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Furthermore, integration of advanced manufacturing (GMP-compatible processes, scalable encapsulation techniques), quantitative multi-omics and mechanistic studies (metagenomics, metabolomics, host transcriptomics), and standardized safety assessments will be essential for clinical translation

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smallpox vaccine is highly effective from the acute administration within seven days of likely exposure, among those that can safely take the vaccine and are assuredly within the 7 days, means that uninfected, or perhaps even the early-infected cell populations, can rapidly produce sufficient quantities of IL-12, IL-18, IFNy, and factors to stimulate NK cells, and Variola-specific CTL's to overcome the viral evasion proteins and stop the infection in this early phase

Br J Clin Pharmacol (2022) 88(4):1598612