There is a current high demand for nontypable Haemophilus influenzae (NTHi)
vaccines. Various options for the composition of such vaccines are possibl
e. Decisions about the vaccine composition have to take into account the an
tigenic variability of NTHi, so even complex immunogens such as whole bacte
ria would preferentially have a tailor-made antigenic composition. We will
present a summary of NTHi vaccine development, describing research efforts
from SmithKline Beecham and other laboratories. Currently, major (P1, P2, P
4, P5) and minor (P6, D15, TbpA/B,...) outer membrane proteins, LPS, adhesi
ns (HMW, Hia, pili, P5) are being studied. Preclinical results with LPD, P5
(LB1) and OMP26 from our laboratories will be described including the use
of animal models of otitis and lung infection. (C) 2000 Elsevier Science Lt
d. All rights reserved.