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Antibodies elicited by altSonflex1-2-3 GMMA vaccine are bactericidal against a panel of drug-resistant clinical isolates.

Boero, Elena
Di Benedetto, Roberta
Vezzani, Giacomo
Alfini, Renzo
Tansarli, Giannoula S.
Fang, Ferric C.
Fontana, Carla
Rossi, Alberto
Carrara, Stefania
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Abstract

Shigellosis significantly impacts global health, particularly affecting vulnerable populations in low- and middle-income countries, with over 270 million annual infections. It also causes morbidity in specific high-risk groups in high-income countries. Antibiotic treatment is increasingly compromised by multidrug-resistant strains, highlighting the urgent need for a vaccine. We developed a four-component O-antigen-based vaccine candidate targeting and 1b, 2a, and 3a serotypes, named altSonflex1-2-3, to provide broad protection against most globally prevalent strains. Here, we characterized the O-antigen structural features of a panel of drug-resistant clinical isolates and verified that they did not significantly differ from the O-antigen in the vaccine. Preclinical sera elicited by altSonflex1-2-3 were bactericidal against most strains, confirming the ability of anti-O-antigen antibodies to recognize and kill different clinical isolates. Importantly, our results suggest that altSonflex1-2-3 could offer protection against antimicrobial-resistant strains, addressing a critical public health issue.

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Date
2025-07-01
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Peer reviewed scientific article
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Shigella
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Vaccine-preventable diseases #12989#
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