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Pneumococcal carriage and serotype distribution in Portuguese children six months after the lifting of COVID-19 restrictions: rise in serotype 3 amid stable non-vaccine serotypes 解除COVID-19限制6个月后葡萄牙儿童肺炎球菌携带和血清型分布:在稳定的非疫苗血清型中,血清3型上升
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-02-02 DOI: 10.1016/j.vaccine.2026.128294
Sónia T. Almeida , A. Cristina Paulo , Alexandra S. Simões , Sara Handem , Bárbara Ferreira , Mariana F. Caleiro , Susana Morais , António-Brito Avô , Hermínia de Lencastre , Raquel Sá-Leão
Streptococcus pneumoniae remains a major cause of infectious disease globally, with young children serving as key reservoirs for transmission. This study evaluated pneumococcal carriage and serotype distribution among young children in Portugal, six months after the lifting of COVID-19 public health measures and seven years after the introduction of the 13-valent pneumococcal conjugate vaccine (PCV13) into the National Immunization Plan.
A cross-sectional study was conducted in late 2022 among children aged 18 months to 6 years attending day-care centers in an urban region. Saliva samples, vaccination records, and demographic/clinical data were collected. Pneumococcal carriage was determined by qPCR targeting lytA and piaB genes. Molecular serotyping of 65 serotypes/serogroups was performed. New primers/probes were designed and validated for serotypes/serogroups 5, 7A/F, 9A/V, 9N/L, 17F and 33A/F/37, expanding the range of serotypes that could be reliably identified.
Among 584 children, 34.9% were pneumococcal carriers. Carriage of PCV13 serotypes was low, except for serotypes 3 (7.8%) and 19F (5.4%). Among non-PCV13 serotypes, 23A (10.8%), 15B/C (10.3%), 23B (9.8%), and 11A/D (9.3%) were the most frequent. Theoretical coverage of PCV13, PCV15, and PCV20 was 17.6%, 23.0%, and 46.1%, respectively. Children 4–6 years were nearly 15 times more likely to carry PCV13 serotypes than those aged 18–24 months (p = 0.012).
Six months post-COVID-19 restrictions lifting, serotype distribution largely resembled the pre-pandemic period. Although saliva sampling had lower sensitivity than nasopharyngeal swabbing for estimating overall pneumococcal carriage prevalence, it was particularly useful to assess serotype distribution. Importantly, in a context where nasopharyngeal swabbing was met with reluctance, saliva sampling emerged as a practical, effective, and non-invasive alternative for pneumococcal serotype carriage surveillance.
肺炎链球菌仍然是全球传染病的一个主要病因,幼儿是传播的主要宿主。本研究评估了在取消COVID-19公共卫生措施6个月后,以及在将13价肺炎球菌结合疫苗(PCV13)引入国家免疫计划7年后,葡萄牙幼儿中的肺炎球菌携带情况和血清型分布。2022年底,在城市地区日托中心的18个月至6岁的儿童中进行了一项横断面研究。收集唾液样本、疫苗接种记录和人口统计学/临床数据。采用针对lytA和piaB基因的qPCR检测肺炎球菌携带情况。对65个血清型/血清组进行分子血清分型。针对血清型/血清组5、7A/F、9A/V、9N/L、17F和33A/F/37设计了新的引物/探针并进行了验证,扩大了可靠鉴定的血清型范围。584名儿童中34.9%为肺炎球菌携带者。除3型(7.8%)和19F型(5.4%)外,PCV13血清型携带率较低。在非pcv13血清型中,23A(10.8%)、15B/C(10.3%)、23B(9.8%)和11A/D(9.3%)最为常见。PCV13、PCV15和PCV20的理论覆盖率分别为17.6%、23.0%和46.1%。4-6岁儿童携带PCV13血清型的可能性是18-24个月儿童的近15倍(p = 0.012)。covid -19限制解除后6个月,血清型分布与大流行前基本相似。虽然唾液取样在估计肺炎球菌携带总体流行率方面的敏感性低于鼻咽拭子,但它对评估血清型分布特别有用。重要的是,在鼻咽拭子不情愿的情况下,唾液取样成为肺炎球菌血清型携带监测的一种实用、有效和非侵入性的替代方法。
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引用次数: 0
A point-mutated Ag85B antigen improves recombinant bacterial expression and protects mice from aerosol M. tuberculosis challenge 点突变Ag85B抗原改善重组细菌表达,保护小鼠免受气溶胶结核分枝杆菌攻击
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-02-02 DOI: 10.1016/j.vaccine.2026.128281
Wen-Ling Hsu , Yang Jiao , Matthew Hvasta , Kristina N. Tran , Brennen T. Troyer , Wei-Chiao Huang , Brian Kuhlman , Andres Obregon-Henao , Jonathan F. Lovell
Tuberculosis (TB) remains a global health problem, providing motivation for improved vaccine approaches, such as subunit vaccines targeting specific Mycobacterium tuberculosis (M. tuberculosis) antigens. Ag85B is a protein involved in cell wall biosynthesis, is abundant in M. tuberculosis culture supernatants, and has been incorporated in several TB vaccines candidates. We observed low expression yields of Ag85B when expressed recombinantly in E. coli using a histidine-tag purification approach. To address this, we utilized the ThermoMPNN protein structure algorithm to predict several stabilizing mutations in Ag85B. Of these, a single mutation, D52W, significantly enhanced expression yield in E. coli with good storage stability. Ag85B-52W exhibited rapid binding to liposomes incorporating cobalt-porphyrin via his-tag interaction, resulting in suppression in reactivity with an anti-his-tag antibody (due to anchoring of the his-tag in the bilayer), while the surface-displayed protein remained reactive towards anti-Ag85B antibodies. Immunization with Ag85B-52W in a liposomal vaccine elicited antigen-specific antibody and T cell responses, resulting in reduced lung bacterial burden in mice following aerosol M. tuberculosis challenge.

Significance statement

A point mutation in the M. tuberculosis Ag85B protein, predicted by ThermoMPNN algorithm, enhanced its antigen expression yield in E. coli with good storage stability. Immunization with the Ag85B mutant with a liposome vaccine system in mice resulted in antigen-specific humoral and cellular response that protected mice against M. tuberculosis infection. This approach could facilitate the use of recombinant Ag85B in TB vaccine development.
结核病(TB)仍然是一个全球性的健康问题,这为改进疫苗方法提供了动力,例如针对特定结核分枝杆菌(M. Tuberculosis)抗原的亚单位疫苗。Ag85B是一种参与细胞壁生物合成的蛋白质,在结核分枝杆菌培养上清液中含量丰富,并已被纳入几种结核候选疫苗中。我们观察到,使用组氨酸标签纯化方法在大肠杆菌中重组表达Ag85B时,其表达量很低。为了解决这个问题,我们使用了ThermoMPNN蛋白结构算法来预测Ag85B的几个稳定突变。其中,单突变D52W显著提高了大肠杆菌的表达量,并具有良好的储存稳定性。Ag85B-52W通过his-tag相互作用与含有钴卟啉的脂质体快速结合,导致与抗his-tag抗体的反应性抑制(由于his-tag在双分子层中锚定),而表面显示的蛋白质对抗ag85b抗体保持反应性。在脂质体疫苗中接种Ag85B-52W可引起抗原特异性抗体和T细胞反应,从而减少气溶胶结核分枝杆菌攻击后小鼠肺部细菌负荷。意义声明利用ThermoMPNN算法预测结核分枝杆菌Ag85B蛋白的一个点突变,提高了其抗原在大肠杆菌中的表达量,并具有良好的储存稳定性。用Ag85B突变体和脂质体疫苗系统免疫小鼠,可产生抗原特异性体液和细胞反应,保护小鼠免受结核分枝杆菌感染。这种方法可以促进重组Ag85B在结核病疫苗开发中的应用。
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引用次数: 0
Pharmacy access and shingles vaccinations in the US: a propensity score matching analysis 药房准入和带状疱疹疫苗接种在美国:倾向得分匹配分析
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-30 DOI: 10.1016/j.vaccine.2026.128256
Rachel Wittenauer , Parth D. Shah , Jennifer L. Bacci , Stephen J. Mooney , Andy Stergachis

Importance

Community pharmacists provide many important healthcare services, including routine adult vaccinations. However, an estimated 15.8 million people in the US live in pharmacy deserts and may lack access to these services. The relationship between pharmacy deserts and adult vaccine receipt has yet to be thoroughly explored empirically.

Objective

We evaluated the relationship between census tract-level pharmacy access and shingles vaccination receipt.

Design, setting, and participants

This propensity score matched analysis used 2022 vaccination data from seven collaborating State Departments of Health: Colorado, Louisiana, Massachusetts, Nevada, Oklahoma, Washington, and Wisconsin. Census tracts in those states were classified based on their access to community pharmacies in April 2022. The dataset for analysis contained 9652 census tracts representing 13.7 million adults aged 50+ years.

Exposure

Our primary exposure was whether a census tract was a “pharmacy desert”, defined as being both low-income and having low geographic access to pharmacies. Our secondary exposure was whether a tract had low geographic access to pharmacies regardless of income status of that tract.

Main outcomes

The primary outcome was completed shingles vaccinations per 1000 population age 50+ years in 2022.

Results

Pharmacy deserts had 0.4 fewer shingles vaccinations per 1000 population (p = 0.83; 95% CI -3.8, 3.6) compared to matched non-pharmacy-desert tracts. Our secondary analysis indicated that low-access tracts had 2.4 fewer vaccinations per 1000 population (p = 0.004, 95% CI: −3.9, −0.7).

Conclusions

Low pharmacy access is associated with lower rates of shingles vaccination. The definition of pharmacy desert that includes a low-income criterion may not add further precision in identifying areas with inadequate access to pharmacy-based vaccinations. Efforts at the state and national levels to prevent pharmacy closures and support pharmacists in delivering care may improve access to important pharmacy services such as vaccination.
社区药剂师提供许多重要的卫生保健服务,包括成人常规疫苗接种。然而,据估计,美国有1580万人生活在药房沙漠中,可能无法获得这些服务。药房荒漠与成人疫苗收货之间的关系还有待深入的实证研究。目的探讨人口普查基层药房可及性与带状疱疹疫苗接种率的关系。设计、设置和参与者该倾向评分匹配分析使用了来自七个合作州卫生部的2022年疫苗接种数据:科罗拉多州、路易斯安那州、马萨诸塞州、内华达州、俄克拉荷马州、华盛顿州和威斯康星州。这些州的人口普查区是根据他们在2022年4月获得社区药店的情况进行分类的。用于分析的数据集包含9652个人口普查区,代表1370万50岁以上的成年人。暴露我们的主要暴露是一个人口普查区是否是“药房沙漠”,定义为低收入和地理上难以获得药店。我们的二次暴露是,无论该地区的收入状况如何,该地区是否具有较低的药房地理可及性。主要结局:主要结局是2022年每1000名50岁以上人口完成带状疱疹疫苗接种。结果药房沙漠地区每1000人的带状疱疹疫苗接种率比非药房沙漠地区低0.4人(p = 0.83; 95% CI -3.8, 3.6)。我们的二次分析表明,低通道地区每1000人的疫苗接种率减少2.4次(p = 0.004, 95% CI: - 3.9, - 0.7)。结论药房可及性慢与带状疱疹疫苗接种率低有关。包括低收入标准的药房沙漠的定义可能无法进一步精确地确定无法充分获得基于药房的疫苗接种的地区。在州和国家一级防止药房关闭和支持药剂师提供护理的努力,可能会改善获得疫苗接种等重要药房服务的机会。
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引用次数: 0
Clinical and economic benefits of bivalent respiratory syncytial virus prefusion F (RSVpreF) maternal vaccine for prevention of RSV illness in infants: A cost-effectiveness analysis for Singapore 二价呼吸道合胞病毒预融合F (RSVpreF)母体疫苗预防婴儿呼吸道合胞病毒疾病的临床和经济效益:新加坡的成本效益分析
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-30 DOI: 10.1016/j.vaccine.2026.128285
Karan Thakkar , Rengina Kefalogianni , Jessie Zhang , Chee Fu Yung , Shephali Tagore , Pradip Dashraath , Amy W. Law , Diana Mendes

Background

Respiratory syncytial virus (RSV) is a leading cause of respiratory tract infections in children. A novel bivalent RSV prefusion F protein subunit (RSVpreF) vaccine has recently been approved by the Health Sciences Authority (HSA) in Singapore. This study estimated the clinical and economic impact of a year-round RSVpreF maternal vaccination program on the prevention of RSV among infants in Singapore.

Methods

A Markov cohort model was used to project clinical and economic outcomes of RSV from birth to one year of age for RSVpreF vaccine compared to no intervention. Analyses were conducted from the healthcare system perspective, with direct costs (2025 Singapore dollars [S$]) and outcomes discounted at 3% annually; scenario and sensitivity analyses tested the robustness of the model. Findings: Compared to no intervention, a year-round RSVpreF program with 80% coverage would prevent 308 hospitalizations and 1995 outpatient visits annually, averting S$2.15 million in direct medical costs and saving 29 quality-adjusted life years (QALYs). The RSVpreF vaccine would be cost-effective up to S$237.68/dose under a cost-effectiveness threshold of 1 x gross domestic product per capita (S$121,378) per QALY gained.

Interpretation

Year-round RSVpreF maternal vaccination would help reduce pressures on the healthcare system as well as reduce RSV's clinical and economic burden among infants in Singapore, and likely be a cost-effective program.
呼吸道合胞病毒(RSV)是儿童呼吸道感染的主要原因。最近,新加坡卫生科学管理局(HSA)批准了一种新型二价RSV预融合F蛋白亚基(RSVpreF)疫苗。本研究估计了新加坡全年RSV前疫苗接种计划对预防婴儿RSV的临床和经济影响。方法采用马尔可夫队列模型预测从出生到1岁接种RSV疫苗与不干预相比的临床和经济结果。从医疗保健系统的角度进行分析,直接成本(2025新加坡元[S$])和结果每年折现3%;情景分析和敏感性分析检验了模型的稳健性。研究结果:与不干预相比,覆盖率为80%的全年RSVpreF计划每年可预防308例住院和1995例门诊,避免215万新元的直接医疗费用,并节省29个质量调整生命年(QALYs)。按照每获得的质量质量的1倍人均国内生产总值(121,378新元)的成本效益门槛,RSVpreF疫苗的成本效益最高可达237.68新元/剂。全年RSV疫苗接种将有助于减轻医疗系统的压力,并减轻新加坡婴儿RSV的临床和经济负担,并且可能是一个具有成本效益的计划。
{"title":"Clinical and economic benefits of bivalent respiratory syncytial virus prefusion F (RSVpreF) maternal vaccine for prevention of RSV illness in infants: A cost-effectiveness analysis for Singapore","authors":"Karan Thakkar ,&nbsp;Rengina Kefalogianni ,&nbsp;Jessie Zhang ,&nbsp;Chee Fu Yung ,&nbsp;Shephali Tagore ,&nbsp;Pradip Dashraath ,&nbsp;Amy W. Law ,&nbsp;Diana Mendes","doi":"10.1016/j.vaccine.2026.128285","DOIUrl":"10.1016/j.vaccine.2026.128285","url":null,"abstract":"<div><h3>Background</h3><div>Respiratory syncytial virus (RSV) is a leading cause of respiratory tract infections in children. A novel bivalent RSV prefusion F protein subunit (RSVpreF) vaccine has recently been approved by the Health Sciences Authority (HSA) in Singapore. This study estimated the clinical and economic impact of a year-round RSVpreF maternal vaccination program on the prevention of RSV among infants in Singapore.</div></div><div><h3>Methods</h3><div>A Markov cohort model was used to project clinical and economic outcomes of RSV from birth to one year of age for RSVpreF vaccine compared to no intervention. Analyses were conducted from the healthcare system perspective, with direct costs (2025 Singapore dollars [S$]) and outcomes discounted at 3% annually; scenario and sensitivity analyses tested the robustness of the model. Findings: Compared to no intervention, a year-round RSVpreF program with 80% coverage would prevent 308 hospitalizations and 1995 outpatient visits annually, averting S$2.15 million in direct medical costs and saving 29 quality-adjusted life years (QALYs). The RSVpreF vaccine would be cost-effective up to S$237.68/dose under a cost-effectiveness threshold of 1 x gross domestic product per capita (S$121,378) per QALY gained.</div></div><div><h3>Interpretation</h3><div>Year-round RSVpreF maternal vaccination would help reduce pressures on the healthcare system as well as reduce RSV's clinical and economic burden among infants in Singapore, and likely be a cost-effective program.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"75 ","pages":"Article 128285"},"PeriodicalIF":4.5,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Protective properties of a candidate C-terminal domain OspA vaccine for prevention of Lyme disease 一种候选c端结构域OspA疫苗预防莱姆病的保护特性
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-29 DOI: 10.1016/j.vaccine.2026.128231
Monica E. Embers , Nicole R. Hasenkampf , Amanda C. Tardo , Yekaterina Timofeyeva , Sabine Wellnitz , Yan Li , Alexey Gribenko , Jeong-Jin Park , Alexandre Esadze , Sirena Tran , Jun Sun , Jill Dane , Donna Giordano-Schmidt , Guy Singh , Michelle Gaylord , Danielle Baranova , Andreas Meinke , Urban Lundberg , Romana Hochreiter , Sandra Jost , Raphael Simon
Lyme disease is a growing public health concern that is geographically focused in regions where ticks that carry the causative bacteria, Borrelia burgdorferi sensu lato (s.l.), are endemic. Outer surface protein A (OspA) is expressed by B. burgdorferi s.l. spirochetes during the tick phase and OspA antibodies introduced during tick feeding can block transmission and prevent B. burgdorferi infection. Candidate Lyme disease vaccine VLA15 is comprised of the C-terminal domains of the six B. burgdorferi s.l. OspA serotypes (ST) prevalent in North America and Europe. We report herein that non-human primates immunized with VLA15 were protected against challenge with Ixodes scapularis ticks bearing B. burgdorferi sensu stricto (s.s.) (OspA ST1). Levels of residual B. burgdorferi s.s. tick colonization were reduced in ticks that fed on VLA15-immunized primates compared to those immunized with full length-OspA ST1 (FL-OspA) at a point when OspA-binding IgG levels were similar. Furthermore, monoclonal antibodies targeting the C-terminal half of OspA, elicited by FL-OspA immunization in primates, were more effective at complement-mediated bactericidal killing in vitro and clearance of spirochetes in ticks versus those directed against other parts of the protein.
莱姆病是一个日益严重的公共卫生问题,在地理上主要集中在携带致病细菌伯氏疏螺旋体(s.l)的蜱虫流行的地区。外表面蛋白A (OspA)在蜱虫期由伯氏疏螺旋体表达,在蜱虫摄食过程中引入OspA抗体可阻断传播,预防伯氏疏螺旋体感染。候选莱姆病疫苗VLA15由流行于北美和欧洲的6种伯氏疏螺旋体(B. burgdorferi s.l. OspA)血清型(ST)的c端结构域组成。我们在此报告了用VLA15免疫的非人灵长类动物免受携带严格的伯氏疏螺旋体的肩胛骨伊蚊蜱的攻击。(OspA相约)。在ospa结合IgG水平相似的情况下,以vlad15免疫的灵长类动物为食的蜱与全长- ospa ST1 (FL-OspA)免疫的蜱的残余伯氏疏螺旋体定植水平降低。此外,在灵长类动物中,通过FL-OspA免疫引发的针对OspA c端一半的单克隆抗体,在补体介导的体外杀菌和蜱虫螺旋体清除方面比针对该蛋白其他部分的单克隆抗体更有效。
{"title":"Protective properties of a candidate C-terminal domain OspA vaccine for prevention of Lyme disease","authors":"Monica E. Embers ,&nbsp;Nicole R. Hasenkampf ,&nbsp;Amanda C. Tardo ,&nbsp;Yekaterina Timofeyeva ,&nbsp;Sabine Wellnitz ,&nbsp;Yan Li ,&nbsp;Alexey Gribenko ,&nbsp;Jeong-Jin Park ,&nbsp;Alexandre Esadze ,&nbsp;Sirena Tran ,&nbsp;Jun Sun ,&nbsp;Jill Dane ,&nbsp;Donna Giordano-Schmidt ,&nbsp;Guy Singh ,&nbsp;Michelle Gaylord ,&nbsp;Danielle Baranova ,&nbsp;Andreas Meinke ,&nbsp;Urban Lundberg ,&nbsp;Romana Hochreiter ,&nbsp;Sandra Jost ,&nbsp;Raphael Simon","doi":"10.1016/j.vaccine.2026.128231","DOIUrl":"10.1016/j.vaccine.2026.128231","url":null,"abstract":"<div><div>Lyme disease is a growing public health concern that is geographically focused in regions where ticks that carry the causative bacteria, <em>Borrelia burgdorferi</em> sensu lato (s.l.), are endemic. Outer surface protein A (OspA) is expressed by <em>B. burgdorferi</em> s.l. spirochetes during the tick phase and OspA antibodies introduced during tick feeding can block transmission and prevent <em>B. burgdorferi</em> infection. Candidate Lyme disease vaccine VLA15 is comprised of the C-terminal domains of the six <em>B. burgdorferi</em> s.l. OspA serotypes (ST) prevalent in North America and Europe. We report herein that non-human primates immunized with VLA15 were protected against challenge with <em>Ixodes scapularis</em> ticks bearing <em>B. burgdorferi</em> sensu stricto (s.s.) (OspA ST1). Levels of residual <em>B. burgdorferi</em> s.s. tick colonization were reduced in ticks that fed on VLA15-immunized primates compared to those immunized with full length-OspA ST1 (FL-OspA) at a point when OspA-binding IgG levels were similar. Furthermore, monoclonal antibodies targeting the C-terminal half of OspA, elicited by FL-OspA immunization in primates, were more effective at complement-mediated bactericidal killing <em>in vitro</em> and clearance of spirochetes in ticks versus those directed against other parts of the protein.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"75 ","pages":"Article 128231"},"PeriodicalIF":4.5,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to “Longitudinal monitoring of cellular immunity by the ex vivo activation of genes in leukocytes (EAGL) assay highlights potential markers of mRNA COVID-19 vaccine efficacy against breakthrough symptoms” [Vaccine 68 (2025) 127942] “通过白细胞中基因的体外激活纵向监测细胞免疫(EAGL)试验突出了mRNA - COVID-19疫苗对突破性症状有效性的潜在标记物”[疫苗68(2025)127942]的勘误表
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-29 DOI: 10.1016/j.vaccine.2026.128267
Taro Saito , Arnaud Couzinet , Toshihiro Suzuki , Manami Shimomura , Akihide Ryo , Kei Miyakawa , Yuki Katayama , Tetsuya Nakatsura
{"title":"Corrigendum to “Longitudinal monitoring of cellular immunity by the ex vivo activation of genes in leukocytes (EAGL) assay highlights potential markers of mRNA COVID-19 vaccine efficacy against breakthrough symptoms” [Vaccine 68 (2025) 127942]","authors":"Taro Saito ,&nbsp;Arnaud Couzinet ,&nbsp;Toshihiro Suzuki ,&nbsp;Manami Shimomura ,&nbsp;Akihide Ryo ,&nbsp;Kei Miyakawa ,&nbsp;Yuki Katayama ,&nbsp;Tetsuya Nakatsura","doi":"10.1016/j.vaccine.2026.128267","DOIUrl":"10.1016/j.vaccine.2026.128267","url":null,"abstract":"","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"75 ","pages":"Article 128267"},"PeriodicalIF":4.5,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidence and bacterial etiology of acute otitis media in children in the pneumococcal conjugate vaccine era: A systematic literature review and meta-analysis 肺炎球菌结合疫苗时代儿童急性中耳炎的发病率和细菌病因学:系统文献综述和荟萃分析
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-29 DOI: 10.1016/j.vaccine.2026.128270
Mejbah Uddin Bhuiyan , Gustavo Hernandez-Suarez , Tamara Pilishvili , Ben Mayer , Victoria Abbing-Karahagopian

Background

This systematic literature review (SLR) evaluated the incidence and bacterial etiology of acute otitis media (AOM) in children.

Methods

Epidemiological studies in English reporting on AOM incidence (published 2008–2023) or the distribution of Streptococcus pneumoniae (Spn) including serotypes, Haemophilus influenzae (Hi), and Moraxella catarrhalis (Mcat) in children (<18 years) with AOM (published 2010–2023) were identified from Embase, MEDLINE, LILACS, and SciELO databases. Random-effect models were used to determine the pooled AOM incidence rates (IR), pooled prevalence of each bacterium and individual serotypes/strains, and the corresponding 95% confidence intervals. When feasible, the estimates were stratified by age group, geographical location, and pneumococcal vaccination status. Heterogeneity was assessed by the I2 statistic.

Findings

The SLR identified 37 publications reporting on AOM incidence, of which 25 were included in the meta-analysis, and 34 publications reporting on prevalence of bacterial pathogens in middle ear fluid. AOM IRs (per 100 person-years) were 18.77 in ≤2-year-olds, 10.39 in >2 to ≤5-year-olds, and <3 in children aged >5 years. In ≤2-year-olds, AOM IR was 16.07 among those who received a pneumococcal conjugate vaccine (PCV) and 34.26 among those who did not. Among ≤2-year-olds, Hi contributed to 31.81% of AOM cases, followed by 19.35% for Spn, and 3.00% for Mcat. Across all ages, frequently reported Spn serotypes among Spn-AOM cases were 3 (10.81%), 19F (10.65%), 19A (10.43%), 23A (4.60%), 35B (4.38%), and 21 (3.23%) whereas 78.2% of Hi-AOM cases were caused by non-typeable Hi (NTHi).

Interpretation

A substantial AOM burden in children remains during the PCV era, with disproportionately higher incidence among children ≤2 years old. Select PCV- and non-PCV pneumococcal serotypes and NTHi have contributed significantly to the AOM burden. Vaccines offering improved protection against remaining PCV serotypes, emerging pneumococcal serotypes, and NTHi are needed to reduce the existing AOM burden in children.
本系统文献综述(SLR)评估了儿童急性中耳炎(AOM)的发病率和细菌病因。方法从Embase、MEDLINE、LILACS和SciELO数据库中选取2008-2023年发表的AOM发病率英文报告或2010-2023年发表的AOM患儿(18岁)肺炎链球菌(Spn)、流感嗜血杆菌(Hi)和卡他莫拉菌(Mcat)分布的流行病学研究。采用随机效应模型确定AOM的合并发病率(IR)、每种细菌和单个血清型/菌株的合并患病率以及相应的95%置信区间。在可行的情况下,根据年龄组、地理位置和肺炎球菌疫苗接种状况对估计进行分层。采用I2统计量评估异质性。研究结果:SLR确定了37篇报道AOM发病率的出版物,其中25篇被纳入荟萃分析,34篇报道中耳液中细菌病原体患病率的出版物。≤2岁儿童AOM ir(每100人年)为18.77,2 ~≤5岁儿童为10.39,5岁儿童为3。在≤2岁的儿童中,接种肺炎球菌结合疫苗(PCV)的AOM IR为16.07,未接种肺炎球菌结合疫苗的AOM IR为34.26。在≤2岁儿童中,Hi占AOM病例的31.81%,其次是Spn的19.35%,Mcat的3.00%。在所有年龄段中,Spn- aom病例中常见的Spn血清型为3(10.81%)、19F(10.65%)、19A(10.43%)、23A(4.60%)、35B(4.38%)和21(3.23%),而Hi- aom病例中78.2%是由无法分型的Hi (NTHi)引起的。在PCV时代,儿童的AOM负担仍然很大,≤2岁儿童的发病率不成比例地高。选择PCV和非PCV肺炎球菌血清型和NTHi对AOM负担有重大贡献。为减少儿童现有的AOM负担,需要能够更好地预防剩余PCV血清型、新出现的肺炎球菌血清型和NTHi的疫苗。
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引用次数: 0
Preliminary safety evaluation of a diphtheria, tetanus, acellular component pertussis, Sabin inactivated poliovirus and Haemophilus influenzae type b combination vaccine (DTacP-sIPV/Hib) 白喉、破伤风、百日咳、沙宾灭活脊髓灰质炎病毒和b型流感嗜血杆菌联合疫苗(DTacP-sIPV/Hib)的初步安全性评价
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-29 DOI: 10.1016/j.vaccine.2026.128277
Lukui Cai , Yixian Fu , Jingyan Li , Xiaoyu Wang , Yan Ma , Qin Gu , Qiuyan Ji , Guoyang Liao , Shengjie Ouyang , Hongbo Chen , Lujie Yang , Mingqing Wang , Wenzhu Hu , Hongwei Liao , Guang Ji , Jiana Wen , Na Gao , Lin Ping , Yuting Fu , Han Chu , Jingsi Yang
The DTacP-sIPV/Hib combination vaccine is designed to replace the separate administration of diphtheria, tetanus, acellular pertussis, poliomyelitis, and Haemophilus influenzae type b vaccines. By incorporating Sabin strain inactivated poliovirus, DTacP-sIPV/Hib offers advantages in biosafety and manufacturing cost. This study provides a preliminary evaluation of the preclinical safety of a novel DTacP-sIPV/Hib combination vaccine in three animal models.
Sprague-Dawley rats were randomly assigned to receive either DTacP-sIPV/Hib or saline by intramuscular injection and were monitored for 14 days for local reactions, body weight, and food intake, followed by necropsy and histopathological examination. Guinea pigs were allocated to negative control, positive control or vaccine groups and sensitized by three intramuscular injections on alternate days; animals were subsequently challenged and observed for allergic reactions. Japanese white rabbits were used in a bilateral self-controlled design, receiving vaccine in one quadriceps and saline in the contralateral side, with macroscopic and histopathological evaluation at 48 h and 16 days post-injection.
The candidate DTacP-sIPV/Hib vaccine induced only mild, transient, and reversible local reactions in SD rats and rabbits, indicating acceptable local tolerability under the conditions tested. No detectable effects on body weight or food intake were observed in rats, and no allergic reactions were induced in guinea pigs, suggesting no apparent systemic safety signals in these models. Overall, these findings provide supportive nonclinical safety evidence for the candidate DTacP-sIPV/Hib vaccine and may inform the design and risk assessment of subsequent clinical studies.
DTacP-sIPV/Hib联合疫苗旨在取代白喉、破伤风、无细胞百日咳、脊髓灰质炎和b型流感嗜血杆菌疫苗的单独接种。通过整合Sabin株灭活脊髓灰质炎病毒,DTacP-sIPV/Hib在生物安全性和制造成本方面具有优势。本研究在三种动物模型中对新型DTacP-sIPV/Hib联合疫苗的临床前安全性进行了初步评价。将Sprague-Dawley大鼠随机分配给注射DTacP-sIPV/Hib或肌肉注射生理盐水,监测14天的局部反应、体重和食物摄入量,然后进行尸检和组织病理学检查。将豚鼠分为阴性对照组、阳性对照组和疫苗组,隔日进行3次肌肉注射致敏;随后对动物进行刺激并观察过敏反应。采用双侧自我对照设计,日本大白兔单侧股四头肌注射疫苗,对侧注射生理盐水,分别于注射后48 h和16 d进行宏观和组织病理学评价。DTacP-sIPV/Hib候选疫苗仅在SD大鼠和家兔中引起轻度、短暂和可逆的局部反应,表明在测试条件下可接受的局部耐受性。在大鼠中未观察到对体重或食物摄入的可检测到的影响,在豚鼠中未引起过敏反应,表明这些模型中没有明显的系统性安全信号。总的来说,这些发现为候选DTacP-sIPV/Hib疫苗提供了支持性的非临床安全性证据,并可能为后续临床研究的设计和风险评估提供信息。
{"title":"Preliminary safety evaluation of a diphtheria, tetanus, acellular component pertussis, Sabin inactivated poliovirus and Haemophilus influenzae type b combination vaccine (DTacP-sIPV/Hib)","authors":"Lukui Cai ,&nbsp;Yixian Fu ,&nbsp;Jingyan Li ,&nbsp;Xiaoyu Wang ,&nbsp;Yan Ma ,&nbsp;Qin Gu ,&nbsp;Qiuyan Ji ,&nbsp;Guoyang Liao ,&nbsp;Shengjie Ouyang ,&nbsp;Hongbo Chen ,&nbsp;Lujie Yang ,&nbsp;Mingqing Wang ,&nbsp;Wenzhu Hu ,&nbsp;Hongwei Liao ,&nbsp;Guang Ji ,&nbsp;Jiana Wen ,&nbsp;Na Gao ,&nbsp;Lin Ping ,&nbsp;Yuting Fu ,&nbsp;Han Chu ,&nbsp;Jingsi Yang","doi":"10.1016/j.vaccine.2026.128277","DOIUrl":"10.1016/j.vaccine.2026.128277","url":null,"abstract":"<div><div>The DTacP-sIPV/Hib combination vaccine is designed to replace the separate administration of diphtheria, tetanus, acellular pertussis, poliomyelitis, and <em>Haemophilus influenzae</em> type b vaccines. By incorporating Sabin strain inactivated poliovirus, DTacP-sIPV/Hib offers advantages in biosafety and manufacturing cost. This study provides a preliminary evaluation of the preclinical safety of a novel DTacP-sIPV/Hib combination vaccine in three animal models.</div><div>Sprague-Dawley rats were randomly assigned to receive either DTacP-sIPV/Hib or saline by intramuscular injection and were monitored for 14 days for local reactions, body weight, and food intake, followed by necropsy and histopathological examination. Guinea pigs were allocated to negative control, positive control or vaccine groups and sensitized by three intramuscular injections on alternate days; animals were subsequently challenged and observed for allergic reactions. Japanese white rabbits were used in a bilateral self-controlled design, receiving vaccine in one quadriceps and saline in the contralateral side, with macroscopic and histopathological evaluation at 48 h and 16 days post-injection.</div><div>The candidate DTacP-sIPV/Hib vaccine induced only mild, transient, and reversible local reactions in SD rats and rabbits, indicating acceptable local tolerability under the conditions tested. No detectable effects on body weight or food intake were observed in rats, and no allergic reactions were induced in guinea pigs, suggesting no apparent systemic safety signals in these models. Overall, these findings provide supportive nonclinical safety evidence for the candidate DTacP-sIPV/Hib vaccine and may inform the design and risk assessment of subsequent clinical studies.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"75 ","pages":"Article 128277"},"PeriodicalIF":4.5,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Single-dose mSEB–mi3 nanoparticle vaccine elicits robust humoral immunity and protects mice against SEB intoxication and MRSA infection 单剂量mSEB-mi3纳米颗粒疫苗可引起强大的体液免疫,保护小鼠免受SEB中毒和MRSA感染
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-29 DOI: 10.1016/j.vaccine.2026.128245
Ziyi Liao , Meilin Wu , Yuan Chen , Zifan Zhu , Yuhang Li , Qijun Mei , Bo Huang , Xin Cheng , Yi Zhang , Hao Zeng , Daiyuan Ma , Jiang Gu
Staphylococcus aureus (SA) causes severe hospital-and community-acquired infections, yet no vaccine is licensed. Staphylococcal enterotoxin B (SEB) is a conserved virulence factor and a key target for vaccine development. However, SEB protein subunit vaccines often suffer from limited immunogenicity. Self-assembling mi3 nanoparticles provide an efficient antigen display platform and could overcome subunit limitations. We engineered a nanoparticle vaccine by displaying detoxified mutant SEB (L45R, Y89A, Y94A) on mi3 scaffold (mSEB-mi3). Biophysical characterization confirmed stable, uniform particles with efficient antigen conjugation. We compared adjuvants (ALPO4, CpG ODN1018, AS01, MF59) in mice, assessing dendritic cell (DC) uptake/maturation, humoral responses, and protection against in SEB intoxication and methicillin-resistant SA (MRSA) ST59 infection models, alongside safety evaluations. We successfully produced a uniform and stable mSEB-mi3 nanoparticle. The mSEB-mi3 markedly improves dendritic-cell uptake and maturation and drives rapid, high, and durable antibody responses with balanced IgG1/IgG2a isotypes. Functionally, a single intramuscular dose confers strong protection against both SEB intoxication and SA ST59 challenge. In addition, safety profiles were acceptable across hematology, chemistry, cytotoxicity, and histopathology. These results identify mSEB-mi3 as a promising and scalable nanoparticle vaccine against SA and SEB toxin. The findings support further studies of durability, strain breadth, and translational development.
金黄色葡萄球菌(SA)引起严重的医院和社区获得性感染,但没有疫苗获得许可。葡萄球菌肠毒素B (SEB)是一种保守的毒力因子,是疫苗开发的关键靶点。然而,SEB蛋白亚单位疫苗的免疫原性往往有限。自组装纳米粒子mi3提供了一个有效的抗原展示平台,可以克服亚基限制。我们通过在mi3支架(mSEB-mi3)上展示脱毒突变体SEB (L45R, Y89A, Y94A)来设计纳米颗粒疫苗。生物物理特性证实稳定、均匀的颗粒具有有效的抗原偶联。我们比较了佐剂(ALPO4, CpG ODN1018, AS01, MF59)在小鼠中的作用,评估了树突状细胞(DC)摄取/成熟,体液反应,以及对SEB中毒和耐甲氧西林SA (MRSA) ST59感染模型的保护作用,以及安全性评估。我们成功制备了均匀稳定的mSEB-mi3纳米颗粒。mSEB-mi3显著改善树突状细胞的摄取和成熟,并驱动具有平衡的IgG1/IgG2a同型的快速、高和持久的抗体反应。从功能上讲,单次肌内注射对SEB中毒和SA ST59攻击具有很强的保护作用。此外,安全性在血液学、化学、细胞毒性和组织病理学中均可接受。这些结果确定mSEB-mi3是一种有前途的、可扩展的抗SA和SEB毒素的纳米颗粒疫苗。这些发现支持了耐久性、应变宽度和转化发展的进一步研究。
{"title":"Single-dose mSEB–mi3 nanoparticle vaccine elicits robust humoral immunity and protects mice against SEB intoxication and MRSA infection","authors":"Ziyi Liao ,&nbsp;Meilin Wu ,&nbsp;Yuan Chen ,&nbsp;Zifan Zhu ,&nbsp;Yuhang Li ,&nbsp;Qijun Mei ,&nbsp;Bo Huang ,&nbsp;Xin Cheng ,&nbsp;Yi Zhang ,&nbsp;Hao Zeng ,&nbsp;Daiyuan Ma ,&nbsp;Jiang Gu","doi":"10.1016/j.vaccine.2026.128245","DOIUrl":"10.1016/j.vaccine.2026.128245","url":null,"abstract":"<div><div><em>Staphylococcus aureus</em> (SA) causes severe hospital-and community-acquired infections, yet no vaccine is licensed. Staphylococcal enterotoxin B (SEB) is a conserved virulence factor and a key target for vaccine development. However, SEB protein subunit vaccines often suffer from limited immunogenicity. Self-assembling mi3 nanoparticles provide an efficient antigen display platform and could overcome subunit limitations. We engineered a nanoparticle vaccine by displaying detoxified mutant SEB (L45R, Y89A, Y94A) on mi3 scaffold (mSEB-mi3). Biophysical characterization confirmed stable, uniform particles with efficient antigen conjugation. We compared adjuvants (ALPO4, CpG ODN1018, AS01, MF59) in mice, assessing dendritic cell (DC) uptake/maturation, humoral responses, and protection against in SEB intoxication and methicillin-resistant SA (MRSA) ST59 infection models, alongside safety evaluations. We successfully produced a uniform and stable mSEB-mi3 nanoparticle. The mSEB-mi3 markedly improves dendritic-cell uptake and maturation and drives rapid, high, and durable antibody responses with balanced IgG1/IgG2a isotypes. Functionally, a single intramuscular dose confers strong protection against both SEB intoxication and SA ST59 challenge. In addition, safety profiles were acceptable across hematology, chemistry, cytotoxicity, and histopathology. These results identify mSEB-mi3 as a promising and scalable nanoparticle vaccine against SA and SEB toxin. The findings support further studies of durability, strain breadth, and translational development.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"75 ","pages":"Article 128245"},"PeriodicalIF":4.5,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and efficacy test of a live, attenuated Mycoplasma hyorhinis vaccine candidate strain 猪支原体减毒活疫苗候选株的研制及效力试验
IF 4.5 3区 医学 Q2 IMMUNOLOGY Pub Date : 2026-01-29 DOI: 10.1016/j.vaccine.2026.128278
Eszter Zsófia Nagy , Levente Szeredi , Dorottya Földi , Nikolett Belecz , Áron Botond Kovács , Kinga Mária Sulyok , Dénes Grózner , Enikő Wehmann , Krisztián Bányai , Szilvia Marton , Miklós Tenk , Zsuzsa Kreizinger , Miklós Gyuranecz

Background

Mycoplasma (M.) hyorhinis causes substantial economic losses in swine. Currently, prevention and treatment rely on minimizing risk factors and administering antibiotics, as no vaccines are commercially available in Europe. However, antibiotics often cannot fully eliminate the bacteria. The development of an effective vaccine could lead to a potentially long-term control method.

Materials and methods

A temperature-sensitive M. hyorhinis strain was developed using 1-methyl-3-nitro-1-nitrosoguanidine (NTG) mutagenesis. The immunogenicity and efficacy of this vaccine candidate clone were evaluated in combination with an adjuvant. Three-week-old piglets were immunized with the candidate vaccine strain, and the vaccination site was monitored daily. At six weeks of age, the pigs were challenged intravenously on two subsequent days. Daily clinical examinations were conducted, with blood and nasal swabs collected weekly throughout the study for M. hyorhinis enzyme-linked immunosorbent assay (ELISA), real-time PCR analysis, and isolation. Three weeks post-challenge, the animals were euthanized for gross and histopathological examinations. Body temperature was recorded daily, and body weight was measured upon arrival, and then at six and nine weeks of age.

Results

Vaccination significantly reduced clinical signs (p = 0.03), as well as gross pathological (p = 0.01) and histopathological (p = 0.005) lesions compared with the positive control group. The vaccinated group exhibited an earlier and higher increase in M. hyorhinis-specific IgG antibody levels post-challenge than the positive control group. However, the vaccine candidate did not mitigate the impact of M. hyorhinis infection on the weight gain. After the challenge (days 21–42), both the vaccinated (p = 0.001) and the positive control (p = 0.003) groups exhibited reduced weight gain compared with the negative control group.

Discussion

Overall, the attenuated M. hyorhinis strain, combined with the adjuvant, provided protection against M. hyorhinis infection. These results form a basis for the development of a novel vaccine candidate that offers effective prevention.
猪支原体(支原体)对猪造成了巨大的经济损失。目前,预防和治疗依赖于尽量减少风险因素和使用抗生素,因为欧洲没有商业化的疫苗。然而,抗生素往往不能完全消除细菌。有效疫苗的开发可能导致潜在的长期控制方法。材料与方法利用1-甲基-3-硝基-1-亚硝基胍(NTG)诱变技术,培养了一株温度敏感的嗜疫分枝杆菌。该疫苗候选克隆与一种佐剂联合使用,评价了其免疫原性和效力。采用候选疫苗株对3周龄仔猪进行免疫,每日监测接种部位。在6周龄时,猪在随后的两天内静脉注射。每天进行临床检查,在整个研究过程中每周采集血液和鼻拭子进行鼻咽支原体酶联免疫吸附试验(ELISA)、实时PCR分析和分离。三周后,对动物实施安乐死,进行大体和组织病理学检查。每天记录体温,出生时测量体重,然后在6和9周龄时测量体重。结果与阳性对照组相比,接种疫苗显著减少了临床症状(p = 0.03),显著减少了大体病理(p = 0.01)和组织病理(p = 0.005)病变。与阳性对照组相比,接种疫苗组在攻毒后表现出更早和更高的缩喉支原体特异性IgG抗体水平升高。然而,候选疫苗并没有减轻猪链球菌感染对体重增加的影响。攻毒后(第21-42天),与阴性对照组相比,接种疫苗组(p = 0.001)和阳性对照组(p = 0.003)的体重增加都有所减少。总之,减毒后的猪支原体与佐剂结合,对猪支原体感染提供了保护。这些结果为开发一种新型候选疫苗提供了有效预防的基础。
{"title":"Development and efficacy test of a live, attenuated Mycoplasma hyorhinis vaccine candidate strain","authors":"Eszter Zsófia Nagy ,&nbsp;Levente Szeredi ,&nbsp;Dorottya Földi ,&nbsp;Nikolett Belecz ,&nbsp;Áron Botond Kovács ,&nbsp;Kinga Mária Sulyok ,&nbsp;Dénes Grózner ,&nbsp;Enikő Wehmann ,&nbsp;Krisztián Bányai ,&nbsp;Szilvia Marton ,&nbsp;Miklós Tenk ,&nbsp;Zsuzsa Kreizinger ,&nbsp;Miklós Gyuranecz","doi":"10.1016/j.vaccine.2026.128278","DOIUrl":"10.1016/j.vaccine.2026.128278","url":null,"abstract":"<div><h3>Background</h3><div><em>Mycoplasma</em> (<em>M</em>.) <em>hyorhinis</em> causes substantial economic losses in swine. Currently, prevention and treatment rely on minimizing risk factors and administering antibiotics, as no vaccines are commercially available in Europe. However, antibiotics often cannot fully eliminate the bacteria. The development of an effective vaccine could lead to a potentially long-term control method.</div></div><div><h3>Materials and methods</h3><div>A temperature-sensitive <em>M. hyorhinis</em> strain was developed using 1-methyl-3-nitro-1-nitrosoguanidine (NTG) mutagenesis. The immunogenicity and efficacy of this vaccine candidate clone were evaluated in combination with an adjuvant. Three-week-old piglets were immunized with the candidate vaccine strain, and the vaccination site was monitored daily. At six weeks of age, the pigs were challenged intravenously on two subsequent days. Daily clinical examinations were conducted, with blood and nasal swabs collected weekly throughout the study for <em>M. hyorhinis</em> enzyme-linked immunosorbent assay (ELISA), real-time PCR analysis, and isolation. Three weeks post-challenge, the animals were euthanized for gross and histopathological examinations. Body temperature was recorded daily, and body weight was measured upon arrival, and then at six and nine weeks of age.</div></div><div><h3>Results</h3><div>Vaccination significantly reduced clinical signs (<em>p</em> = 0.03), as well as gross pathological (<em>p</em> = 0.01) and histopathological (<em>p</em> = 0.005) lesions compared with the positive control group. The vaccinated group exhibited an earlier and higher increase in <em>M. hyorhinis</em>-specific IgG antibody levels post-challenge than the positive control group. However, the vaccine candidate did not mitigate the impact of <em>M. hyorhinis</em> infection on the weight gain. After the challenge (days 21–42), both the vaccinated (<em>p</em> = 0.001) and the positive control (<em>p</em> = 0.003) groups exhibited reduced weight gain compared with the negative control group.</div></div><div><h3>Discussion</h3><div>Overall, the attenuated <em>M. hyorhinis</em> strain, combined with the adjuvant, provided protection against <em>M. hyorhinis</em> infection. These results form a basis for the development of a novel vaccine candidate that offers effective prevention.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"75 ","pages":"Article 128278"},"PeriodicalIF":4.5,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Vaccine
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