PMID- 27171854 OWN - NLM STAT- MEDLINE DCOM- 20171023 LR - 20181113 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 12 IP - 9 DP - 2016 Sep TI - Why we need a vaccine for non-typeable Haemophilus influenzae. PG - 2357-61 LID - 10.1080/21645515.2016.1174354 [doi] AB - Nontypeable Haemophilus influenzae (NTHi) is increasingly recognized as emerging pathogen. The routine immunization of infants with conjugated vaccines against H. influenzae type b (Hib) has greatly reduced the incidence of invasive Hib disease; however a marked change in the predominant invasive serotype from Hib to NTHi has occurred. Localized infections where the role of H. influenzae is important, such as otitis media in children and acute exacerbations in chronic obstructive pulmonary disease (COPD) in adults, are almost exclusively associated with NTHi isolates. The implementation of pneumococcal conjugate vaccines has resulted in changes in frequency of nasopharynx colonizing pathogens with an increase of NTHi, although this data is yet under debate. An effective vaccine against NTHi is not currently available. The major challenge in developing a successful vaccine is the intrinsic heterogeneity of NTHi. H. influenzae protein D is used as carrier protein in the licensed 10-valent pneumococcal conjugate vaccine (Synflorix, GlaxoSmithKline), but no robust evidences for protective efficacy against NTHi otitis have been until now obtained. Several other vaccine candidates are under investigations and we hope that significant advancements in vaccine development will be achieved in the next future. Genome-based vaccine strategy might provide an additional useful tool for discovering further vaccine antigens. FAU - Cerquetti, Marina AU - Cerquetti M AD - a Department of Infectious , Parasitic and Immune-Mediated Diseases , Istituto Superiore di Sanita , Rome , Italy. FAU - Giufre, Maria AU - Giufre M AD - a Department of Infectious , Parasitic and Immune-Mediated Diseases , Istituto Superiore di Sanita , Rome , Italy. LA - eng PT - Journal Article DEP - 20160512 PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (Haemophilus Vaccines) SB - IM MH - Adult MH - Child MH - Child, Preschool MH - Female MH - Haemophilus Infections/*epidemiology/microbiology/*prevention & control MH - Haemophilus Vaccines/*immunology/*isolation & purification MH - Haemophilus influenzae/*classification/*immunology/isolation & purification MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Pregnancy PMC - PMC5027700 OTO - NOTNLM OT - chronic obstructive pulmonary disease OT - invasive disease OT - nasopharyngeal carriage OT - nontypeable Haemophilus influenzae OT - oropharyngeal carriage OT - otitis media OT - respiratory tract infections OT - vaccine against nontypeable H. influenzae EDAT- 2016/05/14 06:00 MHDA- 2017/10/24 06:00 PMCR- 2017/05/12 CRDT- 2016/05/13 06:00 PHST- 2016/05/13 06:00 [entrez] PHST- 2016/05/14 06:00 [pubmed] PHST- 2017/10/24 06:00 [medline] PHST- 2017/05/12 00:00 [pmc-release] AID - 1174354 [pii] AID - 10.1080/21645515.2016.1174354 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2016 Sep;12(9):2357-61. doi: 10.1080/21645515.2016.1174354. Epub 2016 May 12.