Update on non-typeable Haemophilus influenzae-mediated disease and vaccine development

Introduction: Non-typeable Haemophilus influenzae (NTHi) has attracted more interest in recent years due to an increased prevalence of infections caused by the pathogen. This upsurge is at least partly ascribed to the introduction of the pneumococcal conjugated vaccines that has resulted in an aetio...

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Main Authors: Farshid Jalalvand, Kristian Riesbeck
Format: Article
Language:English
Published: Taylor & Francis Group 2018-06-01
Series:Expert Review of Vaccines
Subjects:
Online Access:http://dx.doi.org/10.1080/14760584.2018.1484286
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author Farshid Jalalvand
Kristian Riesbeck
author_facet Farshid Jalalvand
Kristian Riesbeck
author_sort Farshid Jalalvand
collection DOAJ
description Introduction: Non-typeable Haemophilus influenzae (NTHi) has attracted more interest in recent years due to an increased prevalence of infections caused by the pathogen. This upsurge is at least partly ascribed to the introduction of the pneumococcal conjugated vaccines that has resulted in an aetiological shift in NTHi’s favor with respect to upper respiratory tract infections. Moreover, an increased antimicrobial resistance has been associated with the pathogen, a fact that further strengthens the case for novel vaccine development. Areas covered: A background to NTHi-mediated diseases and pathogenesis is outlined. The literature in the field of NTHi vaccine antigens and clinical trials is reviewed with focus on data added to scientific databases in the last two years. Various vaccine development strategies are conceptually discussed. Expert commentary: Several promising vaccine antigens have been defined in recent years. A multicomponent protein-based vaccine, potentially boosted with extracellular vesicles, would constitute a suitable path going forward. Of note, however, a clinical trial investigating the efficacy of a combined NTHi/Moraxella catarrhalis vaccine to prevent infections in chronic obstructive pulmonary disease (COPD) patients has been initiated. But, as this clinical trial has not yet concluded, and its results are thus unknown, investigations of NTHi pathogenesis must determinedly continue.
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spelling doaj.art-c64ad2deac0a4723abc5e1d3052c0f802023-09-20T10:18:03ZengTaylor & Francis GroupExpert Review of Vaccines1476-05841744-83952018-06-0117650351210.1080/14760584.2018.14842861484286Update on non-typeable Haemophilus influenzae-mediated disease and vaccine developmentFarshid Jalalvand0Kristian Riesbeck1University of CopenhagenLund UniversityIntroduction: Non-typeable Haemophilus influenzae (NTHi) has attracted more interest in recent years due to an increased prevalence of infections caused by the pathogen. This upsurge is at least partly ascribed to the introduction of the pneumococcal conjugated vaccines that has resulted in an aetiological shift in NTHi’s favor with respect to upper respiratory tract infections. Moreover, an increased antimicrobial resistance has been associated with the pathogen, a fact that further strengthens the case for novel vaccine development. Areas covered: A background to NTHi-mediated diseases and pathogenesis is outlined. The literature in the field of NTHi vaccine antigens and clinical trials is reviewed with focus on data added to scientific databases in the last two years. Various vaccine development strategies are conceptually discussed. Expert commentary: Several promising vaccine antigens have been defined in recent years. A multicomponent protein-based vaccine, potentially boosted with extracellular vesicles, would constitute a suitable path going forward. Of note, however, a clinical trial investigating the efficacy of a combined NTHi/Moraxella catarrhalis vaccine to prevent infections in chronic obstructive pulmonary disease (COPD) patients has been initiated. But, as this clinical trial has not yet concluded, and its results are thus unknown, investigations of NTHi pathogenesis must determinedly continue.http://dx.doi.org/10.1080/14760584.2018.1484286acute otitis mediaaomchronic obstructive pulmonary diseasecopdmoraxella catarrhalisnon-typeable haemophilus influenzaeprotein-based vaccinestreptococcus pneumoniae
spellingShingle Farshid Jalalvand
Kristian Riesbeck
Update on non-typeable Haemophilus influenzae-mediated disease and vaccine development
Expert Review of Vaccines
acute otitis media
aom
chronic obstructive pulmonary disease
copd
moraxella catarrhalis
non-typeable haemophilus influenzae
protein-based vaccine
streptococcus pneumoniae
title Update on non-typeable Haemophilus influenzae-mediated disease and vaccine development
title_full Update on non-typeable Haemophilus influenzae-mediated disease and vaccine development
title_fullStr Update on non-typeable Haemophilus influenzae-mediated disease and vaccine development
title_full_unstemmed Update on non-typeable Haemophilus influenzae-mediated disease and vaccine development
title_short Update on non-typeable Haemophilus influenzae-mediated disease and vaccine development
title_sort update on non typeable haemophilus influenzae mediated disease and vaccine development
topic acute otitis media
aom
chronic obstructive pulmonary disease
copd
moraxella catarrhalis
non-typeable haemophilus influenzae
protein-based vaccine
streptococcus pneumoniae
url http://dx.doi.org/10.1080/14760584.2018.1484286
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