Emerging experience with meningococcal serogroup B protein vaccines

Introduction: The successful development of two broadly protective vaccines targeting Neisseria meningitidis serogroup B (MenB); 4CMenB and rLP2086, is the most significant recent advance in meningococcal disease prevention. Areas covered: Here we review the principles underlying the development of...

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Main Authors: Daniela Toneatto, Mariagrazia Pizza, Vega Masignani, Rino Rappuoli
Format: Article
Language:English
Published: Taylor & Francis Group 2017-05-01
Series:Expert Review of Vaccines
Subjects:
Online Access:http://dx.doi.org/10.1080/14760584.2017.1308828
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author Daniela Toneatto
Mariagrazia Pizza
Vega Masignani
Rino Rappuoli
author_facet Daniela Toneatto
Mariagrazia Pizza
Vega Masignani
Rino Rappuoli
author_sort Daniela Toneatto
collection DOAJ
description Introduction: The successful development of two broadly protective vaccines targeting Neisseria meningitidis serogroup B (MenB); 4CMenB and rLP2086, is the most significant recent advance in meningococcal disease prevention. Areas covered: Here we review the principles underlying the development of each vaccine and the novel methods used to estimate vaccine coverage. We update clinical and post-licensure experience with 4CMenB and rLP2086. Expert commentary: The immunogenicity and acceptable safety profile of 4CMenB and rLP2086 has been demonstrated in clinical trials. Continuing uncertainties exist around the appropriate age groups to be immunized, the degree and duration of efficacy, and the impact on nasopharyngeal carriage which has implications for strategies to interrupt transmission and maximize herd protection effects. Universal vaccination programs such as those undertaken in Quebec and the United Kingdom are providing important information on these issues. The potential for MenB vaccines to prevent infection by other serogroups appears promising, and the impact of MenB vaccines on other pathogenic neisserial species with similar surface proteins warrants further investigation.
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spelling doaj.art-6927c0ce06c44b0caf220fdab2dfa4792023-09-20T10:18:02ZengTaylor & Francis GroupExpert Review of Vaccines1476-05841744-83952017-05-0116543345110.1080/14760584.2017.13088281308828Emerging experience with meningococcal serogroup B protein vaccinesDaniela Toneatto0Mariagrazia Pizza1Vega Masignani2Rino Rappuoli3Clinical RDC Italy Department, GSKPreclinical R&D IT Department, GSKVxR&D Discovery Performance Unit, GSKResearch & Development, GSKIntroduction: The successful development of two broadly protective vaccines targeting Neisseria meningitidis serogroup B (MenB); 4CMenB and rLP2086, is the most significant recent advance in meningococcal disease prevention. Areas covered: Here we review the principles underlying the development of each vaccine and the novel methods used to estimate vaccine coverage. We update clinical and post-licensure experience with 4CMenB and rLP2086. Expert commentary: The immunogenicity and acceptable safety profile of 4CMenB and rLP2086 has been demonstrated in clinical trials. Continuing uncertainties exist around the appropriate age groups to be immunized, the degree and duration of efficacy, and the impact on nasopharyngeal carriage which has implications for strategies to interrupt transmission and maximize herd protection effects. Universal vaccination programs such as those undertaken in Quebec and the United Kingdom are providing important information on these issues. The potential for MenB vaccines to prevent infection by other serogroups appears promising, and the impact of MenB vaccines on other pathogenic neisserial species with similar surface proteins warrants further investigation.http://dx.doi.org/10.1080/14760584.2017.13088284cmenbcarriageimmunogenicitymatsmeasuremeningococcal serogroup bneisseria meningitidisreverse vaccinologyrlp2086strain coverage
spellingShingle Daniela Toneatto
Mariagrazia Pizza
Vega Masignani
Rino Rappuoli
Emerging experience with meningococcal serogroup B protein vaccines
Expert Review of Vaccines
4cmenb
carriage
immunogenicity
mats
measure
meningococcal serogroup b
neisseria meningitidis
reverse vaccinology
rlp2086
strain coverage
title Emerging experience with meningococcal serogroup B protein vaccines
title_full Emerging experience with meningococcal serogroup B protein vaccines
title_fullStr Emerging experience with meningococcal serogroup B protein vaccines
title_full_unstemmed Emerging experience with meningococcal serogroup B protein vaccines
title_short Emerging experience with meningococcal serogroup B protein vaccines
title_sort emerging experience with meningococcal serogroup b protein vaccines
topic 4cmenb
carriage
immunogenicity
mats
measure
meningococcal serogroup b
neisseria meningitidis
reverse vaccinology
rlp2086
strain coverage
url http://dx.doi.org/10.1080/14760584.2017.1308828
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AT mariagraziapizza emergingexperiencewithmeningococcalserogroupbproteinvaccines
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AT rinorappuoli emergingexperiencewithmeningococcalserogroupbproteinvaccines