ABSTRACT
Viral respiratory infections continue to cause significant morbidity and mortality
in infants and young children as well as in at-risk adults and the elderly. Although
many viral pathogens are capable of causing acute respiratory disease, vaccine development
has to focus on a limited number of pathogens (i.e., agents that commonly cause serious
lower respiratory disease). Inactivated and, more recently, live attenuated influenza
virus vaccines are the mainstay of interpandemic influenza prevention, but vaccines
are not available yet for other important viruses such as respiratory syncytial virus,
metapneumovirus, the parainfluenza viruses, and avian influenza viruses with pandemic
potential. Reverse genetics systems that allow rational vaccine development are now
widely used, and considerable progress has been made in preclinical and clinical development
of novel respiratory virus vaccines.
KEYWORDS
Vaccine - influenza virus - parainfluenza virus - metapneumovirus - respiratory syncytial
virus - clinical trial
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Alexander C SchmidtM.D.
Laboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases,
National Institutes of Health
50 South Dr., Rm. 6511, Bethesda, MD 20892-8007
Email: schmidta@niaid.nih.gov