Towards a Four-Component GMMA-Based Vaccine against <i>Shigella</i>

Shigellosis remains a major public health problem around the world; it is one of the leading causes of diarrhoeal disease in low- and middle-income countries, particularly in young children. The increasing reports of <i>Shigella</i> cases associated with anti-microbial resistance are an...

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Bibliographic Details
Main Authors: Francesca Micoli, Usman N. Nakakana, Francesco Berlanda Scorza
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/10/2/328
Description
Summary:Shigellosis remains a major public health problem around the world; it is one of the leading causes of diarrhoeal disease in low- and middle-income countries, particularly in young children. The increasing reports of <i>Shigella</i> cases associated with anti-microbial resistance are an additional element of concern. Currently, there are no licensed vaccines widely available against <i>Shigella</i>, but several vaccine candidates are in development. It has been demonstrated that the incidence of disease decreases following a prior <i>Shigella</i> infection and that serum and mucosal antibody responses are predominantly directed against the serotype-specific <i>Shigella</i> O-antigen portion of lipopolysaccharide membrane molecules. Many <i>Shigella</i> vaccine candidates are indeed O-antigen-based. Here we present the journey towards the development of a potential low-cost four-component <i>Shigella</i> vaccine, eliciting broad protection against the most prevalent <i>Shigella</i> serotypes, that makes use of the GMMA (Generalized Modules for Membrane Antigens) technology, a novel platform based on bacterial outer membranes for delivery of the O-antigen to the immune system.
ISSN:2076-393X