Table 7.

Possible vaccine strategies for EBV: unanswered questions


Potential vaccines may

Vaccine strategy/unanswered questions
Prevent infection entirely   Give vaccine in infancy  
  Does vaccine induce sterile immunity?  
Prevent symptomatic primary infection (IM)   Give vaccine to all students who leave school  
  Should vaccine be given only to EBV seronegatives?  
  Does vaccine prevent death in XLPS?  
  Does vaccine prevent PTLD in EBV-negative transplant recipients?  
Prevent EBV-associated tumors   Does this require sterile immunity?  
  Does this require neutralizing antibody and/or cytotoxic T-cell activity?  

 
Can prevention be achieved with gp350 vaccine?
 

Potential vaccines may

Vaccine strategy/unanswered questions
Prevent infection entirely   Give vaccine in infancy  
  Does vaccine induce sterile immunity?  
Prevent symptomatic primary infection (IM)   Give vaccine to all students who leave school  
  Should vaccine be given only to EBV seronegatives?  
  Does vaccine prevent death in XLPS?  
  Does vaccine prevent PTLD in EBV-negative transplant recipients?  
Prevent EBV-associated tumors   Does this require sterile immunity?  
  Does this require neutralizing antibody and/or cytotoxic T-cell activity?  

 
Can prevention be achieved with gp350 vaccine?
 

PTLD indicates posttransplantation lymphoproliferative disease; XLPS, X-linked lymphoproliferative syndrome.

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