Vaccine · 2016 · 141 citations · 47 references
Veterinary MedicineImmunologyInfectious DiseasesImmunizationMedical MicrobiologyVaccinologyBacterial InfectionsBacterial Virulence FactorsClinical Development Of VaccinesVaccinationVaccine Antigen DiscoveryVaccine-preventable DiseasesBacterial Therapeutic VaccinesBacterial Vaccine DevelopmentBacterial VaccinesBarriersPhase Iii Clinical TrialsPhase Iii Vaccine TrialsVirulence Factor IdentificationVirulence Factor Targeting
Streptococcus pyogenes is an important global pathogen, causing considerable morbidity and mortality, especially in low and middle income countries where rheumatic heart disease and invasive infections are common. There is a number of promising vaccine candidates, most notably those based on the M protein, the key virulence factor for the bacterium. Vaccines against Streptococcus pyogenes are considered as impeded vaccines because of a number of crucial barriers to development. Considerable effort is needed by key players to bring current vaccine candidates through phase III clinical trials and there is a clear need to develop a roadmap for future development of current and new candidates.
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Rafael Lozano, Mohsen Naghavi, Kyle J Foreman et al. · The Lancet · 2012 · 14.3K citations · Full text
Liesl Zühlke, Mark E. Engel, Ganesan Karthikeyan et al. · European Heart Journal · 2014 · 584 citations · Full text