Vaccine Research
SARS Vaccine
Vaccines Against Newly Emerging Viral Diseases: The Example of SARS
from Bart L. Haagmans writing in Vaccine Design: Innovative Approaches and Novel Strategies
Several newly emerging viral diseases in humans have been reported recently. The ability to identify and characterize the relevant pathogen and develop safe and effective vaccines against these newly emerging pathogens in a timely manner is utmost importance. In this respect, the global response to the SARS epidemic provided valuable experience which can be utilized to respond quickly to future emerging viral infections. In only a few weeks time the nucleotide sequence of this virus was available and through computational analysis of gene sequences diagnostic tests and vaccine candidates were identified and subsequently developed. Eight years after the first SARS outbreak several candidate SARS-CoV vaccines are at various stages of pre-clinical and clinical development. The "classical" inactivated whole virus vaccine as well as a DNA vaccine expressing the spike gene ultimately reached the phase 1 clinical trial testing. These vaccines induce neutralizing antibodies to SARS-CoV and protect against SARS-CoV challenge. However, these vaccines still need to be further tested against viruses closely related to SARS-CoV that potentially may emerge and for the absence of significant side effects. The lessons learned from this outbreak combined with more recently developed techniques may aid the development of effective vaccines against future emerging viral diseases.
Further reading: Vaccine Design: Innovative Approaches and Novel Strategies | Coronaviruses: Molecular and Cellular Biology
from Bart L. Haagmans writing in Vaccine Design: Innovative Approaches and Novel Strategies
Several newly emerging viral diseases in humans have been reported recently. The ability to identify and characterize the relevant pathogen and develop safe and effective vaccines against these newly emerging pathogens in a timely manner is utmost importance. In this respect, the global response to the SARS epidemic provided valuable experience which can be utilized to respond quickly to future emerging viral infections. In only a few weeks time the nucleotide sequence of this virus was available and through computational analysis of gene sequences diagnostic tests and vaccine candidates were identified and subsequently developed. Eight years after the first SARS outbreak several candidate SARS-CoV vaccines are at various stages of pre-clinical and clinical development. The "classical" inactivated whole virus vaccine as well as a DNA vaccine expressing the spike gene ultimately reached the phase 1 clinical trial testing. These vaccines induce neutralizing antibodies to SARS-CoV and protect against SARS-CoV challenge. However, these vaccines still need to be further tested against viruses closely related to SARS-CoV that potentially may emerge and for the absence of significant side effects. The lessons learned from this outbreak combined with more recently developed techniques may aid the development of effective vaccines against future emerging viral diseases.
Further reading: Vaccine Design: Innovative Approaches and Novel Strategies | Coronaviruses: Molecular and Cellular Biology
Streptococcus pneumoniae Vaccine
Vaccines against Streptococcus pneumoniae
from James C. Paton writing in Vaccine Design: Innovative Approaches and Novel Strategies
Existing vaccines against Streptococcus pneumoniae are targeted at the capsular polysaccharide (PS) of which there are 91 distinct serotypes. Polyvalent purified PS vaccines are immunogenic in healthy adults, but not in high risk groups such as young children and the elderly. Development of PS-protein conjugate vaccines has overcome the poor immunogenicity of PS in children, but the protection imparted is strictly serotype-specific, and the number of included serotypes is even more restricted than in the PS vaccine formulations. Widespread introduction of conjugate vaccines in developed countries has dramatically reduced the incidence of invasive pneumococcal disease due to serotypes included in the vaccine. However, these benefits are being eroded by increases in the incidence of disease caused by non-vaccine serotypes. Conjugate vaccines are also expensive, limiting their use in developing countries, where the burden of pneumococcal disease is greatest. Clearly, there is an urgent need to develop alternative pneumococcal vaccines that are (i) inexpensive, (ii) immunogenic in young children, and (iii) provide protection against all pneumococci regardless of serotype. Of particular importance are vaccines comprising pneumococcal proteins that contribute to virulence and are common to all serotypes.
Further reading: Vaccine Design: Innovative Approaches and Novel Strategies | Bacterial Polysaccharides: Current Innovations and Future Trends
from James C. Paton writing in Vaccine Design: Innovative Approaches and Novel Strategies
Existing vaccines against Streptococcus pneumoniae are targeted at the capsular polysaccharide (PS) of which there are 91 distinct serotypes. Polyvalent purified PS vaccines are immunogenic in healthy adults, but not in high risk groups such as young children and the elderly. Development of PS-protein conjugate vaccines has overcome the poor immunogenicity of PS in children, but the protection imparted is strictly serotype-specific, and the number of included serotypes is even more restricted than in the PS vaccine formulations. Widespread introduction of conjugate vaccines in developed countries has dramatically reduced the incidence of invasive pneumococcal disease due to serotypes included in the vaccine. However, these benefits are being eroded by increases in the incidence of disease caused by non-vaccine serotypes. Conjugate vaccines are also expensive, limiting their use in developing countries, where the burden of pneumococcal disease is greatest. Clearly, there is an urgent need to develop alternative pneumococcal vaccines that are (i) inexpensive, (ii) immunogenic in young children, and (iii) provide protection against all pneumococci regardless of serotype. Of particular importance are vaccines comprising pneumococcal proteins that contribute to virulence and are common to all serotypes.
Further reading: Vaccine Design: Innovative Approaches and Novel Strategies | Bacterial Polysaccharides: Current Innovations and Future Trends
Group B Streptococcus Vaccine
Toward the Development of a Universal Vaccine Against Group B Streptococcus
from Roberta Cozzi, John L. Telford and Domenico Maione writing in Vaccine Design: Innovative Approaches and Novel Strategies
Group B Streptococcus (GBS) is one of the most common cause of life-threatening bacterial infections in infants and is also an emerging pathogen among adult humans, especially in the elderly, immunocompromised and diabetic adults. Capsular polysaccharide based vaccines of the most common serotypes present in the United States and Europe are in an advanced stage of development but they are not effective against serotypes present in other parts of the world. Many protein antigens have been studied for the discovery of an effective universal vaccine that could overcome serotype specificity. Thanks to reverse vaccinology and new technologies, a vaccine combination based on the pilus proteins has been discovered for the development of a universal GBS vaccine that is potentially capable of preventing all GBS infections.
Further reading: Vaccine Design: Innovative Approaches and Novel Strategies | Pili and Flagella: Current Research and Future Trends
from Roberta Cozzi, John L. Telford and Domenico Maione writing in Vaccine Design: Innovative Approaches and Novel Strategies
Group B Streptococcus (GBS) is one of the most common cause of life-threatening bacterial infections in infants and is also an emerging pathogen among adult humans, especially in the elderly, immunocompromised and diabetic adults. Capsular polysaccharide based vaccines of the most common serotypes present in the United States and Europe are in an advanced stage of development but they are not effective against serotypes present in other parts of the world. Many protein antigens have been studied for the discovery of an effective universal vaccine that could overcome serotype specificity. Thanks to reverse vaccinology and new technologies, a vaccine combination based on the pilus proteins has been discovered for the development of a universal GBS vaccine that is potentially capable of preventing all GBS infections.
Further reading: Vaccine Design: Innovative Approaches and Novel Strategies | Pili and Flagella: Current Research and Future Trends
Staphylococcus Vaccines
Nosocomial infections: Staphylococcus aureus
from Alice G. Cheng, Olaf Schneewind and Dominique Missiakas writing in Vaccine Design: Innovative Approaches and Novel Strategies
Staphylococcus aureus is the most frequent cause of human skin and soft tissue, bloodstream and respiratory tract infections. Staphylococcal strains have acquired antibiotic resistance traits against available therapies and drug-resistant strains (MRSA, methicillin-resistant S. aureus) are currently isolated in up to 80% of hospital and 60% of community-acquired infections (CA-MRSA). Unlike pneumococci and group A streptococci; S. aureus infections do not raise immunity against subsequent infections. Consistent with this observation, early efforts to develop vaccines from whole-cell killed preparations of staphylococci have failed. More recent work characterized proteins and carbohydrates in the staphylococcal envelope and examined these molecules as protective antigens in vaccine studies. A recent article reviews the pathogenesis of S. aureus infections as well as past and current efforts that have been pursued to develop effective vaccines.
Further reading: Vaccine Design: Innovative Approaches and Novel Strategies | Staphylococcus: Molecular Genetics
from Alice G. Cheng, Olaf Schneewind and Dominique Missiakas writing in Vaccine Design: Innovative Approaches and Novel Strategies
Staphylococcus aureus is the most frequent cause of human skin and soft tissue, bloodstream and respiratory tract infections. Staphylococcal strains have acquired antibiotic resistance traits against available therapies and drug-resistant strains (MRSA, methicillin-resistant S. aureus) are currently isolated in up to 80% of hospital and 60% of community-acquired infections (CA-MRSA). Unlike pneumococci and group A streptococci; S. aureus infections do not raise immunity against subsequent infections. Consistent with this observation, early efforts to develop vaccines from whole-cell killed preparations of staphylococci have failed. More recent work characterized proteins and carbohydrates in the staphylococcal envelope and examined these molecules as protective antigens in vaccine studies. A recent article reviews the pathogenesis of S. aureus infections as well as past and current efforts that have been pursued to develop effective vaccines.
Further reading: Vaccine Design: Innovative Approaches and Novel Strategies | Staphylococcus: Molecular Genetics
Vaccines for Neglected Diseases
Category: Vaccines | Immunology
Vaccines for Neglected Diseases
from Allan Saul writing in Vaccine Design: Innovative Approaches and Novel Strategies
Infectious diseases exert a major burden of disease in developing countries. While better use of existing vaccines would make an appreciable difference, the greatest burden is caused by diseases for which we currently have no vaccines. The picture, especially in children, is dominated by diarrheal and respiratory diseases. Paradoxically diseases have relatively low priority for funding in absolute terms, and especially in relationship to the burden of disease. Thus, new vaccines for these neglected diseases need both innovative scientific solutions and innovative development schemes involving scientific institutes, public financing and industrial input. The industrial input is critical: not only will vaccine manufacture require an industrial partner, but the knowledge to efficiently undertake the technical and clinical development leading to vaccine production largely resides in industry. A potentially important development in this area has been the recent formation of Industry Linked Vaccine Institutes: For example, The Novartis Vaccines Institute for Global Health and the Hilleman Laboratories. These are an important conduit for applying industrial know how for developing commercial vaccines to the pressing need for vaccines for neglected diseases of developing countries.
Further reading: Vaccine Design: Innovative Approaches and Novel Strategies
from Allan Saul writing in Vaccine Design: Innovative Approaches and Novel Strategies
Infectious diseases exert a major burden of disease in developing countries. While better use of existing vaccines would make an appreciable difference, the greatest burden is caused by diseases for which we currently have no vaccines. The picture, especially in children, is dominated by diarrheal and respiratory diseases. Paradoxically diseases have relatively low priority for funding in absolute terms, and especially in relationship to the burden of disease. Thus, new vaccines for these neglected diseases need both innovative scientific solutions and innovative development schemes involving scientific institutes, public financing and industrial input. The industrial input is critical: not only will vaccine manufacture require an industrial partner, but the knowledge to efficiently undertake the technical and clinical development leading to vaccine production largely resides in industry. A potentially important development in this area has been the recent formation of Industry Linked Vaccine Institutes: For example, The Novartis Vaccines Institute for Global Health and the Hilleman Laboratories. These are an important conduit for applying industrial know how for developing commercial vaccines to the pressing need for vaccines for neglected diseases of developing countries.
Further reading: Vaccine Design: Innovative Approaches and Novel Strategies
Serogroup B Meningococcus Vaccine
The First Vaccine Obtained Through Reverse Vaccinology: The Serogroup B Meningococcus Vaccine
from Jeannette Adu-Bobie, Beatrice Aricò, Marzia M. Giuliani and Davide Serruto writing in Vaccine Design: Innovative Approaches and Novel Strategies
Neisseria meningitidis was isolated over one hundred years when Anton Weicshelbaum identified the causative agent of cerebrospinal meningitis. Since its isolation in 1887, N. meningitidis has been recognized to cause endemic cases, case clusters, epidemics and pandemics of meningitis and devastating septicaemia. Despite over one century since its discovery, scientists have yet to identify a universal vaccine for this deadly bacterium. Although vaccines exist for several serogroups of pathogenic N. meningitidis, serotype B (MenB) has eluded scientists for decades, until the advent of genomics. The genome era has completely changed the way to design vaccines. The availability of the complete genome of microorganisms combined with a novel advanced technology has introduced a new prospective in vaccine research. This novel approach is now known as "Reverse Vaccinology" and N. meningitidis can be considered the first successful example of its application. A recent review describes the successful story of the development of the serogroup B vaccine, starting from the analysis of genome and finishing with the results obtained in clinical trials.
Further reading: Vaccine Design: Innovative Approaches and Novel Strategies | Neisseria: Molecular Mechanisms of Pathogenesis
from Jeannette Adu-Bobie, Beatrice Aricò, Marzia M. Giuliani and Davide Serruto writing in Vaccine Design: Innovative Approaches and Novel Strategies
Neisseria meningitidis was isolated over one hundred years when Anton Weicshelbaum identified the causative agent of cerebrospinal meningitis. Since its isolation in 1887, N. meningitidis has been recognized to cause endemic cases, case clusters, epidemics and pandemics of meningitis and devastating septicaemia. Despite over one century since its discovery, scientists have yet to identify a universal vaccine for this deadly bacterium. Although vaccines exist for several serogroups of pathogenic N. meningitidis, serotype B (MenB) has eluded scientists for decades, until the advent of genomics. The genome era has completely changed the way to design vaccines. The availability of the complete genome of microorganisms combined with a novel advanced technology has introduced a new prospective in vaccine research. This novel approach is now known as "Reverse Vaccinology" and N. meningitidis can be considered the first successful example of its application. A recent review describes the successful story of the development of the serogroup B vaccine, starting from the analysis of genome and finishing with the results obtained in clinical trials.
Further reading: Vaccine Design: Innovative Approaches and Novel Strategies | Neisseria: Molecular Mechanisms of Pathogenesis