2020
DOI: 10.3390/vaccines8020217
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Acellular Pertussis Vaccine Components: Today and Tomorrow

Abstract: Pertussis is a highly communicable acute respiratory infection caused by Bordetella pertussis. Immunity is not lifelong after natural infection or vaccination. Pertussis outbreaks occur cyclically worldwide and effective vaccination strategies are needed to control disease. Whole-cell pertussis (wP) vaccines became available in the 1940s but have been replaced in many countries with acellular pertussis (aP) vaccines. This review summarizes disease epidemiology before and after the introduction of wP and aP vac… Show more

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Cited by 33 publications
(33 citation statements)
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“…These results demonstrate that aP vaccination fails to prevent nasopharyngeal colonization in this experimental system. This approach can measure the differences between wP and aP vaccines in this regard, providing an assay in which to evaluate various proposed new vaccines that might prevent colonization better than current aP vaccines (34,35).…”
Section: Vaccination Effects On Colonizationmentioning
confidence: 99%
“…These results demonstrate that aP vaccination fails to prevent nasopharyngeal colonization in this experimental system. This approach can measure the differences between wP and aP vaccines in this regard, providing an assay in which to evaluate various proposed new vaccines that might prevent colonization better than current aP vaccines (34,35).…”
Section: Vaccination Effects On Colonizationmentioning
confidence: 99%
“…A whole-cell pertussis vaccine that was introduced in the fifties of the previous century was effective but generated significant side effects. Therefore, it was replaced by subunit-based vaccines, which were shown to be safe and effective in inducing protective immunity [ 1 ]. However, particularly the industrialized countries, where these vaccines are in use, have witnessed a resurgence of pertussis in the past decades [ 2 ].…”
Section: Introductionmentioning
confidence: 99%
“…B. pertussis is the causative agent of whooping cough, which has reemerged as a public health threat despite broad vaccine coverage. The re-emergence of this pathogen has been correlated with the transition from the use of whole-cell pertussis vaccines to acellular component vaccines (Bart et al ., 2014; Melvin et al ., 2014) which usually contain up to 5 purified B. pertussis antigens, namely the pertussis toxin, (PT), Filamentous Hemagglutinin (FHA), Pertactin (PRN) and Fimbriae (FIM2 and FIM3) (Dewan et al ., 2020). Among this, the pertactin, a highly immunogenic outer membrane protein that promotes adhesion to tracheal epithelial cells (Inatsuka et al ., 2010), has been implicated in vaccine-driven evolution presenting different types of knock-out mutations in circulating strains.…”
Section: Resultsmentioning
confidence: 99%