Anthrax, toxins and vaccines: a 125-year journey targeting Bacillus anthracis

Expert Rev Anti Infect Ther. 2009 Mar;7(2):219-36. doi: 10.1586/14787210.7.2.219.

Abstract

Bacillus anthracis is the causative agent of anthrax, a disease that plagues both humans and various animal species. Effective vaccines are available, but those approved for human use are crude culture supernatants that require multiple injections and a yearly boost. Many experts agree that it is now time for the next generation of human vaccines against anthrax. Accordingly, this review will succinctly focus upon: pathogenesis of B. anthracis, with particular emphasis upon the immune system; the pertinent biophysical nature of protective antigen, which includes how the protein toxin component affords protection as a vaccine target; alternative methods for improving protective antigen as an immunogen; and additional B. anthracis antigens that might further sustain protective titers in humans. In addition to a better understanding of the disease process elicited by B. anthracis, which will logically lead to better vaccines (and therapeutics), there also needs to be the same level of open-mindedness applied to the politics of anthrax.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Anthrax / immunology
  • Anthrax / microbiology
  • Anthrax / prevention & control*
  • Anthrax Vaccines / administration & dosage
  • Anthrax Vaccines / therapeutic use*
  • Antigens, Bacterial / chemistry
  • Antigens, Bacterial / physiology
  • Bacillus anthracis / immunology*
  • Bacillus anthracis / pathogenicity
  • Bacterial Toxins / chemistry
  • Humans
  • Models, Immunological
  • Virulence
  • Virulence Factors / chemistry
  • Virulence Factors / physiology

Substances

  • Anthrax Vaccines
  • Antigens, Bacterial
  • Bacterial Toxins
  • Virulence Factors
  • anthrax toxin