Current status of vaccines for parainfluenza virus infections

Masatoki Sato1, Peter F Wright

  • 1Department of Pediatrics, Vanderbilt University, Nashville, TN 37232, USA.

Insights

Developing parainfluenza virus (PIV) vaccines is crucial for preventing severe respiratory illness in children. Promising candidates, including bovine PIV3 and cold-adapted PIV3 vaccines, show safety and immunogenicity, warranting further efficacy trials.

Area of Science:

  • Virology
  • Immunology
  • Vaccinology

Background:

  • Parainfluenza viruses (PIV) are significant causes of pediatric lower respiratory tract infections, accounting for 17% of virus isolations in hospitalized children.
  • Despite their impact, PIVs have been historically underestimated as pathogens.

Purpose of the Study:

  • To review current PIV vaccine candidates and novel development strategies.
  • To highlight the potential of PIV vaccines in preventing infant and young child respiratory infections.

Main Methods:

  • Evaluation of intranasally administered bovine PIV3 (bPIV3) and cold-adapted PIV3 vaccines in pediatric populations.
  • Assessment of bPIV3 as an attenuated backbone for chimeric vaccines expressing human PIV3 and respiratory syncytial virus (RSV) proteins.
  • Demonstration of vaccine effectiveness in animal models (African green monkeys).

Main Results:

  • The cold-adapted PIV3 vaccine is safe and immunogenic in seronegative children, with a 79% seroconversion rate.
  • BPIV3 vaccine shows a 57-65% seroconversion rate but limited response to heterotypic human strains.
  • A chimeric bPIV3 vaccine demonstrated effectiveness against both PIV3 and RSV challenge in African green monkeys.

Conclusions:

  • Promising PIV vaccine candidates, including bPIV3 and cold-adapted PIV3, show safety and immunogenicity.
  • These candidates are suitable for efficacy trials to prevent PIV3 disease.
  • Mucosal vaccination strategies using PIV vaccines may serve as a model for protection against various respiratory illnesses.

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