<p>It is noteworthy that avian mucosal immunity displays unique biological characteristics, such as developmental timing of immune organs, breed-specific differences in IgA secretion, and the crucial influence of microbial communities on mucosal immune maturation (<xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>). These features highlight the need to consider antigen delivery sites, adjuvant combinations, formulation stability, and immunization program optimization when designing mucosal vaccines (<xref ref-type="bibr" rid="B20">20</xref>). Moreover, accumulating evidence indicates that AIV can remodel the mucosal barrier by modulating interferon signaling, altering epithelial glycosylation patterns, and influencing mucin expression&#x2014;further underscoring the importance of enhancing innate mucosal defenses (<xref ref-type="bibr" rid="B21">21</xref>).</p>
<p>Amid ongoing AIV evolution and increasing biosafety pressures in poultry production systems, developing next-generation mucosal vaccines to strengthen the &#x201c;frontline immunity&#x201d; of birds has become a key strategy for improving overall resilience in disease control (<xref ref-type="bibr" rid="B20">20</xref>). A systematic review of mucosal immune features, technological innovations in mucosal vaccine platforms, mechanisms of immune activation, and practical application prospects will contribute essential theoretical and practical insights for building more precise, efficient, and rapidly responsive immunization systems in poultry (<xref ref-type="bibr" rid="B22">22</xref>). Based on this rationale, this review will focus on avian mucosal immunobiology, novel mucosal delivery platforms, mucosal immune mechanisms, recent advances in vaccine technologies, and their implications for AIV prevention and control.</p>
</sec>
<sec id="s2">
<label>2</label>
<title>Mucosal pathogenesis of AIV infection</title>
<p>as a typical respiratory mucosal pathogen, the pathogenicity and transmissibility of AIV are tightly linked to the status of the host mucosal immune system (<xref ref-type="bibr" rid="B23">23</xref>). The upper respiratory and conjunctival mucosa constitute the initial interface where AIV encounters the host, and they represent the key anatomical sites for viral attachment, replication, and early dissemination (<xref ref-type="bibr" rid="B24">24</xref>). Understanding how AIV interacts with the mucosal environment is therefore essential for explaining the central role of mucosal immunity in limiting viral invasion, reducing viral shedding, and interrupting transmission within poultry populations. This section summarizes the mucosal pathogenic basis of AIV from the perspectives of tissue susceptibility, mucosal immune microenvironment, and viral immune-modulatory mechanisms, thereby providing a conceptual foundation for subsequent discussions on mucosal vaccine strategies.</p>
<sec id="s2_1">
<label>2.1</label>
<title>Respiratory epithelium as the primary replication site of AIV</title>
<p>The avian respiratory epithelium is the critical biological site where AIV establishes initial infection, undergoes explosive replication, and initiates early spread. Its high susceptibility is mainly attributed to the abundant expression of &#x3b1;2,3-linked sialic acid receptors (&#x3b1;2,3-SA) on epithelial cells&#x2014;the preferred binding moieties for avian-origin AIV (<xref ref-type="bibr" rid="B25">25</xref>). The nasal mucosa, tracheal epithelium, and primary bronchial mucosa exhibit both high receptor density and direct exposure to the external environment, making them the predominant anatomical regions where the viral replication cycle is first established under natural infection. Importantly, the conjunctival epithelium also expresses abundant &#x3b1;2,3-SA, rendering ocular exposure an underrecognized yet epidemiologically important portal of entry, particularly during outbreaks of highly pathogenic AIV (HPAIV) (<xref ref-type="bibr" rid="B26">26</xref>).</p>
<p>Upon binding to &#x3b1;2,3-SA, AIV rapidly enters epithelial cells via receptor-mediated endocytosis (<xref ref-type="bibr" rid="B27">27</xref>). Cleavage activation of HA by host proteases such as transmembrane protease, serine 2 (TMPRSS2) and human airway trypsin-like protease (HAT) is required for membrane fusion, while endosomal acidification facilitates the release of viral ribonucleoprotein complexes into the cytoplasm and subsequently into the nucleus, where transcription and replication occur (<xref ref-type="bibr" rid="B28">28</xref>). The high replication competence of AIV leads to the rapid accumulation of viral particles within infected regions, causing extensive epithelial cell death and detachment and resulting in the swift loss of ciliated structures. As a consequence, the mucociliary clearance system&#x2014;a major physical barrier against inhaled pathogens&#x2014;is severely compromised, permitting more efficient viral dissemination along the respiratory tract (<xref ref-type="bibr" rid="B29">29</xref>).</p>
<p>The disruption of the mucosal barrier extends beyond ciliary damage. AIV replication induces substantial alterations in the mucous layer, including disorganization of mucus architecture and dysregulated expression of mucins such as MUC5B (mucin 5B, oligomeric mucus/gel-forming) and MUC2 (mucin 2, oligomeric mucus/gel-forming) (<xref ref-type="bibr" rid="B30">30</xref>). Concurrently, tight junction proteins&#x2014;including claudin-1, occludin, and ZO-1 (zonula occludens-1) &#x2014;are markedly downregulated, leading to increased epithelial permeability (<xref ref-type="bibr" rid="B31">31</xref>). These combined effects weaken mucosal integrity and facilitate penetration of both viruses and secondary bacterial pathogens into deeper tissues, thereby escalating the risk of severe lower respiratory infection (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1</bold></xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>AIV-induced epithelial damage: from viral entry to impairment of mucociliary and tight junction integrity.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-17-1766957-g001.tif">
<alt-text content-type="machine-generated">Diagram illustrating Avian Influenza Virus (AIV) infection. The virus binds to receptors, fuses with the cell membrane, and releases viral RNA, which enters the nucleus for transcription and replication. Viral particles assemble and exit the cell. Destruction of epithelial cells leads to mucosal barrier disruption, with ciliary damage, altered mucus, dysregulated mucin expression, and reduced tight junction proteins.</alt-text>
</graphic></fig>
<p>Furthermore, viral loads achieved within the respiratory epithelium are strongly associated with transmission efficiency among birds. Multiple animal studies have demonstrated that mucosal viral titers peak rapidly&#x2014;within 24&#x2013;48 hours post-infection&#x2014;and correlate closely with subsequent levels of viral shedding (<xref ref-type="bibr" rid="B32">32</xref>). This early replication peak represents a major determinant of within-flock transmission velocity, transmission radius, and environmental viral contamination burden (<xref ref-type="bibr" rid="B33">33</xref>). Consequently, high-titer replication in the upper respiratory mucosa serves not only as a key node in infection dynamics but also as the starting point of large-scale transmission events.</p>
<p>Given these features, interrupting the first round of replication at the respiratory mucosal surface is considered one of the most effective strategies for breaking AIV transmission chains. Mucosal vaccines are specifically designed to exploit this principle by inducing robust local IgA responses, enhancing epithelial antiviral states, and promoting the formation of tissue-resident memory immune cells at the site of viral entry. By acting directly at the mucosal &#x201c;portal of invasion,&#x201d; such vaccines can block viral establishment before systemic replication ensues. Thus, the respiratory epithelium serves as both the biological foundation and the most critical target tissue for mucosal immunization strategies against AIV.</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Role of (mucosa-associated lymphoid tissues) MALT in AIV infection</title>
<p>The avian mucosal immune system is highly developed and plays a central role in defending against early infection by AIV (<xref ref-type="bibr" rid="B34">34</xref>). The respiratory and ocular mucosa harbor a dense distribution of MALT, including the Harderian gland, conjunctiva-associated lymphoid tissue (CALT), bronchus-associated lymphoid tissue (BALT), and numerous scattered submucosal lymphoid follicles (<xref ref-type="bibr" rid="B35">35</xref>). Together, these structures constitute the first immunological surveillance network against invading pathogens and are particularly important along the mucosal routes through which AIV initiates infection (<xref ref-type="bibr" rid="B36">36</xref>).</p>
<p>A primary function of MALT is the rapid capture and presentation of viral antigens. The subepithelial compartments of the avian respiratory mucosa are enriched with dendritic cells (DCs) and macrophages capable of extending transepithelial dendrites to sample viral particles even before extensive replication occurs (<xref ref-type="bibr" rid="B37">37</xref>). Internalized antigens are processed and presented via MHC class II molecules to CD4<sup>+</sup> T cells, thereby promoting the formation of local germinal centers and initiating antibody responses (<xref ref-type="bibr" rid="B38">38</xref>). Compared with mammals, birds possess more prominent BALT structures in the trachea and primary bronchi, making these tissues key sites for early T&#x2013;B cell interactions.</p>
<p>Although &#x3b3;&#x3b4; T cells are recognized in mammals as a crucial early immune barrier in epithelial mucosa&#x2014;capable of rapidly sensing stress-induced signals following pathogen invasion and initiating localized antiviral responses&#x2014;research on their counterparts in avian species remains relatively limited. At present, systematic empirical data are lacking regarding the distribution patterns, ligand-recognition mechanisms, and specific immunological functions of &#x3b3;&#x3b4; T cells within the respiratory epithelium of poultry during early influenza virus infection (<xref ref-type="bibr" rid="B39">39</xref>, <xref ref-type="bibr" rid="B40">40</xref>). Given the rapid-response properties and mucosal immunoregulatory roles demonstrated by &#x3b3;&#x3b4; T cells in mammalian models, more comprehensive histological, immunophenotypic, and functional investigations are needed in avian species. Such studies are essential to determine whether &#x3b3;&#x3b4; T cells serve a similar sentinel role during the initial stages of AIV entry and to assess their potential contribution to antiviral mucosal immunity in poultry.</p>
<p>In humoral immunity, MALT serves as the major site for induction of secretory IgA (sIgA) in birds. Upon stimulation by viral antigens, local B cells undergo class-switch recombination within germinal centers, transitioning from IgM/IgD to IgA-producing phenotypes (<xref ref-type="bibr" rid="B41">41</xref>). With T cell help, these IgA<sup>+</sup> B cells differentiate into plasma cells secreting large amounts of polymeric IgA, which is then transported through the epithelium via the polymeric immunoglobulin receptor (pIgR) (<xref ref-type="bibr" rid="B42">42</xref>, <xref ref-type="bibr" rid="B43">43</xref>). At the mucosal surface, sIgA blocks the interaction between HA and sialic acid, prevents trans-epithelial viral spread, and neutralizes free viral particles. Notably, respiratory mucosal sIgA levels show a strong negative correlation with viral shedding, underscoring their importance in limiting transmission efficiency (<xref ref-type="fig" rid="f2"><bold>Figure&#xa0;2</bold></xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>sIgA-mediated mucosal immunity and its blocking of viral transmission.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-17-1766957-g002.tif">
<alt-text content-type="machine-generated">Diagram illustrating the immune response, highlighting two scenarios. On the left, labeled “Safety,” an antigen is detected by a dendritic cell (DC), which interacts with Tfr and Tfh cells in the germinal center, leading to B cell activation. On the right, labeled “Defend against viral infections,” the secretion of sIgA by IgA plasma cells blocks viral entry into epithelial cells. The process emphasizes IgA diversification and selection.</alt-text>
</graphic></fig>
<p>The Harderian gland holds a unique position in avian mucosal immunity. As the major immune organ draining the ocular-nasal region, it is particularly crucial for IgA induction following ocular or intranasal immunization (<xref ref-type="bibr" rid="B44">44</xref>). The gland not only produces high levels of sIgA but also supports long-term plasma cell residence, making it a principal anatomical basis for the protective efficacy of many mucosal vaccines delivered via eye-drop or nasal-drop routes.</p>
<p>Collectively, the MALT system&#x2014;through antigen capture, coordinated T&#x2013;B cell activation, sIgA production, and rapid participation of innate immune cells&#x2014;effectively intercepts AIV at the mucosal surface before systemic infection is established. Its strategic location at the portals of viral entry makes MALT a critical anatomical and immunological target for the development of mucosal vaccination strategies against AIV.</p>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Mucosal immune modulation by AIV</title>
<p>The infection and replication of AIV on mucosal surfaces depend not only on its receptor-binding properties but also on its ability to precisely modulate host mucosal innate immunity. Although the mucosa serves as the first line of defense against respiratory pathogens, AIV employs multilayered immune antagonism strategies to attenuate local antiviral defenses, thereby enabling rapid viral amplification in the upper respiratory tract and facilitating dissemination toward the lower airways.</p>
<p>A central determinant of viral immune evasion is the nonstructural protein NS1. This protein simultaneously disrupts multiple pattern-recognition receptor (PRR) pathways, including RIG-I/MDA5 and TLR3/7, thereby impairing epithelial sensing of viral RNA and markedly reducing the transcription of type I interferons (IFN-&#x3b1;/&#x3b2;) and interferon-stimulated genes (ISGs) (<xref ref-type="bibr" rid="B45">45</xref>, <xref ref-type="bibr" rid="B46">46</xref>). NS1 can also bind the host E3 ubiquitin ligase TRIM25 to prevent ubiquitination of the RIG-I CARD domains, effectively blocking amplification of interferon signaling (<xref ref-type="bibr" rid="B47">47</xref>, <xref ref-type="bibr" rid="B48">48</xref>). In addition, NS1 proteins from certain highly pathogenic H5N1 and H7N9 strains exhibit enhanced affinity for CPSF30, resulting in inhibition of host mRNA polyadenylation and processing, further suppressing the antiviral transcriptional response of mucosal epithelial cells (<xref ref-type="bibr" rid="B49">49</xref>). Together, these coordinated mechanisms allow AIV to efficiently dampen the antiviral state during the earliest stages of infection, laying the foundation for high-level replication.</p>
<p>Influenza virus HA and NA (neuraminidase) also contribute to the regulation of mucosal infection dynamics. The pH sensitivity of HA determines the efficiency of membrane fusion within endosomes; enhanced fusogenic activity under acidic conditions accelerates viral genome release and increases the rate of early replication (<xref ref-type="bibr" rid="B50">50</xref>, <xref ref-type="bibr" rid="B51">51</xref>). NA cleaves sialylated glycoproteins abundant in the mucus layer and on epithelial surfaces, reducing mucus viscosity and limiting entrapment of virions, thereby allowing more efficient penetration of the mucus barrier (<xref ref-type="bibr" rid="B52">52</xref>). Some AIV strains possess NA with particularly strong enzymatic activity, significantly promoting lateral spread across the mucosal surface and increasing the number of initial infection foci.</p>
<p>The inflammatory response elicited by AIV plays a pivotal role in mucosal injury and disease progression. Following infection, epithelial cells, macrophages, and dendritic cells rapidly release proinflammatory cytokines such as IL-1&#x3b2;, IL-6, and TNF-&#x3b1;, which increase mucosal permeability and downregulate tight junction proteins, enabling deeper tissue invasion by viral particles and inflammatory mediators (<xref ref-type="bibr" rid="B53">53</xref>). Highly pathogenic H5 and H7 viruses strongly induce pyroptosis and ferroptosis, releasing large quantities of damage-associated molecular patterns (DAMPs) that amplify inflammatory cascades (<xref ref-type="bibr" rid="B54">54</xref>). This &#x201c;inflammation&#x2013;injury&#x2013;replication&#x201d; positive feedback loop constitutes a key pathological basis for acute mucosal destruction, vascular leakage, and systemic complications.</p>
<p>Humoral immunity, particularly mucosal IgA, is also critical for controlling AIV infection. Birds lacking functional sIgA are markedly more susceptible to infection, exhibiting uncontrolled early viral replication, significantly increased viral shedding, and prolonged viral clearance (<xref ref-type="bibr" rid="B55">55</xref>). Concurrently, mucosal barrier disruption and IgA deficiency contribute to respiratory microbiota dysbiosis, predisposing infected birds to secondary bacterial infections&#x2014;most notably by <italic>Escherichia coli</italic> and <italic>Staphylococcus</italic> species&#x2014;thereby exacerbating clinical severity and mortality (<xref ref-type="bibr" rid="B56">56</xref>). These observations underscore the indispensable role of mucosal barrier integrity and IgA responses in limiting initial viral invasion and breaking transmission chains.</p>
<p>Overall, AIV achieves efficient replication and transmission within the avian respiratory tract through a combination of innate immune antagonism, disruption of mucosal physical barriers, amplification of inflammatory injury, and evasion of humoral immunity.</p>
</sec>
</sec>
<sec id="s3">
<label>3</label>
<title>Differences in immune protection between conventional vaccines and mucosal vaccines</title>
<p>Effective vaccination strategies against AIV must not only prevent clinical disease but also suppress viral replication and shedding, thereby reducing transmission within poultry populations. Conventional injectable inactivated vaccines and emerging mucosal vaccines differ fundamentally in their immunological induction sites, effector mechanisms, protective hierarchy, and flock-level epidemiological effects. These distinctions stem from the mucosal tropism of AIV and critically influence how each vaccination route controls initial infection and disrupts onward transmission.</p>
<sec id="s3_1">
<label>3.1</label>
<title>Fundamental differences in immune induction sites and response characteristics</title>
<p>Conventional inactivated vaccines delivered intramuscularly direct antigen processing to systemic lymphoid organs such as the spleen and peripheral lymph nodes. This predominantly induces high serum IgY titers and circulating T-cell responses, which protect against systemic dissemination and severe pathology caused by virulent strains (e.g., H5) (<xref ref-type="bibr" rid="B57">57</xref>). However, because these vaccines do not deliver antigen to the upper respiratory mucosa&#x2014;the primary portal of AIV entry&#x2014;they elicit minimal local IgA responses, providing insufficient protection during the earliest stages of viral contact with epithelial surfaces.</p>
<p>In contrast, mucosal vaccines administered via intranasal, ocular, spray, or drinking-water routes directly target mucosa-associated lymphoid tissues, including NALT, the Harderian gland, and BALT. Antigen is efficiently sampled by mucosal dendritic cells and resident phagocytes, driving the formation of IgA-secreting plasma cells, mucosal memory B cells, and tissue-resident memory T cells (TRM) (<xref ref-type="bibr" rid="B58">58</xref>) (<xref ref-type="fig" rid="f3"><bold>Figure&#xa0;3A</bold></xref>). This localized immune architecture establishes a rapid-response barrier at the site of viral entry, conferring a substantial advantage for controlling AIV, which replicates predominantly in the respiratory tract.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p><bold>(A)</bold> Differences in immune induction sites and response characteristics. <bold>(B)</bold> Differential protection and impact on viral shedding. <bold>(C)</bold> Differences in immune memory type and durability. <bold>(D)</bold> Resilience against antigenic drift.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-17-1766957-g003.tif">
<alt-text content-type="machine-generated">Diagram comparing traditional and mucosal vaccines in chickens. Panel A: Traditional vaccines target spleen and lymphoid organs, producing IgY, while mucosal vaccines target NALT, Harderian gland, and BALT, producing IgA and TRM. Panel B: Mucosal vaccines show better protection and reduced viral shedding. Panel C: Traditional vaccines generate memory B and T cells, whereas mucosal vaccines produce IgA plasma cells and TRM. Panel D: Mucosal vaccines offer broad cross-protection against antigenic drift, compared to traditional vaccines with limited protection.</alt-text>
</graphic></fig>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Differential protection and impact on viral shedding</title>
<p>Traditional inactivated vaccines rely mainly on systemic neutralizing antibodies to limit viral dissemination and reduce lesions in major organs. However, they only weakly suppress early replication in the nasal epithelium, allowing birds&#x2014;especially those infected with LPAIV such as H9N2&#x2014;to continue shedding virus despite meeting serological protection thresholds (<xref ref-type="bibr" rid="B59">59</xref>). As a result, clinically protected birds can still contaminate the environment and sustain within-flock transmission.</p>
<p>Mucosal vaccines act earlier in infection by inducing strong local immunity. Secretory IgA blocks HA&#x2013;sialic acid interactions, promotes viral aggregation, and prevents epithelial penetration, achieving rapid &#x201c;immune exclusion&#x201d; (<xref ref-type="bibr" rid="B60">60</xref>, <xref ref-type="bibr" rid="B61">61</xref>). Concurrently, mucosal TRM cells eliminate infected epithelial cells within hours, preventing the establishment of substantial viral loads (<xref ref-type="bibr" rid="B62">62</xref>, <xref ref-type="bibr" rid="B63">63</xref>). This confers a &#x201c;pre-emptive blockade,&#x201d; in contrast to the post-entry control typical of injectable vaccines.</p>
<p>Through enhanced sIgA responses, improved mucociliary clearance, and accelerated TRM-mediated cytotoxicity, mucosal vaccines sharply reduce both the magnitude and duration of viral shedding. Experimental and field studies show that shedding can decrease by several orders of magnitude, making onward transmission difficult in dense production settings (<xref ref-type="bibr" rid="B64">64</xref>, <xref ref-type="bibr" rid="B65">65</xref>). Accordingly, mucosal vaccines more closely fulfill the role of true &#x201c;transmission-blocking&#x201d; interventions (<xref ref-type="fig" rid="f3"><bold>Figure&#xa0;3B</bold></xref>).</p>
<p>Furthermore, effective control of viral shedding and transmission chains not only determines the success of disease control within poultry populations but also directly influences the risk of zoonotic spillover. Sustained viral shedding from the upper respiratory tract is considered a critical prerequisite for cross-species transmission of avian influenza viruses, particularly through airborne particles, contaminated dust, or close human exposure. By markedly reducing viral loads in the nasal cavity and trachea, mucosal vaccines can substantially decrease the amount of transmissible virus in the environment, thereby weakening the likelihood of viral spillover to humans at its source. Consequently, compared with conventional vaccination strategies that primarily aim to reduce clinical symptoms or mortality, mucosal immunization offers dual benefits within integrated avian influenza control programs: interrupting transmission within poultry flocks and lowering cross-species spillover risk. This dual functionality is of considerable importance for mitigating the potential emergence of future influenza pandemics.</p>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Differences in immune memory type and durability</title>
<p>Immune memory induced by traditional vaccines is dominated by circulating memory B cells and CD4<sup>+</sup>/CD8<sup>+</sup> T cells. The protective effect depends heavily on the persistence of serum antibody titers and antigenic match. When antibody levels wane or antigenic drift occurs, protection declines rapidly (<xref ref-type="bibr" rid="B66">66</xref>).</p>
<p>Mucosal vaccines, however, generate long-lived memory compartments directly within the nasal and tracheal lamina propria, including IgA plasma cells and TRM (<xref ref-type="fig" rid="f3"><bold>Figure&#xa0;3C</bold></xref>). These cells operate independently of circulating immunity and provide immediate local protection upon re-exposure. Such &#x201c;on-site immune memory&#x201d; contributes substantially to durable inhibition of viral replication and shedding.</p>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Resilience against antigenic drift</title>
<p>AIV&#x2014;particularly H9N2 and certain H5 subtypes&#x2014;undergoes rapid antigenic drift in poultry populations, necessitating frequent seed strain updates for traditional inactivated vaccines (<xref ref-type="bibr" rid="B67">67</xref>). Because these vaccines rely primarily on systemic neutralizing antibodies, cross-protection against drifted or heterologous strains is often limited, resulting in &#x201c;protection lag&#x201d; during active circulation.</p>
<p>Mucosal immunity exhibits greater resilience to antigenic variation. sIgA possesses broad binding activity and recognizes relatively conserved HA domains; even when epitopes mutate moderately, sIgA often retains capacity to block infection (<xref ref-type="bibr" rid="B68">68</xref>). Its multivalent polymeric structure also promotes viral aggregation and immune exclusion, limiting early viral expansion at the mucosal surface and thereby reducing shedding (<xref ref-type="fig" rid="f3"><bold>Figure&#xa0;3D</bold></xref>).</p>
<p>Furthermore, mucosal vaccines effectively elicit TRM responses directed against conserved internal proteins such as NP and M1 (<xref ref-type="bibr" rid="B69">69</xref>&#x2013;<xref ref-type="bibr" rid="B71">71</xref>). These TRM cells are strategically positioned at the infection portal and swiftly eliminate infected cells before extensive viral replication occurs, providing inherent cross-subtype protection. Concurrent upregulation of interferon-stimulated genes (ISGs) and antiviral effector proteins enhances innate resistance to drifted strains (<xref ref-type="bibr" rid="B72">72</xref>).</p>
<p>Collectively, through sIgA-mediated cross-protection, TRM recognition of conserved antigens, and heightened innate antiviral states, mucosal vaccines deliver broad, stable, and durable immunity&#x2014;an advantage highly relevant for suppressing shedding and interrupting transmission in the context of rapid AIV evolution.</p>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Divergent impacts on herd immunity</title>
<p>Under modern high-density poultry production systems, vaccine performance must be evaluated not only by individual-level protection but also by its capacity to interrupt transmission at the population level. Although traditional inactivated vaccines induce strong systemic antibody responses and greatly reduce disease severity and mortality, their limited ability to suppress respiratory and gastrointestinal shedding means that vaccinated birds may still develop subclinical infections when exposed to drifted strains or high viral doses. Such &#x201c;vaccine-breakthrough shedding&#x201d; is epidemiologically significant, as it allows vaccinated individuals to continue contributing to transmission, preventing meaningful reduction of the flock&#x2019;s effective reproductive number (R<sub>0</sub>) and enabling within-flock circulation to persist (<xref ref-type="bibr" rid="B73">73</xref>, <xref ref-type="bibr" rid="B74">74</xref>).</p>
<p>Mucosal vaccines confer notable advantages in improving herd-level immunity. By inducing sIgA at respiratory and intestinal surfaces, establishing robust TRM networks, and enhancing local innate antiviral readiness, mucosal immunization not only prevents initial infection but also dramatically reduces shedding intensity and duration, thereby lowering transmission probability across the flock. Field monitoring and challenge studies demonstrate that mucosal vaccines reduce environmental viral load, decrease exposure doses for susceptible birds, and consistently drive down flock-level R<sub>0</sub> (<xref ref-type="bibr" rid="B74">74</xref>). Importantly, the rapid mucosal response provides partial preservation of shedding control even against drifted strains&#x2014;a key limitation of conventional vaccines.</p>
<p>Thus, from the perspective of flock health management and epidemiological containment, mucosal vaccination strategies better align with the core demands of modern poultry production. Their capacity to reduce viral ecological niches, minimize environmental contamination, and interrupt transmission chains positions mucosal vaccines as a promising direction for achieving high-quality herd immunity in future AIV control programs.</p>
</sec>
</sec>
<sec id="s4">
<label>4</label>
<title>Advances in mucosal vaccine technologies</title>
<p>In recent years, rapid progress in delivery materials, bioengineering, and immunomodulatory technologies has significantly advanced mucosal vaccine development for AIV control. Next-generation mucosal vaccine platforms are increasingly capable of overcoming the physical and immunological barriers of the respiratory mucosa, inducing robust local IgA responses, TRM, and innate antiviral states. These features together establish a strong frontline defense against viral entry and early replication. This section summarizes key technological routes, highlights representative examples from poultry and other respiratory virus vaccines, and discusses critical scientific gaps and future application prospects.</p>
<sec id="s4_1">
<label>4.1</label>
<title>Mucosa-targeted optimization of viral and bacterial vector platforms</title>
<p>Viral and bacterial vector vaccines engineered for mucosal delivery remain among the most mature and widely explored technologies (<xref ref-type="bibr" rid="B75">75</xref>). Vectors with natural tropism for the respiratory tract&#x2014;such as adenovirus, poxvirus, and attenuated Newcastle disease virus (NDV)&#x2014;can efficiently reach nasal-associated lymphoid tissue (NALT), bronchus-associated lymphoid tissue (BALT), and the Harderian gland following intranasal instillation, spray vaccination, or ocular administration. These vectors rapidly initiate local antigen presentation, IgA secretion, and TRM formation.</p>
<p>For example, adenovirus-based intranasal SARS-CoV-2 vaccines have been shown to induce strong mucosal IgA responses and lung-resident TRM, and similar strategies have demonstrated efficacy in mucosal vaccines using NDV-HA or poxvirus-HA for AIV (<xref ref-type="bibr" rid="B76">76</xref>, <xref ref-type="bibr" rid="B77">77</xref>). Optimizing antigen folding, increasing the display density of HA, NA, or M2e, and incorporating mucosal adhesion motifs into vector genomes can enhance antigen retention and immune activation efficiency in the upper respiratory tract. NDV vectors, in particular, are regarded as having high industrial potential for poultry mucosal vaccination due to their low production cost, suitability for mass application, and inherent compatibility with avian respiratory mucosa.</p>
</sec>
<sec id="s4_2">
<label>4.2</label>
<title>Nanoparticle and advanced biomaterial platforms for enhanced mucosal delivery</title>
<p>The mucus layer, mucociliary clearance mechanisms, and protease-rich environment of the respiratory tract pose significant challenges to antigen stability and retention (<xref ref-type="bibr" rid="B78">78</xref>). As a result, developing delivery systems that protect antigens and facilitate their transport across mucosal barriers has become a major focus of mucosal vaccine research.</p>
<p>Polymeric nanoparticles (e.g., PLGA, PCL), liposomes, and solid lipid nanoparticles can effectively protect antigens, prolong nasal retention, and improve uptake by M cells and dendritic cells (<xref ref-type="bibr" rid="B79">79</xref>, <xref ref-type="bibr" rid="B80">80</xref>) (<xref ref-type="fig" rid="f4"><bold>Figure&#xa0;4</bold></xref>). Various PLGA-based HA or M2e nanoparticle vaccines have induced high levels of mucosal IgA and substantially reduced viral shedding in chickens, highlighting their mucosal immunoenhancing potential (<xref ref-type="bibr" rid="B81">81</xref>).</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Enhancing antigen stability and mucosal penetration via nanocarriers.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-17-1766957-g004.tif">
<alt-text content-type="machine-generated">Illustration of antigen delivery across epithelial barriers showing antigens and nano-antigens interacting with a mucus layer. Antigens have short retention time, while nano-antigens have long retention time, depicted with hourglass icons. Ciliary movement is represented above epithelial cells, with dendritic cells (DC) below extending processes towards both antigens.</alt-text>
</graphic></fig>
<p>Virus-like particles (VLPs), which structurally mimic native virions without replicative capacity, elicit strong innate and adaptive immune responses (<xref ref-type="bibr" rid="B82">82</xref>). VLPs constructed from HA trimers, M2e, or multi-subtype antigens have demonstrated broad cross-protection in H5, H7, and H9 models (<xref ref-type="bibr" rid="B83">83</xref>). Their successful application in mucosal vaccines for RSV and SARS-CoV-2 further underscores their versatility as next-generation mucosal vaccine platforms.</p>
</sec>
<sec id="s4_3">
<label>4.3</label>
<title>Emerging advances in RNA vaccines for mucosal immunization</title>
<p>The rise of RNA vaccine technology has opened new avenues for mucosal vaccination in poultry. With improvements in lipid nanoparticle (LNP) chemistry and nucleoside modification, intranasally delivered mRNA&#x2013;LNP formulations can achieve rapid yet transient antigen expression in respiratory epithelial cells while simultaneously stimulating local interferon responses and activating B/T cell immunity within MALT.</p>
<p>For example, H9 mRNA delivered using the ionizable lipid C12&#x2013;200 significantly suppressed upper respiratory tract viral replication in chickens (<xref ref-type="bibr" rid="B84">84</xref>, <xref ref-type="bibr" rid="B85">85</xref>). The development of lyophilized mRNA&#x2013;LNP formulations has further improved stability and transportability, making them more suitable for mass spray vaccination in large flocks.</p>
<p>Additionally, H5-HA mRNA constructs incorporating optimized UTR sequences have elicited stronger mucosal IgA responses and prolonged antigen expression in animal models (<xref ref-type="bibr" rid="B86">86</xref>&#x2013;<xref ref-type="bibr" rid="B88">88</xref>), indicating that mRNA mucosal vaccines are rapidly moving from experimental validation toward practical application.</p>
</sec>
<sec id="s4_4">
<label>4.4</label>
<title>Engineered probiotics and plant-based expression platforms for oral mucosal immunization</title>
<p>Engineered probiotics and plant expression systems provide cost-effective and scalable solutions for oral mucosal vaccination in poultry. Probiotics such as <italic>Lactobacillus plantarum</italic> and attenuated <italic>Salmonella</italic> can transiently colonize the gut and present antigens, making them valuable chassis for oral vaccine development (<xref ref-type="bibr" rid="B89">89</xref>).</p>
<p>Based on the gut-lung axis theory (<xref ref-type="bibr" rid="B90">90</xref>) and evidence that orally administered engineered probiotics can induce respiratory sIgA and reduce viral load in mammalian models (<xref ref-type="bibr" rid="B91">91</xref>), the development of an oral engineered probiotic vaccine expressing H9N2 HA holds promise for simultaneously enhancing both intestinal and respiratory sIgA and reducing viral shedding in chickens. This strategy offers a novel approach for the prevention and control of AIV.</p>
</sec>
<sec id="s4_5">
<label>4.5</label>
<title>Key advances in mucosal adjuvant systems</title>
<p>Innovative mucosal adjuvant systems are essential to overcoming mucosal tolerance and enhancing immune responses. Researchers have developed a range of adjuvants that activate pattern recognition receptors (PRRs) or intracellular innate immune pathways.</p>
<p>TLR3 agonist Poly I:C and TLR9 agonist CpG have significantly enhanced mucosal IgA responses and Th1-biased immunity in multiple influenza mucosal vaccine models (<xref ref-type="bibr" rid="B92">92</xref>). STING agonists, including cyclic dinucleotides, strongly promote cytotoxic T cell responses and have been shown to improve cross-protection against highly variable AIV strains (<xref ref-type="bibr" rid="B93">93</xref>).</p>
<p>Bacterial outer membrane vesicles (OMVs), enriched with natural PAMPs, serve both as delivery vehicles and immune stimulators. OMV-based vaccines carrying HA or M2e have induced strong mucosal IgA responses in chickens (<xref ref-type="bibr" rid="B94">94</xref>). As understanding of NALT, the Harderian gland, and respiratory dendritic cell subsets deepens, targeted adjuvant strategies&#x2014;such as cationic or mucoadhesive nanoparticles&#x2014;are emerging as promising tools to enhance mucosal vaccine precision.</p>
<p>Mucosal vaccine technology is advancing toward greater efficiency, safety, and precision. From viral vectors, nanoparticles, and RNA platforms to engineered probiotics and novel adjuvant systems, diverse strategies are being integrated to provide comprehensive immunological protection against AIV. With continued improvements in understanding avian respiratory mucosal architecture and antigen delivery dynamics, mucosal vaccines are poised to become a central technology for combating highly variable AIV strains and enabling large-scale, low-cost, and sustainable flock immunization.</p>
</sec>
</sec>
<sec id="s5">
<label>5</label>
<title>Global progress in mucosal influenza vaccines</title>
<p>Mucosal vaccines have emerged as a rapidly advancing immunization strategy in recent years, owing to their ability to elicit robust local immune responses at the first barrier of the respiratory tract. Importantly, mucosal vaccines are no longer confined to conceptual or early exploratory stages; several products have already entered clinical use worldwide and have demonstrated favorable safety profiles and strong acceptance, particularly among children and adolescents (<xref ref-type="table" rid="T1"><bold>Table&#xa0;1</bold></xref>). As the risk of AIV continues to rise, mucosa-targeted vaccines against highly pathogenic AIVs are gaining increasing attention and show promising application prospects. In the future, such vaccines are expected to be more widely implemented in both public health and agricultural settings, providing a forward-looking immunological shield against emerging and re-emerging avian-origin influenza threats.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Overview of clinically available mucosal influenza vaccines.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="center">Vaccine</th>
<th valign="middle" align="center">Type/Route of administration</th>
<th valign="middle" align="center">Target population</th>
<th valign="middle" align="center">Regulatory/development status</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="left">FluMist/FluMist Quadrivalent (AstraZeneca/MedImmune)</td>
<td valign="middle" align="left">Intranasal live attenuated influenza vaccine (LAIV)</td>
<td valign="middle" align="left">Humans (seasonal influenza)</td>
<td valign="middle" align="left">FDA-approved in the United States; indicated for individuals aged 2&#x2013;49 years; under consideration for use in children and adolescents (2&#x2013;19 years) in Japan</td>
</tr>
<tr>
<td valign="middle" align="left">Chinese Intranasal LAIV &#x201c;Ganwu<sup>&#xae;</sup>&#x201d; (Changchun BCHT Biotechnology)</td>
<td valign="middle" align="left">Intranasal live attenuated influenza vaccine (LAIV)</td>
<td valign="middle" align="left">Humans (seasonal influenza, China)</td>
<td valign="middle" align="left">Licensed in China; indicated for children aged 3&#x2013;17 years; broadly used in school- and community-based immunization</td>
</tr>
<tr>
<td valign="middle" align="left">LUNAR-H5N1 Self-Amplifying mRNA Vaccine (Arcturus Therapeutics)</td>
<td valign="middle" align="left">Self-amplifying mRNA (sa-mRNA) platform; potentially compatible with mucosal delivery</td>
<td valign="middle" align="left">Humans (highly pathogenic avian influenza H5N1)</td>
<td valign="middle" align="left">Entered Phase I clinical trial; designed as a rapid-response vaccine for emerging zoonotic H5N1 threats</td>
</tr>
<tr>
<td valign="middle" align="left">Intranasal H5N1 Viral-Vector Vaccine (HKU/CVVT)</td>
<td valign="middle" align="left">Live attenuated viral-vector vaccine; intranasal administration</td>
<td valign="middle" align="left">Animal models; future human pandemic preparedness</td>
<td valign="middle" align="left">Demonstrated strong mucosal IgA and localized T-cell responses in preclinical studies; targets highly pathogenic H5N1</td>
</tr>
<tr>
<td valign="middle" align="left">Broad-Spectrum Avian Influenza Candidate Vaccines (DIOSynVax)</td>
<td valign="middle" align="left">Synthetic antigen platform (protein/DNA), with designs compatible with mucosal delivery</td>
<td valign="middle" align="left">Humans (potential); poultry</td>
<td valign="middle" align="left">Preclinical stage; aims to provide cross-subtype, universal-like protection</td>
</tr>
</tbody>
</table>
</table-wrap>
<sec id="s5_1">
<label>5.1</label>
<title>Licensed intranasal live attenuated influenza vaccines</title>
<p>Intranasal live attenuated influenza vaccines remain the most established mucosal immunization platform. FluMist/FluMist Quadrivalent (AstraZeneca/MedImmune), the most widely used intranasal seasonal influenza vaccine globally, mimics natural infection in the nasal cavity and elicits both robust mucosal and systemic immunity (<ext-link ext-link-type="uri" xlink:href="https://www.fda.gov/media/160243/download">https://www.fda.gov/media/160243/download</ext-link>) (<xref ref-type="bibr" rid="B95">95</xref>). It has been approved by the U.S. FDA for use in children and adolescents, providing strong real-world evidence for the feasibility and effectiveness of mucosal vaccination.</p>
<p>In China, the &#x201c;Ganwu<sup>&#xae;</sup>&#x201d; intranasal LAIV (Changchun BCHT Biotechnology) represents the first approved mucosal influenza vaccine in the country. It is indicated for individuals aged 3&#x2013;17 years and has demonstrated excellent compliance and safety in school-based and regional immunization programs, further promoting the translation of mucosal vaccines into public health practice (<xref ref-type="bibr" rid="B96">96</xref>, <xref ref-type="bibr" rid="B97">97</xref>).</p>
</sec>
<sec id="s5_2">
<label>5.2</label>
<title>Mucosal vaccine development targeting highly pathogenic avian influenza</title>
<p>With the increasing threat posed by zoonotic influenza viruses such as H5N1 (<xref ref-type="bibr" rid="B98">98</xref>), mucosal vaccines have become a strategic focus owing to their capacity to block viral replication and transmission at the upper respiratory tract.</p>
<p>The LUNAR-H5N1 self-amplifying mRNA vaccine developed by Arcturus Therapeutics has entered Phase I clinical trials (ClinicalTrials.gov NCT05745519). The sa-mRNA platform enables rapid antigen design and high protein expression at low doses (<xref ref-type="bibr" rid="B99">99</xref>), and future integration with mucosal delivery technologies may further enhance localized protection. The intranasal H5N1 viral vector vaccine developed by the University of Hong Kong and CVVT has shown strong induction of secretory IgA and mucosal T-cell responses in animal models, conferring significant protection against upper respiratory tract infection (<xref ref-type="bibr" rid="B100">100</xref>). This candidate vaccine holds promise for emergency preparedness and provides a foundation for the future deployment of mucosal vaccines against HPAIVs.</p>
</sec>
<sec id="s5_3">
<label>5.3</label>
<title>Broad-spectrum and novel antigen-designed mucosal vaccine candidates</title>
<p>Research groups such as DIOSynVax are developing broad-spectrum influenza vaccines based on synthetic antigen platforms (protein/DNA), with certain antigen configurations compatible with mucosal delivery systems (<xref ref-type="bibr" rid="B101">101</xref>). These vaccines aim to induce cross-protective immunity across multiple subtypes and feature advantages in structural tunability and rapid updating. Although still in preclinical stages, they represent an important technological reserve for potential multi-subtype circulation or emergent influenza outbreaks.</p>
</sec>
<sec id="s5_4">
<label>5.4</label>
<title>Outlook</title>
<p>Overall, mucosal influenza vaccines are transitioning from traditional LAIVs toward diversified platforms including mRNA, viral vectors, and synthetic antigens, and are becoming an important emerging direction in influenza vaccine development. Licensed intranasal vaccines have already demonstrated clear advantages in safety, compliance, and population-level protection. Next-generation mucosal candidates hold promise for enhanced control of rapidly evolving and cross-species influenza viruses. With ongoing advances in mucosal delivery materials, antigen engineering, and thermostability, mucosal vaccines are expected to play an increasingly significant role in seasonal influenza prevention and pandemic preparedness. Notably, mucosal vaccines targeting avian influenza may achieve broader application in the near future as technology maturation accelerates.</p>
</sec>
</sec>
<sec id="s6">
<label>6</label>
<title>Prospects for the application of mucosal influenza vaccines in the poultry industry</title>
<sec id="s6_1">
<label>6.1</label>
<title>Industrial demand for mucosal vaccination in modern poultry production</title>
<p>Mucosal vaccines have emerged as a rapidly advancing immunization strategy in recent years, offering features that better align with the operational needs of large-scale avian influenza control compared with traditional injectable vaccines. With the expansion of intensive farming and rising labor costs, the poultry industry increasingly requires vaccines capable of achieving rapid mass immunization, reducing handling-related stress, and effectively lowering viral shedding.</p>
<p>Importantly, mucosal vaccination is not merely a conceptual or experimental approach but has already been implemented in poultry production systems in several countries. Spray- and drinking-water&#x2013;administered vaccines, particularly those based on Newcastle disease virus (NDV) or fowlpox virus (FPV) vectors, have been widely used in commercial settings for respiratory viral diseases, demonstrating both feasibility and operational advantages under field conditions. These real-world applications highlight the practicality of mucosal immunization strategies in high-density farming environments.</p>
<p>Under these conditions, mucosal vaccines&#x2014;owing to their unique immune-activation mechanisms, proven field applicability, and ease of administration&#x2014;are becoming a central component of future integrated avian influenza prevention and control programs, with strong potential for broader adoption across diverse poultry production systems.</p>
</sec>
<sec id="s6_2">
<label>6.2</label>
<title>Economic and management advantages of mucosal vaccines in large-scale farms</title>
<p>From an economic and management perspective, large commercial farms are highly cost-sensitive. Traditional intramuscular vaccination typically requires substantial numbers of skilled workers, and labor plus stress-associated losses can account for 40&#x2013;60% of total immunization costs (WOAH Poultry Vaccination Guidelines), which is particularly detrimental to the broiler industry characterized by short production cycles and narrow profit margins.</p>
<p>Although the intrinsic cost of mucosal vaccines may be relatively high during early development and initial deployment&#x2014;due to formulation optimization, specialized delivery systems, and regulatory investment&#x2014;these costs tend to decline substantially as manufacturing processes mature and large-scale production is established. In contrast, mucosal vaccination via spray, drinking-water administration, or eye&#x2013;nose drops significantly reduces labor requirements and improves operational efficiency, enabling the immunization of tens of thousands of birds within minutes.</p>
<p>Moreover, by avoiding the stress associated with handling and catching birds, mucosal vaccination reduces mortality, improves daily weight gain, and enhances overall production performance, thereby offsetting initial vaccine costs and offering clear economic advantages in long-term, large-scale poultry operations.</p>
</sec>
<sec id="s6_3">
<label>6.3</label>
<title>Mucosal vaccine platforms suitable for industrial application</title>
<p>From the perspective of technological maturity and vaccine platform development, mucosal vaccine types currently suitable for industrial application include recombinant viral-vector vaccines based on NDV and FPV, sprayable attenuated AIV live vaccines, and rapidly advancing nanoparticle-delivered subunit vaccines. NDV and FPV vector platforms feature mature manufacturing processes, stable antigen expression, and compatibility with multivalent antigen design; they have already been integrated into routine vaccination programs in several countries and are particularly advantageous for high-density broiler farms. Sprayable attenuated AIV vaccines provide strong systemic and mucosal immunity and are effective in rapidly reducing viral shedding. Meanwhile, novel mucosal subunit vaccines delivered via chitosan, PLGA, or lipid nanoparticles offer excellent safety profiles and efficient antigen presentation, representing highly promising candidates for high-value poultry populations such as layers and breeders.</p>
</sec>
<sec id="s6_4">
<label>6.4</label>
<title>Immunological advantages of mucosal vaccination for transmission blocking</title>
<p>With the continued expansion of large-scale and intensive poultry production, establishing a mucosal-immunity-centered &#x201c;frontline blocking&#x201d; immunization strategy will be critical for the long-term stable control of avian influenza. Unlike injectable vaccines that primarily induce humoral responses, mucosal vaccines can rapidly elicit local IgA, TRM, and epithelial-associated innate immune networks at the site of viral entry. This enables strong early containment of viral replication and interruption of within-flock transmission&#x2014;an essential advantage for reducing the hidden economic losses associated with large-scale production. For low-pathogenic AIV, which often causes subclinical reductions in egg production or body-weight gain, mucosal immunization can substantially improve productivity by reducing subclinical infections, further highlighting its industrial value.</p>
</sec>
<sec id="s6_5">
<label>6.5</label>
<title>Future directions and cost-effective mucosal vaccine development</title>
<p>Looking ahead, mucosal vaccine platforms characterized by low production costs, stable immunogenicity, and scalable manufacturing hold the greatest promise. NDV-vector vaccines&#x2014;due to their moderate replication levels and ease of spray administration&#x2014;are expected to maintain dominance in the broiler industry. Nanoparticle-based vaccines, with their broad-spectrum potential and strong safety profiles, are well suited for long-term immunization programs in layers and breeders and are likely to achieve large-scale adoption within the next 5&#x2013;10 years. Additionally, oral vaccines delivered via engineered lactic acid bacteria represent an exceptionally low-cost and logistically convenient approach that may achieve early breakthroughs in developing countries, though further optimization of antigen stability and dose control is still required.</p>
<p>Overall, the industrial application of mucosal vaccines represents a shift in poultry immunization strategies from &#x201c;therapeutic-type immunity&#x201d; to &#x201c;blocking-type immunity.&#x201d; This transformation aligns closely with modern farming goals of antimicrobial reduction, cost minimization, improved animal welfare, and enhanced biosecurity. With continued progress in vector design, antigen engineering, and mucosal delivery technologies, mucosal vaccines are expected to occupy a central position in global avian influenza immunization programs and may progressively replace traditional injectable vaccines in certain settings, providing more efficient, economical, and forward-looking solutions for disease control in large-scale poultry production.</p>
</sec>
</sec>
<sec id="s7">
<label>7</label>
<title>Future research directions and challenges</title>
<sec id="s7_1">
<label>7.1</label>
<title>Species-specific differences in avian mucosal immunity</title>
<p>Although mucosal vaccines exhibit clear advantages in avian influenza control, their translation into mature products and large-scale application is constrained by significant knowledge gaps in avian mucosal immunology. Marked interspecies differences exist in nasal epithelial architecture, mucus composition, M-cell distribution, and the development of BALT and Harderian glands (<xref ref-type="bibr" rid="B102">102</xref>). For example, chickens possess a highly developed Harderian gland that plays a central role in IgA secretion and local T-cell responses, whereas ducks and geese have mucosal surfaces adapted to humid environments with potentially distinct antigen retention and uptake mechanisms (<xref ref-type="bibr" rid="B103">103</xref>). Most mucosal vaccine platforms are still developed primarily in chicken models, resulting in inconsistent protection or failure when applied across species. Future work should focus on constructing cross-species mucosal immune atlases, developing standardized evaluation systems, and designing delivery materials and adjuvant platforms adaptable to multiple avian species (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5A</bold></xref>).</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p><bold>(A)</bold> Species-specific differences in avian mucosal immunity. <bold>(B)</bold> Bottlenecks in mucosal adjuvant development. <bold>(C)</bold> Engineering and formulation challenges in industrial-scale manufacturing.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-17-1766957-g005.tif">
<alt-text content-type="machine-generated">Diagram highlighting challenges and future research directions in avian mucosal immunity and vaccine development. Section A addresses species differences with illustrations of various birds and proposes cross-species immune mapping. Section B discusses mucosal adjuvants, safety, and inflammation, suggesting tissue-targeting adjuvants. Section C outlines industrial challenges like antigen stability and proposes engineering parameters for immunogenicity, emphasizing formulation and tissue distribution.</alt-text>
</graphic></fig>
</sec>
<sec id="s7_2">
<label>7.2</label>
<title>Bottlenecks in mucosal adjuvant development</title>
<p>The development of effective mucosal adjuvants remains a major bottleneck limiting the industrialization of mucosal vaccines. Current candidates&#x2014;including TLR3/9 agonists, STING agonists, outer membrane vesicles (OMVs), cholesterol derivatives, and biodegradable polymer particles&#x2014;lack systematic assessment regarding safety, dose windows, inflammatory profiles, and long-term impacts. Unlike injectable adjuvants, mucosal adjuvants must simultaneously enhance immunity, protect the epithelial barrier, maintain productivity, and remain stable under spray or intranasal administration. Future innovation may rely on tissue-targeting adjuvants tailored to specific mucosal sites such as the nasal cavity, Harderian gland, trachea, or intestinal mucosa (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5B</bold></xref>).</p>
</sec>
<sec id="s7_3">
<label>7.3</label>
<title>Unresolved mechanisms underlying long-term IgA and TRM maintenance</title>
<p>The long-term maintenance of mucosal IgA and TRM is fundamental to the advantages of mucosal vaccination, yet remains poorly characterized in avian species. Avian mucosal epithelia undergo rapid turnover, high regenerative activity, and significant variation with age and environmental conditions, all of which influence TRM residency and IgA stability. Mechanistic insights from mammals cannot be directly extrapolated to birds, where empirical evidence is largely lacking. Future studies should address TRM metabolic requirements, the regulatory roles of local cytokines (e.g., IL-17, IL-10, TGF-&#x3b2;), microenvironmental cues controlling IgA<sup>+</sup> B-cell differentiation and localization, and the impact of farming conditions (temperature, humidity, ammonia, dust) on mucosal immune homeostasis.</p>
</sec>
<sec id="s7_4">
<label>7.4</label>
<title>Engineering and formulation challenges in industrial-scale manufacturing</title>
<p>Industrial translation of mucosal vaccines faces significant formulation and engineering challenges. These include antigen shear stability during spraying, aerosolization or administration via drinking water; consistency and cost-effectiveness of nanoparticle or viral-vector purification; thermostability of mRNA or VLP formulations; and control of spray uniformity and actual dose uptake by flocks. Practical constraints within farms&#x2014;such as mixing logistics and equipment compatibility&#x2014;further complicate deployment. Future efforts should aim to build an integrated evaluation pipeline linking formulation properties, spray dynamics, avian inhalation behavior, and tissue distribution, enabling a systems-level correlation between engineering parameters and immunological outcomes (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5C</bold></xref>).</p>
</sec>
<sec id="s7_5">
<label>7.5</label>
<title>Influence of flock structure and environmental factors on mucosal vaccine performance</title>
<p>In real-world poultry production, vaccine performance depends not only on individual immune responses but also on flock-level structure, environmental conditions, and co-infections (<xref ref-type="bibr" rid="B104">104</xref>). High-density housing may alter mucosal immune thresholds; vertical stratification of birds contributes to uneven spray distribution; ammonia and particulate matter can damage epithelial barriers; and co-infections (e.g., <italic>E. coli</italic>, IBV) may reshape the mucosal immune microenvironment (<xref ref-type="bibr" rid="B105">105</xref>). These complexities hinder the direct translation of laboratory-generated efficacy data to field conditions. Establishing &#x201c;immune&#x2013;environment&#x2013;microbiota interaction models&#x201d; applicable across farming scenarios will be essential for optimizing mucosal vaccine deployment.</p>
</sec>
<sec id="s7_6">
<label>7.6</label>
<title>System-level mucosal immunology enabled by emerging technologies</title>
<p>Driven by the rapid development of gene editing, single-cell and spatial transcriptomics, microbial and metabolic profiling, AI-based vaccine design, and smart farming technologies, mucosal vaccine research is transitioning from isolated product development to a system-level mucosal immunology framework. Key future priorities include precision mucosal antigen design, microenvironment-targeted delivery strategies, computational immune modeling and AI-driven optimization, and integrated multi-platform vaccination strategies. Through such multidisciplinary approaches, mucosal vaccines are expected to become central components of avian immunoprophylaxis, enabling more precise and durable control of both highly pathogenic and low pathogenic AIVs, and ultimately reducing subclinical infections and economic losses.</p>
</sec>
</sec>
<sec id="s8" sec-type="conclusions">
<label>8</label>
<title>Conclusion</title>
<p>Mucosal vaccination offers a fundamentally different and complementary strategy for avian influenza control by strengthening immune protection at the sites of viral entry. By effectively reducing viral shedding and interrupting transmission, mucosal vaccines address key limitations of conventional injectable vaccines at the population level.</p>
<p>Ongoing advances in mucosal antigen design, delivery systems, and adjuvant technologies are improving feasibility for large-scale application in poultry production. Importantly, beyond enhancing flock health, mucosal immunization contributes to lowering the risk of cross-species transmission, underscoring its relevance within integrated avian influenza control and One Health frameworks.</p>
<p>With continued progress in avian mucosal immunology and vaccine engineering, mucosal vaccines are poised to become an essential component of sustainable and forward-looking avian influenza prevention strategies.</p>
</sec>
</body>
<back>
<sec id="s9" sec-type="author-contributions">
<title>Author contributions</title>
<p>XH: Supervision, Writing &#x2013; review &amp; editing, Writing &#x2013; original draft, Conceptualization. XT: Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. SD: Writing &#x2013; review &amp; editing. GG: Writing &#x2013; review &amp; editing. SG: Writing &#x2013; review &amp; editing. AS: Writing &#x2013; review &amp; editing. TZ: Writing &#x2013; review &amp; editing. HW: Supervision, Funding acquisition, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing.</p></sec>
<sec id="s11" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p></sec>
<sec id="s12" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declared that generative AI was not used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p></sec>
<sec id="s13" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p></sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Parrish</surname> <given-names>CR</given-names></name>
<name><surname>Murcia</surname> <given-names>PR</given-names></name>
<name><surname>Holmes</surname> <given-names>EC</given-names></name>
</person-group>. 
<article-title>Influenza virus reservoirs and intermediate hosts: dogs, horses, and new possibilities for influenza virus exposure of humans</article-title>. <source>J Virol</source>. (<year>2015</year>) <volume>89</volume>:<page-range>2990&#x2013;4</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/JVI.03146-14</pub-id>, PMID: <pub-id pub-id-type="pmid">25540375</pub-id>
</mixed-citation>
</ref>
<ref id="B2">
<label>2</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Global Consortium for</surname> <given-names>HN</given-names></name>
<name><surname>Related Influenza</surname> <given-names>V</given-names></name>
</person-group>. 
<article-title>Role for migratory wild birds in the global spread of avian influenza H5N8</article-title>. <source>Science.</source> (<year>2016</year>) <volume>354</volume>:<page-range>213&#x2013;7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/science.aaf8852</pub-id>, PMID: <pub-id pub-id-type="pmid">27738169</pub-id>
</mixed-citation>
</ref>
<ref id="B3">
<label>3</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Huang</surname> <given-names>C</given-names></name>
<name><surname>Liu</surname> <given-names>Y</given-names></name>
<name><surname>Huang</surname> <given-names>Z</given-names></name>
<name><surname>Chen</surname> <given-names>S</given-names></name>
<name><surname>Zhan</surname> <given-names>Z</given-names></name>
<name><surname>Sun</surname> <given-names>Q</given-names></name>
<etal/>
</person-group>. 
<article-title>Epidemiological and genetic characterization of three H9N2 viruses causing human infections - changsha city, hunan province, China, april 2025</article-title>. <source>China CDC Wkly.</source> (<year>2025</year>) <volume>7</volume>:<page-range>1403&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.46234/ccdcw2025.235</pub-id>, PMID: <pub-id pub-id-type="pmid">41256045</pub-id>
</mixed-citation>
</ref>
<ref id="B4">
<label>4</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Seo</surname> <given-names>YR</given-names></name>
<name><surname>Cho</surname> <given-names>AY</given-names></name>
<name><surname>Kim</surname> <given-names>DJ</given-names></name>
<name><surname>Si</surname> <given-names>YJ</given-names></name>
<name><surname>Jeong</surname> <given-names>HS</given-names></name>
<name><surname>Lee</surname> <given-names>SW</given-names></name>
<etal/>
</person-group>. 
<article-title>Transmission dynamics of highly pathogenic avian influenza A(H5N1) and A(H5N6) viruses in wild birds, South Korea, 2023-2024</article-title>. <source>Emerg Infect Dis</source>. (<year>2025</year>) <volume>31</volume>:<page-range>1561&#x2013;72</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.3201/eid3108.250373</pub-id>, PMID: <pub-id pub-id-type="pmid">40633556</pub-id>
</mixed-citation>
</ref>
<ref id="B5">
<label>5</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Shi</surname> <given-names>J</given-names></name>
<name><surname>Zeng</surname> <given-names>X</given-names></name>
<name><surname>Cui</surname> <given-names>P</given-names></name>
<name><surname>Yan</surname> <given-names>C</given-names></name>
<name><surname>Chen</surname> <given-names>H</given-names></name>
</person-group>. 
<article-title>Alarming situation of emerging H5 and H7 avian influenza and effective control strategies</article-title>. <source>Emerg Microbes Infect</source>. (<year>2023</year>) <volume>12</volume>:<fpage>2155072</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/22221751.2022.2155072</pub-id>, PMID: <pub-id pub-id-type="pmid">36458831</pub-id>
</mixed-citation>
</ref>
<ref id="B6">
<label>6</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Wu</surname> <given-names>J</given-names></name>
<name><surname>Ke</surname> <given-names>C</given-names></name>
<name><surname>Lau</surname> <given-names>EHY</given-names></name>
<name><surname>Song</surname> <given-names>Y</given-names></name>
<name><surname>Cheng</surname> <given-names>KL</given-names></name>
<name><surname>Zou</surname> <given-names>L</given-names></name>
<etal/>
</person-group>. 
<article-title>Influenza H5/H7 virus vaccination in poultry and reduction of zoonotic infections, guangdong province, China, 2017-18</article-title>. <source>Emerg Infect Dis</source>. (<year>2019</year>) <volume>25</volume>:<page-range>116&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.3201/eid2501.181259</pub-id>, PMID: <pub-id pub-id-type="pmid">30355435</pub-id>
</mixed-citation>
</ref>
<ref id="B7">
<label>7</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Cheng</surname> <given-names>W</given-names></name>
<name><surname>Chong</surname> <given-names>KC</given-names></name>
<name><surname>Lau</surname> <given-names>SY</given-names></name>
<name><surname>Wang</surname> <given-names>X</given-names></name>
<name><surname>Yu</surname> <given-names>Z</given-names></name>
<name><surname>Liu</surname> <given-names>S</given-names></name>
<etal/>
</person-group>. 
<article-title>Comparison of avian influenza virus contamination in the environment before and after massive poultry H5/H7 vaccination in zhejiang province, China</article-title>. <source>Open Forum Infect Dis</source>. (<year>2019</year>) <volume>6</volume>:<fpage>ofz197</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/ofid/ofz197</pub-id>, PMID: <pub-id pub-id-type="pmid">31198818</pub-id>
</mixed-citation>
</ref>
<ref id="B8">
<label>8</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>He</surname> <given-names>L</given-names></name>
<name><surname>Zhang</surname> <given-names>Y</given-names></name>
<name><surname>Si</surname> <given-names>K</given-names></name>
<name><surname>Yu</surname> <given-names>C</given-names></name>
<name><surname>Shang</surname> <given-names>K</given-names></name>
<name><surname>Yu</surname> <given-names>Z</given-names></name>
<etal/>
</person-group>. 
<article-title>Evidence of an emerging triple-reassortant H3N3 avian influenza virus in China</article-title>. <source>BMC Genomics</source>. (<year>2024</year>) <volume>25</volume>:<fpage>1249</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s12864-024-11152-x</pub-id>, PMID: <pub-id pub-id-type="pmid">39725881</pub-id>
</mixed-citation>
</ref>
<ref id="B9">
<label>9</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Yang</surname> <given-names>Q</given-names></name>
<name><surname>Ji</surname> <given-names>J</given-names></name>
<name><surname>Yang</surname> <given-names>J</given-names></name>
<name><surname>Zhang</surname> <given-names>Y</given-names></name>
<name><surname>Yin</surname> <given-names>H</given-names></name>
<name><surname>Dai</surname> <given-names>H</given-names></name>
<etal/>
</person-group>. 
<article-title>Diversity of genotypes and pathogenicity of H9N2 avian influenza virus derived from wild bird and domestic poultry</article-title>. <source>Front Microbiol</source>. (<year>2024</year>) <volume>15</volume>:<elocation-id>1402235</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fmicb.2024.1402235</pub-id>, PMID: <pub-id pub-id-type="pmid">38974026</pub-id>
</mixed-citation>
</ref>
<ref id="B10">
<label>10</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Wang</surname> <given-names>Y</given-names></name>
<name><surname>Gao</surname> <given-names>YD</given-names></name>
<name><surname>Jiang</surname> <given-names>CH</given-names></name>
<name><surname>Xi</surname> <given-names>Y</given-names></name>
<name><surname>Yang</surname> <given-names>MX</given-names></name>
<name><surname>Zhang</surname> <given-names>W</given-names></name>
<etal/>
</person-group>. 
<article-title>Characterisation of a novel chicken-derived H3N3 avian influenza virus detected in China in 2023: Pathogenicity and immunogenicity</article-title>. <source>PloS One</source>. (<year>2025</year>) <volume>20</volume>:<elocation-id>e0332213</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pone.0332213</pub-id>, PMID: <pub-id pub-id-type="pmid">40986540</pub-id>
</mixed-citation>
</ref>
<ref id="B11">
<label>11</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Deist</surname> <given-names>MS</given-names></name>
<name><surname>Lamont</surname> <given-names>SJ</given-names></name>
</person-group>. 
<article-title>What makes the harderian gland transcriptome different from other chicken immune tissues? A gene expression comparative analysis</article-title>. <source>Front Physiol</source>. (<year>2018</year>) <volume>9</volume>:<elocation-id>492</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fphys.2018.00492</pub-id>, PMID: <pub-id pub-id-type="pmid">29867543</pub-id>
</mixed-citation>
</ref>
<ref id="B12">
<label>12</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Liu</surname> <given-names>M</given-names></name>
<name><surname>Huang</surname> <given-names>LZX</given-names></name>
<name><surname>Smits</surname> <given-names>AA</given-names></name>
<name><surname>Bull</surname> <given-names>C</given-names></name>
<name><surname>Narimatsu</surname> <given-names>Y</given-names></name>
<name><surname>van Kuppeveld</surname> <given-names>FJM</given-names></name>
<etal/>
</person-group>. 
<article-title>Human-type sialic acid receptors contribute to avian influenza A virus binding and entry by hetero-multivalent interactions</article-title>. <source>Nat Commun</source>. (<year>2022</year>) <volume>13</volume>:<fpage>4054</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-022-31840-0</pub-id>, PMID: <pub-id pub-id-type="pmid">35831293</pub-id>
</mixed-citation>
</ref>
<ref id="B13">
<label>13</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Li</surname> <given-names>J</given-names></name>
<name><surname>Wu</surname> <given-names>G</given-names></name>
<name><surname>Huang</surname> <given-names>Z</given-names></name>
<name><surname>Hu</surname> <given-names>J</given-names></name>
<name><surname>Tie</surname> <given-names>X</given-names></name>
<name><surname>Wu</surname> <given-names>H</given-names></name>
<etal/>
</person-group>. 
<article-title>Advances and prospects of respiratory mucosal vaccines: mechanisms, technologies, and clinical applications</article-title>. <source>NPJ Vaccines</source>. (<year>2025</year>) <volume>10</volume>:<fpage>230</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41541-025-01280-0</pub-id>, PMID: <pub-id pub-id-type="pmid">41224752</pub-id>
</mixed-citation>
</ref>
<ref id="B14">
<label>14</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Zhang</surname> <given-names>Z</given-names></name>
<name><surname>Yang</surname> <given-names>Y</given-names></name>
<name><surname>Huang</surname> <given-names>L</given-names></name>
<name><surname>Yuan</surname> <given-names>L</given-names></name>
<name><surname>Huang</surname> <given-names>S</given-names></name>
<name><surname>Zeng</surname> <given-names>Z</given-names></name>
<etal/>
</person-group>. 
<article-title>Nanotechnology-driven advances in intranasal vaccine delivery systems against infectious diseases</article-title>. <source>Front Immunol</source>. (<year>2025</year>) <volume>16</volume>:<elocation-id>1573037</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2025.1573037</pub-id>, PMID: <pub-id pub-id-type="pmid">40416956</pub-id>
</mixed-citation>
</ref>
<ref id="B15">
<label>15</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Zhuo</surname> <given-names>Y</given-names></name>
<name><surname>Zeng</surname> <given-names>H</given-names></name>
<name><surname>Su</surname> <given-names>C</given-names></name>
<name><surname>Lv</surname> <given-names>Q</given-names></name>
<name><surname>Cheng</surname> <given-names>T</given-names></name>
<name><surname>Lei</surname> <given-names>L</given-names></name>
</person-group>. 
<article-title>Tailoring biomaterials for vaccine delivery</article-title>. <source>J Nanobiotechnology.</source> (<year>2024</year>) <volume>22</volume>:<fpage>480</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s12951-024-02758-0</pub-id>, PMID: <pub-id pub-id-type="pmid">39135073</pub-id>
</mixed-citation>
</ref>
<ref id="B16">
<label>16</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Bai</surname> <given-names>Z</given-names></name>
<name><surname>Wan</surname> <given-names>D</given-names></name>
<name><surname>Lan</surname> <given-names>T</given-names></name>
<name><surname>Hong</surname> <given-names>W</given-names></name>
<name><surname>Dong</surname> <given-names>H</given-names></name>
<name><surname>Wei</surname> <given-names>Y</given-names></name>
<etal/>
</person-group>. 
<article-title>Nanoplatform based intranasal vaccines: current progress and clinical challenges</article-title>. <source>ACS Nano.</source> (<year>2024</year>) <volume>18</volume>:<page-range>24650&#x2013;81</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1021/acsnano.3c10797</pub-id>, PMID: <pub-id pub-id-type="pmid">39185745</pub-id>
</mixed-citation>
</ref>
<ref id="B17">
<label>17</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Sun</surname> <given-names>B</given-names></name>
<name><surname>Wang</surname> <given-names>Q</given-names></name>
<name><surname>Zheng</surname> <given-names>P</given-names></name>
<name><surname>Niu</surname> <given-names>X</given-names></name>
<name><surname>Feng</surname> <given-names>Y</given-names></name>
<name><surname>Guan</surname> <given-names>W</given-names></name>
<etal/>
</person-group>. 
<article-title>An intranasally administered adenovirus-vectored SARS-CoV-2 vaccine induces robust mucosal secretory IgA</article-title>. <source>JCI Insight</source>. (<year>2024</year>) <volume>9</volume>, <fpage>e180784</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1172/jci.insight.180784</pub-id>, PMID: <pub-id pub-id-type="pmid">39315545</pub-id>
</mixed-citation>
</ref>
<ref id="B18">
<label>18</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Yang</surname> <given-names>W</given-names></name>
<name><surname>Liu</surname> <given-names>X</given-names></name>
<name><surname>Wang</surname> <given-names>X</given-names></name>
</person-group>. 
<article-title>The immune system of chicken and its response to H9N2 avian influenza virus</article-title>. <source>Vet Q</source>. (<year>2023</year>) <volume>43</volume>:<fpage>1</fpage>&#x2013;<lpage>14</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/01652176.2023.2228360</pub-id>, PMID: <pub-id pub-id-type="pmid">37357919</pub-id>
</mixed-citation>
</ref>
<ref id="B19">
<label>19</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Saint-Martin</surname> <given-names>V</given-names></name>
<name><surname>Guillory</surname> <given-names>V</given-names></name>
<name><surname>Chollot</surname> <given-names>M</given-names></name>
<name><surname>Fleurot</surname> <given-names>I</given-names></name>
<name><surname>Kut</surname> <given-names>E</given-names></name>
<name><surname>Roesch</surname> <given-names>F</given-names></name>
<etal/>
</person-group>. 
<article-title>The gut microbiota and its metabolite butyrate shape metabolism and antiviral immunity along the gut-lung axis in the chicken</article-title>. <source>Commun Biol</source>. (<year>2024</year>) <volume>7</volume>:<fpage>1185</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s42003-024-06815-0</pub-id>, PMID: <pub-id pub-id-type="pmid">39300162</pub-id>
</mixed-citation>
</ref>
<ref id="B20">
<label>20</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Abdelaziz</surname> <given-names>K</given-names></name>
<name><surname>Helmy</surname> <given-names>YA</given-names></name>
<name><surname>Yitbarek</surname> <given-names>A</given-names></name>
<name><surname>Hodgins</surname> <given-names>DC</given-names></name>
<name><surname>Sharafeldin</surname> <given-names>TA</given-names></name>
<name><surname>Selim</surname> <given-names>MSH</given-names></name>
</person-group>. 
<article-title>Advances in poultry vaccines: leveraging biotechnology for improving vaccine development, stability, and delivery</article-title>. <source>Vaccines (Basel).</source> (<year>2024</year>) <volume>12</volume>, <fpage>134</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/vaccines12020134</pub-id>, PMID: <pub-id pub-id-type="pmid">38400118</pub-id>
</mixed-citation>
</ref>
<ref id="B21">
<label>21</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Boehmer</surname> <given-names>D</given-names></name>
<name><surname>Zanoni</surname> <given-names>I</given-names></name>
</person-group>. 
<article-title>Interferons in health and disease</article-title>. <source>Cell.</source> (<year>2025</year>) <volume>188</volume>:<page-range>4480&#x2013;504</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cell.2025.06.044</pub-id>, PMID: <pub-id pub-id-type="pmid">40845809</pub-id>
</mixed-citation>
</ref>
<ref id="B22">
<label>22</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Hameed</surname> <given-names>SA</given-names></name>
<name><surname>Paul</surname> <given-names>S</given-names></name>
<name><surname>Dellosa</surname> <given-names>GKY</given-names></name>
<name><surname>Jaraquemada</surname> <given-names>D</given-names></name>
<name><surname>Bello</surname> <given-names>MB</given-names></name>
</person-group>. 
<article-title>Towards the future exploration of mucosal mRNA vaccines against emerging viral diseases; lessons from existing next-generation mucosal vaccine strategies</article-title>. <source>NPJ Vaccines</source>. (<year>2022</year>) <volume>7</volume>:<fpage>71</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41541-022-00485-x</pub-id>, PMID: <pub-id pub-id-type="pmid">35764661</pub-id>
</mixed-citation>
</ref>
<ref id="B23">
<label>23</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Webby</surname> <given-names>RJ</given-names></name>
<name><surname>Uyeki</surname> <given-names>TM</given-names></name>
</person-group>. 
<article-title>An update on highly pathogenic avian influenza A(H5N1) virus, clade 2</article-title>. <source>3.4.4b. J Infect Dis</source>. (<year>2024</year>) <volume>230</volume>:<page-range>533&#x2013;42</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/infdis/jiae379</pub-id>, PMID: <pub-id pub-id-type="pmid">39283944</pub-id>
</mixed-citation>
</ref>
<ref id="B24">
<label>24</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Belser</surname> <given-names>JA</given-names></name>
<name><surname>Pulit-Penaloza</surname> <given-names>JA</given-names></name>
<name><surname>Brock</surname> <given-names>N</given-names></name>
<name><surname>Sun</surname> <given-names>X</given-names></name>
<name><surname>Kieran</surname> <given-names>TJ</given-names></name>
<name><surname>Pappas</surname> <given-names>C</given-names></name>
<etal/>
</person-group>. 
<article-title>Ocular infectivity and replication of a clade 2.3.4.4b A(H5N1) influenza virus associated with human conjunctivitis in a dairy farm worker in the USA: an <italic>in-vitro</italic> and ferret study</article-title>. <source>Lancet Microbe</source>. (<year>2025</year>) <volume>6</volume>:<fpage>101070</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.lanmic.2024.101070</pub-id>, PMID: <pub-id pub-id-type="pmid">40112840</pub-id>
</mixed-citation>
</ref>
<ref id="B25">
<label>25</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Szretter</surname> <given-names>KJ</given-names></name>
<name><surname>Gangappa</surname> <given-names>S</given-names></name>
<name><surname>Belser</surname> <given-names>JA</given-names></name>
<name><surname>Zeng</surname> <given-names>H</given-names></name>
<name><surname>Chen</surname> <given-names>H</given-names></name>
<name><surname>Matsuoka</surname> <given-names>Y</given-names></name>
<etal/>
</person-group>. 
<article-title>Early control of H5N1 influenza virus replication by the type I interferon response in mice</article-title>. <source>J Virol</source>. (<year>2009</year>) <volume>83</volume>:<page-range>5825&#x2013;34</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/JVI.02144-08</pub-id>, PMID: <pub-id pub-id-type="pmid">19297490</pub-id>
</mixed-citation>
</ref>
<ref id="B26">
<label>26</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Song</surname> <given-names>H</given-names></name>
<name><surname>Hao</surname> <given-names>T</given-names></name>
<name><surname>Han</surname> <given-names>P</given-names></name>
<name><surname>Wang</surname> <given-names>H</given-names></name>
<name><surname>Zhang</surname> <given-names>X</given-names></name>
<name><surname>Li</surname> <given-names>X</given-names></name>
<etal/>
</person-group>. 
<article-title>Receptor binding, structure, and tissue tropism of cattle-infecting H5N1 avian influenza virus hemagglutinin</article-title>. <source>Cell.</source> (<year>2025</year>) <volume>188</volume>:<fpage>919</fpage>&#x2013;<lpage>29 e9</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cell.2025.01.019</pub-id>, PMID: <pub-id pub-id-type="pmid">39848246</pub-id>
</mixed-citation>
</ref>
<ref id="B27">
<label>27</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Byrd-Leotis</surname> <given-names>L</given-names></name>
<name><surname>Cummings</surname> <given-names>RD</given-names></name>
<name><surname>Steinhauer</surname> <given-names>DA</given-names></name>
</person-group>. 
<article-title>The interplay between the host receptor and influenza virus hemagglutinin and neuraminidase</article-title>. <source>Int J Mol Sci</source>. (<year>2017</year>) <volume>18</volume>, <fpage>1541</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ijms18071541</pub-id>, PMID: <pub-id pub-id-type="pmid">28714909</pub-id>
</mixed-citation>
</ref>
<ref id="B28">
<label>28</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Limburg</surname> <given-names>H</given-names></name>
<name><surname>Harbig</surname> <given-names>A</given-names></name>
<name><surname>Bestle</surname> <given-names>D</given-names></name>
<name><surname>Stein</surname> <given-names>DA</given-names></name>
<name><surname>Moulton</surname> <given-names>HM</given-names></name>
<name><surname>Jaeger</surname> <given-names>J</given-names></name>
<etal/>
</person-group>. 
<article-title>TMPRSS2 is the major activating protease of influenza A virus in primary human airway cells and influenza B virus in human type II pneumocytes</article-title>. <source>J Virol</source>. (<year>2019</year>) <volume>93</volume>, <fpage>e00649-19</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/JVI.00649-19</pub-id>, PMID: <pub-id pub-id-type="pmid">31391268</pub-id>
</mixed-citation>
</ref>
<ref id="B29">
<label>29</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Zeng</surname> <given-names>H</given-names></name>
<name><surname>Goldsmith</surname> <given-names>CS</given-names></name>
<name><surname>Kumar</surname> <given-names>A</given-names></name>
<name><surname>Belser</surname> <given-names>JA</given-names></name>
<name><surname>Sun</surname> <given-names>X</given-names></name>
<name><surname>Pappas</surname> <given-names>C</given-names></name>
<etal/>
</person-group>. 
<article-title>Tropism and infectivity of a seasonal A(H1N1) and a highly pathogenic avian A(H5N1) influenza virus in primary differentiated ferret nasal epithelial cell cultures</article-title>. <source>J Virol</source>. (<year>2019</year>) <volume>93</volume>, <fpage>e00080-19</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/JVI.00080-19</pub-id>, PMID: <pub-id pub-id-type="pmid">30814288</pub-id>
</mixed-citation>
</ref>
<ref id="B30">
<label>30</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Zanin</surname> <given-names>M</given-names></name>
<name><surname>Baviskar</surname> <given-names>P</given-names></name>
<name><surname>Webster</surname> <given-names>R</given-names></name>
<name><surname>Webby</surname> <given-names>R</given-names></name>
</person-group>. 
<article-title>The interaction between respiratory pathogens and mucus</article-title>. <source>Cell Host Microbe</source>. (<year>2016</year>) <volume>19</volume>:<page-range>159&#x2013;68</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.chom.2016.01.001</pub-id>, PMID: <pub-id pub-id-type="pmid">26867175</pub-id>
</mixed-citation>
</ref>
<ref id="B31">
<label>31</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Heo</surname> <given-names>J</given-names></name>
<name><surname>Vu</surname> <given-names>TH</given-names></name>
<name><surname>Kim</surname> <given-names>CH</given-names></name>
<name><surname>Truong</surname> <given-names>AD</given-names></name>
<name><surname>Hong</surname> <given-names>YH</given-names></name>
</person-group>. 
<article-title><italic>In vitro</italic> analysis of antiviral immune response against avian influenza virus in chicken tracheal epithelial cells</article-title>. <source>Anim Biosci</source>. (<year>2024</year>) <volume>37</volume>:<page-range>2009&#x2013;20</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.5713/ab.24.0117</pub-id>, PMID: <pub-id pub-id-type="pmid">39210820</pub-id>
</mixed-citation>
</ref>
<ref id="B32">
<label>32</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Song</surname> <given-names>Y</given-names></name>
<name><surname>Wang</surname> <given-names>X</given-names></name>
<name><surname>Zhang</surname> <given-names>H</given-names></name>
<name><surname>Tang</surname> <given-names>X</given-names></name>
<name><surname>Li</surname> <given-names>M</given-names></name>
<name><surname>Yao</surname> <given-names>J</given-names></name>
<etal/>
</person-group>. 
<article-title>Repeated low-dose influenza virus infection causes severe disease in mice: a model for vaccine evaluation</article-title>. <source>J Virol</source>. (<year>2015</year>) <volume>89</volume>:<page-range>7841&#x2013;51</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/JVI.00976-15</pub-id>, PMID: <pub-id pub-id-type="pmid">25995265</pub-id>
</mixed-citation>
</ref>
<ref id="B33">
<label>33</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Lee</surname> <given-names>YN</given-names></name>
<name><surname>Cheon</surname> <given-names>SH</given-names></name>
<name><surname>Lee</surname> <given-names>EK</given-names></name>
<name><surname>Heo</surname> <given-names>GB</given-names></name>
<name><surname>Bae</surname> <given-names>YC</given-names></name>
<name><surname>Joh</surname> <given-names>SJ</given-names></name>
<etal/>
</person-group>. 
<article-title>Pathogenesis and genetic characteristics of novel reassortant low-pathogenic avian influenza H7 viruses isolated from migratory birds in the Republic of Korea in the winter of 2016-2017</article-title>. <source>Emerg Microbes Infect</source>. (<year>2018</year>) <volume>7</volume>:<fpage>182</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41426-018-0181-3</pub-id>, PMID: <pub-id pub-id-type="pmid">30442892</pub-id>
</mixed-citation>
</ref>
<ref id="B34">
<label>34</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Watanabe</surname> <given-names>T</given-names></name>
<name><surname>Takahashi</surname> <given-names>N</given-names></name>
<name><surname>Minaguchi</surname> <given-names>J</given-names></name>
<name><surname>Mochizuki</surname> <given-names>A</given-names></name>
<name><surname>Hiramatsu</surname> <given-names>K</given-names></name>
</person-group>. 
<article-title>Three-dimensional analysis of the nasolacrimal duct and nasal cavity and arrangement of mucosal tissue in chickens</article-title>. <source>J Poult Sci</source>. (<year>2020</year>) <volume>57</volume>:<page-range>303&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.2141/jpsa.0190091</pub-id>, PMID: <pub-id pub-id-type="pmid">33132731</pub-id>
</mixed-citation>
</ref>
<ref id="B35">
<label>35</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Castellanos-Huerta</surname> <given-names>I</given-names></name>
<name><surname>Gomez-Verduzco</surname> <given-names>G</given-names></name>
<name><surname>Tellez-Isaias</surname> <given-names>G</given-names></name>
<name><surname>Ayora-Talavera</surname> <given-names>G</given-names></name>
<name><surname>Banuelos-Hernandez</surname> <given-names>B</given-names></name>
<name><surname>Petrone-Garcia</surname> <given-names>VM</given-names></name>
<etal/>
</person-group>. 
<article-title>Immune evaluation of avian influenza virus HAr protein expressed in dunaliella salina in the mucosa of chicken</article-title>. <source>Vaccines (Basel)</source>. (<year>2022</year>) <volume>10</volume>, <fpage>1418</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/vaccines10091418</pub-id>, PMID: <pub-id pub-id-type="pmid">36146496</pub-id>
</mixed-citation>
</ref>
<ref id="B36">
<label>36</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Astill</surname> <given-names>J</given-names></name>
<name><surname>Alkie</surname> <given-names>T</given-names></name>
<name><surname>Yitbarek</surname> <given-names>A</given-names></name>
<name><surname>Taha-Abdelaziz</surname> <given-names>K</given-names></name>
<name><surname>Bavananthasivam</surname> <given-names>J</given-names></name>
<name><surname>Nagy</surname> <given-names>E</given-names></name>
<etal/>
</person-group>. 
<article-title>Examination of the effects of virus inactivation methods on the induction of antibody- and cell-mediated immune responses against whole inactivated H9N2 avian influenza virus vaccines in chickens</article-title>. <source>Vaccine.</source> (<year>2018</year>) <volume>36</volume>:<page-range>3908&#x2013;16</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.vaccine.2018.05.093</pub-id>, PMID: <pub-id pub-id-type="pmid">29853199</pub-id>
</mixed-citation>
</ref>
<ref id="B37">
<label>37</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Wang</surname> <given-names>T</given-names></name>
<name><surname>Wei</surname> <given-names>F</given-names></name>
<name><surname>Liu</surname> <given-names>J</given-names></name>
</person-group>. 
<article-title>Emerging role of mucosal vaccine in preventing infection with avian influenza A viruses</article-title>. <source>Viruses.</source> (<year>2020</year>) <volume>12</volume>, <fpage>862</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/v12080862</pub-id>, PMID: <pub-id pub-id-type="pmid">32784697</pub-id>
</mixed-citation>
</ref>
<ref id="B38">
<label>38</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Smialek</surname> <given-names>M</given-names></name>
<name><surname>Tykalowski</surname> <given-names>B</given-names></name>
<name><surname>Stenzel</surname> <given-names>T</given-names></name>
<name><surname>Koncicki</surname> <given-names>A</given-names></name>
</person-group>. 
<article-title>Local immunity of the respiratory mucosal system in chickens and Turkeys</article-title>. <source>Pol J Vet Sci</source>. (<year>2011</year>) <volume>14</volume>:<page-range>291&#x2013;7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.2478/v10181-011-0047-2</pub-id>, PMID: <pub-id pub-id-type="pmid">21721419</pub-id>
</mixed-citation>
</ref>
<ref id="B39">
<label>39</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Fenzl</surname> <given-names>L</given-names></name>
<name><surname>Gobel</surname> <given-names>TW</given-names></name>
<name><surname>Neulen</surname> <given-names>ML</given-names></name>
</person-group>. 
<article-title>gammadelta T cells represent a major spontaneously cytotoxic cell population in the chicken</article-title>. <source>Dev Comp Immunol</source>. (<year>2017</year>) <volume>73</volume>:<page-range>175&#x2013;83</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.dci.2017.03.028</pub-id>, PMID: <pub-id pub-id-type="pmid">28377199</pub-id>
</mixed-citation>
</ref>
<ref id="B40">
<label>40</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Dai</surname> <given-names>M</given-names></name>
<name><surname>Li</surname> <given-names>X</given-names></name>
<name><surname>Zhu</surname> <given-names>S</given-names></name>
<name><surname>Chen</surname> <given-names>W</given-names></name>
<name><surname>Smith</surname> <given-names>AL</given-names></name>
<name><surname>Liao</surname> <given-names>M</given-names></name>
</person-group>. 
<article-title>Chicken TCRgammadelta+CD8alpha+T cells are antigen-specific and protective in H9N2 AIV infection</article-title>. <source>J Immunol</source>. (<year>2025</year>) <volume>214</volume>:<page-range>1674&#x2013;87</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/jimmun/vkaf083</pub-id>, PMID: <pub-id pub-id-type="pmid">40359378</pub-id>
</mixed-citation>
</ref>
<ref id="B41">
<label>41</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Corthesy</surname> <given-names>B</given-names></name>
</person-group>. 
<article-title>Multi-faceted functions of secretory IgA at mucosal surfaces</article-title>. <source>Front Immunol</source>. (<year>2013</year>) <volume>4</volume>:<elocation-id>185</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2013.00185</pub-id>, PMID: <pub-id pub-id-type="pmid">23874333</pub-id>
</mixed-citation>
</ref>
<ref id="B42">
<label>42</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Tetzlaff</surname> <given-names>F</given-names></name>
<name><surname>Methner</surname> <given-names>U</given-names></name>
<name><surname>von Heyl</surname> <given-names>T</given-names></name>
<name><surname>Menge</surname> <given-names>C</given-names></name>
<name><surname>Schusser</surname> <given-names>B</given-names></name>
<name><surname>Berndt</surname> <given-names>A</given-names></name>
</person-group>. 
<article-title>Compensatory mechanisms in gammadelta T cell-deficient chickens following Salmonella infection</article-title>. <source>Front Immunol</source>. (<year>2025</year>) <volume>16</volume>:<elocation-id>1576766</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2025.1576766</pub-id>, PMID: <pub-id pub-id-type="pmid">40438105</pub-id>
</mixed-citation>
</ref>
<ref id="B43">
<label>43</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>von Heyl</surname> <given-names>T</given-names></name>
<name><surname>Klinger</surname> <given-names>R</given-names></name>
<name><surname>Aumann</surname> <given-names>D</given-names></name>
<name><surname>Zenner</surname> <given-names>C</given-names></name>
<name><surname>Alhussien</surname> <given-names>M</given-names></name>
<name><surname>Schlickenrieder</surname> <given-names>A</given-names></name>
<etal/>
</person-group>. 
<article-title>Loss of alphabeta but not gammadelta T cells in chickens causes a severe phenotype</article-title>. <source>Eur J Immunol</source>. (<year>2023</year>) <volume>53</volume>:<fpage>e2350503</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/eji.202350503</pub-id>, PMID: <pub-id pub-id-type="pmid">37735713</pub-id>
</mixed-citation>
</ref>
<ref id="B44">
<label>44</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>van Ginkel</surname> <given-names>FW</given-names></name>
<name><surname>Tang</surname> <given-names>DC</given-names></name>
<name><surname>Gulley</surname> <given-names>SL</given-names></name>
<name><surname>Toro</surname> <given-names>H</given-names></name>
</person-group>. 
<article-title>Induction of mucosal immunity in the avian Harderian gland with a replication-deficient Ad5 vector expressing avian influenza H5 hemagglutinin</article-title>. <source>Dev Comp Immunol</source>. (<year>2009</year>) <volume>33</volume>:<fpage>28</fpage>&#x2013;<lpage>34</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.dci.2008.07.018</pub-id>, PMID: <pub-id pub-id-type="pmid">18773917</pub-id>
</mixed-citation>
</ref>
<ref id="B45">
<label>45</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Suzuki</surname> <given-names>K</given-names></name>
<name><surname>Okada</surname> <given-names>H</given-names></name>
<name><surname>Itoh</surname> <given-names>T</given-names></name>
<name><surname>Tada</surname> <given-names>T</given-names></name>
<name><surname>Mase</surname> <given-names>M</given-names></name>
<name><surname>Nakamura</surname> <given-names>K</given-names></name>
<etal/>
</person-group>. 
<article-title>Association of increased pathogenicity of Asian H5N1 highly pathogenic avian influenza viruses in chickens with highly efficient viral replication accompanied by early destruction of innate immune responses</article-title>. <source>J Virol</source>. (<year>2009</year>) <volume>83</volume>:<page-range>7475&#x2013;86</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/JVI.01434-08</pub-id>, PMID: <pub-id pub-id-type="pmid">19457987</pub-id>
</mixed-citation>
</ref>
<ref id="B46">
<label>46</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Mibayashi</surname> <given-names>M</given-names></name>
<name><surname>Martinez-Sobrido</surname> <given-names>L</given-names></name>
<name><surname>Loo</surname> <given-names>YM</given-names></name>
<name><surname>Cardenas</surname> <given-names>WB</given-names></name>
<name><surname>Gale</surname> <given-names>M</given-names> <suffix>Jr.</suffix></name>
<name><surname>Garcia-Sastre</surname> <given-names>A</given-names></name>
</person-group>. 
<article-title>Inhibition of retinoic acid-inducible gene I-mediated induction of beta interferon by the NS1 protein of influenza A virus</article-title>. <source>J Virol</source>. (<year>2007</year>) <volume>81</volume>:<page-range>514&#x2013;24</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/JVI.01265-06</pub-id>, PMID: <pub-id pub-id-type="pmid">17079289</pub-id>
</mixed-citation>
</ref>
<ref id="B47">
<label>47</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Gack</surname> <given-names>MU</given-names></name>
<name><surname>Albrecht</surname> <given-names>RA</given-names></name>
<name><surname>Urano</surname> <given-names>T</given-names></name>
<name><surname>Inn</surname> <given-names>KS</given-names></name>
<name><surname>Huang</surname> <given-names>IC</given-names></name>
<name><surname>Carnero</surname> <given-names>E</given-names></name>
<etal/>
</person-group>. 
<article-title>Influenza A virus NS1 targets the ubiquitin ligase TRIM25 to evade recognition by the host viral RNA sensor RIG-I</article-title>. <source>Cell Host Microbe</source>. (<year>2009</year>) <volume>5</volume>:<page-range>439&#x2013;49</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.chom.2009.04.006</pub-id>, PMID: <pub-id pub-id-type="pmid">19454348</pub-id>
</mixed-citation>
</ref>
<ref id="B48">
<label>48</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Vasiliauskaite</surname> <given-names>L</given-names></name>
<name><surname>Berrens</surname> <given-names>RV</given-names></name>
<name><surname>Ivanova</surname> <given-names>I</given-names></name>
<name><surname>Carrieri</surname> <given-names>C</given-names></name>
<name><surname>Reik</surname> <given-names>W</given-names></name>
<name><surname>Enright</surname> <given-names>AJ</given-names></name>
<etal/>
</person-group>. 
<article-title>Defective germline reprogramming rewires the spermatogonial transcriptome</article-title>. <source>Nat Struct Mol Biol</source>. (<year>2018</year>) <volume>25</volume>:<fpage>394</fpage>&#x2013;<lpage>404</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41594-018-0058-0</pub-id>, PMID: <pub-id pub-id-type="pmid">29728652</pub-id>
</mixed-citation>
</ref>
<ref id="B49">
<label>49</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Huang</surname> <given-names>X</given-names></name>
<name><surname>Zheng</surname> <given-names>M</given-names></name>
<name><surname>Wang</surname> <given-names>P</given-names></name>
<name><surname>Mok</surname> <given-names>BW</given-names></name>
<name><surname>Liu</surname> <given-names>S</given-names></name>
<name><surname>Lau</surname> <given-names>SY</given-names></name>
<etal/>
</person-group>. 
<article-title>An NS-segment exonic splicing enhancer regulates influenza A virus replication in mammalian cells</article-title>. <source>Nat Commun</source>. (<year>2017</year>) <volume>8</volume>:<fpage>14751</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/ncomms14751</pub-id>, PMID: <pub-id pub-id-type="pmid">28323816</pub-id>
</mixed-citation>
</ref>
<ref id="B50">
<label>50</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Zaraket</surname> <given-names>H</given-names></name>
<name><surname>Bridges</surname> <given-names>OA</given-names></name>
<name><surname>Duan</surname> <given-names>S</given-names></name>
<name><surname>Baranovich</surname> <given-names>T</given-names></name>
<name><surname>Yoon</surname> <given-names>SW</given-names></name>
<name><surname>Reed</surname> <given-names>ML</given-names></name>
<etal/>
</person-group>. 
<article-title>Increased acid stability of the hemagglutinin protein enhances H5N1 influenza virus growth in the upper respiratory tract but is insufficient for transmission in ferrets</article-title>. <source>J Virol</source>. (<year>2013</year>) <volume>87</volume>:<page-range>9911&#x2013;22</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/JVI.01175-13</pub-id>, PMID: <pub-id pub-id-type="pmid">23824818</pub-id>
</mixed-citation>
</ref>
<ref id="B51">
<label>51</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Cotter</surname> <given-names>CR</given-names></name>
<name><surname>Jin</surname> <given-names>H</given-names></name>
<name><surname>Chen</surname> <given-names>Z</given-names></name>
</person-group>. 
<article-title>A single amino acid in the stalk region of the H1N1pdm influenza virus HA protein affects viral fusion, stability and infectivity</article-title>. <source>PloS Pathog</source>. (<year>2014</year>) <volume>10</volume>:<elocation-id>e1003831</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.ppat.1003831</pub-id>, PMID: <pub-id pub-id-type="pmid">24391498</pub-id>
</mixed-citation>
</ref>
<ref id="B52">
<label>52</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Swiatek</surname> <given-names>L</given-names></name>
<name><surname>Sieniawska</surname> <given-names>E</given-names></name>
<name><surname>Sinan</surname> <given-names>KI</given-names></name>
<name><surname>Maciejewska-Turska</surname> <given-names>M</given-names></name>
<name><surname>Boguszewska</surname> <given-names>A</given-names></name>
<name><surname>Polz-Dacewicz</surname> <given-names>M</given-names></name>
<etal/>
</person-group>. 
<article-title>LC-ESI-QTOF-MS/MS Analysis, Cytotoxic, Antiviral, Antioxidant, and Enzyme Inhibitory Properties of Four Extracts of Geranium pyrenaicum Burm. f.: A Good Gift from the Natural Treasure</article-title>. <source>Int J Mol Sci</source>. (<year>2021</year>) <volume>22</volume>, <fpage>7621</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ijms22147621</pub-id>, PMID: <pub-id pub-id-type="pmid">34299238</pub-id>
</mixed-citation>
</ref>
<ref id="B53">
<label>53</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Peiris</surname> <given-names>JS</given-names></name>
<name><surname>Cheung</surname> <given-names>CY</given-names></name>
<name><surname>Leung</surname> <given-names>CY</given-names></name>
<name><surname>Nicholls</surname> <given-names>JM</given-names></name>
</person-group>. 
<article-title>Innate immune responses to influenza A H5N1: friend or foe</article-title>? <source>Trends Immunol</source>. (<year>2009</year>) <volume>30</volume>:<page-range>574&#x2013;84</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.it.2009.09.004</pub-id>, PMID: <pub-id pub-id-type="pmid">19864182</pub-id>
</mixed-citation>
</ref>
<ref id="B54">
<label>54</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Shi</surname> <given-names>J</given-names></name>
<name><surname>Zhao</surname> <given-names>Y</given-names></name>
<name><surname>Wang</surname> <given-names>K</given-names></name>
<name><surname>Shi</surname> <given-names>X</given-names></name>
<name><surname>Wang</surname> <given-names>Y</given-names></name>
<name><surname>Huang</surname> <given-names>H</given-names></name>
<etal/>
</person-group>. 
<article-title>Cleavage of GSDMD by inflammatory caspases determines pyroptotic cell death</article-title>. <source>Nature.</source> (<year>2015</year>) <volume>526</volume>:<page-range>660&#x2013;5</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nature15514</pub-id>, PMID: <pub-id pub-id-type="pmid">26375003</pub-id>
</mixed-citation>
</ref>
<ref id="B55">
<label>55</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>van Riel</surname> <given-names>D</given-names></name>
<name><surname>Munster</surname> <given-names>VJ</given-names></name>
<name><surname>de Wit</surname> <given-names>E</given-names></name>
<name><surname>Rimmelzwaan</surname> <given-names>GF</given-names></name>
<name><surname>Fouchier</surname> <given-names>RA</given-names></name>
<name><surname>Osterhaus</surname> <given-names>AD</given-names></name>
<etal/>
</person-group>. 
<article-title>Human and avian influenza viruses target different cells in the lower respiratory tract of humans and other mammals</article-title>. <source>Am J Pathol</source>. (<year>2007</year>) <volume>171</volume>:<page-range>1215&#x2013;23</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.2353/ajpath.2007.070248</pub-id>, PMID: <pub-id pub-id-type="pmid">17717141</pub-id>
</mixed-citation>
</ref>
<ref id="B56">
<label>56</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Abdelwhab</surname> <given-names>EM</given-names></name>
<name><surname>Hafez</surname> <given-names>HM</given-names></name>
</person-group>. 
<article-title>An overview of the epidemic of highly pathogenic H5N1 avian influenza virus in Egypt: epidemiology and control challenges</article-title>. <source>Epidemiol Infect</source>. (<year>2011</year>) <volume>139</volume>:<page-range>647&#x2013;57</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1017/S0950268810003122</pub-id>, PMID: <pub-id pub-id-type="pmid">21281550</pub-id>
</mixed-citation>
</ref>
<ref id="B57">
<label>57</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Kapczynski</surname> <given-names>DR</given-names></name>
<name><surname>Swayne</surname> <given-names>DE</given-names></name>
</person-group>. 
<article-title>Influenza vaccines for avian species</article-title>. <source>Curr Top Microbiol Immunol</source>. (<year>2009</year>) <volume>333</volume>:<page-range>133&#x2013;52</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/978-3-540-92165-3_6</pub-id>, PMID: <pub-id pub-id-type="pmid">19768403</pub-id>
</mixed-citation>
</ref>
<ref id="B58">
<label>58</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Iwasaki</surname> <given-names>A</given-names></name>
</person-group>. 
<article-title>Antiviral immune responses in the genital tract: clues for vaccines</article-title>. <source>Nat Rev Immunol</source>. (<year>2010</year>) <volume>10</volume>:<fpage>699</fpage>&#x2013;<lpage>711</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nri2836</pub-id>, PMID: <pub-id pub-id-type="pmid">20829886</pub-id>
</mixed-citation>
</ref>
<ref id="B59">
<label>59</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Abdelhalim</surname> <given-names>A</given-names></name>
<name><surname>Yahia</surname> <given-names>N</given-names></name>
<name><surname>Elharrak</surname> <given-names>M</given-names></name>
<name><surname>Rhazi</surname> <given-names>H</given-names></name>
<name><surname>Salman</surname> <given-names>AH</given-names></name>
<name><surname>Turkistani</surname> <given-names>A</given-names></name>
<etal/>
</person-group>. 
<article-title>Enhanced protection through genotype-matched bivalent H9N2-Newcastle disease virus vaccination: Comparative efficacy against contemporary field strains in specific-pathogen-free chickens</article-title>. <source>Vet Microbiol</source>. (<year>2025</year>) <volume>310</volume>:<fpage>110744</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.vetmic.2025.110744</pub-id>, PMID: <pub-id pub-id-type="pmid">41045702</pub-id>
</mixed-citation>
</ref>
<ref id="B60">
<label>60</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Brandtzaeg</surname> <given-names>P</given-names></name>
</person-group>. 
<article-title>Secretory igA: designed for anti-microbial defense</article-title>. <source>Front Immunol</source>. (<year>2013</year>) <volume>4</volume>:<elocation-id>222</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2013.00222</pub-id>, PMID: <pub-id pub-id-type="pmid">23964273</pub-id>
</mixed-citation>
</ref>
<ref id="B61">
<label>61</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Okuya</surname> <given-names>K</given-names></name>
<name><surname>Yoshida</surname> <given-names>R</given-names></name>
<name><surname>Manzoor</surname> <given-names>R</given-names></name>
<name><surname>Saito</surname> <given-names>S</given-names></name>
<name><surname>Suzuki</surname> <given-names>T</given-names></name>
<name><surname>Sasaki</surname> <given-names>M</given-names></name>
<etal/>
</person-group>. 
<article-title>Potential role of nonneutralizing igA antibodies in cross-protective immunity against influenza A viruses of multiple hemagglutinin subtypes</article-title>. <source>J Virol</source>. (<year>2020</year>) <volume>94</volume>, <fpage>e00408-20</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/JVI.00408-20</pub-id>, PMID: <pub-id pub-id-type="pmid">32269119</pub-id>
</mixed-citation>
</ref>
<ref id="B62">
<label>62</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>van de Wall</surname> <given-names>S</given-names></name>
<name><surname>Badovinac</surname> <given-names>VP</given-names></name>
<name><surname>Harty</surname> <given-names>JT</given-names></name>
</person-group>. 
<article-title>Influenza-specific lung-resident memory CD8(+) T cells</article-title>. <source>Cold Spring Harb Perspect Biol</source>. (<year>2021</year>) <volume>13</volume>, <fpage>a037978</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1101/cshperspect.a037978</pub-id>, PMID: <pub-id pub-id-type="pmid">33288540</pub-id>
</mixed-citation>
</ref>
<ref id="B63">
<label>63</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Lee</surname> <given-names>W</given-names></name>
<name><surname>Kingstad-Bakke</surname> <given-names>B</given-names></name>
<name><surname>Kedl</surname> <given-names>RM</given-names></name>
<name><surname>Kawaoka</surname> <given-names>Y</given-names></name>
<name><surname>Suresh</surname> <given-names>M</given-names></name>
</person-group>. 
<article-title>CCR2 regulates vaccine-induced mucosal T-cell memory to influenza A virus</article-title>. <source>J Virol</source>. (<year>2021</year>) <volume>95</volume>:<fpage>e0053021</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/JVI.00530-21</pub-id>, PMID: <pub-id pub-id-type="pmid">33952647</pub-id>
</mixed-citation>
</ref>
<ref id="B64">
<label>64</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Kapczynski</surname> <given-names>DR</given-names></name>
<name><surname>Tumpey</surname> <given-names>TM</given-names></name>
<name><surname>Hidajat</surname> <given-names>R</given-names></name>
<name><surname>Zsak</surname> <given-names>A</given-names></name>
<name><surname>Chrzastek</surname> <given-names>K</given-names></name>
<name><surname>Tretyakova</surname> <given-names>I</given-names></name>
<etal/>
</person-group>. 
<article-title>Vaccination with virus-like particles containing H5 antigens from three H5N1 clades protects chickens from H5N1 and H5N8 influenza viruses</article-title>. <source>Vaccine.</source> (<year>2016</year>) <volume>34</volume>:<page-range>1575&#x2013;81</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.vaccine.2016.02.011</pub-id>, PMID: <pub-id pub-id-type="pmid">26868083</pub-id>
</mixed-citation>
</ref>
<ref id="B65">
<label>65</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Elfeil</surname> <given-names>WK</given-names></name>
<name><surname>Youssef</surname> <given-names>H</given-names></name>
<name><surname>Sedeek</surname> <given-names>A</given-names></name>
<name><surname>El-Shemy</surname> <given-names>A</given-names></name>
<name><surname>Abd-Allah</surname> <given-names>EM</given-names></name>
<name><surname>Elkady</surname> <given-names>MF</given-names></name>
<etal/>
</person-group>. 
<article-title>Protective efficacy of inactivated H9N2 vaccine in Turkey poults under both experimental and field conditions</article-title>. <source>Vaccines (Basel)</source>. (<year>2022</year>) <volume>10</volume>, <fpage>2178</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/vaccines10122178</pub-id>, PMID: <pub-id pub-id-type="pmid">36560588</pub-id>
</mixed-citation>
</ref>
<ref id="B66">
<label>66</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Amanna</surname> <given-names>IJ</given-names></name>
<name><surname>Carlson</surname> <given-names>NE</given-names></name>
<name><surname>Slifka</surname> <given-names>MK</given-names></name>
</person-group>. 
<article-title>Duration of humoral immunity to common viral and vaccine antigens</article-title>. <source>N Engl J Med</source>. (<year>2007</year>) <volume>357</volume>:<page-range>1903&#x2013;15</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1056/NEJMoa066092</pub-id>, PMID: <pub-id pub-id-type="pmid">17989383</pub-id>
</mixed-citation>
</ref>
<ref id="B67">
<label>67</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Park</surname> <given-names>KJ</given-names></name>
<name><surname>Kwon</surname> <given-names>HI</given-names></name>
<name><surname>Song</surname> <given-names>MS</given-names></name>
<name><surname>Pascua</surname> <given-names>PN</given-names></name>
<name><surname>Baek</surname> <given-names>YH</given-names></name>
<name><surname>Lee</surname> <given-names>JH</given-names></name>
<etal/>
</person-group>. 
<article-title>Rapid evolution of low-pathogenic H9N2 avian influenza viruses following poultry vaccination programmes</article-title>. <source>J Gen Virol</source>. (<year>2011</year>) <volume>92</volume>:<fpage>36</fpage>&#x2013;<lpage>50</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1099/vir.0.024992-0</pub-id>, PMID: <pub-id pub-id-type="pmid">20861321</pub-id>
</mixed-citation>
</ref>
<ref id="B68">
<label>68</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Oh</surname> <given-names>JE</given-names></name>
<name><surname>Song</surname> <given-names>E</given-names></name>
<name><surname>Moriyama</surname> <given-names>M</given-names></name>
<name><surname>Wong</surname> <given-names>P</given-names></name>
<name><surname>Zhang</surname> <given-names>S</given-names></name>
<name><surname>Jiang</surname> <given-names>R</given-names></name>
<etal/>
</person-group>. 
<article-title>Intranasal priming induces local lung-resident B cell populations that secrete protective mucosal antiviral IgA</article-title>. <source>Sci Immunol</source>. (<year>2021</year>) <volume>6</volume>:<elocation-id>eabj5129</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/sciimmunol.abj5129</pub-id>, PMID: <pub-id pub-id-type="pmid">34890255</pub-id>
</mixed-citation>
</ref>
<ref id="B69">
<label>69</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Lee</surname> <given-names>S</given-names></name>
<name><surname>Yeung</surname> <given-names>KK</given-names></name>
<name><surname>Watts</surname> <given-names>TH</given-names></name>
</person-group>. 
<article-title>Tissue-resident memory T cells in protective immunity to influenza virus</article-title>. <source>Curr Opin Virol</source>. (<year>2024</year>) <volume>65</volume>:<fpage>101397</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.coviro.2024.101397</pub-id>, PMID: <pub-id pub-id-type="pmid">38458064</pub-id>
</mixed-citation>
</ref>
<ref id="B70">
<label>70</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Martini</surname> <given-names>V</given-names></name>
<name><surname>Edmans</surname> <given-names>M</given-names></name>
<name><surname>Gubbins</surname> <given-names>S</given-names></name>
<name><surname>Jayaraman</surname> <given-names>S</given-names></name>
<name><surname>Paudyal</surname> <given-names>B</given-names></name>
<name><surname>Morgan</surname> <given-names>S</given-names></name>
<etal/>
</person-group>. 
<article-title>Spatial, temporal and molecular dynamics of swine influenza virus-specific CD8 tissue resident memory T cells</article-title>. <source>Mucosal Immunol</source>. (<year>2022</year>) <volume>15</volume>:<page-range>428&#x2013;42</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41385-021-00478-4</pub-id>, PMID: <pub-id pub-id-type="pmid">35145208</pub-id>
</mixed-citation>
</ref>
<ref id="B71">
<label>71</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Chung</surname> <given-names>H</given-names></name>
<name><surname>Kim</surname> <given-names>EA</given-names></name>
<name><surname>Chang</surname> <given-names>J</given-names></name>
</person-group>. 
<article-title>A &#x201c;Prime and deploy&#x201d; Strategy for universal influenza vaccine targeting nucleoprotein induces lung-resident memory CD8 T cells</article-title>. <source>Immune Netw</source>. (<year>2021</year>) <volume>21</volume>:<fpage>e28</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.4110/in.2021.21.e28</pub-id>, PMID: <pub-id pub-id-type="pmid">34522441</pub-id>
</mixed-citation>
</ref>
<ref id="B72">
<label>72</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Iwasaki</surname> <given-names>A</given-names></name>
<name><surname>Foxman</surname> <given-names>EF</given-names></name>
<name><surname>Molony</surname> <given-names>RD</given-names></name>
</person-group>. 
<article-title>Early local immune defences in the respiratory tract</article-title>. <source>Nat Rev Immunol</source>. (<year>2017</year>) <volume>17</volume>:<fpage>7</fpage>&#x2013;<lpage>20</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nri.2016.117</pub-id>, PMID: <pub-id pub-id-type="pmid">27890913</pub-id>
</mixed-citation>
</ref>
<ref id="B73">
<label>73</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Peyre</surname> <given-names>M</given-names></name>
<name><surname>Samaha</surname> <given-names>H</given-names></name>
<name><surname>Makonnen</surname> <given-names>YJ</given-names></name>
<name><surname>Saad</surname> <given-names>A</given-names></name>
<name><surname>Abd-Elnabi</surname> <given-names>A</given-names></name>
<name><surname>Galal</surname> <given-names>S</given-names></name>
<etal/>
</person-group>. 
<article-title>Avian influenza vaccination in Egypt: Limitations of the current strategy</article-title>. <source>J Mol Genet Med</source>. (<year>2009</year>) <volume>3</volume>:<fpage>198</fpage>&#x2013;<lpage>204</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.4172/1747-0862.1000035</pub-id>, PMID: <pub-id pub-id-type="pmid">20076791</pub-id>
</mixed-citation>
</ref>
<ref id="B74">
<label>74</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Islam</surname> <given-names>A</given-names></name>
<name><surname>Amin</surname> <given-names>E</given-names></name>
<name><surname>Khan</surname> <given-names>MA</given-names></name>
<name><surname>Islam</surname> <given-names>M</given-names></name>
<name><surname>Gupta</surname> <given-names>SD</given-names></name>
<name><surname>Abedin</surname> <given-names>J</given-names></name>
<etal/>
</person-group>. 
<article-title>Epidemiology and evolutionary dynamics of H9N2 avian influenza virus in Bangladesh</article-title>. <source>Emerg Microbes Infect</source>. (<year>2025</year>) <volume>14</volume>:<fpage>2498574</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/22221751.2025.2498574</pub-id>, PMID: <pub-id pub-id-type="pmid">40271995</pub-id>
</mixed-citation>
</ref>
<ref id="B75">
<label>75</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Li</surname> <given-names>JH</given-names></name>
<name><surname>Gao</surname> <given-names>YH</given-names></name>
<name><surname>Xue</surname> <given-names>X</given-names></name>
<name><surname>Su</surname> <given-names>XF</given-names></name>
<name><surname>Wang</surname> <given-names>HH</given-names></name>
<name><surname>Lin</surname> <given-names>JL</given-names></name>
<etal/>
</person-group>. 
<article-title>Association between Serum Cystatin C levels and long-term cardiovascular outcomes and all-cause mortality in older patients with obstructive sleep apnea</article-title>. <source>Front Physiol</source>. (<year>2022</year>) <volume>13</volume>:<elocation-id>934413</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fphys.2022.934413</pub-id>, PMID: <pub-id pub-id-type="pmid">36117703</pub-id>
</mixed-citation>
</ref>
<ref id="B76">
<label>76</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Hassan</surname> <given-names>AO</given-names></name>
<name><surname>Feldmann</surname> <given-names>F</given-names></name>
<name><surname>Zhao</surname> <given-names>H</given-names></name>
<name><surname>Curiel</surname> <given-names>DT</given-names></name>
<name><surname>Okumura</surname> <given-names>A</given-names></name>
<name><surname>Tang-Huau</surname> <given-names>TL</given-names></name>
<etal/>
</person-group>. 
<article-title>A single intranasal dose of chimpanzee adenovirus-vectored vaccine protects against SARS-CoV-2 infection in rhesus macaques</article-title>. <source>Cell Rep Med</source>. (<year>2021</year>) <volume>2</volume>:<fpage>100230</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.xcrm.2021.100230</pub-id>, PMID: <pub-id pub-id-type="pmid">33754147</pub-id>
</mixed-citation>
</ref>
<ref id="B77">
<label>77</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Hassan</surname> <given-names>AO</given-names></name>
<name><surname>Kafai</surname> <given-names>NM</given-names></name>
<name><surname>Dmitriev</surname> <given-names>IP</given-names></name>
<name><surname>Fox</surname> <given-names>JM</given-names></name>
<name><surname>Smith</surname> <given-names>BK</given-names></name>
<name><surname>Harvey</surname> <given-names>IB</given-names></name>
<etal/>
</person-group>. 
<article-title>A single-dose intranasal chAd vaccine protects upper and lower respiratory tracts against SARS-coV-2</article-title>. <source>Cell.</source> (<year>2020</year>) <volume>183</volume>:<fpage>169</fpage>&#x2013;<lpage>84 e13</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cell.2020.08.026</pub-id>, PMID: <pub-id pub-id-type="pmid">32931734</pub-id>
</mixed-citation>
</ref>
<ref id="B78">
<label>78</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Lycke</surname> <given-names>N</given-names></name>
</person-group>. 
<article-title>Recent progress in mucosal vaccine development: potential and limitations</article-title>. <source>Nat Rev Immunol</source>. (<year>2012</year>) <volume>12</volume>:<fpage>592</fpage>&#x2013;<lpage>605</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nri3251</pub-id>, PMID: <pub-id pub-id-type="pmid">22828912</pub-id>
</mixed-citation>
</ref>
<ref id="B79">
<label>79</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Ontiveros-Padilla</surname> <given-names>L</given-names></name>
<name><surname>Bachelder</surname> <given-names>EM</given-names></name>
<name><surname>Ainslie</surname> <given-names>KM</given-names></name>
</person-group>. 
<article-title>Microparticle and nanoparticle-based influenza vaccines</article-title>. <source>J Control Release.</source> (<year>2024</year>) <volume>376</volume>:<page-range>880&#x2013;98</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jconrel.2024.10.031</pub-id>, PMID: <pub-id pub-id-type="pmid">39427775</pub-id>
</mixed-citation>
</ref>
<ref id="B80">
<label>80</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Li</surname> <given-names>J</given-names></name>
<name><surname>Shi</surname> <given-names>XH</given-names></name>
<name><surname>Fu</surname> <given-names>DD</given-names></name>
<name><surname>Du</surname> <given-names>L</given-names></name>
<name><surname>Tang</surname> <given-names>B</given-names></name>
<name><surname>Ao</surname> <given-names>J</given-names></name>
<etal/>
</person-group>. 
<article-title>An inhalable nanoshield for effective prevention of influenza virus infections</article-title>. <source>ACS Nano.</source> (<year>2024</year>) <volume>18</volume>:<page-range>27327&#x2013;39</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1021/acsnano.4c04631</pub-id>, PMID: <pub-id pub-id-type="pmid">39315858</pub-id>
</mixed-citation>
</ref>
<ref id="B81">
<label>81</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Lin</surname> <given-names>SY</given-names></name>
<name><surname>Yao</surname> <given-names>BY</given-names></name>
<name><surname>Hu</surname> <given-names>CJ</given-names></name>
<name><surname>Chen</surname> <given-names>HW</given-names></name>
</person-group>. 
<article-title>Induction of robust immune responses by cpG-ODN-loaded hollow polymeric nanoparticles for antiviral and vaccine applications in chickens</article-title>. <source>Int J Nanomedicine.</source> (<year>2020</year>) <volume>15</volume>:<page-range>3303&#x2013;18</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.2147/IJN.S241492</pub-id>, PMID: <pub-id pub-id-type="pmid">32494131</pub-id>
</mixed-citation>
</ref>
<ref id="B82">
<label>82</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Mohsen</surname> <given-names>MO</given-names></name>
<name><surname>Zha</surname> <given-names>L</given-names></name>
<name><surname>Cabral-Miranda</surname> <given-names>G</given-names></name>
<name><surname>Bachmann</surname> <given-names>MF</given-names></name>
</person-group>. 
<article-title>Major findings and recent advances in virus-like particle (VLP)-based vaccines</article-title>. <source>Semin Immunol</source>. (<year>2017</year>) <volume>34</volume>:<page-range>123&#x2013;32</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.smim.2017.08.014</pub-id>, PMID: <pub-id pub-id-type="pmid">28887001</pub-id>
</mixed-citation>
</ref>
<ref id="B83">
<label>83</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Yassine</surname> <given-names>HM</given-names></name>
<name><surname>Boyington</surname> <given-names>JC</given-names></name>
<name><surname>McTamney</surname> <given-names>PM</given-names></name>
<name><surname>Wei</surname> <given-names>CJ</given-names></name>
<name><surname>Kanekiyo</surname> <given-names>M</given-names></name>
<name><surname>Kong</surname> <given-names>WP</given-names></name>
<etal/>
</person-group>. 
<article-title>Hemagglutinin-stem nanoparticles generate heterosubtypic influenza protection</article-title>. <source>Nat Med</source>. (<year>2015</year>) <volume>21</volume>:<page-range>1065&#x2013;70</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nm.3927</pub-id>, PMID: <pub-id pub-id-type="pmid">26301691</pub-id>
</mixed-citation>
</ref>
<ref id="B84">
<label>84</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Li</surname> <given-names>B</given-names></name>
<name><surname>Luo</surname> <given-names>X</given-names></name>
<name><surname>Deng</surname> <given-names>B</given-names></name>
<name><surname>Wang</surname> <given-names>J</given-names></name>
<name><surname>McComb</surname> <given-names>DW</given-names></name>
<name><surname>Shi</surname> <given-names>Y</given-names></name>
<etal/>
</person-group>. 
<article-title>An orthogonal array optimization of lipid-like nanoparticles for mRNA delivery <italic>in vivo</italic></article-title>. <source>Nano Lett</source>. (<year>2015</year>) <volume>15</volume>:<page-range>8099&#x2013;107</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1021/acs.nanolett.5b03528</pub-id>, PMID: <pub-id pub-id-type="pmid">26529392</pub-id>
</mixed-citation>
</ref>
<ref id="B85">
<label>85</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Freyn</surname> <given-names>AW</given-names></name>
<name><surname>Ramos da Silva</surname> <given-names>J</given-names></name>
<name><surname>Rosado</surname> <given-names>VC</given-names></name>
<name><surname>Bliss</surname> <given-names>CM</given-names></name>
<name><surname>Pine</surname> <given-names>M</given-names></name>
<name><surname>Mui</surname> <given-names>BL</given-names></name>
<etal/>
</person-group>. 
<article-title>A multi-targeting, nucleoside-modified mRNA influenza virus vaccine provides broad protection in mice</article-title>. <source>Mol Ther</source>. (<year>2020</year>) <volume>28</volume>:<page-range>1569&#x2013;84</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ymthe.2020.04.018</pub-id>, PMID: <pub-id pub-id-type="pmid">32359470</pub-id>
</mixed-citation>
</ref>
<ref id="B86">
<label>86</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Orlandini von Niessen</surname> <given-names>AG</given-names></name>
<name><surname>Poleganov</surname> <given-names>MA</given-names></name>
<name><surname>Rechner</surname> <given-names>C</given-names></name>
<name><surname>Plaschke</surname> <given-names>A</given-names></name>
<name><surname>Kranz</surname> <given-names>LM</given-names></name>
<name><surname>Fesser</surname> <given-names>S</given-names></name>
<etal/>
</person-group>. 
<article-title>Improving mRNA-based therapeutic gene delivery by expression-augmenting 3&#x2019; UTRs identified by cellular library screening</article-title>. <source>Mol Ther</source>. (<year>2019</year>) <volume>27</volume>:<page-range>824&#x2013;36</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ymthe.2018.12.011</pub-id>, PMID: <pub-id pub-id-type="pmid">30638957</pub-id>
</mixed-citation>
</ref>
<ref id="B87">
<label>87</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Sahin</surname> <given-names>U</given-names></name>
<name><surname>Kariko</surname> <given-names>K</given-names></name>
<name><surname>Tureci</surname> <given-names>O</given-names></name>
</person-group>. 
<article-title>mRNA-based therapeutics&#x2013;developing a new class of drugs</article-title>. <source>Nat Rev Drug Discov</source>. (<year>2014</year>) <volume>13</volume>:<page-range>759&#x2013;80</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nrd4278</pub-id>, PMID: <pub-id pub-id-type="pmid">25233993</pub-id>
</mixed-citation>
</ref>
<ref id="B88">
<label>88</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>van Doremalen</surname> <given-names>N</given-names></name>
<name><surname>Purushotham</surname> <given-names>JN</given-names></name>
<name><surname>Schulz</surname> <given-names>JE</given-names></name>
<name><surname>Holbrook</surname> <given-names>MG</given-names></name>
<name><surname>Bushmaker</surname> <given-names>T</given-names></name>
<name><surname>Carmody</surname> <given-names>A</given-names></name>
<etal/>
</person-group>. 
<article-title>Intranasal ChAdOx1 nCoV-19/AZD1222 vaccination reduces viral shedding after SARS-CoV-2 D614G challenge in preclinical models</article-title>. <source>. Sci Transl Med</source>. (<year>2021</year>) <volume>13</volume>, <fpage>eabh0755</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/scitranslmed.abh0755</pub-id>, PMID: <pub-id pub-id-type="pmid">34315826</pub-id>
</mixed-citation>
</ref>
<ref id="B89">
<label>89</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Villena</surname> <given-names>J</given-names></name>
<name><surname>Li</surname> <given-names>C</given-names></name>
<name><surname>Vizoso-Pinto</surname> <given-names>MG</given-names></name>
<name><surname>Sacur</surname> <given-names>J</given-names></name>
<name><surname>Ren</surname> <given-names>L</given-names></name>
<name><surname>Kitazawa</surname> <given-names>H</given-names></name>
</person-group>. 
<article-title>Lactiplantibacillus plantarum as a potential adjuvant and delivery system for the development of SARS-coV-2 oral vaccines</article-title>. <source>Microorganisms.</source> (<year>2021</year>) <volume>9</volume>, <fpage>683</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/microorganisms9040683</pub-id>, PMID: <pub-id pub-id-type="pmid">33810287</pub-id>
</mixed-citation>
</ref>
<ref id="B90">
<label>90</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Belkaid</surname> <given-names>Y</given-names></name>
<name><surname>Harrison</surname> <given-names>OJ</given-names></name>
</person-group>. 
<article-title>Homeostatic immunity and the microbiota</article-title>. <source>Immunity.</source> (<year>2017</year>) <volume>46</volume>:<page-range>562&#x2013;76</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2017.04.008</pub-id>, PMID: <pub-id pub-id-type="pmid">28423337</pub-id>
</mixed-citation>
</ref>
<ref id="B91">
<label>91</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Zhang</surname> <given-names>Y</given-names></name>
<name><surname>Yang</surname> <given-names>L</given-names></name>
<name><surname>Zhang</surname> <given-names>J</given-names></name>
<name><surname>Huang</surname> <given-names>K</given-names></name>
<name><surname>Sun</surname> <given-names>X</given-names></name>
<name><surname>Yang</surname> <given-names>Y</given-names></name>
<etal/>
</person-group>. 
<article-title>Oral or intranasal immunization with recombinant Lactobacillus plantarum displaying head domain of Swine Influenza A virus hemagglutinin protects mice from H1N1 virus</article-title>. <source>Microb Cell Fact.</source> (<year>2022</year>) <volume>21</volume>:<fpage>185</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s12934-022-01911-4</pub-id>, PMID: <pub-id pub-id-type="pmid">36085207</pub-id>
</mixed-citation>
</ref>
<ref id="B92">
<label>92</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Ichinohe</surname> <given-names>T</given-names></name>
<name><surname>Watanabe</surname> <given-names>I</given-names></name>
<name><surname>Ito</surname> <given-names>S</given-names></name>
<name><surname>Fujii</surname> <given-names>H</given-names></name>
<name><surname>Moriyama</surname> <given-names>M</given-names></name>
<name><surname>Tamura</surname> <given-names>S</given-names></name>
<etal/>
</person-group>. 
<article-title>Synthetic double-stranded RNA poly(I:C) combined with mucosal vaccine protects against influenza virus infection</article-title>. <source>J Virol</source>. (<year>2005</year>) <volume>79</volume>:<page-range>2910&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/JVI.79.5.2910-2919.2005</pub-id>, PMID: <pub-id pub-id-type="pmid">15709010</pub-id>
</mixed-citation>
</ref>
<ref id="B93">
<label>93</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Burdette</surname> <given-names>DL</given-names></name>
<name><surname>Monroe</surname> <given-names>KM</given-names></name>
<name><surname>Sotelo-Troha</surname> <given-names>K</given-names></name>
<name><surname>Iwig</surname> <given-names>JS</given-names></name>
<name><surname>Eckert</surname> <given-names>B</given-names></name>
<name><surname>Hyodo</surname> <given-names>M</given-names></name>
<etal/>
</person-group>. 
<article-title>STING is a direct innate immune sensor of cyclic di-GMP</article-title>. <source>Nature.</source> (<year>2011</year>) <volume>478</volume>:<page-range>515&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2017.04.008</pub-id>, PMID: <pub-id pub-id-type="pmid">21947006</pub-id>
</mixed-citation>
</ref>
<ref id="B94">
<label>94</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Chen</surname> <given-names>DJ</given-names></name>
<name><surname>Osterrieder</surname> <given-names>N</given-names></name>
<name><surname>Metzger</surname> <given-names>SM</given-names></name>
<name><surname>Buckles</surname> <given-names>E</given-names></name>
<name><surname>Doody</surname> <given-names>AM</given-names></name>
<name><surname>DeLisa</surname> <given-names>MP</given-names></name>
<etal/>
</person-group>. 
<article-title>Delivery of foreign antigens by engineered outer membrane vesicle vaccines</article-title>. <source>Proc Natl Acad Sci U S A.</source> (<year>2010</year>) <volume>107</volume>:<page-range>3099&#x2013;104</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2017.04.008</pub-id>, PMID: <pub-id pub-id-type="pmid">20133740</pub-id>
</mixed-citation>
</ref>
<ref id="B95">
<label>95</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Wu</surname> <given-names>M</given-names></name>
<name><surname>Wang</surname> <given-names>P</given-names></name>
<name><surname>Wang</surname> <given-names>L</given-names></name>
<name><surname>Li</surname> <given-names>C</given-names></name>
<name><surname>Sheng</surname> <given-names>R</given-names></name>
<name><surname>Dong</surname> <given-names>H</given-names></name>
<etal/>
</person-group>. 
<article-title>Live attenuated influenza vaccine with low proportions of defective interfering particles elicits robust immunogenicity and cross-protection</article-title>. <source>Nat Commun</source>. (<year>2025</year>) <volume>16</volume>:<fpage>9647</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-025-64651-0</pub-id>, PMID: <pub-id pub-id-type="pmid">41173917</pub-id>
</mixed-citation>
</ref>
<ref id="B96">
<label>96</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Wang</surname> <given-names>S</given-names></name>
<name><surname>Zheng</surname> <given-names>Y</given-names></name>
<name><surname>Jin</surname> <given-names>X</given-names></name>
<name><surname>Gan</surname> <given-names>Z</given-names></name>
<name><surname>Shao</surname> <given-names>Y</given-names></name>
<name><surname>Zhu</surname> <given-names>C</given-names></name>
<etal/>
</person-group>. 
<article-title>Efficacy and safety of a live attenuated influenza vaccine in Chinese healthy children aged 3&#x2013;17 years in one study center of a randomized, double-blind, placebo-controlled phase 3 clinical trial, 2016/17 season</article-title>. <source>Vaccine.</source> (<year>2020</year>) <volume>38</volume>:<page-range>5979&#x2013;86</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.vaccine.2020.07.019</pub-id>, PMID: <pub-id pub-id-type="pmid">32747213</pub-id>
</mixed-citation>
</ref>
<ref id="B97">
<label>97</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Zhu</surname> <given-names>F</given-names></name>
<name><surname>Zhuang</surname> <given-names>C</given-names></name>
<name><surname>Chu</surname> <given-names>K</given-names></name>
<name><surname>Zhang</surname> <given-names>L</given-names></name>
<name><surname>Zhao</surname> <given-names>H</given-names></name>
<name><surname>Huang</surname> <given-names>S</given-names></name>
<etal/>
</person-group>. 
<article-title>Safety and immunogenicity of a live-attenuated influenza virus vector-based intranasal SARS-CoV-2 vaccine in adults: randomised, double-blind, placebo-controlled, phase 1 and 2 trials</article-title>. <source>Lancet Respir Med</source>. (<year>2022</year>) <volume>10</volume>:<page-range>749&#x2013;60</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/S2213-2600(22)00131-X</pub-id>, PMID: <pub-id pub-id-type="pmid">35644168</pub-id>
</mixed-citation>
</ref>
<ref id="B98">
<label>98</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Hui</surname> <given-names>X</given-names></name>
<name><surname>Cao</surname> <given-names>L</given-names></name>
<name><surname>Xu</surname> <given-names>T</given-names></name>
<name><surname>Zhao</surname> <given-names>L</given-names></name>
<name><surname>Huang</surname> <given-names>K</given-names></name>
<name><surname>Zou</surname> <given-names>Z</given-names></name>
<etal/>
</person-group>. 
<article-title>PSMD12-mediated M1 ubiquitination of influenza A virus at K102 regulates viral replication</article-title>. <source>J Virol</source>. (<year>2022</year>) <volume>96</volume>:<fpage>e0078622</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/jvi.00786-22</pub-id>, PMID: <pub-id pub-id-type="pmid">35861516</pub-id>
</mixed-citation>
</ref>
<ref id="B99">
<label>99</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Vogel</surname> <given-names>AB</given-names></name>
<name><surname>Lambert</surname> <given-names>L</given-names></name>
<name><surname>Kinnear</surname> <given-names>E</given-names></name>
<name><surname>Busse</surname> <given-names>D</given-names></name>
<name><surname>Erbar</surname> <given-names>S</given-names></name>
<name><surname>Reuter</surname> <given-names>KC</given-names></name>
<etal/>
</person-group>. 
<article-title>Self-Amplifying RNA Vaccines Give Equivalent Protection against Influenza to mRNA Vaccines but at Much Lower Doses</article-title>. <source>Mol Ther</source>. (<year>2018</year>) <volume>26</volume>:<page-range>446&#x2013;55</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ymthe.2017.11.017</pub-id>, PMID: <pub-id pub-id-type="pmid">29275847</pub-id>
</mixed-citation>
</ref>
<ref id="B100">
<label>100</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Liu</surname> <given-names>Y</given-names></name>
<name><surname>Deng</surname> <given-names>S</given-names></name>
<name><surname>Ren</surname> <given-names>S</given-names></name>
<name><surname>Tam</surname> <given-names>RC</given-names></name>
<name><surname>Liu</surname> <given-names>S</given-names></name>
<name><surname>Zhang</surname> <given-names>AJ</given-names></name>
<etal/>
</person-group>. 
<article-title>Intranasal influenza virus-vectored vaccine offers protection against clade 2.3.4.4b H5N1 infection in small animal models</article-title>. <source>Nat Commun</source>. (<year>2025</year>) <volume>16</volume>:<fpage>3133</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-025-58504-z</pub-id>, PMID: <pub-id pub-id-type="pmid">40169649</pub-id>
</mixed-citation>
</ref>
<ref id="B101">
<label>101</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Huang</surname> <given-names>CQ</given-names></name>
<name><surname>Hills</surname> <given-names>RA</given-names></name>
<name><surname>Carnell</surname> <given-names>GW</given-names></name>
<name><surname>Vishwanath</surname> <given-names>S</given-names></name>
<name><surname>Aguinam</surname> <given-names>ET</given-names></name>
<name><surname>Chan</surname> <given-names>ACY</given-names></name>
<etal/>
</person-group>. 
<article-title>Computationally designed haemagglutinin with nanocage plug-and-display elicits pan-H5 influenza vaccine responses</article-title>. <source>Emerg Microbes Infect</source>. (<year>2025</year>) <volume>14</volume>:<fpage>2511132</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/22221751.2025.2511132</pub-id>, PMID: <pub-id pub-id-type="pmid">40476519</pub-id>
</mixed-citation>
</ref>
<ref id="B102">
<label>102</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Liu</surname> <given-names>H</given-names></name>
<name><surname>Pan</surname> <given-names>S</given-names></name>
<name><surname>Wang</surname> <given-names>C</given-names></name>
<name><surname>Yang</surname> <given-names>W</given-names></name>
<name><surname>Wei</surname> <given-names>X</given-names></name>
<name><surname>He</surname> <given-names>Y</given-names></name>
<etal/>
</person-group>. 
<article-title>Review of respiratory syndromes in poultry: pathogens, prevention, and control measures</article-title>. <source>Vet Res</source>. (<year>2025</year>) <volume>56</volume>:<fpage>101</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s13567-025-01506-y</pub-id>, PMID: <pub-id pub-id-type="pmid">40382667</pub-id>
</mixed-citation>
</ref>
<ref id="B103">
<label>103</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Espejo</surname> <given-names>R</given-names></name>
<name><surname>Breedlove</surname> <given-names>C</given-names></name>
<name><surname>Toro</surname> <given-names>H</given-names></name>
</person-group>. 
<article-title>Immune responses in the harderian gland after newcastle disease vaccination in chickens with maternal antibodies</article-title>. <source>Avian Dis</source>. (<year>2024</year>) <volume>68</volume>:<fpage>192</fpage>&#x2013;<lpage>201</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1637/aviandiseases-D-24-00007</pub-id>, PMID: <pub-id pub-id-type="pmid">39400213</pub-id>
</mixed-citation>
</ref>
<ref id="B104">
<label>104</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Redweik</surname> <given-names>GAJ</given-names></name>
<name><surname>Daniels</surname> <given-names>K</given-names></name>
<name><surname>Severin</surname> <given-names>AJ</given-names></name>
<name><surname>Lyte</surname> <given-names>M</given-names></name>
<name><surname>Mellata</surname> <given-names>M</given-names></name>
</person-group>. 
<article-title>Oral treatments with probiotics and live salmonella vaccine induce unique changes in gut neurochemicals and microbiome in chickens</article-title>. <source>Front Microbiol</source>. (<year>2019</year>) <volume>10</volume>:<elocation-id>3064</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fmicb.2019.03064</pub-id>, PMID: <pub-id pub-id-type="pmid">32010110</pub-id>
</mixed-citation>
</ref>
<ref id="B105">
<label>105</label>
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name><surname>Shen</surname> <given-names>YX</given-names></name>
<name><surname>Li</surname> <given-names>WW</given-names></name>
<name><surname>Xia</surname> <given-names>J</given-names></name>
<name><surname>Du</surname> <given-names>JT</given-names></name>
<name><surname>Li</surname> <given-names>SY</given-names></name>
<name><surname>Chen</surname> <given-names>W</given-names></name>
<etal/>
</person-group>. 
<article-title>Research Note: Effects of Escherichia coli co-infection on the protective efficacy assessment of two common infectious bronchitis vaccines</article-title>. <source>Poult Sci</source>. (<year>2021</year>) <volume>100</volume>:<fpage>101324</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.psj.2021.101324</pub-id>, PMID: <pub-id pub-id-type="pmid">34358949</pub-id>
</mixed-citation>
</ref>
</ref-list>
<fn-group>
<fn id="n1" fn-type="custom" custom-type="edited-by">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2546159">He Zhang</ext-link>, Chinese Academy of Agricultural Sciences, China</p></fn>
<fn id="n2" fn-type="custom" custom-type="reviewed-by">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3315888">Zifang Zheng</ext-link>, Chinese Academy of Agricultural Sciences, China</p>
<p><ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3317120">Yao Lei</ext-link>, Peking University, China</p></fn>
</fn-group>
</back>
</article>