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Inducing Meningococcal Meningitis Serogroup C in Mice via Intracisternal Delivery
Published on: November 5, 2019
Meningococcal vaccines
Delia Bethell1, Andrew J Pollard
1Department of Paediatrics, University of Oxford, John Radcliffe Hospital, UK.
Insights
Meningococcal serogroup C conjugate vaccines have nearly eradicated childhood disease in the UK. Developing a serogroup B vaccine is the next challenge for eradicating invasive meningococcal disease.
Area of Science:
- Vaccinology
- Microbiology
- Public Health
Background:
- Invasive meningococcal disease (IMD) is a significant public health concern with high mortality.
- Serogroup C meningococcal conjugate vaccines have been highly effective in reducing IMD in the UK.
- Eradication of IMD is a feasible goal with further vaccine development.
Purpose of the Study:
- To review the impact of meningococcal serogroup C conjugate vaccines.
- To identify challenges and opportunities in eradicating invasive meningococcal disease.
- To highlight the need for a serogroup B meningococcal vaccine.
Main Methods:
- Review of existing literature and immunization program data.
- Analysis of vaccine efficacy and impact on disease epidemiology.
- Exploration of current and future vaccine development strategies.
Main Results:
- Near-elimination of serogroup C meningococcal disease in UK children following vaccine introduction.
- Demonstrated feasibility of eradicating IMD through vaccination.
- Identification of serogroup B as the primary remaining obstacle to eradication.
Conclusions:
- Protein-polysaccharide conjugate vaccines have revolutionized meningococcal disease prevention.
- Development of a safe and immunogenic serogroup B vaccine is critical for IMD eradication.
- Advances in genomics offer new avenues for identifying novel vaccine candidates.
Abstract:
The successful introduction of a protein-polysaccharide conjugate vaccine against serogroup C meningococci into the UK infant immunization schedule, in combination with a catch-up campaign for individuals less than 18 years of age, has seen virtually all group C disease eliminated in childhood. From being a devastating disease with a very high mortality, the possibility of eradicating invasive meningococcal disease now seems eminently feasible. Since similar technology is likely to facilitate prevention of disease caused be serogroup A, Y and W135 meningococci, the major hurdle in achieving the goal of eradication is development of a safe and immunogenic vaccine against serogroup B infections. Outer membrane vesicle vaccines remain in development and further trials are anticipated. Through the recent availability of the meningococcal genome sequence, many new vaccine candidates are being identified and there is increasing optimism that a solution to the problem can be found.
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