New Insights on Respiratory Syncytial Virus Prevention

Respiratory syncytial virus (RSV) is a well-known infant pathogen transmitted mainly by droplets. It is a leading cause of upper respiratory tract infections in children, usually with a mild course of illness. RSV has also been a threat to older people, especially those with underlying medical condi...

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Main Authors: Edyta Kopera, Hanna Czajka, Paweł Zapolnik, Artur Mazur
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/12/1797
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author Edyta Kopera
Hanna Czajka
Paweł Zapolnik
Artur Mazur
author_facet Edyta Kopera
Hanna Czajka
Paweł Zapolnik
Artur Mazur
author_sort Edyta Kopera
collection DOAJ
description Respiratory syncytial virus (RSV) is a well-known infant pathogen transmitted mainly by droplets. It is a leading cause of upper respiratory tract infections in children, usually with a mild course of illness. RSV has also been a threat to older people, especially those with underlying medical conditions. For a long time, prevention was limited to passive immunoprophylaxis with palivizumab for high-risk infants. There was a strong need to find other treatment or prevention methods against RSV infections. In addition, after the coronavirus disease 2019 (COVID-19) pandemic, some significant changes in RSV epidemiology have been observed. Researchers noticed the shift in RSV seasonality and age distribution and the increased number of cases in older infants and adults. All of these made the need to find other medical options even stronger. Fortunately, two protein-based vaccines against RSV have successfully passed all phases of clinical trials and have been approved for use by adults and older people. One of them is also approved for infants from birth to 6 months of age (after maternal immunisation during pregnancy) and for pregnant women between 24 and 36 weeks of pregnancy. Also, a new passive immunisation option named nirsevimab (a highly potent monoclonal antibody with a long half-life) is now available for the paediatric group. In this review, we will discuss the previous and current RSV prevention methods in the light of structural discoveries of RSV antigens.
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spelling doaj.art-fd4a4d5df6f346c59537a7e90a34c4a32023-12-22T14:47:10ZengMDPI AGVaccines2076-393X2023-11-011112179710.3390/vaccines11121797New Insights on Respiratory Syncytial Virus PreventionEdyta Kopera0Hanna Czajka1Paweł Zapolnik2Artur Mazur3College of Medical Sciences, University of Rzeszów, 35-315 Rzeszów, PolandCollege of Medical Sciences, University of Rzeszów, 35-315 Rzeszów, PolandCollege of Medical Sciences, University of Rzeszów, 35-315 Rzeszów, PolandCollege of Medical Sciences, University of Rzeszów, 35-315 Rzeszów, PolandRespiratory syncytial virus (RSV) is a well-known infant pathogen transmitted mainly by droplets. It is a leading cause of upper respiratory tract infections in children, usually with a mild course of illness. RSV has also been a threat to older people, especially those with underlying medical conditions. For a long time, prevention was limited to passive immunoprophylaxis with palivizumab for high-risk infants. There was a strong need to find other treatment or prevention methods against RSV infections. In addition, after the coronavirus disease 2019 (COVID-19) pandemic, some significant changes in RSV epidemiology have been observed. Researchers noticed the shift in RSV seasonality and age distribution and the increased number of cases in older infants and adults. All of these made the need to find other medical options even stronger. Fortunately, two protein-based vaccines against RSV have successfully passed all phases of clinical trials and have been approved for use by adults and older people. One of them is also approved for infants from birth to 6 months of age (after maternal immunisation during pregnancy) and for pregnant women between 24 and 36 weeks of pregnancy. Also, a new passive immunisation option named nirsevimab (a highly potent monoclonal antibody with a long half-life) is now available for the paediatric group. In this review, we will discuss the previous and current RSV prevention methods in the light of structural discoveries of RSV antigens.https://www.mdpi.com/2076-393X/11/12/1797RSVpreventionimmunoprophylaxisvaccinesmonoclonal antibody
spellingShingle Edyta Kopera
Hanna Czajka
Paweł Zapolnik
Artur Mazur
New Insights on Respiratory Syncytial Virus Prevention
Vaccines
RSV
prevention
immunoprophylaxis
vaccines
monoclonal antibody
title New Insights on Respiratory Syncytial Virus Prevention
title_full New Insights on Respiratory Syncytial Virus Prevention
title_fullStr New Insights on Respiratory Syncytial Virus Prevention
title_full_unstemmed New Insights on Respiratory Syncytial Virus Prevention
title_short New Insights on Respiratory Syncytial Virus Prevention
title_sort new insights on respiratory syncytial virus prevention
topic RSV
prevention
immunoprophylaxis
vaccines
monoclonal antibody
url https://www.mdpi.com/2076-393X/11/12/1797
work_keys_str_mv AT edytakopera newinsightsonrespiratorysyncytialvirusprevention
AT hannaczajka newinsightsonrespiratorysyncytialvirusprevention
AT pawełzapolnik newinsightsonrespiratorysyncytialvirusprevention
AT arturmazur newinsightsonrespiratorysyncytialvirusprevention