PMID- 28525878 OWN - NLM STAT- MEDLINE DCOM- 20180226 LR - 20191008 IS - 1879-6265 (Electronic) IS - 1879-6257 (Print) IS - 1879-6257 (Linking) VI - 23 DP - 2017 Apr TI - Vaccine development for respiratory syncytial virus. PG - 107-112 LID - S1879-6257(16)30170-5 [pii] LID - 10.1016/j.coviro.2017.03.012 [doi] AB - Respiratory syncytial virus (RSV) is an important and ubiquitous respiratory pathogen for which no vaccine is available notwithstanding more than 50 years of effort. It causes the most severe disease at the extremes of age and in settings of immunodeficiency. Although RSV is susceptible to neutralizing antibody, it has evolved multiple mechanisms of immune evasion allowing it to repeatedly infect people despite relatively little genetic diversity. Recent breakthroughs in determining the structure and antigenic content of the fusion (F) glycoprotein in its metastable untriggered prefusion form (pre-F) and the stable rearranged postfusion form (post-F) have yielded vaccine strategies that can induce potent neutralizing antibody responses and effectively boost pre-existing neutralizing activity. In parallel, novel live-attenuated and chimeric virus vaccine candidates and other novel approaches to deliver vaccine antigens have been developed. These events and activities have aroused optimism and a robust pipeline of potential vaccine products that promise to provide a means to reduce the public health burden of RSV infection. CI - Published by Elsevier B.V. FAU - Graham, Barney S AU - Graham BS AD - Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, United States. Electronic address: bgraham@nih.gov. LA - eng GR - ZIA AI005129-01/Intramural NIH HHS/United States PT - Journal Article PT - Review DEP - 20170516 PL - Netherlands TA - Curr Opin Virol JT - Current opinion in virology JID - 101560941 RN - 0 (Antibodies, Neutralizing) RN - 0 (Antibodies, Viral) RN - 0 (F protein, human respiratory syncytial virus) RN - 0 (Respiratory Syncytial Virus Vaccines) RN - 0 (Vaccines, Attenuated) RN - 0 (Vaccines, Synthetic) RN - 0 (Viral Fusion Proteins) SB - IM MH - Antibodies, Neutralizing/blood MH - Antibodies, Viral/blood MH - Drug Discovery/*trends MH - Humans MH - Respiratory Syncytial Virus Infections/*prevention & control MH - Respiratory Syncytial Virus Vaccines/administration & dosage/*immunology/isolation & purification MH - Respiratory Syncytial Virus, Human/*immunology MH - Vaccines, Attenuated/administration & dosage/immunology/isolation & purification MH - Vaccines, Synthetic/administration & dosage/immunology/isolation & purification MH - Viral Fusion Proteins/*immunology PMC - PMC5653266 MID - NIHMS867803 EDAT- 2017/05/20 06:00 MHDA- 2018/02/27 06:00 PMCR- 2018/05/16 CRDT- 2017/05/20 06:00 PHST- 2017/02/28 00:00 [received] PHST- 2017/03/22 00:00 [accepted] PHST- 2017/05/20 06:00 [pubmed] PHST- 2018/02/27 06:00 [medline] PHST- 2017/05/20 06:00 [entrez] PHST- 2018/05/16 00:00 [pmc-release] AID - S1879-6257(16)30170-5 [pii] AID - 10.1016/j.coviro.2017.03.012 [doi] PST - ppublish SO - Curr Opin Virol. 2017 Apr;23:107-112. doi: 10.1016/j.coviro.2017.03.012. Epub 2017 May 16.