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Published on: May 19, 2020
Group A streptococcal vaccines: facts versus fantasy
Andrew C Steer1, Michael R Batzloff, Kim Mulholland
1Centre for International Child Health, University of Melbourne, Melbourne, Victoria, Australia. andrew.steer@rch.org.au
Group A Streptococcus (GAS) vaccine development has advanced, focusing on M protein and conserved antigens. While candidates show promise, public health measures remain crucial for global GAS disease control.
Area of Science:
- Microbiology
- Vaccinology
- Infectious Diseases
Background:
- Group A Streptococcus (GAS) causes significant global disease burden.
- Effective vaccines are needed to control GAS infections.
Purpose of the Study:
- To review progress in group A streptococcal (GAS) vaccine development.
- To highlight recent advances in GAS vaccine research.
Main Methods:
- Review of historical and recent GAS vaccine development strategies.
- Analysis of clinical trial data for GAS vaccine candidates.
- Exploration of novel antigen discovery through reverse vaccinology.
Main Results:
- A 26-valent recombinant M protein vaccine reached Phase I/II trials.
- Recent efforts focus on conserved GAS antigens, but none are in clinical trials.
- Vaccine candidates utilize conserved M protein regions, virulence factors, or novel antigens.
Conclusions:
- Multiple GAS vaccine candidates are in development.
- Significant progress has been made, but only one vaccine has entered clinical trials in 30 years.
- Public health measures are essential for global GAS disease prevention.
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