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Murine Oropharyngeal Aspiration Model of Ventilator-associated and Hospital-acquired Bacterial Pneumonia
Published on: June 28, 2018
Human Metapneumovirus
Jennifer E Schuster1, John V Williams2
1Department of Pediatrics, Children's Mercy Hospital, Kansas City, MO 64108-4619.
Abstract:
Human metapneumovirus (HMPV), a paramyxovirus identified in 2001, is a leading cause of respiratory tract infections in both children and adults. Seroprevalence studies demonstrate that the primary infection occurs before the age of 5 years, and humans are reinfected throughout life. The four subgroups of HMPV occur with year-to-year variability, and infection with one subgroup confers some serologic cross-protection. Experimental vaccines elicit a humoral response in both animal and human models and have been used to identify antigenic determinants. The main target of protective antibodies is the fusion (F) protein, although many of the remaining eight proteins are immunogenic. Monoclonal antibodies (mAbs) targeting the F protein are both protective and therapeutic in animal models. Most recently, the identification of broadly neutralizing antibodies against HMPV and respiratory syncytial virus demonstrates that common epitopes are present between the two viruses. Broadly neutralizing mAbs have significant clinical implications for prophylaxis and treatment of high-risk hosts as well as vaccine development.
Insights
Human metapneumovirus (HMPV) causes respiratory infections in all ages. Research highlights the fusion (F) protein as a key target for developing effective vaccines and broadly neutralizing antibodies against HMPV and RSV.
Area of Science:
- Virology
- Immunology
- Vaccinology
Background:
- Human metapneumovirus (HMPV), a paramyxovirus discovered in 2001, is a significant cause of respiratory tract infections in children and adults.
- Primary HMPV infection typically occurs before age five, with lifelong reinfections common.
- Four HMPV subgroups exhibit annual variations, and infection by one subgroup offers partial cross-protection.
Purpose of the Study:
- To review the immunogenicity of HMPV proteins, focusing on the fusion (F) protein as a target for protective antibodies.
- To explore the potential of monoclonal antibodies (mAbs) targeting the F protein for therapeutic and prophylactic applications.
- To discuss the implications of identifying broadly neutralizing antibodies common to HMPV and respiratory syncytial virus (RSV).
Main Methods:
- Review of seroprevalence studies to understand HMPV infection patterns.
- Analysis of experimental vaccine data in animal and human models to identify antigenic targets.
- Examination of research on monoclonal antibodies (mAbs) against HMPV and RSV, including epitope mapping.
Main Results:
- The fusion (F) protein is identified as the primary target for protective antibodies against HMPV.
- Monoclonal antibodies targeting the F protein demonstrate protective and therapeutic effects in preclinical models.
- Common epitopes between HMPV and RSV have been identified, leading to the discovery of broadly neutralizing antibodies.
Conclusions:
- The F protein is a critical target for developing effective HMPV vaccines and antibody-based therapies.
- Broadly neutralizing antibodies offer promising avenues for prophylaxis and treatment, particularly in high-risk populations.
- Further research into cross-protective epitopes between HMPV and RSV can advance vaccine development for both viruses.
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