2000
DOI: 10.1016/s0928-8244(99)00214-x
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Recombinant live Salmonella spp. 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. ß

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Cited by 29 publications
(25 citation statements)
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“…Several attenuated Salmonella typhi oral vaccines have been constructed to serve as vectors for heterologous antigens, including but not limited to antigens of Shigella sonnei, Escherichia coli, Vibrio cholerae, Bordetella pertussis, Plasmodium falciparum, B. anthracis, Helicobacter pylori, and Listeria monocytogens (63)(64)(65)(66)(67)(68). As a vaccine against typhoid fever, Salmonella typhi Ty21a is a widely used licensed live vaccine that is exceedingly safe but requires three to four immunizations to induce long-term (at least 6-7 years) protective immunity in two thirds of immunized individuals (69).…”
Section: Salmonella: a Vaccine Vectormentioning
confidence: 99%
“…Several attenuated Salmonella typhi oral vaccines have been constructed to serve as vectors for heterologous antigens, including but not limited to antigens of Shigella sonnei, Escherichia coli, Vibrio cholerae, Bordetella pertussis, Plasmodium falciparum, B. anthracis, Helicobacter pylori, and Listeria monocytogens (63)(64)(65)(66)(67)(68). As a vaccine against typhoid fever, Salmonella typhi Ty21a is a widely used licensed live vaccine that is exceedingly safe but requires three to four immunizations to induce long-term (at least 6-7 years) protective immunity in two thirds of immunized individuals (69).…”
Section: Salmonella: a Vaccine Vectormentioning
confidence: 99%
“…This approach reveals strong differences in immunogenicity but yields no data on the minimum dose that is required to induce an efficient immune response. Adverse effects generally increase with higher vaccine doses, and this is also true for Salmonella-based vaccines (6,44,45). Hence, it is especially important to aim for Salmonella constructs that induce sufficient responses at a low inoculum size.…”
mentioning
confidence: 98%
“…strains that express foreign antigens are promising oral vaccines (6,30,41). Among the many parameters that have been shown to influence their efficacy, regulated antigen expression appears to have particularly strong effects (3,4,9,10,19,26,32,34,35,37,39,43).…”
mentioning
confidence: 99%
“…There have been limited investigations of the use of Ty21a as a carrier for heterologous proteins. The induction of specific antibody responses by Ty21a expressing surface-displayed viral antigens (23) or hemolysin (16) was reported in the mouse nasal model, while no humoral response but some specific T-cell responses were reported after oral vaccination of human volunteers with Ty21a expressing H. pylori urease (9,30).…”
mentioning
confidence: 99%