Designing ecologically optimized pneumococcal vaccines using population genomics
File(s)vaccOpt_accepted_complete.pdf (9.85 MB)
Accepted version
Author(s)
Colijn, Caroline
Corander, Jukka
Croucher, Nicholas J
Type
Journal Article
Abstract
Streptococcus pneumoniae (the pneumococcus) is a common nasopharyngeal commensal that can cause invasive pneumococcal disease (IPD). Each component of current protein–polysaccharide conjugate vaccines (PCVs) generally induces immunity specific to one of the approximately 100 pneumococcal serotypes, and typically eliminates it from carriage and IPD through herd immunity. Overall carriage rates remain stable owing to replacement by non-PCV serotypes. Consequently, the net change in IPD incidence is determined by the relative invasiveness of the pre- and post-PCV-carried pneumococcal populations. In the present study, we identified PCVs expected to minimize the post-vaccine IPD burden by applying Bayesian optimization to an ecological model of serotype replacement that integrated epidemiological and genomic data. We compared optimal formulations for reducing infant-only or population-wide IPD, and identified potential benefits to including non-conserved pneumococcal carrier proteins. Vaccines were also devised to minimize IPD resistant to antibiotic treatment, despite the ecological model assuming that resistance levels in the carried population would be preserved. We found that expanding infant-administered PCV valency is likely to result in diminishing returns, and that complementary pairs of infant- and adult-administered vaccines could be a superior strategy. PCV performance was highly dependent on the circulating pneumococcal population, further highlighting the advantages of a diversity of anti-pneumococcal vaccination strategies.
Date Issued
2020-03
Date Acceptance
2019-12-03
Citation
Nature Microbiology, 2020, 5, pp.473-485
ISSN
2058-5276
Publisher
Nature Research
Start Page
473
End Page
485
Journal / Book Title
Nature Microbiology
Volume
5
Copyright Statement
© The Author(s), under exclusive licence to Springer Nature Limited 2020. The final publication is available at Springer via https://doi.org/10.1038/s41564-019-0651-y
Sponsor
Engineering & Physical Science Research Council (EPSRC)
Engineering & Physical Science Research Council (EPSRC)
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000510823400001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Grant Number
EP/K026003/1
EP/N014529/1
Subjects
Science & Technology
Life Sciences & Biomedicine
Microbiology
STREPTOCOCCUS-PNEUMONIAE
CONJUGATE VACCINE
INVASIVE-DISEASE
SEROTYPE DISTRIBUTION
PENICILLIN RESISTANCE
COST-EFFECTIVENESS
CARRIAGE
CHILDREN
IMPACT
IMPLEMENTATION
Publication Status
Published
Date Publish Online
2020-02-03