Synthetic Glycans to Improve Current Glycoconjugate Vaccines and Fight Antimicrobial Resistance

Linda Del Bino1, Kitt Emilie Østerlid2, Dung-Yeh Wu2

  • 1GSK, R&D, Via Fiorentina 1, 53100 Siena, Italy.

Chemical Reviews
|May 24, 2022
PubMed

Insights

Antimicrobial resistance (AMR) poses a significant global threat. This review explores synthetic carbohydrate-based glycoconjugate vaccines as a promising strategy to combat AMR by enhancing existing vaccines and developing new ones.

Area of Science:

  • Microbiology
  • Immunology
  • Vaccinology

Background:

  • Antimicrobial resistance (AMR) is a growing global health crisis, with the WHO and CDC identifying numerous bacteria and fungi as urgent threats.
  • Glycoconjugate vaccines have proven effective against various bacterial pathogens.
  • Advances in synthetic, chemoenzymatic, and glycoengineering methods enable the creation of complex glycans and glycoconjugates.

Purpose of the Study:

  • To review the advancements in synthetic carbohydrate-based glycoconjugate vaccines for combating AMR.
  • To analyze structure-immunogenicity relationships for carbohydrate vaccine targets.
  • To identify research gaps and future directions for next-generation synthetic vaccines.

Main Methods:

  • Literature survey and analysis of existing data.
  • Review of synthetic, chemoenzymatic, and glycoengineering methodologies for glycan assembly.
  • Evaluation of structure-immunogenicity relationships in glycoconjugate vaccines.

Main Results:

  • Progress in synthetic methodologies facilitates the development of novel glycoconjugate vaccines.
  • Understanding structure-immunogenicity relationships is crucial for optimizing vaccine efficacy.
  • Carbohydrates offer a unique and exploitable target for vaccine development against AMR.

Conclusions:

  • Synthetic carbohydrate-based glycoconjugate vaccines represent a promising avenue to address the AMR pandemic.
  • Further research into structure-immunogenicity is needed to fully exploit carbohydrate antigens.
  • The development of next-generation synthetic vaccines is critical for future infectious disease control.

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