Amebiasis (infection by Entamoeba histolytica) remains a major health
problem in much of the developing world. Morbidity and mortality from
amebic dysentery and amebic liver abscess have persisted despite the a
vailability of effective anti-amebic therapy, suggesting a need for al
ter native measures of disease control. Through the application of rec
ombinant DNA technology, several E. histolytica antigens have now been
expressed in prokaryotic systems and tested in animal models as vacci
nes to prevent invasive amebiasis. In this review, Sam Stanley Jr disc
usses why a vaccine for amebiasis may be feasible, and describes the r
ecent development of several promising recombinant E. histolytica anti
gen-based parenteral and oral vaccine candidates.