Vaccine development against Neisseria meningitidis
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Inducing Meningococcal Meningitis Serogroup C in Mice via Intracisternal Delivery
Published on: November 5, 2019
1University of Würzburg, Institute for Hygiene and Microbiology, Reference Laboratory for Meningococci, Germany. uvogel@hygiene.uni-wuerzburg.de
Abstract:
Meningococcal disease is communicable by close contact or droplet aerosols. Striking features are high case fatality rates and peak incidences of invasive disease in infants, toddlers and adolescents. Vaccine development is hampered by bacterial immune evasion strategies including molecular mimicry.As for Haemophilus influenzae and Streptococcus pneumoniae, no vaccine has therefore been developed that targets all serogroups of Neisseria meningitidis. Polysaccharide vaccines available both in protein conjugated and non-conjugated form, have been introduced against capsular serogroups A, C,W-135 and Y, but are ineffective against serogroup B meningococci, which cause a significant burden of disease in many parts of the world. Detoxified outer membrane vesicles are used since decades to elicit protection against epidemic serogroup B disease. Genome mining and biochemical approaches have provided astounding progress recently in the identification of immunogenic, yet reasonably conserved outer membrane proteins. As subcapsular proteins nevertheless are unlikely to immunize against all serogroup B variants, thorough investigation by surrogate assays and molecular epidemiology approaches are needed prior to introduction and post-licensure of protein vaccines. Research currently addresses the analysis of life vaccines, meningococcus B polysaccharide modifications and mimotopes, as well as the use of N. lactamica outer membrane vesicles.
Insights
Developing effective meningococcal vaccines, especially for serogroup B, remains challenging due to bacterial immune evasion. Current research explores novel approaches like outer membrane vesicles and protein-based strategies to combat this serious communicable disease.
Area of Science:
- Microbiology
- Immunology
- Vaccinology
Background:
- Meningococcal disease presents high fatality rates, particularly in infants and adolescents.
- Bacterial immune evasion strategies, such as molecular mimicry, hinder vaccine development.
- Existing polysaccharide vaccines are ineffective against serogroup B, a significant global health concern.
Purpose of the Study:
- To review the challenges and advancements in developing vaccines against Neisseria meningitidis, focusing on serogroup B.
- To highlight the limitations of current vaccines and the need for broader protection.
- To discuss emerging research directions for novel meningococcal vaccines.
Main Methods:
- Review of existing literature on meningococcal disease and vaccine development.
- Analysis of bacterial immune evasion mechanisms.
- Exploration of recent genomic and biochemical approaches for identifying immunogenic targets.
- Discussion of ongoing research into novel vaccine candidates.
Main Results:
- Protein-conjugated and non-conjugated polysaccharide vaccines target serogroups A, C, W-135, and Y but not B.
- Detoxified outer membrane vesicles are used for serogroup B protection, but new targets are sought.
- Genome mining and biochemical studies have identified promising conserved outer membrane proteins.
- Subcapsular proteins may not provide complete protection against all serogroup B variants.
Conclusions:
- Vaccine development for meningococcal disease, especially serogroup B, requires overcoming bacterial immune evasion.
- Novel strategies involving outer membrane proteins, modified polysaccharides, and mimotopes are under investigation.
- Further research using surrogate assays and molecular epidemiology is crucial for evaluating new protein-based vaccines.
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