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Combat pneumococcal infections: adhesins as candidates for protein-based vaccine development
Gustavo Gamez1, Sven Hammerschmidt
1Department Genetics of Microorganisms, Interfaculty Institute for Genetics and Functional Genomics, Ernst Moritz Arndt Universität Greifswald, Friedrich-Ludwig-Jahn-Strasse 15a, D-17487 Greifswald, Germany.
Abstract:
Streptococcus pneumoniae (pneumococcus) is an asymptomatic colonizer of the upper respiratory tract in humans. However, these apparently harmless bacteria have also a high virulence potential and are known as the etiologic agent of respiratory and life-threatening invasive diseases. Dissemination of pneumococci from the nasopharynx into the lungs or bloodstream leads to community-acquired pneumonia, septicaemia and meningitis. Traditionally, pneumococcal diseases are treated with antibiotics and prevented with polysaccharide-based vaccines. However, due to the dramatic increase in antibiotic resistance and limitations of the current available vaccines, the burden of diseases remains high. Thus, combating pneumococcal transmission and infections has emphasized the need for a new generation of protein-based vaccines. Interactions of pneumococci with soluble host proteins or cellular receptors are crucial for adherence, colonization, transmigration of host barriers and immune evasion. Therefore, surface-exposed proteins involved in these pathogenic processes and virtually expressed by all pneumococcal strains and serotypes are the prime potential targets for an immunogenic and highly protective pneumococcal-derived carrier protein of a vaccine. In this review, we will address the state of the art in deciphering, i). the conservation, distribution and pathogenic role of recently discovered pneumococcal adhesins in colonization and invasive diseases, ii). the interactions of these virulence factors with host-proteins and receptors, iii). the subversion of the host immune and cellular responses, and iv). the potential of pneumococcal adhesins as vaccine candidates.
Insights
Streptococcus pneumoniae causes serious diseases, but antibiotic resistance and current vaccines are limited. New protein-based vaccines targeting pneumococcal adhesins show promise for combating infections.
Area of Science:
- Microbiology
- Immunology
- Vaccinology
Background:
- Streptococcus pneumoniae (pneumococcus) colonizes the upper respiratory tract but can cause severe invasive diseases like pneumonia, septicaemia, and meningitis.
- Current treatments rely on antibiotics and polysaccharide vaccines, but rising antibiotic resistance and vaccine limitations necessitate new strategies.
- Pneumococcal surface proteins are crucial for bacterial adherence, colonization, host barrier transmigration, and immune evasion, making them potential vaccine targets.
Purpose of the Study:
- To review the conservation, distribution, and pathogenic role of pneumococcal adhesins in colonization and invasive diseases.
- To explore the interactions between pneumococcal virulence factors, host proteins, and cellular receptors.
- To discuss the subversion of host immune responses by pneumococci and evaluate adhesins as vaccine candidates.
Main Methods:
- Literature review of recent discoveries on pneumococcal adhesins.
- Analysis of pathogenic mechanisms involving bacterial-host interactions.
- Evaluation of immunogenic potential of surface-exposed proteins.
Main Results:
- Pneumococcal adhesins play critical roles in pathogenesis, including adherence and invasion.
- These adhesins interact with host proteins and receptors, facilitating colonization and immune evasion.
- Certain conserved adhesins are promising candidates for a new generation of protein-based vaccines.
Conclusions:
- Targeting pneumococcal adhesins offers a promising strategy to overcome limitations of current vaccines and antibiotics.
- Further research into adhesin-host interactions can guide the development of effective vaccines against pneumococcal diseases.
- Protein-based vaccines targeting conserved adhesins could provide broad protection against diverse pneumococcal strains.
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