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Published on: February 22, 2019
Pertussis vaccines: state-of-the-art and future trends
Burcu E Tefon1, Erkan Özcengiz, Gülay Özcengiz
1Department of Biological Sciences, Middle East Technical University, Turkey. ozcengiz@metu.edu.tr.
Insights
Pertussis remains a global threat despite vaccines. New strategies are needed to combat waning immunity and evolving Bordetella pertussis strains, potentially by incorporating novel antigens.
Area of Science:
- Immunology
- Microbiology
- Vaccinology
Background:
- Pertussis (whooping cough) is a significant global respiratory illness, primarily affecting infants.
- Current acellular pertussis (Pa) vaccines face challenges due to waning immunity and antigenic variation in Bordetella pertussis strains.
- Despite high vaccination rates, pertussis resurgence is observed in infants, adolescents, and adults, highlighting the need for improved vaccines.
Purpose of the Study:
- To address the resurgence of pertussis by exploring novel vaccination strategies.
- To identify new antigens from Bordetella pertussis for improved vaccine development.
- To investigate advanced proteomic and transcriptomic approaches for understanding host-pathogen interactions.
Main Methods:
- Utilizing advances in Bordetella pertussis proteomics, subproteomics, and immunoproteomics to identify novel antigens.
- Proposing future studies involving quantitative transcriptomic and proteomic profiling of host-B. pertussis interactions.
- Considering reverse vaccinology approaches for vaccine design.
Main Results:
- Recent proteomic studies have successfully identified novel antigens of Bordetella pertussis.
- These identified antigens offer potential for enhancing current acellular pertussis vaccines.
- Advanced profiling techniques are crucial for understanding pathogen behavior in vivo.
Conclusions:
- Improving acellular pertussis vaccines by incorporating new virulence factors is a rational strategy.
- Novel antigens identified through proteomics are key to developing next-generation pertussis vaccines.
- Future research in host-pathogen interactions and reverse vaccinology will be vital for long-term immunity.
Abstract:
Bordetella pertussis is the causative agent of whooping cough (pertussis) which is a worldwide vaccine preventable acute respiratory illness that predominantly involves infants. The reactogenicity of whole-cell (Pw) vaccines and the difficulty of their consistent production have led to the development of acellular pertussis (Pa) vaccines. However, despite high vaccination coverage using either Pw or Pa and introduction of adolescent and adult vaccines with reduced antigen content, there are still reports about the circulation of the microorganism in populations, morbidity in infants and increasing incidence of pertussis among adolescent and adults who transmit the infection to yet unimmunized infants. Waning vaccine-induced immunity and antigenic divergence in circulating strains seem to be the major problems accounting for resurgence of pertussis. Considering the need for new vaccination strategies, improvement of current Pa vaccines by including new virulence factors would probably be the most rationale strategy. Recent advances in B. pertussis proteomics, subproteomics and immunoproteomics greatly aided in identifying novel antigens of the pathogen. Future studies involving quantitative transcriptomic and proteomic profiling of host-B. pertussis interactions, studying gene expression in vivo and reverse vaccinology will also be very promising approaches and tools to develop pertussis vaccines inducing long term immunity.
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