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Stanford’s universal nasal vaccine marks a potential paradigm shift, breaking 200 years of pathogen-specific shots with a single platform that keeps lung immunity on standby against virtually any respiratory threat. By slashing viral loads up to 700-fold and triggering rapid adaptive responses in days, it could replace annual flu and COVID-19 boosters while targeting bacterial pneumonia and even allergens. Such broad, season-proof protection could blunt future pandemics and redefine the vaccine market within five to seven years.
Despite promising data from Stanford’s intranasal platform, mucosal vaccines face unresolved translational hurdles, including weak correlates of protection, few safe adjuvants, and delivery systems that must overcome mucus barriers and achieve consistent lung deposition. Complex tissue-specific immunity, microbiome variation, hormonal effects, and antigen homing complicate durability. These biological and formulation challenges remain the core bottlenecks to clinical scale and approval.