Evolution of Vaccines Formulation to Tackle the Challenge of Anti-Microbial Resistant Pathogens

The increasing diffusion of antimicrobial resistance (AMR) across more and more bacterial species emphasizes the urgency of identifying innovative treatment strategies to counter its diffusion. Pathogen infection prevention is among the most effective strategies to prevent the spread of both disease...

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Main Authors: Francesco Tognetti, Massimiliano Biagini, Maxime Denis, Francesco Berti, Domenico Maione, Daniela Stranges
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/15/12054
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author Francesco Tognetti
Massimiliano Biagini
Maxime Denis
Francesco Berti
Domenico Maione
Daniela Stranges
author_facet Francesco Tognetti
Massimiliano Biagini
Maxime Denis
Francesco Berti
Domenico Maione
Daniela Stranges
author_sort Francesco Tognetti
collection DOAJ
description The increasing diffusion of antimicrobial resistance (AMR) across more and more bacterial species emphasizes the urgency of identifying innovative treatment strategies to counter its diffusion. Pathogen infection prevention is among the most effective strategies to prevent the spread of both disease and AMR. Since their discovery, vaccines have been the strongest prophylactic weapon against infectious diseases, with a multitude of different antigen types and formulative strategies developed over more than a century to protect populations from different pathogens. In this review, we review the main characteristics of vaccine formulations in use and under development against AMR pathogens, focusing on the importance of administering multiple antigens where possible, and the challenges associated with their development and production. The most relevant antigen classes and adjuvant systems are described, highlighting their mechanisms of action and presenting examples of their use in clinical trials against AMR. We also present an overview of the analytical and formulative strategies for multivalent vaccines, in which we discuss the complexities associated with mixing multiple components in a single formulation. This review emphasizes the importance of combining existing knowledge with advanced technologies within a Quality by Design development framework to efficiently develop vaccines against AMR pathogens.
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spelling doaj.art-660bf8733dcd463faee176bc1989c0a12023-11-18T22:59:42ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-07-0124151205410.3390/ijms241512054Evolution of Vaccines Formulation to Tackle the Challenge of Anti-Microbial Resistant PathogensFrancesco Tognetti0Massimiliano Biagini1Maxime Denis2Francesco Berti3Domenico Maione4Daniela Stranges5Department of Pharmaceutical and Pharmacological Sciences, University of Padova, Via F. Marzolo 5, 35131 Padua, ItalyGSK, 53100 Siena, ItalyGSK, 53100 Siena, ItalyGSK, 53100 Siena, ItalyGSK, 53100 Siena, ItalyGSK, 53100 Siena, ItalyThe increasing diffusion of antimicrobial resistance (AMR) across more and more bacterial species emphasizes the urgency of identifying innovative treatment strategies to counter its diffusion. Pathogen infection prevention is among the most effective strategies to prevent the spread of both disease and AMR. Since their discovery, vaccines have been the strongest prophylactic weapon against infectious diseases, with a multitude of different antigen types and formulative strategies developed over more than a century to protect populations from different pathogens. In this review, we review the main characteristics of vaccine formulations in use and under development against AMR pathogens, focusing on the importance of administering multiple antigens where possible, and the challenges associated with their development and production. The most relevant antigen classes and adjuvant systems are described, highlighting their mechanisms of action and presenting examples of their use in clinical trials against AMR. We also present an overview of the analytical and formulative strategies for multivalent vaccines, in which we discuss the complexities associated with mixing multiple components in a single formulation. This review emphasizes the importance of combining existing knowledge with advanced technologies within a Quality by Design development framework to efficiently develop vaccines against AMR pathogens.https://www.mdpi.com/1422-0067/24/15/12054vaccineAMRformulationantigenadjuvant
spellingShingle Francesco Tognetti
Massimiliano Biagini
Maxime Denis
Francesco Berti
Domenico Maione
Daniela Stranges
Evolution of Vaccines Formulation to Tackle the Challenge of Anti-Microbial Resistant Pathogens
International Journal of Molecular Sciences
vaccine
AMR
formulation
antigen
adjuvant
title Evolution of Vaccines Formulation to Tackle the Challenge of Anti-Microbial Resistant Pathogens
title_full Evolution of Vaccines Formulation to Tackle the Challenge of Anti-Microbial Resistant Pathogens
title_fullStr Evolution of Vaccines Formulation to Tackle the Challenge of Anti-Microbial Resistant Pathogens
title_full_unstemmed Evolution of Vaccines Formulation to Tackle the Challenge of Anti-Microbial Resistant Pathogens
title_short Evolution of Vaccines Formulation to Tackle the Challenge of Anti-Microbial Resistant Pathogens
title_sort evolution of vaccines formulation to tackle the challenge of anti microbial resistant pathogens
topic vaccine
AMR
formulation
antigen
adjuvant
url https://www.mdpi.com/1422-0067/24/15/12054
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