Vaccines for human fungal diseases: close but still a long way to go

Lorena V N Oliveira1, Ruiying Wang1, Charles A Specht1

  • 1Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA.

NPJ Vaccines
|March 4, 2021
PubMed

Insights

Developing effective fungal vaccines is crucial due to the high burden of human fungal infections. Research shows promise with various vaccine types in mouse models, with some advancing to human trials, but challenges remain for licensed products.

Area of Science:

  • Mycology
  • Vaccinology
  • Infectious Diseases

Background:

  • Human fungal infections pose a significant global health burden.
  • Currently, no approved fungal vaccines are available for at-risk populations.
  • Life-threatening mycoses are commonly caused by Candida, Cryptococcus, and Aspergillus species.

Purpose of the Study:

  • To review the progress and challenges in developing efficacious fungal vaccines.
  • To highlight advancements in vaccine strategies against common fungal pathogens.
  • To discuss the potential of broad-spectrum fungal vaccines.

Main Methods:

  • Review of existing research on fungal vaccine development.
  • Analysis of preclinical (mouse studies) and clinical trial data.
  • Evaluation of different vaccine platforms including live-attenuated, killed, subunit, and nucleic acid vaccines.
  • Investigation of novel adjuvants and common antigen targets.

Main Results:

  • Protection against Candida, Cryptococcus, and Aspergillus achieved in mouse models using various vaccine formulations.
  • Encouraging results from live-attenuated, killed fungi, crude extracts, subunit, and nucleic acid vaccines.
  • Development of novel adjuvants to enhance immune responses against fungi.
  • Candidate vaccines targeting conserved fungal antigens show potential for broad-spectrum protection.
  • Three fungal vaccines have progressed to human clinical trials.

Conclusions:

  • Significant progress has been made in fungal vaccine research, with promising preclinical and early clinical data.
  • Various vaccine approaches, including novel adjuvants and broad-spectrum antigens, are under investigation.
  • Despite advancements, substantial obstacles must be overcome to achieve licensed human fungal vaccines.
  • The development of effective fungal vaccines remains a critical unmet medical need.

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