Engaging Broader Stakeholders to Accelerate Group A <i>Streptococcus</i> Vaccine Development

Group A <i>Streptococcus</i> (GAS) imposes a significant global health burden across all age groups, annually causing over 600 million cases of pharyngitis and more than 18 million severe invasive infections or sequelae. The resurgence of scarlet fever globally and streptococcal toxic sh...

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Main Authors: Dechuan Kong, Hao Pan, Huanyu Wu, Jian Chen
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Vaccines
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Online Access:https://www.mdpi.com/2076-393X/13/7/734
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author Dechuan Kong
Hao Pan
Huanyu Wu
Jian Chen
author_facet Dechuan Kong
Hao Pan
Huanyu Wu
Jian Chen
author_sort Dechuan Kong
collection DOAJ
description Group A <i>Streptococcus</i> (GAS) imposes a significant global health burden across all age groups, annually causing over 600 million cases of pharyngitis and more than 18 million severe invasive infections or sequelae. The resurgence of scarlet fever globally and streptococcal toxic shock syndrome (STSS) outbreaks in Japan have brought GAS infections back into the spotlight as a pressing global health concern. Unfortunately, no licensed vaccine against GAS is yet available for clinical use. Our comprehensive review examines the developmental history of GAS vaccines, outlining the research trajectory from early inactivated vaccines to contemporary multivalent, conjugate, multi-antigen, and mRNA-based vaccine platforms. It systematically analyzes clinical trial outcomes of GAS vaccines, highlighting recent advances in both M protein-based and non-M protein vaccine candidates while summarizing promising target antigens. The review concludes with critical strategies to accelerate vaccine commercialization, including enhanced investment in research and development, expanded collaborations, leveraging advanced vaccine technologies, streamlined clinical trials, and strengthened public health advocacy. This review critically evaluates the current evidence and future prospects in GAS vaccine development, emphasizing innovative strategies and engaging broader stakeholders to accelerate GAS vaccine development.
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spelling doaj-art-405db2c0c3894b198299950099aa98482025-08-20T03:32:16ZengMDPI AGVaccines2076-393X2025-07-0113773410.3390/vaccines13070734Engaging Broader Stakeholders to Accelerate Group A <i>Streptococcus</i> Vaccine DevelopmentDechuan Kong0Hao Pan1Huanyu Wu2Jian Chen3Department of Communicable Diseases Control and Prevention, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, ChinaDepartment of Communicable Diseases Control and Prevention, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, ChinaOffice of the Director, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, ChinaDepartment of Communicable Diseases Control and Prevention, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, ChinaGroup A <i>Streptococcus</i> (GAS) imposes a significant global health burden across all age groups, annually causing over 600 million cases of pharyngitis and more than 18 million severe invasive infections or sequelae. The resurgence of scarlet fever globally and streptococcal toxic shock syndrome (STSS) outbreaks in Japan have brought GAS infections back into the spotlight as a pressing global health concern. Unfortunately, no licensed vaccine against GAS is yet available for clinical use. Our comprehensive review examines the developmental history of GAS vaccines, outlining the research trajectory from early inactivated vaccines to contemporary multivalent, conjugate, multi-antigen, and mRNA-based vaccine platforms. It systematically analyzes clinical trial outcomes of GAS vaccines, highlighting recent advances in both M protein-based and non-M protein vaccine candidates while summarizing promising target antigens. The review concludes with critical strategies to accelerate vaccine commercialization, including enhanced investment in research and development, expanded collaborations, leveraging advanced vaccine technologies, streamlined clinical trials, and strengthened public health advocacy. This review critically evaluates the current evidence and future prospects in GAS vaccine development, emphasizing innovative strategies and engaging broader stakeholders to accelerate GAS vaccine development.https://www.mdpi.com/2076-393X/13/7/734Group A <i>Streptococcus</i>GASvaccineM proteinmultivalentJ8
spellingShingle Dechuan Kong
Hao Pan
Huanyu Wu
Jian Chen
Engaging Broader Stakeholders to Accelerate Group A <i>Streptococcus</i> Vaccine Development
Vaccines
Group A <i>Streptococcus</i>
GAS
vaccine
M protein
multivalent
J8
title Engaging Broader Stakeholders to Accelerate Group A <i>Streptococcus</i> Vaccine Development
title_full Engaging Broader Stakeholders to Accelerate Group A <i>Streptococcus</i> Vaccine Development
title_fullStr Engaging Broader Stakeholders to Accelerate Group A <i>Streptococcus</i> Vaccine Development
title_full_unstemmed Engaging Broader Stakeholders to Accelerate Group A <i>Streptococcus</i> Vaccine Development
title_short Engaging Broader Stakeholders to Accelerate Group A <i>Streptococcus</i> Vaccine Development
title_sort engaging broader stakeholders to accelerate group a i streptococcus i vaccine development
topic Group A <i>Streptococcus</i>
GAS
vaccine
M protein
multivalent
J8
url https://www.mdpi.com/2076-393X/13/7/734
work_keys_str_mv AT dechuankong engagingbroaderstakeholderstoaccelerategroupaistreptococcusivaccinedevelopment
AT haopan engagingbroaderstakeholderstoaccelerategroupaistreptococcusivaccinedevelopment
AT huanyuwu engagingbroaderstakeholderstoaccelerategroupaistreptococcusivaccinedevelopment
AT jianchen engagingbroaderstakeholderstoaccelerategroupaistreptococcusivaccinedevelopment