Pneumococcal Vaccines: Past Findings, Present Work, and Future Strategies

The importance of <i>Streptococcus pneumoniae</i> has been well established. These bacteria can colonize infants and adults without symptoms, but in some cases can spread, invade other tissues and cause disease with high morbidity and mortality. The development of pneumococcal conjugate...

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Autores principales: Giuliana S. Oliveira, Maria Leonor S. Oliveira, Eliane N. Miyaji, Tasson C. Rodrigues
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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PCV
PPV
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Acceso en línea:https://doaj.org/article/b907d4338b664037ace60ac367dfb26a
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spelling oai:doaj.org-article:b907d4338b664037ace60ac367dfb26a2021-11-25T19:11:26ZPneumococcal Vaccines: Past Findings, Present Work, and Future Strategies10.3390/vaccines91113382076-393Xhttps://doaj.org/article/b907d4338b664037ace60ac367dfb26a2021-11-01T00:00:00Zhttps://www.mdpi.com/2076-393X/9/11/1338https://doaj.org/toc/2076-393XThe importance of <i>Streptococcus pneumoniae</i> has been well established. These bacteria can colonize infants and adults without symptoms, but in some cases can spread, invade other tissues and cause disease with high morbidity and mortality. The development of pneumococcal conjugate vaccines (PCV) caused an enormous impact in invasive pneumococcal disease and protected unvaccinated people by herd effect. However, serotype replacement is a well-known phenomenon that has occurred after the introduction of the 7-valent pneumococcal conjugate vaccine (PCV7) and has also been reported for other PCVs. Therefore, it is possible that serotype replacement will continue to occur even with higher valence formulations, but the development of serotype-independent vaccines might overcome this problem. Alternative vaccines are under development in order to improve cost effectiveness, either using proteins or the pneumococcal whole cell. These approaches can be used as a stand-alone strategy or together with polysaccharide vaccines. Looking ahead, the next generation of pneumococcal vaccines can be impacted by the new technologies recently approved for human use, such as mRNA vaccines and viral vectors. In this paper, we will review the advantages and disadvantages of the addition of new polysaccharides in the current PCVs, mainly for low- and middle-income countries, and we will also address future perspectives.Giuliana S. OliveiraMaria Leonor S. OliveiraEliane N. MiyajiTasson C. RodriguesMDPI AGarticle<i>Streptococcus pneumoniae</i>pneumococcusvaccinePCVPPVwhole cellMedicineRENVaccines, Vol 9, Iss 1338, p 1338 (2021)
institution DOAJ
collection DOAJ
language EN
topic <i>Streptococcus pneumoniae</i>
pneumococcus
vaccine
PCV
PPV
whole cell
Medicine
R
spellingShingle <i>Streptococcus pneumoniae</i>
pneumococcus
vaccine
PCV
PPV
whole cell
Medicine
R
Giuliana S. Oliveira
Maria Leonor S. Oliveira
Eliane N. Miyaji
Tasson C. Rodrigues
Pneumococcal Vaccines: Past Findings, Present Work, and Future Strategies
description The importance of <i>Streptococcus pneumoniae</i> has been well established. These bacteria can colonize infants and adults without symptoms, but in some cases can spread, invade other tissues and cause disease with high morbidity and mortality. The development of pneumococcal conjugate vaccines (PCV) caused an enormous impact in invasive pneumococcal disease and protected unvaccinated people by herd effect. However, serotype replacement is a well-known phenomenon that has occurred after the introduction of the 7-valent pneumococcal conjugate vaccine (PCV7) and has also been reported for other PCVs. Therefore, it is possible that serotype replacement will continue to occur even with higher valence formulations, but the development of serotype-independent vaccines might overcome this problem. Alternative vaccines are under development in order to improve cost effectiveness, either using proteins or the pneumococcal whole cell. These approaches can be used as a stand-alone strategy or together with polysaccharide vaccines. Looking ahead, the next generation of pneumococcal vaccines can be impacted by the new technologies recently approved for human use, such as mRNA vaccines and viral vectors. In this paper, we will review the advantages and disadvantages of the addition of new polysaccharides in the current PCVs, mainly for low- and middle-income countries, and we will also address future perspectives.
format article
author Giuliana S. Oliveira
Maria Leonor S. Oliveira
Eliane N. Miyaji
Tasson C. Rodrigues
author_facet Giuliana S. Oliveira
Maria Leonor S. Oliveira
Eliane N. Miyaji
Tasson C. Rodrigues
author_sort Giuliana S. Oliveira
title Pneumococcal Vaccines: Past Findings, Present Work, and Future Strategies
title_short Pneumococcal Vaccines: Past Findings, Present Work, and Future Strategies
title_full Pneumococcal Vaccines: Past Findings, Present Work, and Future Strategies
title_fullStr Pneumococcal Vaccines: Past Findings, Present Work, and Future Strategies
title_full_unstemmed Pneumococcal Vaccines: Past Findings, Present Work, and Future Strategies
title_sort pneumococcal vaccines: past findings, present work, and future strategies
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/b907d4338b664037ace60ac367dfb26a
work_keys_str_mv AT giulianasoliveira pneumococcalvaccinespastfindingspresentworkandfuturestrategies
AT marialeonorsoliveira pneumococcalvaccinespastfindingspresentworkandfuturestrategies
AT elianenmiyaji pneumococcalvaccinespastfindingspresentworkandfuturestrategies
AT tassoncrodrigues pneumococcalvaccinespastfindingspresentworkandfuturestrategies
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