Artificial intelligence and machine learning in the development of vaccines and immunotherapeutics—yesterday, today, and tomorrow

The development of vaccines and immunotherapies against infectious diseases and cancers has been one of the significant achievements of medical science in the last century. Subunit vaccines offer key advantages over whole-inactivated or attenuated-pathogen-based vaccines, as they elicit more specific B-and T-cell responses with improved safety, immunogenicity, and protective efficacy. However, developing subunit vaccines is often cost-and time-consuming. In the past, the development of vaccines and immunotherapeutics relied heavily on trial-and-error experimentation, as well as extensive and costly in vivo testing, which typically required years of pre-clinical and clinical trials. Today, artificial intelligence (AI) and deep learning (DL) are actively transforming vaccine and immunotherapeutic research by (i) offering predictive frameworks that support rapid, data-driven decision-making, (ii) integrating computational models, systems vaccinology, and multi-omics data (iii) helping to better phenotype, differentiate, and classify patients diseases and cancers; (iv), integrating host characteristics for tailored vaccines and immunotherapeutics; (v) refining the selection of B-and T-cell antigen/epitope targets to enhance efficacy and durability of immune protection; and (vi) enabling a deeper understanding of immune regulation, immune evasion, and regulatory pathways. Artificial intelligence and DL are pushing the boundaries toward (i) the potential replacement of animal preclinical testing of vaccines and immunotherapeutics with computational-based models, as recently proposed by the United States NIH and FDA, and (ii) improving clinical trials by enabling real-time modeling for immune-bridging, predicting patients' immune responses, safety, and protective efficacy to vaccines and immunotherapeutics. In this review, we describe the past and current applications of AI and DL as time-and resource-efficient strategies and discuss future challenges in implementing AI and DL as new transformative fields that may facilitate the rapid development of precision and personalized vaccines and immunotherapeutics for infectious diseases and cancers.