2000
DOI: 10.1111/j.1574-695x.2000.tb01450.x
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Recombinant liveSalmonellaspp. for human vaccination against heterologous pathogens

Abstract: Live attenuated Salmonella spp. are promising candidates as oral vaccine delivery systems for heterologous antigens. Clinical trials have demonstrated that this approach is feasible for human vaccinations but further optimisation is necessary to obtain a better efficacy. Here, we discuss how existing clinical and pre-clinical data can be used to guide such optimisation efforts.

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Cited by 52 publications
(4 citation statements)
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“…In addition, differences in immunogenicity between fur mutants of S. Typhimurium and S. Gallinarum may also be explained by the fact that the disease caused by S. Typhimurium in mice is not exactly the same as that caused by S. Gallinarum in chickens. Support for this view comes from observations that mutations that completely attenuate S. Typhimurium are often insufficiently attenuating for S. enterica serovar Typhi in humans (47,48). Since S. Gallinarum and S. Typhi are strictly host-adapted serovars, the mechanisms of their pathogenesis are different from those of the broad-host range S. Typhimurium.…”
Section: Discussionmentioning
confidence: 95%
“…In addition, differences in immunogenicity between fur mutants of S. Typhimurium and S. Gallinarum may also be explained by the fact that the disease caused by S. Typhimurium in mice is not exactly the same as that caused by S. Gallinarum in chickens. Support for this view comes from observations that mutations that completely attenuate S. Typhimurium are often insufficiently attenuating for S. enterica serovar Typhi in humans (47,48). Since S. Gallinarum and S. Typhi are strictly host-adapted serovars, the mechanisms of their pathogenesis are different from those of the broad-host range S. Typhimurium.…”
Section: Discussionmentioning
confidence: 95%
“…Since orally administered live attenuated Salmonella spp. that express heterologous antigens are safe and highly immunogenic, they are promising candidates; they can elicit prolonged, protective, systemic, and mucosal immune responses against the heterologous pathogen (67). …”
Section: Live Non-pathogenic Vaccinesmentioning
confidence: 99%
“…In almost all cases, this evidence indicates expression of the respective antigens at least at some stage of the infection. Virulence phenotypes in human beings are also available in a few cases from vaccine trials with live attenuated Salmonella strains (2022). These scarce human data are largely consistent with observations for the corresponding Salmonella mutants in the mouse model, but systematic comparisons are currently impossible due to the lack of human data for most potential virulence factors.…”
Section: Antigen Expression In Host Tissuesmentioning
confidence: 99%