Current State and Challenges in Developing Respiratory Syncytial Virus Vaccines

Respiratory syncytial virus (RSV) is the main cause of acute respiratory tract infections in infants and it also induces significant disease in the elderly. The clinical course may be severe, especially in high-risk populations (infants and elderly), with a large number of deaths in developing count...

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Main Authors: Carlotta Biagi, Arianna Dondi, Sara Scarpini, Alessandro Rocca, Silvia Vandini, Giulia Poletti, Marcello Lanari
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/8/4/672
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author Carlotta Biagi
Arianna Dondi
Sara Scarpini
Alessandro Rocca
Silvia Vandini
Giulia Poletti
Marcello Lanari
author_facet Carlotta Biagi
Arianna Dondi
Sara Scarpini
Alessandro Rocca
Silvia Vandini
Giulia Poletti
Marcello Lanari
author_sort Carlotta Biagi
collection DOAJ
description Respiratory syncytial virus (RSV) is the main cause of acute respiratory tract infections in infants and it also induces significant disease in the elderly. The clinical course may be severe, especially in high-risk populations (infants and elderly), with a large number of deaths in developing countries and of intensive care hospitalizations worldwide. To date, prevention strategies against RSV infection is based on hygienic measures and passive immunization with humanized monoclonal antibodies, limited to selected high-risk children due to their high costs. The development of a safe and effective vaccine is a global health need and an important objective of research in this field. A growing number of RSV vaccine candidates in different formats (particle-based vaccines, vector-based vaccines, subunit vaccines and live-attenuated vaccines) are being developed and are now at different stages, many of them already being in the clinical stage. While waiting for commercially available safe and effective vaccines, immune prophylaxis in selected groups of high-risk populations is still mandatory. This review summarizes the state-of-the-art of the RSV vaccine research and its implications for clinical practice, focusing on the characteristics of the vaccines that reached the clinical stage of development.
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spelling doaj.art-27776b443a2042438cf54f253a0fa6c12023-11-20T20:36:57ZengMDPI AGVaccines2076-393X2020-11-018467210.3390/vaccines8040672Current State and Challenges in Developing Respiratory Syncytial Virus VaccinesCarlotta Biagi0Arianna Dondi1Sara Scarpini2Alessandro Rocca3Silvia Vandini4Giulia Poletti5Marcello Lanari6Pediatric Emergency Unit, Department of Medical and Surgical Sciences (DIMEC), Sant’Orsola University Hospital, 40138 Bologna, ItalyPediatric Emergency Unit, Department of Medical and Surgical Sciences (DIMEC), Sant’Orsola University Hospital, 40138 Bologna, ItalyPediatric Emergency Unit, Department of Medical and Surgical Sciences (DIMEC), Sant’Orsola University Hospital, 40138 Bologna, ItalyPediatric Emergency Unit, Department of Medical and Surgical Sciences (DIMEC), Sant’Orsola University Hospital, 40138 Bologna, ItalyPediatric and Neonatology Unit, Imola Hospital, 40026 Imola (Bologna), ItalyPediatric Emergency Unit, Department of Medical and Surgical Sciences (DIMEC), Sant’Orsola University Hospital, 40138 Bologna, ItalyPediatric Emergency Unit, Department of Medical and Surgical Sciences (DIMEC), Sant’Orsola University Hospital, 40138 Bologna, ItalyRespiratory syncytial virus (RSV) is the main cause of acute respiratory tract infections in infants and it also induces significant disease in the elderly. The clinical course may be severe, especially in high-risk populations (infants and elderly), with a large number of deaths in developing countries and of intensive care hospitalizations worldwide. To date, prevention strategies against RSV infection is based on hygienic measures and passive immunization with humanized monoclonal antibodies, limited to selected high-risk children due to their high costs. The development of a safe and effective vaccine is a global health need and an important objective of research in this field. A growing number of RSV vaccine candidates in different formats (particle-based vaccines, vector-based vaccines, subunit vaccines and live-attenuated vaccines) are being developed and are now at different stages, many of them already being in the clinical stage. While waiting for commercially available safe and effective vaccines, immune prophylaxis in selected groups of high-risk populations is still mandatory. This review summarizes the state-of-the-art of the RSV vaccine research and its implications for clinical practice, focusing on the characteristics of the vaccines that reached the clinical stage of development.https://www.mdpi.com/2076-393X/8/4/672RSVvaccineprevention
spellingShingle Carlotta Biagi
Arianna Dondi
Sara Scarpini
Alessandro Rocca
Silvia Vandini
Giulia Poletti
Marcello Lanari
Current State and Challenges in Developing Respiratory Syncytial Virus Vaccines
Vaccines
RSV
vaccine
prevention
title Current State and Challenges in Developing Respiratory Syncytial Virus Vaccines
title_full Current State and Challenges in Developing Respiratory Syncytial Virus Vaccines
title_fullStr Current State and Challenges in Developing Respiratory Syncytial Virus Vaccines
title_full_unstemmed Current State and Challenges in Developing Respiratory Syncytial Virus Vaccines
title_short Current State and Challenges in Developing Respiratory Syncytial Virus Vaccines
title_sort current state and challenges in developing respiratory syncytial virus vaccines
topic RSV
vaccine
prevention
url https://www.mdpi.com/2076-393X/8/4/672
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