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

Vaccine
|April 20, 2006
PubMed

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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