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Published on: November 5, 2019
A review of vaccine research and development: meningococcal disease
Marc P Girard1, Marie-Pierre Preziosi, Maria-Teresa Aguado
1University Paris 7, 39 Rue Seignemartin, FR-69008-Lyon, France. marc.girard@wanadoo.fr
Abstract:
This paper reviews the current status of research and development of vaccines against meningococcal disease due to Neisseria meningitidis, a major cause of severe meningitis and septicemia with epidemic potential. While five serogroups (A, B, C, Y, and W135) are responsible for most of the disease, Group A remains unique in its ability to cause large scale epidemics mainly in Africa but also in Asia. The majority of cases in Europe and America are due to Groups B and C. The successful experience with Hib and pneumococcal conjugate vaccines has paved the way for the development of polysaccharide conjugate vaccines for the prevention of meningococcal disease. Widespread vaccination with Group C conjugate vaccines now in use in several European countries indicates that these vaccines are immunogenic, induce immunological memory, reduce colonization and provide herd immunity to the general population. A monovalent group A conjugate vaccine being developed at an affordable price, offers hope for the elimination of large epidemics in African countries. Multivalent (A, C, Y, W) conjugate vaccines are being developed, and one has already been licensed. However, effective global prevention of meningococcal disease will not be achievable without the development of a vaccine against Group B meningitis, for which outer membrane protein vaccines are under development.
Insights
Research reviews vaccines for meningococcal disease caused by Neisseria meningitidis. Conjugate vaccines show promise for serogroups A, C, Y, and W, but Group B meningitis prevention remains a challenge.
Area of Science:
- Microbiology
- Immunology
- Vaccinology
Background:
- Meningococcal disease, caused by Neisseria meningitidis, is a significant cause of meningitis and septicemia with epidemic potential.
- Five serogroups (A, B, C, Y, W135) cause most disease, with Group A unique for large-scale epidemics, particularly in Africa and Asia.
- Groups B and C are the primary causes of meningococcal disease in Europe and America.
Purpose of the Study:
- To review the current status of vaccine research and development for meningococcal disease.
- To highlight the progress and challenges in developing vaccines against different Neisseria meningitidis serogroups.
- To discuss the potential impact of conjugate vaccines on disease prevention and elimination.
Main Methods:
- Review of current research and development in meningococcal vaccines.
- Analysis of the efficacy and impact of existing and emerging vaccine technologies.
- Examination of epidemiological data regarding Neisseria meningitidis serogroups and disease burden.
Main Results:
- Polysaccharide conjugate vaccines are being developed, building on successes with Hib and pneumococcal vaccines.
- Group C conjugate vaccines are immunogenic, induce memory, reduce colonization, and provide herd immunity.
- Monovalent Group A conjugate vaccines offer hope for eliminating epidemics in Africa; multivalent (A, C, Y, W) vaccines are in development, with one licensed.
- Development of a Group B vaccine, likely using outer membrane proteins, is crucial for global prevention.
Conclusions:
- Conjugate vaccines represent a significant advancement in preventing meningococcal disease, particularly for serogroups A, C, Y, and W.
- While progress has been made, a Group B vaccine remains essential for comprehensive global control of meningococcal disease.
- Continued research and development are vital to achieve effective global prevention strategies against all major serogroups.
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