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Vaccination approaches to combat human metapneumovirus lower respiratory tract infections

Session VI – Herfst, Sander

Title of Contribution: Vaccination approaches to combat human metapneumovirus lower respiratory tract infections
Author(s): S. Herfst1, M. de Graaf1, E.J.A. Schrauwen1, A.S. Barnes2, K. Senthil2, N.D. Ulbrandt2, B.G. Van den Hoogen1, R.L. de Swart1, A.D.M.E. Osterhaus1 and R.A.M. Fouchier1
Affiliation(s): 1Department of Virology, Erasmus MC, Rotterdam, The Netherlands and 2MedImmune, Inc., 1 MedImmune Way, Gaithersburg, MD 20878, USA

Abstract:
Human metapneumovirus (HMPV) was discovered in 2001 as a causative agent of respiratory disease in young children, immunocompromised individuals and the elderly. Clinical signs of HMPV infection range from mild respiratory illness to bronchiolitis and pneumonia. Two main genetic lineages of HMPV that circulate worldwide were found to be antigenically different, but antibodies against the F protein, the major determinant of protection, were shown to be cross-protective. We recently showed that infection with HMPV induces only transient protective immunity, which could impede vaccine development.
To date, several research groups have developed a variety of vaccine candidates, exploring different strategies that may be used to protect the different risk groups against HMPV-induced respiratory disease. The studies in rodent and non-human primate models look promising, but none of the vaccine candidates has been tested yet in human volunteers. We will discuss our results obtained with immunization experiments using live attenuated viruses and subunit vaccines in rodents and non-human primates. Furthermore we will give an overview of the immunogenicity and protective efficacy of a variety of live attenuated, virus vectored, inactivated virus and subunit vaccines that have been tested in animal models.


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