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An Improved and High Throughput Respiratory Syncytial Virus RSV Micro-neutralization Assay
Published on: January 26, 2019
Vaccines against human respiratory syncytial virus in clinical trials, where are we now?
Iebe Rossey1,2, Xavier Saelens1,2
1VIB-UGent Center for Medical Biotechnology, VIB, Ghent, Belgium.
Insights
Developing a safe human respiratory syncytial virus (RSV) vaccine is crucial due to high global mortality. This review examines challenges and promising vaccine candidates in clinical trials for RSV prevention.
Area of Science:
- Virology
- Immunology
- Vaccinology
Background:
- Human respiratory syncytial virus (RSV) causes significant global morbidity and mortality, particularly in young children and the elderly.
- Despite its impact, developing an effective RSV vaccine faces hurdles including a history of trial failures, challenging target demographics, and incomplete understanding of protective immunity.
Purpose of the Study:
- To review the challenges in developing an effective human respiratory syncytial virus (RSV) vaccine.
- To discuss current RSV vaccine candidates in clinical trials and their strategies for overcoming development obstacles.
Main Methods:
- Review of live-attenuated, vectored, subunit, and particle-based vaccine approaches for RSV.
- Analysis of approximately 30 RSV vaccine candidates currently in clinical evaluation.
Main Results:
- Multiple vaccine formats are under investigation, with several promising candidates progressing through clinical trials.
- Ongoing research addresses historical challenges, including vaccine safety, immunogenicity, and identifying correlates of protection.
Conclusions:
- The field of RSV vaccine development is advancing rapidly, with potential for near-term clinical implementation.
- Several promising RSV vaccine candidates offer hope for a safe and effective preventative measure against this significant respiratory pathogen.
Abstract:
Introduction: Human respiratory syncytial virus (RSV) is a major health threat both for the very young and the elderly. With yearly 3.2 million hospital admissions and approximately 118,000 deaths due to RSV in children across the globe, the impact of this infectious disease is very high. Development of a safe RSV vaccine is of utmost importance but has proven to be challenging for several reasons. Researchers are faced with the history of a failed RSV vaccine trial, difficult target populations, a virus that naturally does not induce a long-lasting immune response and ambiguity concerning the optimal correlate of protection. Many different vaccine formats are being tested in preclinical models and about 30 candidate RSV vaccines are being evaluated in clinical trials.Areas covered: In this review we focus on the difficulties concerning the development of an effective RSV vaccine and discuss vaccines that are currently in clinical trials and how they have dealt with these challenges. We review live-attenuated vaccines, vectored vaccines, subunit vaccines and particle-based vaccines.Expert opinion: It is clear that this field is progressing rapidly with several promising RSV vaccine candidates. A safe and effective RSV vaccine might be on the brink of clinical implementation soon.
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