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An In vitro Model to Study Immune Responses of Human Peripheral Blood Mononuclear Cells to Human Respiratory Syncytial Virus Infection
Published on: December 10, 2013
A review of vaccine research and development: human acute respiratory infections
Marc P Girard1, Thomas Cherian, Yuri Pervikov
1University Paris 7, UFR Biochemistry, 39 rue Seignemartin, FR 69008 Lyon, France. marc.girard36@wanadoo.fr
Abstract:
Worldwide, acute respiratory infections (ARIs) constitute the leading cause of acute illnesses, being responsible for nearly 4 million deaths every year, mostly in young children and infants in developing countries. The main infectious agents responsible for ARIs include influenza virus, respiratory syncytial virus (RSV), parainfluenza virus type 3 (PIV-3), Streptococcus pneumoniae and Haemophilus influenzae. While effective vaccines against influenza, H. influenzae type b (Hib) and S. pneumoniae infections have been available for several years, no vaccine is available at present against illnesses caused by RSV, PIV-3, metapneumovirus or any of the three novel coronaviruses. In addition, the threat constituted by the multiple outbreaks of avian influenza during the last few years is urgently calling for the development of new influenza vaccines with broader spectrum of efficacy, which could provide immunity against an avian influenza virus pandemic. This article reviews the state of the art in vaccine R&D against ARIs and attempts to address these basic public health questions.
Insights
Acute respiratory infections (ARIs) cause millions of deaths annually, particularly in children. This review examines vaccine research and development (R&D) for ARIs, highlighting needs for broader efficacy and pandemic preparedness.
Area of Science:
- Public Health
- Infectious Diseases
- Vaccinology
Background:
- Acute respiratory infections (ARIs) are a leading cause of mortality worldwide, especially in young children in developing nations.
- Key pathogens include influenza virus, RSV, PIV-3, Streptococcus pneumoniae, and Haemophilus influenzae.
- Existing vaccines cover some ARIs (e.g., influenza, Hib, S. pneumoniae), but gaps remain for others like RSV and novel coronaviruses.
Purpose of the Study:
- To review the current state of vaccine research and development (R&D) for ARIs.
- To address critical public health questions regarding vaccine efficacy and pandemic preparedness.
- To identify needs for new vaccines against prevalent and emerging respiratory pathogens.
Main Methods:
- Literature review of vaccine R&D for ARIs.
- Analysis of current vaccine availability and efficacy.
- Discussion of emerging threats and future research directions.
Main Results:
- Significant mortality burden from ARIs globally, particularly in vulnerable populations.
- Availability of vaccines for some ARI pathogens, but critical gaps for others like RSV and coronaviruses.
- Urgent need for broader-spectrum influenza vaccines due to avian influenza outbreaks and pandemic potential.
Conclusions:
- Vaccine development for ARIs remains a critical public health priority.
- Further R&D is essential to address existing vaccine gaps and emerging threats.
- Enhanced vaccine strategies are needed for global health security against respiratory pathogens.
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